1. Livia Borsoi MD, MPH Center for Public Health Institute of Social Medicine Email: [email_address] Alcohol Problems and solutions

3. What place had wine in the Christianity? Giotto(1303-1305) Padova – Scrovegni‘s chapel . Wedding Feast at Caanan

4. What place had alchohl in the Christianity?

5. How is it today? Simpsons. The last supper

7. Why do you drink?

9. ALCOHOL'S TRIP THROUGH THE BODY 1 MOUTH 2 STOMACH 3 SMALL INTESTINE 4 BLOODSTREAM 5 LIVER 6 BRAIN About 20% of the alcohol is absorbed in the stomach and about 80% is absorbed in the small intestine.

15. Half of Austrians boys and 30 % of girls already got drunk repeatedly at age 15 http://www.api.or.at/akis/kurzinfo/gajug.htm

16. What kind of alcoholic drinks Austrian teen agers ( 16-19 y.) choose to drink Source: „Repräsentativerhebung 1993/94“, Uhl & Springer, 1996 66% 21% 7% 4% 3%

22. Effects at different permille levels Loss of consciousness, reduction in heart beat and respiration, coma, possible death 3-4‰ Substantial impairment in vehicle control Vomiting ■ Major loss of balance, possible loss of conciusness ■ risk of freezing outside - body temperature declines 2 ‰ Reduced ability to maintain lane position and brake appropriately Clear deterioration of reaction time and control ■ Slurred speech, poor coordination, and slowed thinking 1‰ Concentration ■ Short-term memory loss ■ Speed control ■ Reduced information processing capability (e.g., signal detection, visual search) ■ Impaired perception Muscle coordination becomes poor (e.g., balance, speech, vision, reaction time, and hearing) ■ Harder to detect danger ■ Judgment, self- control, reasoning, and memory are impaired 0,8‰ Reduced coordination, reduced response to emergency driving situations  double risk of having a car accident ! Exaggerated behavior, may have loss of small-muscle control (e.g., focusing your eyes), impaired judgment, usually good feeling, lowered alertness, release of inhibition 0,5‰ Decline in visual functions (rapid tracking of a moving target), decline in ability to perform two tasks at the same time (divided attention) Some loss of judgment, relaxation,slight body warmth, altered mood 0,2‰ Predictable effects on driving Typical Effects Blood Alcohol Concentration (BAC)

26. 5% of Austrians are alcoholics: 330.000! Females 1/3 Males 2/3 Source : Handbuch Alkohol 2001 -Österreich

31. Coffee? Sleep? Cold bath? Take a Walk? The only thing that reverses the effects of alcohol is time! I feel so bad….

37. Alcohol self test        True   7. I never drink alcohol when I am alone  8. I never ride a bicycle or moped after drinking  6. If I have to go to school the next day I drink less alcoholics or none  5. I never had a memory loss (black out) after drinking  4. If I don’t feel like drinking nobody can convince me to  3. Sometimes I don’t drink alcohol for weeks  2. I get along with people and situations as well with or without drinking alcohol Not true  1. When I go out at night, I still know the next day how many drinks I had

38. I am done…