Every thirty minutes, a person dies in an alcohol related car accident. Alcohol is the most common addictive substance used in the US, according to the National Council on Alcoholism and Drug Dependence (1). Alcoholism continues to create great burdens in societies throughout the world due to its cost or the consequences brought to families suffering from its abuse. It has a toll on people of every race, gender, age, and ethnicity. Social and moderate drinkers justify their habit by stating that a few drinks would even be good for health, yet they do not realize that their habit could lead to a destructive future addiction. In a world where alcohol is viewed as a necessity for social gatherings and environments, it is easy to overlook the risks associated with its consumption.

Research studies have shown that alcohol drinking significantly increases the risk of developing cancers throughout the body. With at least fifteen carcinogenic compounds such as ethanol, acetaldehyde, arsenic, benzene, formaldehyde, aflatoxins, (2), alcohol can have a direct carcinogenic effect on gastrointestinal cancers through indirect effects by over-expression of oncogenes in cells that trigger cancer development. In addition to a carcinogen effect, it also has a co-carcinogen effect by boosting carcinogenic properties of chemicals (3).

Upon consumption, ethanol is oxidized by bodily enzymes to form acetaldehyde, a very toxic product, during alcohol metabolism (2). High level concentrations of acetaldehyde trigger mucosal hyperproliferation when in contact with the mucosal layer of the digestive tract (4). Alcohol also causes common diseases referred directly by its name such as; alcoholic cirrhosis (alcohol is the most common causative factor of cirrhosis), alcoholic liver disease, alcoholic steatohepatitis, alcoholic cardiomyopathy, alcohol induced chronic pancreatitis, alcoholic hypoglycemia, alcoholic neuropathy, alcoholic anemia, alcoholic dementia, alcohol induced depression and seizures, etc. A beneficial effect of alcohol is that it is one of the agents which can increase the level of good cholesterol called high density lipoprotein (HDL). On the other hand it also deteriorates hypertension and leads to alcoholic cardiomyopathy with its toxicity. The question then is, “Is it safe for a person to use a toxin due to its only one beneficial effect although it is the most common factor of many diseases that are referred directly by its name?” Considering even beyond the organic effects, alcohol can also harm our relationships and cause legal problems such as driving while drunk or intoxicated.

Recently, Bagnardi et al. (5) reported a meta-analysis about alcohol drinking and cancer in a medical journal, the Annals of Oncology, showing that alcohol consumption even in small amounts increases the risk of oral cavity, pharynx, esophagus, larynx, liver, breast, and colo-rectum cancers. Most of the data derives from studies of moderate to high alcohol intake. For the first time, the researchers evaluated the association between light alcohol drinking (even 1 drink daily) and cancers by evaluating 13,814 non-unique papers identified through literature search. 222 unique papers were included in the meta-analysis, comprising ~92,000 light drinkers and 60,000 non-drinkers with cancer. Most notably, even light drinking was associated with the risk of oropharyngeal cancer, esophageal squamous cell cancer, and female breast cancer (5). These findings show that even though some findings have suggested health benefits for light alcohol consumption, risk of cancer increases with any sort of alcohol consumption.

Previously, there was some support that light consumption of alcohol – one glass for women and two glasses for men – might improve cholesterol levels, lower the risk of forming blood clots, decrease inflammation, and increase antioxidant activity. However, this mere suggestion has quickly been generalized to the overall public. Potential benefits of light drinking depends on the patients’ age, general health, lifestyle, nutrition, history of alcoholism, and many other factors. According to research evidence, any amount of alcohol consumption poses and increases the risk of alcohol linked cancer (6). Because alcohol consumption is a modifiable risk factor for cancer and many diseases, the more a person consumes alcohol products, the greater the risks are (7). These risks are also lowered by reduction in alcohol consumption; thus there is no truly “safe” level of alcohol intake (6).

Alcohol reduces the blood levels of vitamins A and E, zinc, iron and some B vitamins, including folate and thiamin, leading to vitamin deficiency, nutritional disorders, and toxicities, all of which can trigger cancer development. Alcohol suppresses the immune system and makes alcoholics more susceptible to developing cancer (8). Considering these data, drinking alcohol for older people has no potential benefits. The risk-to-benefit ratio is a little higher in younger individuals, as they have higher rates of binge drinking and acute intoxication.

