Wednesday, July 23, 2008

One-in-four adults drinks excessively as doctors warn of 'tsunami of alcohol-related harm'

A quarter of UK adults are damaging their health through excessive drinking, it was revealed yesterday.

Some ten million regularly flout advice on how much to drink, egged on by a licensing industry ignoring its own voluntary code on social responsibility.

There is also clear evidence that cheaper booze is to blame for a massive rise in alcohol consumption, as drink prices have halved in 30 years, relative to earnings.

A blizzard of new figures included:

* The harm caused by excess drinking is costing the UK £25billion a year in healthcare, crime and lost productivity.
* Aound 800,000 hospital admissions a year are due to alcohol-related conditions, 70 per cent more than in 2002-2003.
* Heavy drinking is killing 15,000 people a year - including a quarter of all deaths among young men aged 16 to 24.

Ministers were accused of 'dithering' as they hinted they may bring in laws to replace the failed voluntary code and outlaw aggressive discounting, but said they
would wait for more evidence before making any decision.

Professor Ian Gilmore of the Royal College of Physicians warned: 'The Government are understandably anxious about being seen as a nanny state, but unless they take action their own figures suggest we are moving towards a tsunami of health-related harm.'

Alcohol industry leaders hit back, questioning the findings and accusing the Government of failing to enforce existing laws.

The Home Office commissioned consultants KPMG to assess the voluntary code, which was agreed three years ago and is supposed to stop drinks companies, pubs and bars cashing in on binge drinking.

In particular it is meant to stop the trade glamorising heavy drinking, marketing products to youngsters or encouraging rapid boozing through cutprice promotions in bars.

Another code is meant to ensure drinks containers are clearly labelled with the units of alcohol they contain.

The codes were at the heart of the Government's strategy as it brought in 24-hour drinking.

But researchers uncovered a catalogue of blatant abuses, describing scantily-clad women selling shots of spirits to drunken men in clubs by flirting with them, club DJs urging punters to drink more so they can 'get laid' and bar staff selling alcopops to young customers too drunk to count their change.

In 726 visits they saw only three cases where staff refused to serve a drunken customer. The worst excesses were in 'vertical drinking' venues - the large town centre pubs with no seats where young customers are crammed in.

Researchers also voiced concern over cheap supermarket alcohol.

KPMG concludes that the voluntary code has failed totally. It blames 'overriding commercial interests' to sell more alcohol, and the lack of enforcement. A separate study at Sheffield University highlighted close links between alcohol prices and consumption levels, while Department of Health figures detailed the level of harm.

The British Beer and Pub Association called for 'a renewed focus on individual responsibility and accountability, not just pointing the finger at business'.

A spokesman said: 'The Government should address the underlying culture. Legislation is a sledgehammer that will not crack the nut.'

The lost labelling

The drinks industry first agreed to include alcohol unit information on all bottles and cans ten years ago.

Labels should display the number of units inside and remind drinkers of the Government's 'safe' guidelines.

These are three to four units a day for men and two to three for women.

But a decade later, independent monitoring say they found that only just over half of all packaging - 57 per cent - contains such labelling.

Just 3 per cent carried all the information ministers want, including a warning to pregnant women to avoid alcohol.

The Department of Health admitted: 'There is now real doubt as to whether the agreement can be implemented to the extent that was originally expected'.

The 24-hour impact

The introduction of round-the-clock drinking almost three years ago was one of Labour's most controversial moves.

The Licensing Act swept away longstanding laws on closing times, letting thousands of pubs and clubs stay open into the early hours.

Police and hospitals have since complained of dramatic increases in their workload late into the night.

In the worst-affected areas, alcohol-related cases in hospital have more than doubled.

Public Health minister Dawn Primarolo played down the impact of the changes yesterday, insisting the upward trends in alcohol consumption and harm were already well established and there is no evidence they have become worse.

But hopes of creating a 'Mediterranean-style' cafe culture appear to have come to nothing.

