Tag Archives: alcohol limits

Why Sir Liam Donaldson is a tosser

It was good to see the Government getting its retaliation in first, and dumping all over the Chief Medical Officer’s proposal for a minimum 50p-a-unit price for alcoholic drinks. Even before the annual report from Sir Liam Donaldson, on the nation’s health had been officially published, The Times was reporting that “a source close to the Prime Minister” (doubtless speaking in a soft Fifeshire accent) had declared: “The majority of sensible drinkers should not have to pay the price for the irresponsible and excessive drinking by a small minority.”

Well, yes, but it’s more than that. Much of Sir Liam’s argument seems to be heavy on assertion and light on evidence. He claims that Britain has “a spiralling drink problem”. He invents an entirely bogus concept, “passive drinking”, which is supposed to reflect the effects on people of drinking by others, and which is clearly meant to have the associations that “passive smoking” has. But “passive drinking” doesn’t exist: it’s not the drinking of others that people are victims of, it’s others’ aggression, violence and anti-social behaviour. And aggression, violence and anti-social behaviour aren’t caused by drink, they’re caused by poverty, lack of opportunity and crippled expectations. Raising the price of drink won’t solve those problems.

Sir Liam’s report, available here, declares that” Every week, two thirds of adults in England drink alcohol”, so that’s about 45 million people, but then says that “alcohol is immensely harmful. In 2006, 16,236 people died from alcohol-related causes.” In other words, every year alcohol kills 0.035 per cent of the people that use it. In addition, there are half a million deaths a year in the UK – so alcohol-related deaths make up just 3 per cent or so of the total. “Immensely harmful”? I’d suggest not.

The report goes on to assert that “Alcohol has a major impact on individual drinkers’ health.” No – it adversely affects the health of only a tiny minority. “It causes cancers of the liver, bowel, breast, throat, mouth, larynx and oesophagus; it causes osteoporosis; and it reduces fertility.” Yes, but in each case it increases the risk by only a tiny amount. For example, of women who don’t drink, 9.6 per cent get breast cancer; of women who do drink, 10.7 per cent do. In other words, one woman in a hundred gets breast cancer because she drinks. The same is true of other cancers: if you drink, it increases your chances of cancer by a tiny percentage. That does not, I suggest, justify the scare headlines in, for example, today’s Guardian that “no level of alcohol is safe”.

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I Told You Those Lying Bastards Were Making It Up

It was fantastically satisfying to see the front page splash in The Times declare what I’ve been saying for years – that the government’s “safe drinking guidelines” of 21 units of alcohol for men and 14 for women a week have no basis in fact, and were literally made up on the spot with no evidence to support them 20 years ago, solely because the “experts” thought they ought to be saying something rather than nothing.

To quote The Times:

Richard Smith, the former editor of the British Medical Journal and a member of the college’s working party on alcohol, told The Times yesterday that the figures were not based on any clear evidence … “David Barker was the epidemiologist on the committee and his line was that ‘We don’t really have any decent data whatsoever. It’s impossible to say what’s safe and what isn’t’. And other people said, ‘Well, that’s not much use.’ … So the feeling was that we ought to come up with something. So those limits were really plucked out of the air. They weren’t really based on any firm evidence at all. It was a sort of intelligent guess by a committee.”

On that basis, as The Times says, public health care policy, and private advice by doctors to individuals, has been conducted ever since, with the figures treated as if they were stone-hard, incontrovertible fact, wheeled out again for the latest report that claimed the middle classes are the new danger drinkers. To quote The Times again:

Professor Mark Bellis, director of the North West Public Health Observatory, which produced this week’s study, felt able to say that anyone exceeding the limits was “drinking enough to put their health at significant risk”. That a host of epidemiological studies had filled the intervening years with evidence to the contrary seemed not to matter one jot.”

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