The sensitive question to consider is: should individuals consciously poison themselves if they think that a toxin might have a potential beneficial effect? Can a clinician recommend a toxic drug use for its effect on nausea? For alcohol, the evidence of harmful effects is stronger than evidence of the beneficial effects (6). There are many other proven safer ways of maintaining our heart health on track, without any risk of alcohol-related hypertension, stroke, coronary artery disease, diabetes, congestive heart failure, cancer, dementia, violence, or accidents.

Then, why is alcohol so praised nowadays? The alcohol industry tries to maintain and endorse alcohol consumption. In some countries, alcohol production is very high and is an important element in the economy. Public health has a very powerful opponent known as the alcohol industry; Bagnardi et al. (5) have reported a meta-analysis published against the alcohol industry and their enormous power against public health.

Even light drinking practice may turn many vulnerable people into alcoholics. Alcoholism is a prodigious defect behind many physiological and psychological problems, not only in individuals but also within many families and societies. It can also result in drunk driving accidents, which claim thousands of lives in the US every year. One simply cannot become an alcoholic if they do not drink. It would be beneficial to have people re-think their stance about this real toxin to fight against alcohol abuse and dependence.

Tahan is a student at the College of Sciences, University of Iowa.

References

1) https://ncadd.org/for-the-media/alcohol-a-drug-information

2) Lacshenmeier DW, Przybylski MC, Rehm J. Comparative risk assessment of carcinogens in alcoholic beverages using the margin of exposure approach. Int J Cancer. 2012; 131(6):E995-1003.

3) Haas SL1, Ye W, Löhr JM. Alcohol consumption and digestive tract cancer. Curr Opin Clin Nutr Metab Care. 2012;15(5):457-67.

4) Homann N, Kärkkäinen P, Koivisto T, Nosova T, Jokelainen K, Salaspuro M. Effects of acetaldehyde on cell regeneration and differentiation of the upper gastrointestinal tract mucosa. J Natl Cancer Inst. 1997 Nov 19; 89(22):1692-7.

5) Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, Scotti L, Jenab M, Turati F, Pasquali E, Pelucchi C, Bellocco R, Negri E, Corrao G, Rehm J, Boffetta P, La Vecchia C. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013; 24(2):301-8.

6) http://www.medscape.com/viewarticle/824237

7) Holman DM, Grossman M, Henley SJ, Peipins LA, Tison L, White MC. Opportunities for cancer prevention during midlife: highlights from a meeting of experts. Am J Prev Med. 2014; 46(3 Suppl 1):S73-80.

8) Pericleous M1, Mandair D, Caplin ME. Diet and supplements and their impact on colorectal cancer. J Gastrointest Oncol. 2013; 4(4):409-23.

Nowadays, forgetfulness has become a very common problem among both young and older people (Bambroo, 2010). There are various elements that lead to forgetfulness and poor memory; carelessness, not knowing the principles of memorization, and not using information are some of them (Tarhan, 2007). Therefore, the factors that cause weakness of memory are extremely critical. This article elucidates the causes of poor memory from emotional aspects such as depression, stress, and a confused mind as well as the behavioral aspects of alcohol and drug addiction, and alternative religious inspirations to help tackle the causes of bad memory.

Firstly, depression and a stressful lifestyle are deeply critical causes of bad memory and can lead to forgetfulness (Bambroo, 2010). Today depression has become a very common disease that can occur at any age. There are many reasons causing depression. Events like loss of a beloved person are usually accompanied by depression and result in problems with memory (MYLN, 2008). In addition, all negative emotions such as anxiety and anger can hamper the ability of our brains to remember. In particular, depression is the primary negative emotion to influence our memory because it interferes with our ability to concentrate (Edmonds, 2009). Some people might keep forgetting things, even though they need to concentrate to be able to work or study. Turning negative emotions that come from depression into a positive philosophy of life will aid the memorization ability.

Secondly, a confused mind is one of the most significant reasons for poor memory. Every day we get new information from everywhere, and we are exposed to more knowledge than we need. Even though some of them can be beneficial, most are useless to the effect that they dominate over the useful ones. Some scholars support the idea that mental pollution is one of the main reasons for poor memory nowadays (Gülen, 2007).