Mail Online

Tougher action over binge drinking

The alcohol industry faces tough new laws unless it does more to encourage sensible drinking, the Government said.

A ban on happy hours, cheap promotions and the sale of alcohol at checkouts are all being considered by ministers keen to tackle Britain's binge drink culture.

Pubs and clubs could also be forced to offer smaller glasses of booze as well as larger ones, under new proposals being examined.

Research from KPMG, commissioned by ministers, showed the drinks trade is flouting its own voluntary code on providing alcohol unit information to consumers.

More than 10 years after industry and the Government agreed on clearer labelling, only 57% of products contain details of the alcohol units in a drink. Meanwhile, just 3% of products contain all the information ministers want to see, including a warning to pregnant women to avoid alcohol.

The promise of a crackdown unless the industry improves comes after figures showed the annual cost to the NHS of drinking now tops £2.7 billion a year. This includes more than £1 billion spent on treating people in hospital due to alcohol, £372 million on ambulance journeys and £646 million on A&E visits.

The total cost has jumped around £1 billion since figures were last compiled in 2003.

Other data also showed that more than 2.6 million men and women regularly drink at least the equivalent of 20 pints of bitter a week.

In England, almost 1.6 million men are considered "high risk" drinkers, downing more than 50 units of alcohol a week, and so are more than a million women, who are drinking more than 35 units a week.

Around 10 million people in England drink more than the Government's recommended limits, which are no more than two to three units a day for women and three to four for men.

Press Association

Drinks industry facing tough laws

Ministers have told the drinks industry to act more responsibly or face new laws governing alcohol sales.

A review of retailers showed many were not following a voluntary code calling on them to display details on units and to encourage sensible drinking.

Ministers have responded by launching a consultation on proposed laws covering happy hours, promotion and labelling.

It comes as figures for England suggest the scale of alcohol-related hospital admissions is much higher than thought.

NHS Information Centre data had suggested the figure for hospital admissions was just over 200,000 last year.

But this only covered illness caused directly by alcohol such as liver disease.

Department of Health figures for England showed that when deaths from cancer, heart disease and strokes were taken into account the total topped 800,000 last year.

The figure represents a doubling of the numbers in the past four years, leaving the cost to the NHS standing at £2.7bn.

Doctors said drinking levels were now a major health concern.

But public health minister for England Dawn Primarolo preferred to focus on the role of industry, saying the response to the voluntary code - parts of which were introduced in 1998 - was "disappointing".

"The evidence clearly makes this the right time to consult on a far tougher approach to the alcohol industry.

"Obviously individuals have to take responsibility for their drinking, but others, including the industry, also have a role to play."

Happy hours

But she dismissed suggestions that the relaxation in licensing laws had made the situation worse.

The consultation, which will run until October, covers a range of initiatives which would be applied UK-wide. These include:

• Curbs possibly being introduced on happy hours

• Checkout displays in shops

• Labelling to show how many units each drink contains and what the recommended drinking levels are

On labelling, the industry was first asked to display the number of units in each drink back in 1998, but a recent survey by consultants KPMG showed 43% of products did not display the information.

The review also revealed that just 3% were displaying the labelling scheme in its entirety.

However, the deadline for the recommended limits is not until the end of the year.

Another review is planned to coincide with that, by which time the government's review of the impact of pricing on alcohol consumption will have been fully completed by Sheffield University.

Interim findings published to coincide with the consultation suggested cheap prices encouraged increased consumption in the young and heavy drinkers.

This report is seen as a key piece of evidence as experts have claimed that the rise in consumption seen since the 1970s is intrinsically linked to falling prices.

Professor Ian Gilmore, president of the Royal College of Physicians and chairman of the UK Alcohol Health Alliance, pointed out one in four adults is drinking more than the recommended daily amount.

Alcohol 'too cheap'

"This is not just something affecting a small minority, it is not about the binge-drinking culture, it is affecting a large part of society.

"If we don't get to grips with it, it will have serious health repercussions.

