Alcohol - public health Flashcards
1
Q
How many death approx does alcohol cause
A
over 8,000 a year
2
Q
Burden on the NHS
Cost and admission
A
£3.5 billion a year
1 million admissions a year
3
Q
Burden on society
A
Cause of; 40% RTAs 40% deaths in fires 20% child abuse £21 billion a year crime costs £11 billion a year
4
Q
Possible public health measures
A
price place - restrict avail prevent adverstising public education prosecute underage sales packaging - generic
5
Q
NICE recommendations
A
Opportunistic screening and brief advice
6
Q
Impact of 45p minimum price
A
Reduced alcohol consumption by 4.3%
Saved lives
34,000 fewer crimes per year
7
Q
Tools to identify heavy drinkers
A
Blood tests;
- gamma glutamyl transferase
- Mean corpuscular volume
Screening;
CAGE and AUDIT questions
8
Q
AUDIT
A
Alcohol Use Disorders Identification Test
Hazardous use; frequency, quantity, freq of heavy drinking
Dependence; no control, increased salience, morning drinking
Harmful; guilt, blackouts, alcohol injuries, others concerned
Over 8 is 95% sensitive
Completing this reduces drinking at follow up 15-20%