Next, some experts highlight that neglecting the emotional dimension is another reason for poor memory. A theater actor perfectly memorizes his role because he learns to pretend the emotions. Interest enhances emotional power, therefore it is said that interest is the teacher of learning. The left part of the brain does logical functions; however, the right part of the brain carries out emotional and artistic functions (Tarhan, 2007). In addition, Prof. Robert Ornstein, from the University of California, explains that people who use both parts of their brain in a balanced way, have five times more brain capacity than others (Tarhan, 2007). Therefore, using only the left hemisphere of the brain and neglecting emotions can result in having a weak memory, as well as forgetting information in a short time. For example, if we memorize five words without using emotional dimension, we can save them for a little time; however, if we create connections and acronyms among them or produce a story, these kinds of emotional aspects help us to save them for a long time.

Furthermore, alcohol and drug addiction can weaken the human memory. It has long been known that cannabis (an illegal drug, “marijuana,” made from the dried leaves and flowers of the hemp plant) causes memory loss by acting on the hippocampus, which is the area in the brain that rules most of our cognitive functions (Hood, 2009). Moreover, according to scientific research, heavy alcohol use clearly damages retrospective memory, namely, the learning, preservation, and recovery of previously presented materials (Buddy T., 2006). Furthermore, excessive alcohol consumption can result in blackouts-periods of temporary memory loss or amnesia. When a person consumes alcohol, the body immediately starts to break it down. The brain receives less oxygen when alcohol is present, and alcohol has a damaging effect on the central nervous system (Wellness Trader, 2010).

Religious inspirations, as well as religious life can help us cope with poor memory. According to Shatibi, an Andalusian Muslim scholar, there are five main purposes of the religions. They are protection of religion, protection of life, protection of progeny, protection of the mind, and protection of wealth. All religions and nations may observe these higher objectives (Shatibi, 1388). In this respect, all actions that might harm the mind are prohibited by Islam, and all activities that lead to the development of mind are recommended. Alcohol use and drug abuse are prohibited because they damage the mind. Moreover, the depression and stresses that often accompany modern day life can be overcome by remembering to place trust in God in every situation regardless if it is good or bad. As Bediuzzaman indicates “Those who attain true belief can challenge the universe, and in proportion to their belief’s strength, be relieved of the pressures of events. Relying on God, they travel safely through the mountainous waves of events in the ship of life. Having entrusted their burdens to the Absolutely Powerful One’s Hand of Power, they voyage through the world comfortably until their last day” (Nursi, 2010).

Hakan Coruh is a PhD student in Qur’anic exegesis at ACU National, Melbourne, Australia.

References

• Bambroo, C.J. (2010, May 10). Forgetfulness, a growing problem. Retrieved June 01, 2010, from http://www.hindustantimes.com.
• Buddy, T. (2006, July 09). Alcohol Damages Day-To-Day Memory Function. Retrieved June 01, 2010, from http://alcoholism.about.com.
• Edmonds, M. Top 10 Ways to Improve Your Memory. Retrieved June, 2009, from http://health.howstuffworks.com.
• Gülen, M. F. (2007, May 28). Mefluç Dimaglar ve Unutkanligin Reçetesi. Retrieved June 01, 2010, from http://www.herkul.org
• Hood, M. (2009, August 2). Pot shot: Scientists find cannabis trigger for forgetfulness. Retrieved June 01, 2010, from http://www.physorg.com.
• Mayda, A. (2010, January – February). Memory and Forgetfulness. The Fountain Magazine, Issue: 73, Retrieved June 01, 2010, from http://www.fountainmagazine.com.
• MYLN. (2008, December 2). 6 Ways To improve memory. Retrieved June 01, 2010, from http://www.manageyourlifenow.com.
• Nursi, Bediuzzaman Said. 2010. The Words, NJ: The Light, Inc., p. 330.
• Shatibi, E. Al Muvafakat. Al Maktaba Al Ticariyye Al Kubra, v: 2, p: 10.
• Tarhan, N. (2007, July 27). Beyin Sagligi ve Unutkanlik. Retrieved June 01, 2010, from http://www.aktuelpsikoloji.com.
• Wellness Trader Tm. (2010). Alcohol and Memory Loss. Retrieved June 01, 2010, from http://www.memory-loss.com.

