Alcoholism

“Madyam”

Madyam madam untakkunnathu “Madya vikraya sandhaana daana

panaani varggitha”- Asthangahrudaya

Ethyl alcohol & Methyl alcohol 60 ml of 1% methyl alcohol can kill Resp depression & loss of vision

“Arkkam”

Soma resa of Vedas “Arkka prakaasam” dictated by Ravana Noted down by Mandodari, his sister. Arrack from “Arkkam”

Medical use

Tinctures of Modern medicine Arishtas of Ayurveda Rapid absorption “Aasukaarithvam”

“Viplavarishtam” Unni Vaidyan, SKP Attingal P.O.Thomas Vaidyan, Jayabharatham

Punaloor

“Madya keralam”

hAPPY ONAM sHAPPY pONAM

I crore Alcoholics in KeralaDrinks alcohol worth 10,000

crores

Lady’s only

Special zones for IT professional Women near Techno Park Women’s Clubs in Kochi Up to 5-6 pegs

Drinking

Panjab-7.9 Lit/person Kerala-8.3 Lit Kerala boys now start drinking at 14 1986-19yrs 1990-17yrs 2009-14yrs

(Economic Review)

Kerala

Population-3.18 crores Majority 20-25 age 90 % drinks 2008-2009-30,000 crores will be spent

for liquor 109 lakhs cases IMFL & 41 lakhs Bear

cases State gets 2379 crores (last year 2055)

2008 Onam

KSBC 26.69 crores on Onam 15.11 on Uthradam 135 crores during onam week Total (Toddy,unauthorised)-250 crores 2700 Brands in Kerala

Chalakudy&Karunagappally

Uthradam 18.20 crores in Chalakudy 16.50 crores in Karunagappally 14.22 in Kunnamkulam (official figures only)

മദ്യ�കേ�രളം� 1984 ല് കേ�രളം സര്ക്കാ�ര് വി�റ്റത്� 55.46 കേ��ടി�യു�ടെടി മദ്യ��.

ടെമഡി�ക്കാല് കേ��കേളംജി�നൂ�ള്ള അന്നടെ� അകേ �ടി�മന്റ് � 5 കേ��ടി�.�ള്ള" ��ടി�യു�ല് നൂ�ന്ന�ണ്ടാ���ന്ന കേര�ഗങ്ങള് ചി���ല്സ�ക്കാന് 5 കേ��ടി�.�ള്ള�ല് നൂ�ന്ന�ള്ള �ഭം� 50 കേ��ടി�.

2006 ല് വി�റ്റ"വിരവി� 3143 കേ��ടി�.2006 ല് കേ*�ഡിപ�ടി� 42365.50 ശത്മ�നൂ��നൂ�� ��രണം� �ള്ള� മര�ച്ചവിര് 3200.പര�കേക്കാറ്റവിര് അര ക്ഷം�.30% നൂ�� ദ്യ0ര്ഘ�� ചി���ല്സ കേവിണം�.കേ�രളം��ല് ഒര� ക്ഷം��നൂ� 28 കേപര് അത്മഹത്� ടെചിയ്യു"ന്ന�.ഓകേര� മണം�ക്കാ�*� �� ഓകേര� അത്മഹത്�.നൂല്ല പങ്കി�നൂ����രണം� �ള്ള� ��ടി� ത്ടെന്ന.

Usage

RUM 60% BRANDY 35% Gin, wine, wiskey etc 2-3 %

Bear

Youngest age to start

1968-19yrs 1990-17yrs

1995-14yrs 2008-12yrs

Reasons

Everyone has money Politics-gives liquor for participation Manual laborers-”must” Mental worries Fashion To get favour To enjoy, for company ,”Fellowship”

India

3rd in World 6.5 crore Alcoholics Gov gets 21,600 crore Loss 24,400 crores

(Health problems, income loss, accidents, legal problems)

Accidents

58% accidents due to Alcoholism 40 % RTA due to alcohol Maximum accidents in week ends

