Continued from page 23 - Alcohol Takes its Toll on YouthOne month ago, 23-year-old Alex Masabo wasspending all of his money on alcohol. Sitting in a greenhospital attire in Butabika National Hospital Alcoholand Drug Unit, Masabo explained he lost his appetitefor food and instead used any money he could find foralcohol and marijuana, spending about Shs.30,000 onalcohol and Shs.3,000 on seven to 10 sticks ofmarijuana each day - significant figures for a man withno steady job.Four weeks ago, Masabo began Butabika’srehabilitation programme at the re<strong>com</strong>mendation of hismother, concerned at the severity of her son’s situation.“No I see it’s bad” Masabo told Daily Monitor,explaining how seriously his habits had is life. He hasnot <strong>com</strong>pleted his education, has no steady job, and haslost the trust of his parents, all consequences heattributed to his addictions.Masabo is just one of many drinkers in Uganda, wherealcohol consumption and abuse are on the riseaccording to a recent report on the state of alcoholabuse in Uganda by the Uganda Youth Developmentlink (UYDEL). In the past, Uganda has also beenranked one of the highest consumers of alcohol in theworld by the World Health Organisation.Dr.Rogers Nsereko, a clinical psychologist at Butabika,sees firsthand the impact of alcohol on the country. Hepointed to poverty, domestic conflicts, HIV and anincrease in road accidents as some of alcohol’s effects.“It’s obvious that alcohol is destroying the nation “hetold Daily monitor in an interview.Dr Nsereko does not think that drinking itself is bad,but he doesn’t approve of alcoholic drinks that exceedfive percent of alcoholic content. Too much alcoholcan affect relationships, families, finances andjudgment, he said.Dr. Nsereko defined alcoholism as the point at whichsome one can no longer cut back on how much theydrink, needs alcohol as an “eye-opener” in themornings, feels guilty about their drinking habits, andreacts angrily when others refer to their habits.Uganda currently has no regulating body over alcohol,though the Ministry of Health hopes that the countrywill soon create one. Dr. Sheila Ndyanabangi, of theMinistry of Health, said that a new alcohol policy isalso in its early draft stages.For now however, alcohol remains essentiallyunregulated and is having a particularly large impact onyouth, according to studies done by UYDEL, whoreported some of their findings a the Alcohol AbusePrevention Media Dialogue in Kampala last week.UYDEL proposed a series of reforms to Parliament lastWednesday, requesting that the drinking age be raised to21 and those sachets, <strong>com</strong>monly called tot packs, beoutlawed. They also pushed for stricter regulations onalcohol prices, taxes, advertisements, packaging andlabeling. ”Our concern is the young person”, said Mr.Rogers Kasirye, the Executive Director of UYDEL.Parliament responded to UYDEL’s proposals with apromise to reexamine the country’s laws on alcohol andto present a motion for the banning of sachets beforeParliament once it resumes the plenary.However, Hon. James Kubeketerya, an MP representingBunya County East and a member of the three-person<strong>com</strong>mittee drafting the motion, says banning sachets is ashort term solution to the problem of alcohol abuse inUganda.Meanwhile, Dr. Nsereko said that parents should warntheir children about alcohol and drug abuse when they areyoung and take them to a hospital for help if they be<strong>com</strong>eaddicted.Majority of the patients at Butabika <strong>com</strong>e in response tofamily pressure. “Most of them are brought in byrelatives when the relatives are fed up,” Dr. Nsereko said,adding, “The only criterion here is someone should havethe motivation to work on their problem.”According to Dr. Nsereko, at private clinics, it costsabout Shs500,000 per day for patients in rehabilitation,but in Butabika, the only government facility in Ugandawith drug rehabilitation, offers its programmed for free.The Butabika Alcohol and Drug Unit have a capacity of35 live-in patients to stay for up to two months. As of lastweek, there were 20 people in the ward, 15 of whomwere male. “It’s very rare to have ladies,” said Dr.Nsereko.The programme has only a 30 percent success rate andmany patients return multiple times, illustratingaccording to Dr. Nsereko, just how serious theiraddictions can be<strong>com</strong>e.One of the recovering alcoholics, a 41-year-old man whorequested anonymity, has been at Butabika for just over amonth. He started drinking at 15 due to peer pressure.“You want to have a good time with friends, all of that,not knowing that at the end of the day you’re justdamaging your body,” he said. He now wants to changefor the better.Like him, Masabo wants to make a fresh start when heleaves Butabika. He hopes to get a steady job andproduce music. At 23, he will have his whole life beforehim. That, and an extra Shs33,000 a day.-26- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> December 2009☻☻☻☻☻☻