"The key to tackling this is price. Alcohol is too cheap and that has driven up consumption."

But industry representatives said new laws were unnecessary.

Jeremy Beadles, chief executive of the Wine and Spirit Trade Association, said the proposals would just increase the price for responsible drinkers.

Instead, he said ministers should concentrate on using the current framework to promote moderation.

"Culture change will take time, but we should start by enforcing the numerous laws we have and build on the education and information programmes."

BBC News

Tuesday, July 22, 2008

Alcohol hospital admissions four times higher than official figure

More than 800,000 people are admitted to hospital each year with alcohol-related illnesses and injuries — four times the official figure — ministers will admit today.

Figures will show that six per cent of all NHS admissions are in some way caused by drink, The Daily Telegraph can disclose. And the rate of visits to hospital over alcohol-related problems is rising by 10 per cent every year.

The figures indicate the true impact alcohol has on the NHS from accidents, violence and disease. They include for the first time estimates of the number of cancers caused by alcohol consumption as well as heart disease and strokes.

Alcohol is thought to cause about 17,000 cases of cancer a year and £2billion of NHS money is spent every year treating patients with alcohol-related diseases. Alan Johnson, the Health Secretary, believes “lifestyle” illnesses will put an increasing strain on the NHS unless people behave more responsibly.

Ministers fear that resources needed to tackle other diseases will have to be diverted if there is no change in behaviour.

A Department of Health source said: “It is important that we get the real figures so no one is in doubt about how widespread and potentially damaging alcohol-related illnesses are. The action can only be taken when the full scale of the problem is known.”

Labour has faced intense criticism over the introduction of 24-hour drinking in 2005.

Amid growing concerns about the level of alcohol-fuelled violence, pubs and nightclubs have been accused of flouting the laws on underage drinking. Last week figures showed that more than 600,000 children admit to drinking on a regular basis.

Supermarkets have faced repeated calls to ban discount alcohol, in particular deals in in which beer is cheaper than bottled water. And ministers are considering plans to tackle the problem, including cigarette-style health warnings on bottles and cans, a ban on “happy hours” where bars sell cut-price drinks and rules outlawing supermarket discounts.

Today’s announcement will strengthen calls for action.

Office for National Statistics figures showed last month that in 2005/6, hospitals admitted 208,000 people with diseases caused by drink. That was double the figure 10 years before.

But the cases recorded mostly dealt with illnesses directly caused by alcohol consumption such as cirrhosis and other liver diseases.

Today ministers will say that the way the figures are compiled — using admission notes hospital staff fill in for each patient — is too narrow as it excludes hundreds of thousands of cases where patients were made ill by alcohol indirectly, such as breast cancer.

Injuries caused by drink-fuelled violence or road accidents are also not fully recorded, they will say.

Officials estimate that the true figure for alcohol-induced admissions last year was 811,000.

The figures underline the seriousness of the problem and the strain it places on the NHS. They will show that admission rates are more than twice as high for men as for women.

There is concern that alcohol-related illnesses are occurring in increasingly younger people and liver disease often strikes those in their 20s and 30s. NHS data show that in the 12 years to 2006-7 cases of alcoholic-related liver disease trebled.

A new alcohol strategy, “Changing our Drinking Culture” will be unveiled today by Dawn Primarolo, the public health minister.

Labour has been attacked for trying to emulate the European “cafe culture”. A report this month showed that the introduction of 24-hour drinking has failed to reduce alcohol-fuelled violence and has left council taxpayers with a £100 million bill.

The survey, commissioned by the Local Government Association, found that seven out of 10 councils, hospitals and police authorities reported an increase or no change in alcohol-related incidents.

Since Gordon Brown took over as Prime Minister he has looked again at whether all-day opening can still be tolerated, but has stopped short of reviewing the law.

Daily Telegraph

'Loud music fuels binge-drinking'

If ear-splitting music and busy bars seem to go hand in hand, a new research suggests that might be because loud music helps to fuel binge-drinking.