&

Between 3-10 PM

Due to Alcohoism

84% Homicides 83% assaults 74% Robbery 69% Rapes Divorce Poisoning-Hooch

Consequences

18% loose jobs 37% have to borrow 66 goes for gambling/lottery

Liver

Fatty Liver 90 % Hepatitis 10-20% Cirrhosis- Portal Hypertension

Jaundice, splenomegaly

Odema, Piles

Gynecomastia, impotency

Cancer

ascitis

Investigations

USS Endo-scopy Urine-Bile pigments, salts Serum Bilirubin Liver Function Tests

Last 25 yrs in Kerala

18 episodes of hooch deaths 220 deaths Pachy Philip Thirumulpaad

No protection by

•Liv 52

•Kamilari

Withdrawal symptoms

Rum Fits If no alcohol for 24-72 hrs Delerium Tremens Suicidal tendency Wernickie’s Encephalitis-Thiamin def Korsokow Psychosis-holes in memory

(Wills, sellings, promises)

Alcohol content

Wine 10-20% Rum 40% Brandy 30-83% Whiskey Scotch Vodka 30-50%

Bear

For “cycling” experience 4 % alcohol Most popular-after water & tea Causes GOUT (high Uric acid in blood)

Accompanying foods

Fried, Roasted Chilly Pickles Animal meats

Result in

Hypertension,

Diabetes and

high Cholesterol

Measurement

Full 750 ml Half 375 ml Quarter 180 ml Large 60 ml (Peg) Small 30 ml

“Kallolam nalloru vasthu….”

Origin from Ezham Dweepar, Ehavar “Chetharauthu,Vikkaruthu,Kudikkaruthu”. “Madyam Vishamanu.” “Chethunnavaneyum narum; kudikkunnavaneyum narum.” “Neera”

De addiction Centres

TRADA- Manganam ADART-Palai AA-Kottayam Inter Grpoup

Brain shrinks ടെവിളംളംമടി�ക്കാ�കേ9�*�നൂ�ങ്ങളം"ടിത് കേച്ച�*� ടെചി*�ത്�യു� ടെചി*�ത്�യു�

വിര�ന്നത്�യു�ണം� പ�ത്�യു പഠനൂ��ടെ �ടെണ്ടാ� � . മസ�ച്ച"ടെസറ്റ�സ�ടെ ടെവില്ലസ്ലി� കേ��ളംജി� ആണം� ഇത്� സ�ബന്ധി�ച്ച" പഠനൂ� നൂടി��യുത്� . ആല്ക്കാകേഹ�ള് ഉപകേയു�ഗ�ക്കാ�ന്നവിര�ടെടി ത് കേച്ച�*�ടെന്റ് ആടെ� വി��പ� ത്��ല് ��*വി� വിര�ന്നത്�യു�ണം� നൂ�ര0ക്ഷംണം�. ഡി�മന്ഷ്യ�, ചി�9� വൈവി� �ങ്ങളം� , ഓര്മക്കാ�*വി� ത്�ടിങ്ങ�യു പ്രപശ�നൂങ്ങളം�കേ ക്കാ� നൂയു�ക്കാ�ന്നത്�നൂ� ത് കേച്ച�ര് ചി�ര�ങ്ങ�ന്നത്� ��രണംമ���ന്ന�ടെവിന്ന�� പഠനൂങ്ങള് പ*യു�ന്ന�.

Stages of Alcoholism

Kakan Kukkutam Kazhukan Markkatakam

കേചിനൂ�ണ്ടാന്

ടെവിട്ടി�യു�ട്ടി ടെചിനൂത്ണ്ടാ�കേടെപ� ��ടിക്കാ��

പ�*ടെക്കാട്ടി"�ളം"ടെടി വിശങ്ങളം�ല് ��ണംടെEടി�ന്ന, പച്ച � ര�ന്ന ടെവിള്ള നൂ�*മ�ണം� ഇവിയു�ക്കാ�, പ��സ�ര�പ്രപ��ശ��ല് ത്�ളംങ്ങ� ��ണംടെEടി��.

