The price of alcohol

Sir, – The Oireachtas Committee on Health and Children, chaired by Jerry Buttimer TD, has finished its work on the Public Health (Alcohol) Bill 2015.

It has recommended the introduction of a series of amendments to the Bill that can reduce the number of men, women and children in Ireland who die or are harmed by alcohol use.

These include setting a minimum unit price for alcohol, the inclusion of labels with health warnings, restrictions around the advertising of alcohol to children and young people and the separation of its sale from everyday groceries. There is evidence to show that all of these measures can help to significantly change our relationship with alcohol, save lives and free up our overwhelmed hospitals in a significant way.

You will hear much about the “nanny state” and how a few people who drink irresponsibly are ruining it for everyone else. The facts tell a different story.

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Alcohol consumption is on the rise again. Research shows that about 80 per cent of Irish adults consume alcohol and more than half of those are classified as harmful high-risk drinkers. Almost 10 per cent of those who consume alcohol are dependent – and this rises to 15 per cent among 18-24 year olds.

Doctors are increasingly caring for more than 200,000 chronic dependant drinkers with organ damage, cancers, cirrhosis and liver failure, heart failure and problems related to the brain and nervous system and physical and mental health problems.

Some 1,500 hospitals beds are occupied every night as a result of alcohol use. Alcohol is also a factor in half of all suicides in Ireland.

Every day, three people in Ireland die as a result of alcohol use – more than are killed on the roads.

Alcohol has been classified as carcinogenic and linked to seven types of cancer. The European Cancer Code says there is no “safe” level. The more you drink, the higher your risk of cancer.

The way we drink alcohol in Ireland costs the State €3.7 billion annually in providing healthcare, policing and other services. We know that alcohol harm not only affects the individual drinker, but also affects others around them, including family members, friends, co-workers and the wider community.

The lack of a progressive alcohol policy to date has resulted in children’s lives being blighted by alcohol misuse within their families contributing to parental addiction, financial difficulties, family breakdown, neglect and abuse.

Tackling alcohol pricing is one of the most effective ways of reducing alcohol-related harm. Setting a minimum unit price for alcohol will effectively target high-risk drinkers who consume the cheapest and strongest alcohol products, while having little or no effect on low-risk drinkers. The Bill can also help to reverse the worrying rise in the binge-drinking culture in Ireland, which is a huge concern for the future health of our teenagers and young adults.

Alcohol Health Alliance Ireland – the first public health advocacy coalition formed to address the issues surrounding alcohol – believes the real cost of alcohol in Irish society must urgently be addressed. Let’s grasp the opportunity to do something about this now by supporting the Public Health (Alcohol) Bill. – Yours, etc,

Prof FRANK MURRAY,

President, Royal College

of Physician of Ireland

and chairman of Alcohol

Health Alliance Ireland;

SUZANNE COSTELLO,

Chief Executive,

Alcohol Action Ireland;

KATHLEEN O’MEARA,

Irish Cancer Society;

CLIONA LOUGHNANE,

Irish Heart Foundation;

MARY CUNNINGHAM,

National Youth Council

of Ireland,

Dr RAY WALLEY,

Irish Medical Organisation;

Dr JOHN HILLERY,

College of Psychiatrists

of Ireland;

LAURA HARMON,

President, Union of

Student in Ireland;

GREG O’DONOGHUE, Vice President for Welfare, Union of Student in Ireland;

CATHERINE BROGAN, Executive Director, Samaritans Ireland;

TANYA WARD, Chief Executive, Children’s Rights Alliance;

ETAIN KETT, Public Affairs & Communications Manager, Dental Health Foundation;

PROF JOE BARRY, Trinity College Dublin;

Dr HUGH GALLAGHER, GP Coordinator HSE Addiction Service;

Senator JOHN CROWN;

Senator JILLIAN VANTURNHOUT;

Senator MARYANN O’BRIEN;

Senator LORRAINE HIGGINS, chairman of the All Party Oireachtas Group on Alcohol Harm;

Dr CATE HARTIGAN, Head of health promotion and improvement, HSE;

EDITH GERAGHTY, National Communications Officer, No Name Club;

EMMA CHAMPION, Registered Nurse, Dublin Simon Community;

Dr ORLA CROSBIE, Consultant Hepatologist, Cork University Hospital;

Dr SUZANNE COTTER, Specialist in Public Health Medicine;

Dr SIOBHAN JENNINGS, Consultant, Public Health Medicine;

Prof ELIZABETH KEANE, Dean, RCPI Faculty of Public Health;

Dr DECLAN WHELAN, Dean, RCPI Institute of Occupational Health;

ROLANDE ANDERSON, Addiction Counsellor;

Dr BOBBY SMYTH, Consultant Child & Adolescent Psychiatrist, Cherry Orchard Hospital;

Dr STEPHEN STEWART, Centre for Liver Disease, Mater Hospital;

Prof AIDEN McCORMICK, Gastroenterologist, St Vincent’s Hospital.

Sir, – The economics behind the rationale for this new minimum alcohol pricing venture is misguided.

Price elasticity is indeed a fundamental principle of economics, but price elasticity differs from product to product. Addictive vices such as cigarettes and alcohol are classic examples of inelastic products, and successive governments for decades have exploited this fact when adding 50 cent on a packet of cigarettes or 15 cent on the pint.

The whole point was that it would not reduce demand and would instead result in more revenue for the State coffers.

Perhaps if it was economists rather than healthcare professionals and politicians developing this latest scheme, they would realise that it is destined to fail in reducing alcohol demand. – Yours, etc,

MAURICE MURPHY,

Millstreet, Co Cork.

Sir, – After the death of our 19-year-old son David by suicide in 2011 after what was described by the coroner as a drink-fuelled house party, I have campaigned to have the whole subject of cheap alcohol addressed.

I don’t look on myself as a neo-prohibitionist; all I ask is that the whole subject of dirt-cheap alcohol that is causing so many problems in our country be addressed.

There are many reports compiled by people who deal with the problems associated with alcohol abuse and one of the main problems they point out is cheap alcohol. The number of people abusing alcohol in this country is far greater than what many people think. The real cost of cheap alcohol can be seen in hospitals, psychiatric units and graveyards in our country. My only wish is that by addressing the pocket money-priced alcohol which is available in our supermarkets, shops and garages, young people will have a better chance of getting through their early years and go on to have long and happy lives. – Yours, etc,

JOHN HIGGINS,

Ballina, Co Mayo.