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Alcohol misuse: tackling the UK epidemic - London

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44<br />

BMA Board of Science<br />

Pedestrian alcohol consumption is also associated with fatalities and injuries. In Great Britain,<br />

72 per cent n<br />

of pedestrians aged 16 and over killed between 10pm and 4am in 2005 were found<br />

to have a BAC in excess of 80mg/100ml. 97<br />

Research conducted by <strong>the</strong> Scottish Office Central<br />

Research Unit found that 31 per cent of all pedestrian casualties attending A&E departments in<br />

five large Scottish hospitals in 1996/97 had consumed alcohol, of which 87 per cent were male. 100<br />

In Nor<strong>the</strong>rn Ireland, 12 per cent of fatal and serious pedestrian injuries in 2005 were due to<br />

pedestrian consumption of alcohol or drugs. 98<br />

The cost of alcohol <strong>misuse</strong> and alcohol-related harm<br />

The cost of alcohol <strong>misuse</strong> in <strong>the</strong> <strong>UK</strong> is substantial and can be divided into four broad categories:<br />

healthcare service costs – including costs to primary care services and hospital services (A&E,<br />

medical and surgical inpatient services, paediatric services, psychiatric services, and outpatient<br />

departments) of alcohol-related morbidity and mortality<br />

cost of alcohol-related crime, disorder and anti-social behaviour – including costs to <strong>the</strong> criminal<br />

justice system, costs to services (eg social work services), costs of drink-driving, and <strong>the</strong> human<br />

cost of alcohol-related harm (eg domestic abuse, assault)<br />

loss of productivity and profitability in <strong>the</strong> workplace – including costs to <strong>the</strong> economy from<br />

alcohol-related deaths and alcohol-related lost working days<br />

impact on family and social networks – including human and emotional costs such as<br />

breakdown of marital and family relationships, poverty, loss of employment, domestic and child<br />

abuse, homelessness and o<strong>the</strong>r drug use.<br />

Box 4 summarises various estimates of <strong>the</strong> costs of alcohol-related harm in <strong>the</strong> <strong>UK</strong>.<br />

n As blood alcohol levels were only available for 45 per cent of all pedestrian fatalities, <strong>the</strong>se figures may overestimate <strong>the</strong><br />

proportion of fatalities with a BAC in excess of 80mg/100ml.<br />

<strong>Alcohol</strong> <strong>misuse</strong>: <strong>tackling</strong> <strong>the</strong> <strong>UK</strong> <strong>epidemic</strong>

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