�ര�മ�ര�ഖന്

നൂല്ല �*�� നൂ�ര��ല് ��ണംടെEടി�ന്ന ഇവി, മണ്ണി�ല് പറ്റ� പ�ടി�ച്ച�ണം� ��ടിക്കാ�ന്നത്�

ര�ജിടെവിമ്പാ� ര�ജി�0യുടെപ്രപIടി� ഉള്ള

ഇ�ര� പ�മ്പാ��ളം� , അനൂ9 ശയുനൂ� കേപ�ടെ ��ണംടെEടി�ന്ന�.. നൂല്ല ത്�ടെവിള്ള നൂ�*��ല് , നൂ�ര���ളം"ടെടി വിശങ്ങളം� � , അത്0വി പ്രപത്�പകേത്�ടെടിയു��, ടെപ്രപIടി�കേയു�ടി� ��ടി�യു�� നൂ�വിസ�ക്കാ�ന്ന�.

അണം �

��ടി��ളം"� പ�ല്

കേമടി��ളം"� പ്രപ�യു�, ടെചിനൂ���ത്�യു പ്രപത് ��ല് ��ടി� സനൂ�ച്ചര�ക്കാടെപടി�ന്ന�.

Raktha Anali രക്ത അണം � :

അണം �യു�ടെടി അളം�യുനൂ�യു� വിര�ടെമനൂ��� ��, ത്0ര���� ടെവിടി�സ�ത്മ�യു സKഭം�വിക്കാ�ര�ണം�. പ� �ടെമടി�� �ണം� വി�ഹ�ര കേ�പ്രLങ്ങളം� .

Vaikittentha paripadi

Cirrhosis Liver

Universal problem

Sedation Tranquilizer Hypnotic Anesthetic actions

depending on quantity consumed

Rapidly absorbed With in 2-3 mts appear in blood Maximum after 1 hr Food retards absorption

Actions

CNS not stimulated but depressed Psychic depression

Alcoholism is a Disease

Leads to…………. Acute & Chronic intoxication Cirrhosis Toxic psychosis, hallucinations, knock outs Gastritis Pancreatitis Dr.Gerge Mathew MLA & Dr.Madan Mohan MD

Cardio myopathy Peripheral neuritis Encephalopathy, Tremor,loss of memory Coma-

Cancer

Mouth Pharynx Larynx Esophagus

Effects Sex - increases desire, takes away performance Suicides Homicides, violence RTA Family disorganization Crimes Loss of job, income Loss of productivity Debts Diseases-

Danger Signals

Therapy

Prevention-Health Education Curative –nil (may arrest progress) Palliative

Medical

Surgical Liver Transplantation

AA - Alcoholic Anonymous Bill Wilson and Dr.Bob Smith co-founded AA

with a word of mouth program to help alcoholics. Smith's last drink on June 10, 1935 is considered by members to be the founding date of AA. By 1937, Wilson and Smith determined that they had helped 40 alcoholics get sober, and two years later,

with the about 100 members, Wilson expanded the program by writing a book entitled Alcoholics Anonymous which the organization also adopted as its name.

12 steps We admitted we were powerless over alcohol—that our

lives had become unmanageable. Came to believe that a Power greater than ourselves

could restore us to sanity. Made a decision to turn our will and our lives over to the

care of God as we understood Him. Made a searching and fearless moral inventory of

ourselves. Admitted to God, to ourselves, and to another human

being the exact nature of our wrongs. Were entirely ready to have God remove all these defects

of character.

12 steps(contd) Humbly asked Him to remove our shortcomings. Made a list of all persons we had harmed, and became willing

to make amends to them all. Made direct amends to such people wherever possible, except

when to do so would injure them or others. Continued to take personal inventory and when we were wrong

promptly admitted it. Sought through prayer and meditation to improve our

conscious contact with God as we understood Him, praying only for knowledge of His Will for us and the power to carry that out.

Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

Thanks