Nicolas Gueguen, a professor of behavioural sciences at the University of Southern Brittany in France, who led the study, said deafening music did not just drown out conversation, encouraging people to drink more, but it also aroused the brain, speeding up drinking.

"High sound levels may have caused higher arousal, which led the subjects to drink faster," he said.

"Second, loud music may have had a negative effect on social interaction, so that patrons drank more because they talked less," Gueguen stressed.

The finding is published in the journal Alcoholism: Clinical & Experimental Research, and is drawn from research led by Gueguen, who observed 40 men between the ages of 18 and 25 while they visited one of two bars located in the western region of France.

Louder music spurred more consumption, with the average number of drinks ordered by patrons rising to 3.4 drinks from 2.6 drinks, Gueguen found. The time taken to drink a beer fell to an average 11.45 minutes from 14.51 minutes.

Finding that higher volumes appeared to egg the men on to drink more and faster, Gueguen said: "We need to encourage bar owners to play music at more of a moderate level and make consumers aware that loud music can influence their alcohol consumption.

Hindustan Times

Monday, July 21, 2008

Crack down harder on drink abuse

Drink is one of the pleasures of life. It is also one of the greatest curses in Britain today.

While most people are able to enjoy a beer or glass of wine as part of everyday living, a minority booze to wild excess with catastrophic results. Alcohol is responsible for most violent crime and a huge proportion of anti-social behaviour. Police waste countless hours dealing with the consequences of booze while hospital emergency units are pushed to the limit by drunks, many of whom attack nurses and doctors in their booze-fuelled mania. The cost to the nation runs into billions.

The Government clearly needs to take a tougher line and has patently failed to do so.

While it wages a war on drugs, it allows the misuse of alcohol to continue with little more than the occasional tut-tut of concern. Now the Sunday Mirror has learnt it is thinking of ordering drinks firms to put warning notices on cans and bottles.
Advertisement

Considering the scale of the problem, that is a mild measure but at least it shows the Government is beginning to take the alcohol crisis seriously. The real villains are the drinks firms and supermarkets who peddle super-strength alcohol to young people.

Today we reveal how one firm has created a beer which is so strong that a single half-litre can contains five units of alcohol.

Although it is now withdrawing it from sale in this country, other high-strength lagers continue to be available in every supermarket and off-licence, while special offers, making drink available for ever-lower prices, carry on flourishing.

If the drinks industry and supermarkets continue to flout their responsibilities, particularly to youngsters, the Government must crack down on them hard.

Sunday Mirror

Take healthy attitude about alcohol when heading off to college

Summer passes all too quickly, and before you know, it will be time for this area's young people to head off to college. Along with all the ''stuff'' they take, we'd like them to take a clear appreciation of the deadly risks of binge drinking.

The Associated Press recently reported on a study it did, showing that 157 college age people drank fatal doses of alcohol between 1999 and 2005, with the annual number of deaths trending upward.

The biggest risk falls on freshmen students out in the world on their own for the first time and eager for new experiences. Out of 18 freshman drinking deaths, 11 occurred in the first semester, an AP analysis of news stories showed.

College students don't drink much more than other adults, but they tend to pack all their drinking into a shorter time span, with weekends and the after-final exam days in December prime examples. Binge drinking is more prevalent among college students than others in the 18 to 22 age range.

A young person's 21st birthday has proven to be a highly risky time for drinking. One birthday practice is to drink 21 shots for a 21st birthday, which proved fatal for 11 young adults, including eight college students, the AP noted.

Some colleges have taken steps to promote awareness of the dangers associated with heavy drinking, and that is commendable. More intensive efforts would likely be useful. The toll of alcohol deaths studied by the AP even included one young woman who had been involved in high school alcohol-awareness programs.

The more reminders to be responsible about drinking, the more likely a young person will absorb the advice and make it part of their own behavior, even when the drinks are flowing freely around them

Morning Journal

Binge drinking strategy on rocks

Labor risks falling off the wagon of its national binge drinking strategy after missing by three months its own deadline for tabling options to tackle alcohol abuse.