I started early, as I was offered wine with family dinners, and I watched my parents consume three to five drinks of alcohol every week day-more on weekends. A large bottle of alcohol lasted two or three days in my home-less if friends dropped by. In fact, the Canadian national average age for trying alcohol is 12 years of age, and about 73% of Canadians over age 12 drink alcohol. Only 3-4% are visibly dependent; the rest are “normal” people-going to jobs and coming home to their families. However, they just can’t function for any length of time without alcohol. They “miss” a drink if they don’t have it-and they make every effort to plan weekly routines around it. They talk about brands, plan visits to bars, clubs, and parties, and may even make their own. They don’t feel “right” until they’ve had a drink-and if they can’t get any, they become depressed or aggressive. Over the months and years, they tend to use it like prayer to meditate on the best and worse moments of their lives.

My family was very typical of Canadian families. On average, Canadians consume 7.6 liters of alcohol per person per year. The industry itself reports sales in 2001 of over 14.5 billion cases (12 X 750 ml bottles). Every single one-every one-of my relations drinks alcohol, and I sadly have several close relatives who have crashed cars, lost their jobs or families, or embarrassed themselves in public-all under the influence of alcohol. Did you know that in a typical year in Canada, more than 6,500 people die in alcohol-related accidents, and more than 81,000 people are hospitalized? Among all injured drivers in Canada, over 77% have alcohol in their bloodstream.

What is the big attraction anyhow? Alcohol doesn’t taste as good as people say it does. It’s often too spicy, sweet, dry, or bitter-depending on what kind of alcohol-and it can burn your throat when it goes down. Most people actually “mix” it with soft drinks or juice to hide the taste. It makes you gain weight through useless calories and lethargy. Drink a lot and you will vomit, sometimes for two or three days. Drink even more, and you may go blind or die. And once you start, it’s hard to stop. People who drink know all of these things, but still they drink. My Muslim friends often ask me, “Why do people drink if they know that there are all these dangers and problems with it?” This question bothered me enough in the past to make me stop drinking for years at a time. My family’s response was no big surprise-they accused me then, like now, of “not being very much fun.” This concept of “fun,” in fact, is at the very heart of the issue.

First, “fun” is what you do to “let go” of “the stresses of the week.” For drinkers of any caliber, life is divided into work days and non-work days. On work days, drinking must be limited-drink too much and your breath and skin smell tart in the morning, detectable to any other drinker, such as an employer. But on weekends, drinking is unlimited. This leads to the birth of a national phenomenon-the race to weekends. People will talk about the coming weekend beginning on Wednesdays. Then, on Mondays and Tuesdays, they talk about the previous weekend. And so, the life of the average Canadian quickly becomes a monotony of alternating days, five plus two, five plus two. The only concept of “future” and “hope” is the hope for what will happen during future weekends. The main bond between members becomes the alcohol itself, as discussions of which beer is better, which bar is better, and which party was the best fill lives quickly and easily and the weeks pass by. Horrible jobs with little meaning are tolerated because “it’s almost Friday,” and it isn’t important anymore to think about how time in this life should really be spent. Any occasion is cause for an alcohol-driven celebration, and many capable people who have the potential to really benefit this world are “dulled” into submission by the monotony of this pointless social and economic cycle.

Second, fun is what happens when you “don’t take life too seriously.” I personally can’t count the number of times I have been told to just “relax.” It seems that not taking life seriously is a fervent goal of the majority of people. They believe that life is meant for pleasure; some will actually tell you that “God gave them the gift of this life strictly for their enjoyment.” In fact, if you begin to think too deeply about the meaning of life, you quickly become a social outcast in this culture. Dare to suggest that someone should slow down their drinking and you will find yourself socially adrift. You may think that’s alright-after all, who needs friends who drink alcohol all the time? However, the reality is that you will have almost an impossible time finding friends who don’t drink alcohol in this culture. Only 12% of all Canadians over age 12 report that they abstain from alcohol, and many of these are from among the younger and older generations. As an adult, you will have to content yourself with being alone, and without a strong faith it is almost impossible to bear the loneliness. Sadly, eventually, one submits to the culture instead of God.

