- Five pitfalls to avoid in evaluating training
- Scotland publishes first UK guidelines for diagnosing fetal alcohol spectrum disorder (FASD)
- The Alcohol Framework 2018 Preventing Harm
- Scotlands new drug and alcohol strategy launched
- AFS welcome new alcohol strategy
- Recent reporting on alcohol sales data
- Cross-Party Group Improving Scotland's health: 2021 and beyond October 2018
- Diageo is failing to provide latest guidelines on their products
- Drinks companies keeping consumers in dark about risky drinking
- Reducing alcohol consumption can address health inequalities
- Alcohol-specific deaths remain at very high levels
- Oh Lila goes digital
- Global first alcohol policy set to save hundreds of Scots' lives
- AFS welcomes minimum unit pricing for alcohol
- Walker's crisp ad exposes children to alcohol marketing
- Truer picture of alcohol harm revealed
- Focus on link between alcohol and obesity
- Alcohol causes 3,700 deaths in Scotland every year
- Last Christmas for heavily discounted alcohol
- Scotland's licensing system needs clearer direction
- Minimum pricing blog
- Minimum pricing gets green light
- Reflections on GAPC 2017
- Alcohol brands and young people
- Time for honest conversations about alcohol
- Q&A on alcohol marketing
- UK children anxious about parents' drinking
- Quarter of Scots drink above guidelines
- Alcohol producers failing to inform public
- Concern over alcohol-related deaths
- We need to make it easier for people to drink less
- Worrying rise in alcohol-related deaths
- Minimum pricing will save lives
- Pocket money prices for alcohol continue
- Scotland's alcohol problem laid bare
- Cheap alcohol is costing Scotland dear
- One drink a day can increase breast cancer risk
- Poverty linked to increased harm from alcohol
- What next for reducing alcohol harm in Scotland?
- Scotland must do more to turn tide of alcohol harm
- Concern as funding for alcohol services cut
- Budget: No change in alcohol duty
- Scottish Government urged to curb alcohol marketing
- Consumers have the right to know health risks
- Chancellor urged to tackle cheap, strong cider in Budget
- Online help for families affected by alcohol
- Alcohol-free childhood is healthiest option
- SWA granted leave to appeal minimum pricing
- Drink drive warning
- Scottish Greens call for action on alcohol marketing
- Scottish Government receives European alcohol award
- SWA will appeal to UK Supreme Court
- Half of alcohol being sold under 50p per unit
- SWA urged to respect minimum pricing decision
- Alcohol and mental health are closely linked
- Minimum pricing can be implemented in Scotland
- Alcohol sold at pocket money prices
- Scotland has so much to gain from reducing how much we drink
- AFS welcomes revised alcohol consumption guidelines
- Emergency services face shocking levels of alcohol abuse
- Every child has the right to grow up safe from alcohol harm
- Public health must prevail over big business
- New toolkit to help children affected by family alcohol problems
- Price check reveals cheap cost of strong alcohol
- Sales increase underlines need for minimum pricing
- Time to kick alcohol out of sport
- Alcohol linked with stomach cancer
- AFS calls for compulsory health warnings on alcoholic drinks
- Are supermarkets 'responsible retailers' when it comes to alcohol?
- Scottish health charities call for excise duty rise to tackle cheap alcohol
- Alcohol campaigners unite to call for stronger protection from alcohol advertising to children
- New resource for people concerned about alcohol in their community
- Minimum pricing decision delayed until summer
- No completely 'safe' level of drinking
- New alcohol guidelines published
- Minimum pricing - European court ruling
- Alcohol fuels ambulance assaults
- 82% of Scots agree drink driving is unacceptable
- Scotland's alcohol strategy - what next?
- Scotland leads way in evidence-based alcohol policy
- New report reveals impact of alcohol on emergency services
- Alcohol: a global concern
No completely 'safe' level of drinking
The UK Chief Medical Officers have just published updated alcohol consumption guidelines, following a two year, expert review of the scientific evidence.
Their guidance makes it clear for the first time that there is no “safe” level of alcohol consumption. Any level of drinking raises the risk of developing a range of cancers including breast, bowel and mouth cancer. Although we have known that alcohol is a carcinogen (cancer causing substance) since the 1980s, the full extent of the link was not recognised in the previous recommended limits which were set out in 1995.
There is also now no justification for recommending drinking on health grounds as previous evidence is likely to have over-estimated the protective effects of alcohol for the heart.
To keep health risks to a low level, men and women are advised not to regularly drink more than 14 units of alcohol a week. Fourteen units is the equivalent of 6 pints of beer, a bottle and a half of wine, or half a bottle of spirits. Drinking should be spread over three days or more during the week to minimise the risk of accidents and injuries associated with heavy drinking sessions, and having several alcohol-free days each week is a good way to cut down.
Those of us concerned about alcohol and public health have welcomed the new guidelines and in particular that attention has been drawn to alcohol-related cancer. Alcohol is responsible for around 12,500 cancer cases a year in the UK, yet only around half of us are aware of the link.
However, the reaction from some quarters says a lot about our skewed relationship with alcohol. The revised guidance has been called “an assault on freedom”, “hyperbolic and puritan”, and “nanny state”. Just because we don’t want to hear that something we enjoy carries health risks doesn’t alter the scientific evidence - there is no completely safe level of alcohol consumption. Imagine the public outrage if the government failed to inform people that a product which is cheap, widely available and constantly promoted also causes cancer, liver damage and cardiovascular disease.
Perhaps this response demonstrates just how normal drinking to excess has become in our society. The health damage is under-estimated or under-played because drinking is so socially acceptable. Alcohol is positioned as an everyday product to be bought and consumed anytime, anywhere. Its toxic, carcinogenic properties are overlooked.
Ultimately – assuming we are not harming anyone else – each of us needs to make up our own minds whether and how much we want to drink. What’s important is that the health risks are clear so we can make an informed choice about the level of risk we are prepared to accept.
Health warnings needed
In order that we can genuinely make an informed choice, the expert group recommended a mass media information campaign. Crucially they also recommended that health warnings should be on all alcohol labels, advertising and sponsorship. This is long overdue. Existing alcohol labels don’t even provide any information about ingredients, never mind warn of the health risks associated with drinking. While some manufacturers have pledged to include more information on product labels, this varies widely and is entirely voluntary.
Of course alcohol manufacturers resist compulsory labelling, but they are out of step with the public on this issue. A recent opinion poll showed 93% of Scots agree it is important to know how alcohol can affect health, and 87% support better alcohol labelling. The government must recognise that the public want to be better informed and introduce compulsory health warnings – this is a consumer rights issue as well as a public health issue.
The reality is that far too many of us are drinking at levels that endanger our health. But the new guidance also means we need to think more broadly about whether our national approach to reducing alcohol consumption is sufficient to the task. The Scottish Government has committed to refreshing its alcohol strategy this year and will want to consider all the options.
The Chief Medical Officers would like to know whether you think their recommendations are clear and easy to understand. You can respond online before 1 April.
Alison Douglas, Chief Executive, Alcohol Focus Scotland