In May, a meeting of federal and state ministers with responsibility for drug strategy pledged to fast-track an interim report on binge drinking in recognition of the "urgency'' of the issue.

The document was to go before the Council of Australian Governments in July.
Last week, the ministers met again, with the July 3 COAG event behind them but no report at hand.
A spokeswoman for Parliamentary Secretary Jan McLucas, representing the federal Government on drug strategy, attributed the delay to "extensive'' consultations with the alcohol industry and health groups.

"These consultations, and the work required to gather the necessary information, means that the Ministerial Council on Drug Strategy will now make an interim report to COAG in October,'' Ms McLucas said.

Five months ago, Kevin Rudd unveiled his own $53.5 million plan to combat the binge drinking ``epidemic'', promising a hard-hitting TV campaign as well as grant and pilot project funding.

But he needs the states on board if he is to achieve consistency in local laws restricting parents' ability to supply alcohol to their children and ensuring pubs, clubs and restaurants serve alcohol responsibly.

The report was to cover both those issues, together with the tougher areas of possible controls on alcohol advertising and lower-alcohol products for young people, as well as health warnings on alcohol.

Paul Dillon, director of Drug and Alcohol Research and Training Australia, applauded the report's ambitious agenda and said he could only speculate on the reasons why it had been delayed.

The backlash from related policies - such as the Government's multi-billion-dollar alcopops tax, which it had tied to its binge drinking agenda - may have contributed to the delay.

The alcohol industry had already made inroads in portraying the Rudd Government as wowserish, which could force a more softly-softly approach from Canberra, Mr Dillon said.

"As soon as people think the Government is going to limit what they drink, how they drink, and the cost of what they drink, you run into problems,'' he said.

A spokesman for Health Minister Nicola Roxon denied she was stepping back in any way from the campaign to curb excessive drinking.

"The Government is working very hard and will have more to say on binge drinking,'' she said.

The Australian

Sunday, July 20, 2008

How a young girl's life was wrecked by cheap alcohol

Lying in a hospital bed, 24-year-old Stacey Rhymes cuddles a childhood toy before putting out an arm to her mother.

'Hold my hand, Mum,' she whispers, then slips into a coma. A few hours later, on a spring afternoon earlier this year, the girl with a whole life ahead of her was dead.

The once radiantly pretty Stacey had drunk herself to death on cut-price bottles of wine bought from corner shops, supermarkets and local pubs. She had started drinking at 17 and seven years later her body simply gave up under the constant assault from alcohol.

Her mother, Louise, says: 'I now want the world to know exactly what happened to Stacey and why. It was a terrible way to go.

'Her stomach was like a balloon, as if she was nine months pregnant. Her long hair was falling out, her urine was coloured black and she could not eat. She was scared to look in the mirror because her eyes were canary yellow. The only way to stop the pain at the end was morphine.'

The story of Stacey Rhymes is a salutary one. She is one of the youngest people in modern Britain to die of alcohol abuse. And her mother, speaking for the first time, is determined that the loss of her daughter will not be in vain.

She has set up a Facebook website in memory of Stacey to highlight the dangers of alcohol - and particularly its increased availability following New Labour's 24-hour drinking laws - which now kills more young women than cervical cancer, and more people, generally, than hard drugs.

A film clip about Stacey on YouTube, put there by her mother, has been watched by 16,000 people in a fortnight. It is now one of the most viewed in Britain by children and teenagers.

At the family's terrace home, in Bramcote, on the outskirts of Nottingham, where Stacey grew up with her brother, Jay, now 19, sister Katie, 21, and stepfather, Terry, her mother says: 'Alcohol is as treacherous as a Class A drug.

Yet it's available at all hours and at rock-bottom prices.

'This morning, I saw a pack of four cans of lager at the supermarket for 92p. You can't get four cans of children's pop for that! Young children should be warned about alcohol in the way they are warned about drugs.