Third, “fun” means acting without due care of the consequences. Every week, all over this country, people apologize to loved ones for inexcusable behaviors they committed when they were drunk-fornication, domestic violence, gambling and financial recklessness, dangerous driving, immoral business practices-and so on. It’s a “perfect excuse” because other drinkers understand, so you are likely to be forgiven. Ultimately, acting carefully becomes quite unimportant. More than 60% of Canadians report problems from their own or someone else’s drinking, and alcohol abuse costs Canada over 2.7% of its gross domestic product annually. That’s over 18.5 billion dollars a year-money that certainly could be better spent. Beyond the inexcusable acts committed under the influence of alcohol, there are the unforgettable ones-telling loved ones hurtful things, divulging long-held family secrets, becoming sexually explicit, acting in embarrassing way with employers, and so on. The reason is that alcohol brings a sense of slowness and confusion-a lot like what you feel just as you wake up in the morning and are still half dreaming. Typically, problem behaviors happen often over a lifetime until life feels “out of control” so that it becomes easier to continue drinking to “numb” the spiritual pain. And so, many give up the power of their will, given to them by God, and begin to believe in what is sometimes called “the Gospel of now”; having no faith in the hereafter and little faith in their ability to control and change their lives for the better, they live only for today.

As believers, we hold the biggest truth of all-belief in the afterlife. Without it, time, pleasure, and reward are measured completely differently. If time is defined only by what is on the calendar this week, why should I care about my spiritual condition at the time of my death? If community is counted only as whoever will accept me in this life, why do I need to care if my life is acceptable to my Maker? If now is all that matters, what is the point of improving myself? Clearly, alcohol creates a powerful distortion-subtle yet persistent throughout the user’s life-that the meaning of life is negotiated here and now on this earth alone. Alcohol users suffer what researchers call “reward deficiency syndrome” –they want instant gratification at all times. So how can they be expected to believe in-or even understand-the afterlife? Thus, alcohol robs users of the belief which is the key to understanding the purpose of our lives. And in shielding believers from alcohol, God protects our faith.

Many times I have walked away from a party by myself on a cold night, disgusted with people’s behavior there, feeling pity for them, staring up at the night sky, feeling completely alone. Thanks to God for the angels that kept me safe through a difficult, dangerous life. Truthfully, I wish I had known then that somewhere throughout the world, in thousands of vibrant communities, over a billion people abstained from alcohol deliberately. Muslims have a duty to tell everyone that they don’t drink because of their faith. Someone, somewhere, some day will hear the message as the voice of his own soul, and perhaps change for the better. We all come from God at the start. God willing, we will all be with Him in the end.

The extent of the problem

In the last two decades, there has been a tremendous increase in alcohol consumption in the world, an all-time high (WHO, 1980, pp7-13). The way to estimate the marked increase is probably to look at total or per capita consumption in different countries over a certain period of time (see Graphs 1, 2).

The WHO committee on alcohol-induced problems found that per capita consumption of alcoholic beverages has been increasing throughout most of the world in the last 20 years. Between 1960 and 1972, for example recorded world-wide production increased by 19% for wines, 68% for beer, and 61% for distilled spirits. Both industrialised and developing countries in various regions of the world showed that the annual consumption of alcoholic beverages, in terms of 100% ethanol (ethyl alcohol), was above 8 litres per capita in only two countries in 1950, but by 1976 this level was found in 22 countries (ibid.). A 1982 WHO report showed that by 1982 beer production had increased by 124% world-wide. In some countries in Asia, the increase was a horrifying 500%; in some African countries beer consumption increased by as much as 400%. Even remote villages, in many third world countries, were consuming alcoholic beverages while they lacked clean water and sewage disposal and other primary health amenities (Medicine Digest, 1982, p.S7).

In the UK, the per capita spending on alcohol increased by 76% over 1960-70. The adult population of the UK drank about twice as much alcohol in 1984 as it did in 1950. Spirit consumption increased by 135% while wine consumption increased by 250% (RCGP, l986).

The negative consequences of alcohol consumption are so great that it is impossible to list them. In 1979, members of the Executive Board at its 63rd session and delegates of numerous countries at the 32nd World Health Assembly confirmed that alcohol problems now rank among the world’s major public health concerns (resolution WHO 32.40; WHO, 1980); that in many parts of the world, they constitute a serious obstacle to socio-economic development and threaten to overwhelm the health services. A summary of the major losses due to alcohol consumption will be given here.