Alcoholism Main Cause ofDomestic Violence: PollAngelo InzamaDaily MonitorNovember 27, 2009Most Ugandans say domestic violence which hasbe<strong>com</strong>e a topical subject of recent, is mainly caused byalcoholism, according to a new poll.Police records show that 137 cases of domesticviolence were officially reported last year of which 156people lost their lives.The new poll has linked such incidents to heavyconsumption of alcohol.The poll conducted by Synovate – is a survey of publicopinion on social, political, cultural and economicissues. It was conducted in September this year using asample size of 1999 adult Ugandans who answeredface-to-face structured interviews.Ironically even if poverty was cited as second leadingcause of domestic violence – unemployment <strong>com</strong>es lastamong the reasons for abuse.Uganda has a narrow formal workforce and it isperhaps not surprising that unlike many developedcountries which can map domestic tension tounemployment, here poverty – is a wider measureapplicable to living conditions across both formal andinformal economic activity.Little <strong>Research</strong>There is also a marked absence of large researchprojects from local universities that tract social valuesand conditions which could help explain the highincidence of violence and its tolerance in general.Recently alcohol has also grabbed the headlines withmore than two dozen deaths from poisonings in acountry which, according to the World HealthOrganisation, is one of the biggest consumers ofalcohol on the planet.Two other reasons of violence related to tension in thehome are adultery and “lack of respect” or “lack oftrust” between partners. Indeed the ratio of people whosay respect and trust are issues in violence have grownaccording to pollsters.Despite over a decade of activism legislators havenever passed a <strong>com</strong>prehensive domestic relations law.Recent proposals for an amalgamated marriage anddivorce law by the Uganda Law Commission - reportedextensively by Daily Monitor have received a luke-warm reception among lawmakers.However, Ugandans are overwhelmingly {75 per cent]aware of domestic violence with awareness higher lastyear than in 2009.The debate on domestic violence has picked up followingthe recent incident in which the former army <strong>com</strong>manderMaj. Gen. James Kazini was reported killed by hismistress Lydia Atim Draru following a domestic quarrelin their rented apartment in Namuwongo, a Kampalasuburb.☻☻☻☻☻☻Why You Shouldn’t DrinkWhile BreastfeedingDr. Vincent KaruhangaDaily MonitorAugust 20, 2009Whereas it is true that drinking alcohol during pregnancyposes a great health risk to unborn babies, risks ofdrinking alcohol while breastfeeding, however, remaincontroversial. Unfortunately, many of our Ugandanreadingpublic who surf the internet will be get confusedon what to take as gospel truth.In such circumstances, it is necessary to play safe and notdrink alcohol at all if one is breastfeeding. Alcohol willfind it way into the breast milk and the amount the babyconsumes depends on the amount of alcohol taken by themother and therefore alcohol concentration in her bloodand milk, and the amount of milk the baby consumesthen. Many breastfeeding alcohol-thirsty women will sayit is safe to drink one or two drinks once in a while.However, if a breastfeeding mother drinks, she shouldbear in mind that since an adult can have short and longtermeffects of drinking alcohol, the effects can even beworse to a baby who is much smaller and whoseelimination system of alcohol is not well-developed. Alsoshe should bear in mind the amount she drinks, and theage of the infant involved. A newborn has a veryimmature liver, so even small amounts of alcohol canaffect the baby. Until around three months of age, infantsbreak down alcohol at around half the rate of an adulthence any alcohol exposure to them can be a problem.Several proven or potential adverse effects of alcohol onsucking infants have been reported, even after exposureto only moderate levels.These include, getting drunk and irritable or not beingable to hold the breast well to suckle properly, risk of lowblood sugar and low body temperature.Continued on page 28-27- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> December 2009