'I want them to be shown a photograph of Stacey's face when she was dying. She was killed by alcohol - a drug that is as easy and cheap to buy as a packet of sweets.'

Since the relaxation of licensing laws in November 2005 - which allowed round-the-clock sales of drink in pubs,

clubs, shops and supermarkets - the cost to the nation both socially and financially has been huge. Coupled with low prices for alcohol, there is now an orgy of drunkenness that rivals the gin epidemic of early Victorian times.

The facts are stark. The numbers dying from alcohol-related health problems is rising. In 1999, there were 4,000 deaths. Today, the figure has doubled, with the age of the victims going down, too. Hospitals admit for emergency treatment more than 9,000 drunken teenagers every year.

According to Alcohol Concern, 800,000 children below the age of 15 drink regularly in Britain. Nearly two-thirds of them will have had alcohol in the past month - with one in seven consuming enough to make them sick. One in three think, it is acceptable to get drunk once a week.

Campaigners say that one in ten eight-year-old boys (double the figure ten years ago) and a quarter of 11-year-old girls (ten per cent more than in 1995) have also experimented with alcohol.

Staff at the casualty department of Alder Hey Children's Hospital in Liverpool will not be surprised by these statistics. A survey by the hospital - which admits only under-17s - showed that more than half the children treated after binge-drinking had bought their alcohol from a pub or a shop.

Nearly three-quarters of patients are girls, and the favourite tipple is vodka. Every week, seven or eight drunken youngsters are treated at the hospital - a quarter so ill that they have to be put on a ward or go into intensive care.

According to Pat McLaren, an Alder Hey spokeswoman: 'They come in on a Friday and Saturday night in particular. Some are found unconscious on the street or even beaten up. We get them sober and contact their parents. We try to get them to change their ways.'

Alder Hey and Liverpool are not alone. Cases of liver cirrhosis in 20 to 30-year-olds - who often started drinking as children - have doubled in less than a decade.

Eight women in Britain die each day from liver disease - often at ages younger than men with the same condition because their bodies are more sensitive to alcohol poisoning.

As Professor Ian Gilmore, President of the Royal College of Physicians,
warns: 'The damage to society from alcohol is greater than from drugs.'

Dr Gray Smith-Laing, a gastroenterologist at Medway Maritime Hospital in Gillingham, Kent, says: 'The young of all social backgrounds think it is cool to get completely legless, yet nothing could be more uncool. This is a classless and sexless phenomenon. We have not seen the peak yet.'

Young women such as Stacey Rhymes make up half his caseload. Some have irreversible liver damage from drinking. One woman of 26 he treated recently died of liver cirrhosis.

Dr Smith-Laing says: 'We need a dramatic rise in the price of alcohol so it is no longer affordable for the young.'

It is against this frightening background that Stacey's mother has bravely decided to speak out.

She reaches for a pile of treasured childhood photographs. They show Stacey on her first birthday; at eight in a white hat at a family wedding. There is one of her with bright, clear eyes and long thick hair smiling at the camera - she is just 17, and it is a few months before she began to drink.

Louise, 43, says: 'Stacey had a wonderful childhood and we were a close family. There wasn't a lot of money, but we did old-fashioned things. We went to the park for picnics and walks around Nottingham.

'She had lots of friends and when she left school at 16, she got a job in a local pub as a waitress. She met a boy, and there was even talk of an engagement.'

But things were soon to change. 'For no apparent reason, Stacey began to drink. She had arguments with the boyfriend about it. She lost the job she loved and her boyfriend, too. She was just drinking all the time. She became foul-mouthed. She stole money from us, her family, to buy the alcohol,' says Louise. 'Stacey would go out drinking at night then lie in bed all day. I couldn't get her up, even though I tried before I left for work.

'In the end, we found her a housing association flat in Nottingham, where she moved. We thought it would be a fresh start.' Nothing could be further from the truth.