Socio-economic losses

Although the alcohol industry seems to benefit a few big international companies and provide jobs for many workers and even seems to increase state revenue from levying taxes on alcoholic beverages, the total socio-economic loss is so tremendous that these benefits become trivial. The deleterious effect on health, welfare and social consequences of alcohol consumption will more than tilt the balance towards the benefits of proscribing or at least limiting alcohol consumption.

The cost of alcohol abuse to a society is difficult to measure. In the USA, it was estimated that 30,000 million dollars were lost due to alcohol consumption in 1971 (Brunt, 1978). Table 3 gives some details. By 1979 these estimated costs were put at $43 billion dollars (WHO, 1980); and by 1986 at a staggering $120 billion dollars (Al-Sharq al-Awsat, 1986, Nov.11).

The UK spent 3 billion on alcohol in 1971; the figure increased to 11.4 billion in 1984 (RCGP, 1986), while France, in 1971, was spending annually an equivalent of $7 billion (Al-Sharq al-Awsat, 1980. July 1). West Germany in 1971 was spending 27.5 million DM on alcohol compared with 12.75 for smoking.

Alcohol features prominently in traffic accidents. WHO statistics suggest that it is involved in about 50% of all traffic accidents. Even in countries where alcohol and addictive drugs are prohibited, like Saudi Arabia, the Director of the Department of Alcohol and Drug Control claims that about 50% of long road accidents are due to alcohol and drug abuse (reported in personal conversation). In the USA, 25,000 deaths occur annually due to accidents caused by alcohol consumption. Another 15,000 deaths occur due to diseases caused by alcohol and another 15.000 deaths occur due to murder crimes and suicide committed under the influence of alcohol (Harris, 1971, pp.138-42).

The risk of accidents rises exponentially above 50 mg of alcohol percent, and at 200 mgs, the risk is a hundred times above that of the non-drinker (Brunt, 1978). It is estimated that 250,000 USA citizens die annually due to tobacco and alcohol consumption.

In crimes of violence, alcohol plays a prominent role. Nearly 70% of murders are committed under the influence of alcohol (ibid. ). WHO, after studying violent crimes in thirty countries including the USA and the UK, concluded that 86% of murders and 50% of rapes and other crimes of violence were committed under the influence of alcohol-reported in the Daily Mai l, June 26, 1980, which also quoted Lord Harris whose commission on the prison population in the UK reported that the majority of criminals were suffering from alcohol related problems.

Industrial losses are tremendous. In Scotland alone losses reached 100 million annually (SCA, 1977). In the USSR alcohol abuse is the most important cause of absenteeism and loss of production. (Gulf Times, 1983, Jan.12).

WHO (1980) cites the following consequences of alcohol abuse: absenteeism, illness, decreased production and quality of work, difficulties in work relationships, accidents and loss of trained personnel. Many countries, especially in the Third World, soffer badly from loss of management and trained staff due to alcohol abuse.

A lot of other social problems arise due to alcohol abuse. 74% of wife and child batterers are heavy drinkers. Incest, rape and other sexual crimes are usually committed under the influence of alcohol.

Divorce and separation are the ultimate result of indulgence in alcohol.

The price paid in human misery, poverty, broken homes and social degradation is beyond calculation.

Incidence of alcohol dependence

The term ‘alcohol dependence’ has replaced ‘alcoholism’ which is a denigratory unspecified term. Alcohol dependence is manifested by overt drinking behaviour, a continuation of drinking in a way not approved by one’s culture and in changed behavioural state. The dependent person’s control over his drinking becomes impaired, his craving for drink becomes relentless, and planning for drinking takes precedence over all other activities. Altered psychosomatic changes occur whereby the dependent person experiences the psychological and/or somatic signs of withdrawal during periods of abstinence. There is also increased tolerance whereby the effective dose of the intoxicant has to be increased in order to get the save pharmacological effect and satisfaction from the drug abused (Edwards et al.,1977, p.3; WHO, 1977, p.198).

