Survival in alcohol related liver disease Survival in alcohol related liver disease Law of thirds One third die early One third die late One third survive What should we put on the labels of alcoholic drinks? The ingredients / contents Calories The amount of alcohol it contains Health information According to lobbying watchdog CEO (Corporate Europe Observatory) the food industry has spent millions on blocking understandable labels in one of the largest ever lobbying campaigns activities conducted in Brussels, with MEPs being bombarded with thousands of e-mails, letters, phone calls, sponsored reports, lectures and conferences. Ingredients Ingredients / contents Sunny D ? Alcopops Ingredients / contents Sunny D ? Alcopops Sunny D is made in a factory and must list the ingredients WKD is made in a factory, and does not need to list the ingredients because a powerful, addictive, toxic and carcinogenic substance has been added to it Ingredients / contents ? Fruit brandy Palinka Calories Which has the most calories? 75cl bottle of wine ? Big Mac Which has the most calories? 572 calories This is just the calories in the alcohol… %ABV Alcohol Calories 9 378 10 420 11 462 12 504 13 546 14 588 15 630 16 672 572 calories Alcohol content Why do we need to know how much alcohol is in a drink? Because alcohol is the most powerful neuro-chemical that most humans will ever ingest, so knowing the dose is quite helpful Because alcohol may be very nice but it is also a toxic, addictive, carcinogenic drug of abuse, so being able to calculate your weekly intake is quite helpful. How do we know how much alcohol is in a drink? There are currently two systems: 1) % ABV = % alcohol by volume How do we know how much alcohol is in a drink? There are currently two systems: 1) % ABV = % alcohol by volume 2) Units / standard drinks / standard measures… or 20 How much easier would life be for 1) 2) 3) 4) 5) Consumers Health professionals Drinks industry Packaging industry Everyone If we just had one measure of alcohol, one standard drink, one unit of alcohol = the grog What if …. % ABV = grogs / L of drink 4% ABV beer = 4 grogs / litre 2 grogs / half litre 12% ABV wine = 12 grogs / litre = 12 x 0.75 grogs / bottle 40% ABV vodka = 40 grogs / litre = 9 grogs What if grogs not only already existed but were in day to day use? They are!!! They are!!! one grog = one centilitre of pure alcohol = 1 cl %ABV = cl alcohol / litre or 20 Grogs(cl) 1.3 0.7 1.7 1.5 1.5 1.5 2.2 1.2 1.3 1.3 2.5 1.3 1.3 1.8 1.3 1 1.8 Health information This label affects levels of: knowledge attitudes This label does not affect behaviour These labels have been shown to reduce smoking behaviours The World Cancer Research Fund International estimate that for every hundred women drinking a bottle of wine each week throughout their lives, one will develop breast cancer as a direct result of the alcohol. The World Cancer Research Fund International estimate that for every hundred women drinking a bottle of wine each week throughout their lives, one will develop breast cancer as a direct result of the alcohol. Breast cancer has a fatality rate of around 50% overall. A lifetime risk of death from breast cancer of one in two hundred is equivalent to the risk of death from 400 parachute jumps HoC Health Committee report 2010, CRUK fatality of breast cancer in UK = 64%, Risk of death from a parachute jump = 1: 80,000 The World Cancer Research Fund International estimate that for every hundred women drinking a bottle of wine each week throughout their lives, one will develop breast cancer as a direct result of the alcohol. Breast cancer has a fatality rate of around 50% overall. A lifetime risk of death from breast cancer of one in two hundred is equivalent to the risk of death from 400 parachute jumps STOP