'Stacey then got in with a bad crowd. Her friends were all drinkers, too. She would lie in bed with a bottle. A few times, she burned the bedclothes with her cigarettes. She got involved in a serious brawl, and was sent to prison for eight weeks.

'We were horrified, but she came out looking far better. She had not been able to drink while inside. We took her back to her flat where there were eight weeks - £800-worth - of giro cheques from the benefits' office. Stacey spent every penny on drink. She was evicted from her flat due to debts on the rent.'

Stacey wouldn't move back home because her mother and stepfather, a self-employed builder, refused to allow her to drink. Revolted by what alcohol had done to their daughter, they are now teetotal.

Instead, Stacey found a place at a hostel in Derby, five miles from Nottingham. 'That lasted five days before she was thrown out for drinking,' recalls her mother.

By now, her life was out of control. For a time, Stacey lost contact with her family. She lived rough in Derby. In desperation, Louise tried to get her daughter sectioned under the mental health laws so she would be taken into hospital. 'But the authorities said she was quite normal, just an alcoholic.' she recalls today.

Stacey was now drinking five litres of wine a day and some cider, too. She no longer dressed fashionably, put on weight and didn't eat properly. 'Her stomach was huge and she was very ill,' her mother says.

On March 28 this year, Stacey was admitted to Derby Hospital - to Ward 308 which deals with alcohol-induced liver problems.

She had been to her GP because her face had gone yellow and she was having trouble walking because her limbs were swollen. The doctor told her to go to hospital immediately - it took her a week to do so.

Dr Jan Freeman, a consultant in whose care she was put, says: 'Stacey was at the end of the road. She could have been saved only by a liver transplant. Like lots of young people, she never thought it would happen to her. Well, Stacey's death shows it can happen to some.'

There is no doubt that Stacey was well looked after in the hospital but, during the next seven weeks, until her death on May 22, she managed to discharge herself three times and return to drinking.

Once, she walked out in her pyjamas, hailed a taxi then disappeared. Derby police put out appeals for the public to look for her. Her parents searched, too.

He mother recalls: 'We got her back to the hospital on each occasion. The last time was on May 17. She had been staying with a drinking buddy. She rang up saying she was being sick and it was streaked with blood. Her skin was itching, a symptom of alcohol poisoning.

'I knew that we would lose her, because of her colour. I thought she wouldn't make it over the weekend. But three days later, she had picked up and told us she was scared of dying. I told her that if she stopped drinking, she would live.'

It was, of course, a white lie. The next day, the hospital rang Louise to say Stacey had a hole in her stomach, caused by acid from a ruptured peptic ulcer. There was nothing more the doctors could do.

Within 24 hours, the family were called to the hospital for the final time. Stacey died in her mother's arms of abdominal bleeding and alcohol-related liver disease.

As confirmation of Stacey's tragic story, Nick Sheron, a liver specialist at Southampton General Hospital and secretary of campaign group, Alcohol Health Alliance, says drink-induced liver disease - once the preserve of middle-aged men - is affecting all ages and both sexes.

He explains: 'If they are alive, it is never too late to stop drinking. But, often the symptoms show up so late that half the patients die before they have a chance to change their ways.

'In the Sixties and Seventies, wine used to be nine percent proof, now it is 13 percent. Beer was 3.2 percent, now a lager is five percent. The size of a wine glass is bigger, too - from 125ml to 175ml, and in some cases 250ml. That is a third of a bottle.'

Dr Sheron warns that alcohol is being used as a drug, instead of a part of a social event or accompaniment to a meal. 'The young drink to get wasted as quickly as possible. They think if they can remember the night before it is not a good night out, and 24-hour licensing is one of the problems,' he cautions.

With prices so low, Professor Mark Bellis, director of the Department of Public Health at John Moores University in Liverpool, adds: 'A young person with £10-a-week to spend can get drunk three times a week.'

The scale of the crisis cannot be over-stated. Alcohol abuse, leading to either injury or disease, now costs the NHS £1billion annually with 40 per cent of casualty departments' admissions being drink-related.