It is estimated that at least one in ten of those who drink alcohol even occasionally will become alcohol dependent. In the USA the majority of the adult population drink. Some 100 million Americans drink alcoholic beverages at least occasionally (Miles, S., 1974, pp.10-14). The statistics show that practically every 17- or 18-year old will have experimented with at least one drink. As many as 50 to 85 percent of high school students drink at least occasionally. The average age at which youths begin to experiment is 13 to 14 (ibid.). In Scotland, 92% of boys and 85% of girls have experienced alcohol by age 14 (Jahoda & Crammond, 1972). In the age group 17-30 no less than 87% of men and 60% of women are regular drinkers (Dight, 1976).

Youngsters are more prone to heavy drinking when they are exposed to alcohol. In Scotland, 70% of boys and 61% of girls admitted to heavy drinking occasionally, while 40% of boys and 32% of girls (15-16 years) are regular heavy drinkers (Plant et al, 1980). 60% of Glasgow’s six-year-olds had tried alcohol (Jahoda & Crammond, 1972).

Increasing numbers of women are exposed to drinking. Heavy drinkers among women rose from 4% in 1972 to 11% in 1978 (Show, 1980). In the USA 93% of teenagers (12-17) have experienced alcohol; 1.2 million drink regularly (Strasburger, 1985).

In the USSR, the problem seems even worse. 90% of all cases of acute alcoholic intoxication being treated for the first time are under 15; one-third of them are under 10 (Al-Madina, 1984, Dec.13, quoting the Russian magazine Nash Supermenik ). 15% of the adult population are at present being treated for alcohol dependence.

There are hundreds of millions who suffer from alcohol abuse annually in the whole world. In the USA, it is estimated that 10 million are suffering from the deleterious effects of alcohol abuse (problem drinkers and alcohol dependents), with lens of millions being involved with alcohol dependent persons (Miles, 1974). In France and West Germany, there are 2.5 million alcohol dependents in the UK the figure is lower at 0.5 to 1 million, while those classed as ‘heavy’ drinkers (consuming more than 5I units weekly for males or 35 units for females), amounted to 3 million in England and Wales in 1981 (RCGP, 1986). In the USSR, its staggering figure of 25 million puts it at the top of the world as the first alcohol dependent country. In France, one-third of the electorate get some or all its income from the production and sale of alcoholic beverages (Badri, 1976, p.4l).

It is estimated that 40,000 deaths occur annually in the UK due to alcohol consumption. Though this figure is staggering, it is less than half those killed by smoking cigarettes (100,000). Heavy drinkers have a mortality rate over twice the normal population (RCGP, 1986).

WHO Technical Report on Alcohol, 1980, claims that in many countries the heavy drinkers and alcohol-dependents constitute 4-10 % of the whole population. The WHO Expert Committee on Drug Dependence concluded that in many parts of the world, problems associated with the use of alcohol far exceed those associated with non-medical use of less socially accepted dependence producing drugs such as those of amphetamine, cannabis and morphine types (WHO, 1980). The reason for this widespread alcohol dependence emerges from the fact that many cultures look upon alcohol drinking, at least in moderation, as normal behaviour. ‘Alcohol is such a permissible and trusted poison, so easy of access for those who wish to escape from their troubles that it is resorted to in excess by the maladjusted person,’ as Sir Aubrey Lewis said in Price’s Textbook of Medicine (Lewis, 1966, pp.1172-4).

Alcohol is completely forbidden by Islam. However, even in Muslim countries, alcohol dependence is becoming a problem that has to be tackled. In Khartoum province (Sudan), Dr. Al-Bager (1976) studied the incidence of alcohol consumption and alcohol dependence in 1975-76. He found the following important facts that: 1) females rarely drink alcohol; 2) most of those who drink alcohol started at the age of 16 or over; 3) the majority of alcohol drinkers do not drink at home as there is still strong refusal by the family; 4) the male adult population in Khartoum province in 1975 was 417,820-47% of them had tried intoxicating liquor at least once; 87% of those who drink are social drinkers while the remaining 13% are regular, daily drinkers who are starting to experience problems from their drink in habits; 5) divorce was high in those who drink compared with non-drinkers of alcohol, 20% and 4% respectively. 6) 22% of those who drink do so because of psychological problems while 9% do so because of problems at home; 7) 52% of all traffic accidents in 1975-76 were committed under the influence of alcohol; 8) the amount spent on alcoholic beverages (10 million Sudanese) was double the amount allocated to the Ministry of Health in 1975. In Bahrain, a small Gulf country, the consumption of alcohol is very high indeed. As much as 9 million kg of alcoholic beverages were consumed in 1981. The total annual cost was estimated at 3,195 million (Towajiri, 1985; Musaiger, 1985).

