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 Kerala

Drinks 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)

മദയയേേരളം
 1984 ല‍ േേരള സര‍കാര‍ ‌ േോടിയെട മദയയം.
55.46
വിറതയ
െമഡികല‌ േോേളജിനള അനെെ മനയ‌
5 േോടി.
അേോാടയ
േള കടിയില‌ നിനണടയാകന േരാഗങള5‌ േോടി ചിേില‍സികന‌
.േളില‌ നിനള ോാഭം 50 േോടി.
2006 ല‌ ‌
3143 േോടി.
വിറവരവയ
2006 ല‌ േോാഡപേടം 42365.
50 ശതമാനെിനം ോരണം േളയ‌
മരിചവര‌ 3200.
പരിേകറവര‌ അര ോകം.
30% നം ദീര‍ഘോോ ചിേില‍സ േവണം.
േേരളെില‌ ഒര 28 േപര‌ അതഹതയയ
ോകെിന ‌ െചയയയുന.
ഓേരാ മണികോിലം ഓേരാ അതഹതയയ.
നോല പങിനംോരണം േളയ‍കടി തെന.
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
 3rdin 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-Bilepigments, 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
 െവളളമടികേോാറനിങളടതോേചാോയ‍ െചറതായി െചറതായി വരനതായാണ‍ പതിയ
പഠനെിെോ േെണടയെല‍. മസാചെസറയസിെോ െവോലസലി േോളജയ‌
ആണ‌ ഇത സംബനിച പഠനം നടെിയതയ‌. ആല‍കേഹാള‌ ഉപേയാഗികനവരെട
തോേചാോിെന ആെേ വയയാപയ‍തെില‌ കോവ . ഡിമന‍ ഷയയ,
വരനതായാണ ‌ നിരീക
ചിോാ ൈവേോയയങള‍, ഓര‍മകോവയ‌ തടങിയ പരശങളിേോകയ‌
നയികനതിന‌ തോേചാര‌ ചരങനതയ‌ ോരണമാകനെവനം. പഠനങ
Stages of Alcoholism
 Kakan

 Kukkutam

 Kazhukan

 Markkatakam
േചനെണടയന‍

 െവടടയിയിടടയ െചനതണയേപാെെ
േിടകം
പാോെകടടയുേളെട വശങളില‍
ോണെെടന, പച േോരന
െവള , ‌ ഇവയയ
നിോമാണ
പെിസരയരോശെില‌
തിളങി ോണെെടം.
േരിമരഖന‍

നോല േറെ നിരെില‍

ോണെെടന ഇവ,
മണണില‌ പറി
പിടിചാണ േിടകനതയ
രാജെവമാോ
 രാജേീയെപരൌടി ഉള ഇെരം
പാമേള‍, അനോ ശയനം
േപാെോ ോണെെടന.. നോല
തെവള ,
നിോെില ‌
നിരതേളെട വശങളില‍,
അതീവ പരതാപേതാെടയം,
െപരൌടിേയാട കടിയം
നിവസികന.
അണോി

 ോടേളം പല‍േമടേളം
പരിയം, െചനകതായ
പരതോെില‌ കടി
സനചരികെപടന.
Raktha Anali
 രക അണോി :
അണോിയെട അളിയനായി
വരെമനേിലം, തീരതം
െവടയയസമായ
സവയഭാവകാരാണ.
പെെടേോാണ വിഹാര
േേനദയങള‍.
Vaikittentha paripadi
Cirrhosis Liver
Universal problem

 Sedation

 Tranquilizer

 Hypnotic

 Anestheticactions
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