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By Dr. Terrence Curran

There is a disease that causes approximately 88,000 deaths each year in the United States, shortening the lives of those who die of it by an average of 30 years. It is responsible for 10% of deaths among adults aged 20-64 years and kills more than 4,000 children each year. The economic costs are estimated at a staggering $250 billion annually. There are strategies to prevent it, and yet it continues at this alarming rate with many misconceptions about its epidemiology and impact.

Alcohol abuse and misuse is not a new phenomenon, and I am not calling for the return of Prohibition. But it is a major public health problem with known interventions that can diminish its impact.

The negative side effects of alcohol abuse ruin many lives each year. Impaired driving leads to motor vehicle crashes, both fatal and nonfatal, that devastate lives, unnecessarily consume healthcare and law enforcement resources, and have major financial impact on society. Decreased inhibition, impaired decision making and coordination lead to interpersonal violence, including homicide, suicide, sexual assault, and domestic violence.

Two areas where intervention can have a pronounced impact are on preventing drunk driving and preventing underage drinking.

The days of “one for the road” should be over but, unfortunately, statistics prove otherwise. In 2014, 9,967 people were killed in motor vehicle crashes related to alcohol impairment. In 2015 that number rose to 10,265. The number of victims of alcohol-impaired crashes is multiplied as family and friends are left to grieve.

Visiting the MADD website, one can experience a glimpse of the heartbreak endured by families devastated by drunk driving. Heartbreak that was avoidable. Effective interventions to reduce drunk driving include enforcement of impaired driving laws with sobriety checkpoints, ignition interlocks for all persons convicted of drunk driving, and mass media campaigns to highlight the dangers and legal repercussions of drunk driving.

Underage alcohol consumption is costly: 4,300 lives lost annually, and many times more lives affected. Although the large majority of persons under 21 do not engage in alcohol consumption, the majority of underage drinking is done in a very risky fashion by a small proportion of youth starting at very early ages, even as young as 12. Underage drinking is strongly linked with death from alcohol poisoning, unintentional injuries, such as car crashes, falls, burns, and drowning, suicide and violence, such as fighting and sexual assault.

Other risky behaviors such as smoking, drug use, and unprotected sex are also more likely when children engage in alcohol use. Schools, families and communities can work together to foster an alcohol-free environment through education, a proper legal environment and offering age appropriate alternative activities.

April is alcohol awareness month. The Centers for Disease Control, the National Council on Alcoholism and Drug Dependence, and Mothers Against Drunk Driving are several of the organizations promoting April 21st as Powertalk21, a day for conversation about the dangers of underage alcohol use. It can also be used to discuss alcohol issues with those over the age of 21, focusing on injury prevention to help prevent deaths, injuries, and despair that are a result of avoidable, alcohol related trauma.

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