Medicine Digest (1982) summarised the 1982 WHO report on alcohol and its problems. Most Islamic countries had minor problems related to alcohol consumption:

Saudi Arabia, Iran, Kuwait, Qatar, Libya and North Yemen were all prohibiting alcohol in 1982. By 1984, Pakistan and Sudan followed suit while Egypt and Bahrain allowed alcohol in tourist places, both for indigenous persons and foreigners.

,Unfortunately, many Muslim governments have sought to spread alcohol consumption against the will of the majority of their people. In Egypt, Turkey, Tunisia, South Yemen, Indonesia, Iraq, Syria and many others, the governments not only encourage private enterprise of the brewing industry, but the governments themselves own outright or share ownership in the breweries and alcohol factories. They help spread alcohol consumption in their nations on the assumption that they will get more income and provide more jobs for the unemployed. The ill effects that ensue from this policy are well manifested by the staggering debt hills to the international banking system.

Though the vast majority of the people in Muslim countries abstain from alcohol despite incitement by governments, the elite, unfortunately, are entangled in all the problems of alcohol consumption. This is owed to the contradictory effects of Westernization of the elites who remain hypnotized by Western civilisation and try to promulgate its values to their own, different culture.

REFERENCES

• AL-BAGER, O.S. (1979) Zahirat Taati al-Khamr, Military Press, Khartoum, pp.34-8.
• BADRI, M. (1976) Islam and Alcoholism, American Trust Publications, Muslim Student’s Association of USA and Canada.
• BRUNT, P. (1978) ‘Alcoholism as a medico social problem’ in Vere, D.W. (ed) 1978, pp.124-35.
• DIGHT, S. (1976) Scottish Drinking Habits, OPCS, HMSO, London.
• EDWARDS G. (1977) ‘alcohol-related disabilities’ WHO, WHO Offset Pub.32.
• HARRIS, I. (1971) ‘Alcohol problem and alcoholism’ in Beeson, P.B .& McDermott, W. (eds) Cecil Loeb Textbook of Medicine, Saunders, Philadelphia, pp.138-42.
• JAHODA, G. & CRAMMOND, J. (1972) Children and Alcohol, OPCS, HMSO, London.
• LEWIS, A. (1966) ‘Psychological Medicine’ in Scott, R.B. (ed) (1966) Price’s Textbook of Medicine, 10 th edn, Oxford University Press.
• Medicine Digest (1982) 8 (12).
• MILES, S. (1974) Learning About Alcohol, American Assoc, for Health, Physical Education and Recreation, Washington D.C.
• MUSAIGER, A. (1985) Youngsters and Drugs in Arab Gulf Countries (in Arabic), Al Rabian, Kuwait.
• PLANT, M.A. et.al. (1980) ‘Self Reporting drinking habits and alcohol related consequences among cohort Scottish teenagers’, British Journal of Addiction, 77, pp.75-90.
• RCGB (1986a) ‘Alcohol: a balanced view’, Journal of the Royal College of General Practitioners, 24 pp.1-3.
• RCGB (1986b) ‘Alcohol: a balanced view’, Journal of the Royal College of General Practitioners, 24 pp.5-53.
• SHOW, S. (1980) ‘Causes of increasing drink problems amongst women’ in Women and Alcohol, Camberwell Council on Alcoholism, London, pp. 1-40.
• STRASBURGER, V. (1985) ‘Sex, drugs and rock ‘n roll: understanding teenager behaviour ‘, PaediatricA, 76 (4,2), pp. 659-63.
• TUWAIJIRI, A.M. (1985) ‘Ghadan sawfa yuqtaloon (Tomorrow they will be killed)’, Risalat al-Khalij , 16(5), pp. 9-29.
• VERE, D. W. (ed) (1978) Topics in Therapeutics, Royal College of Physicians, Pittman Medical, London.
• WHO (1977) Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, vol.1, Genev a.
• WHO (1980) Problems Related to Alcohol, WHO Technical Report Series No: 650, Geneva, pp. 7-13.