Coconino Community Health Dept.

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Coconino Community Health Dept.

• Fresh Start Smoking Cessation Classes
• Meets once a week for 1 hour
• No Cost
• Call for further information or to sign up
  Carol Sullivan 522-7882

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Report on the Status of College Student Alcohol
and Other Drug Use in Az. Aug, 2004
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Key Findings

• College students in Az. use less tobacco,
  alcohol, and illegal drugs than college students
  nationwide
• Arizonas heaviest and highest-risk alcohol use
  trends are concentrated among freshmen and
  students under the age of 21.

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College Freshmen and students under the age of 21
tend to overestimate the level of alcohol
consumption among other students on campus.
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• Alcohol is a factor in about one-third of the
  car crash deaths in the U.S. involving teenagers.
• More than 40 of individuals who start
• drinking before age 13 will develop alcohol abuse
  or dependence at some point in their lives.
• Wechsler and Wuethrich (2002), Dying to Drink

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• About 50 of all murders, assaults,
• and rapes in the U.S. are alcohol
• related.
• About 40 of the more than 42,000 FATAL
• auto accidents in the U.S. are alcohol related

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• Almost half of all Americans will be involved in
  an alcohol related accident at some point in
  their lives.
• About 55 Billion is spent in the U.S. annually
  dealing with the social and health problems
  associated with alcohol
• Wechsler and Wuethrich (2002), Dying to Drink

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• Among children age 9-15, 28 of suicides and 46
  of homicides can be directly attributed to
  alcohol.

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Examples of protective behaviors

• Do not leave drinks unattended
• Drink from bottles/cans you opened yourself
• Avoid group punches/beverages
• Watch as drinks are being prepared
• Do not accept drinks from anyone
• Designated Driver
• Eating before and during drinking
• Avoiding drinking games
• Determining drinks ahead of time
• Women- 1 drink per hr- Men 2 drinks per hr. - MAX

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Nearly 80 of people who attempt suicide are
under the influence of alcohol
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http//www3.nau.edu/fronske/alc/aIndex.cfm

• NAU Alcohol Abuse Prevention Resources

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(No Transcript)
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Chemistry of Alcohol

• Ethyl Alcohol is Psychoactive ingredient
• in all alcoholic beverages
• Proof Value- 2 times the percentage of
  concentration
• (A 100 proof beverage contains 50 alcohol)

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One Drink equals

• 12 ounces of Beer
• 5 ounces of table wine
• 1.5 ounces of hard liquor

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Factors that Affect Absorption Rate

• Carbonation
• Food in the stomach

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GENDERCompared to boys and men.

• Girls and women
• - become addicted to alcohol, nicotine and
  illegal and prescription
• drugs, more quickly
• -develop substance-related diseases at lower
  levels of use and in
• shorter periods of time.
• Womens bodies
• contain less water and more fatty tissue
• have decreased activity of the enzyme (ADH)
  that breaks down
• alcohol.
• The National Center on Addiction and Substance
  Abuse (CASA) at Columbia University

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Metabolism and Excretion

• Transported throughout the body via the
  bloodstream.
• Main site for metabolism is the Liver.
• 2-10 of ingested alcohol is not metabolized.

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P. 169 Text
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Drinking and Driving

• 800,000 people are injured a year
• 42,000 people are killed in alcohol related
  accidents

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p
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• Long before a person is drunk s/he is IMPAIRED.
• Correct term is
• Impairment to the slightest degree
• (vs. Drunk Driver)

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Alcohol and the Law

• Driving Under the Influence (DUI)Includes
  alcohol, licit and illicit drugs, inhalants
• ? Zero Tolerance Law
• Illegal to drive a vehicle under the influence
  of any measurable amount of any illicit drug.
  Alcohol is an illicit substance for those under
  the age of 21
• ? Legal Limit for BAC in Az. is .08 for those age
  21
• ? An adult of legal drinking age can be cited or
  DUI
• with a BAC lower than .08 if s/he is driving
  impaired.

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Aggravated DUI

• Can be a 3rd offense in a 5 year period
• Getting a DUI while on a suspended or
  restricted license
• Blood Alcohol Content of .15 or higher
• Any driver who gets a DUI with a passenger under
  the age of
• 15 in the car.

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Penalty for Aggravated DUI

• 4 months in jail
• Felony on record
• 3 yrs. Minimum license suspension
• 1500.-150,000. Fine
• Certified Locking Device for 1 yr.
• Get a lawyer
• Al Flitcraft- Az. Traffic Survival School
  Coordinator

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Binge Drinking Refer to chart on p. 173

• Men- 5 or more drinks in a row
• Women- 4 or more drinks in a row
• Health Impacts P. 172 Text
• ? Alcohol Poisoning
• ? Alcohol Fatty Liver
• ? Alcohol related Injuries
• ? Unprotected Intercourse
• ? Unplanned Sex
• ? Hangover
• ? Combining alcohol and other licit/illict drugs

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Alcohol Fatty Liver

• A condition that results in an enlarged liver
  that can result after
• -several days of drinking 5-6 drinks daily
  (men)
• -several days of drinking at least 3 drinks
  daily (women)
• Effects are reversible in the early stages

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The Effects of Chronic Use

• Diseases of the digestive and cardiovascular
  systems
• Liver function
• liver cell damage and destruction (cirrhosis)
• Pancreas inflammation
• Cardiovascular system
• moderate doses may reduce the risk of HD
• Higher doses elevates BP, may weaken heart muscle
  Cancer
• Mortality

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The Effects on Pregnancy

• FAS Fetal Alcohol Syndrome
• Under weight, flat nasal bridge, and long upper
  lip.
• FAE Fetal Alcohol Effects
• ARND Alcohol-related neurodevelopment disorder.

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Health Benefits of Alcohol

• Abstainers and light to moderate drinkers tend to
  live longer than heavy users.
• Moderate drinking s one drink per day
• for women and one to two drinks per day for
• men. (1 drink max. per hour)

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Alcohol Abuse

• Alcohol abuse is recurrent use that has negative
  consequences one onseself or others
• Drinking in dangerous situations.
• Patterns that lead to problems at home, work,
  school, interpersonal, or legal.

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Alcoholism

• Tolerance
• Health Effects
• DTs (delirium tremens)
• paranoia
• Social and Psychological effects
• Causes of Alcoholism

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Treatment for Alcoholism

• No One single treatment works for everyone
• Rehabilitation Clinics
• Counseling
• 12- Step Programs
• Employee Assistance Programs
• Pharmacological Treatments (Antabuse/
  Antidepressants)

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Alcohol (or any substance) allows us to hide
out..

• to avoid being in the present moment
• to move away from ourselves
• to escape our emotions
• Mindfulness is a way out of every addiction.

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The Warrior Way

• Unbending Intent combined with loving kindness
• Hold your ground
• Face your demons
• Recognize The Wisdom of No Escape

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We all self- medicate in one way or another

• What is alcohol (or any drug)
• a substitute for in your life?