Significantly, the London Ambulance Service says that alcohol-related emergency calls have increased by 12 per cent since 24-hour drinking laws were introduced.

As spokeswoman Anna Lowman says: 'One of the aims of the new laws was to eradicate the 11pm to 2am disorder flashpoint when the pubs and off-licences used to close. But this is still our busiest period. Fourteen per cent of all calls during these hours are linked to drinking.'

Yet this is not the only catastrophic side-effect. The Cabinet Office admits the real cost of drinking is £20billion a year if you include suicides, alcohol-fuelled crime, anti-social behaviour, depressive illness, family breakdown and domestic violence.

Only this month, the Local Government Association - representing councils - warned the 24-hour drinking plan to emulate a European style cafe-culture in Britain had failed miserably.

It costs £100 million a year to oversee the late licensing system, provide staff to clean town centres of vomit or urine (often both) and help for the 'walking wounded' at the end of a night's hard drinking.

At Stacey Rhymes' funeral in Bramcote, held near the park where the family used to picnic, there were 150 mourners - some were her old school friends.

As her mother says: 'Stacey chose her way - and they theirs. They have got married, have children and careers. They are enjoying life. My daughter drank herself to death.

'She never had any problems getting her hands on another bottle. In many ways, she was a victim of our times.'

Mail Online

Grant to fight teen drinking

State Rep. John Fernandes and state Sen. Richard Moore, late last month helped secure a $300,000 grant to help combat underage drinking in Milford, Bellingham and Hopedale.

Wayside Youth and Family Support Network will put together programs for local teens about the dangers and consequences of underage drinking.

"We will focus on how teens are getting alcohol and the social aspects of drinking," said Amy Leone, chairwoman of the Juvenile Advocacy Group at Wayside Youth and Family Support Network. "We really wanted to do a community collaboration around substance abuse."

"Underage drinking has always been a problem and needs to be addressed," said Fernandes, D-Milford. "There are always fluctuations in what behaviors kids engage in, and drinking alcohol is a serious one."

Fernandes said that it was important for him to support the grant for a few different reasons.

"I've seen underage drinking in court as an attorney as well as on the School Committee and as a parent myself," he said. "It's a problem from each perspective."

Social marketing campaigns and prevention programs, such as guest speakers, T-shirt and flier-making, and public service announcements are in the works, Leone said.

"Underage drinking is a problem across the state and local officials are prepared to take action and be proactive," said Moore, D-Uxbridge. "We want to address it before it gets out of hand."

According to Leone, in a 2006 survey done by the Wayside Youth and Family Support Network, 66 percent of Milford High School students reported having drunk alcohol in their lifetime. Forty-four percent reported drinking in the past 30 days, and 19 percent reported drinking before the age of 13.

"The results of the survey were comparable with the other 18 communities we surveyed," said Leone. "Next March, we will do another survey and look at trend data. Hopefully we will see a reduction in binge drinking as well as incidences of drinking and driving."

"I'm not saying we will change kids, but we need to raise awareness of the risks of underage drinking, whether it be alcohol poisoning, addiction, or getting behind the wheel of a car," Fernandes said. "Even if it helps one or two kids, it is important."

A youth group at the Milford Public Library and the Milford Youth Center will also be involved in the underage drinking prevention programs, according to Leone.

"Students will also work with the Students Against Destructive Decisions programs at their schools," she said.

Leone thinks that the programs will be successful in increasing social disapproval of underage drinking and will decrease underage access to alcohol.

"Getting this grant will make Milford a healthier place to live. There is positive energy in this collaboration," she said. "There are so many people working together to bring resources to these kids so that they do not do drugs and drink alcohol."

Moore said that he is optimistic the programs will make an impact due to the community's collaboration.

"Schools, the police department, and the board of health are all involved," said Moore. "All the ingredients are there and this strategy has worked in other communities."

Added Fernandes, "I am hopeful that programs like these become a staple against destructive behaviors."

Milford Daily News