Maverick Citizen

OP-ED

Booze ban: The abuse – not the use – of alcohol needs a more realistic and sober solution

(EPA-EFE / KIM LUDBROOK)

Images of young crowds dancing with bottles on their chins have become a rallying point for alcohol abolitionists. But binge-drinking and underage drinking have been around since long before Covid-19 – which is why we need a more realistic approach than a ban on alcohol sales.

 

Ingrid Louw is CEO of aware.org.za, a harm-reduction agency/body for the alcohol industry.

The growing national debate over the management and consumption of alcohol is a really valuable one – whether you’re a prohibitionist or a realist. 

There’s no doubt that alcohol use – and abuse – has come increasingly into focus during the pandemic, primarily because of the government’s view that alcohol consumption somehow contributes to the spread of the coronavirus, whether directly or indirectly. 

This has triggered a range of views – some informed by research, others driven perhaps by misconceptions and prejudice – which are put forward to motivate for or against a continued lockdown ban. 

The Association for Alcohol Responsibility and Education (aware.org.za), the organisation I lead, sits firmly in the group that believes the abuse/harmful consumption of alcohol – not the use of alcohol – is the major challenge, and this needs to be the real focus of attention. 

As a harm reduction agency/body for the alcohol industry, aware.org.za is as concerned as anyone about the images of young South Africans dancing with bottles on their chins or foreheads in violation of lockdown regulations, and in some cases underage drinking and binge drinking. These images have become a rallying point for abolitionists; alcohol abuse is portrayed as a new Covid-era phenomenon, a particularly prominent icon of the pandemic that can only be dealt with by an outright ban on liquor sales. 

But, as anyone who works in the field of alcohol harm reduction will tell you, excessive or binge drinking and underage drinking have been a long-lasting feature of South Africa’s social landscape, long before the pandemic, and we need to understand the root causes so that we can find sustainable solutions. 

Also, studies show that the likelihood of harm is a complex interaction of factors – personality, family, and cultural background. Put that in the mix of South Africa’s triple threat of poverty, inequality and unemployment, and South Africa’s alcohol harm is disproportionate to other countries that consume more alcohol than us but have less alcohol-related harm. 

Our research (and yes, we paid for it – but that’s because we wanted evidence-based approaches to harm reduction) – shows that the twin dangers of binge drinking and underage drinking need to be managed by a combination of control and education. 

The “control and educate” model is based on several pillars:

  • Tighter management by traders: the industry is actively driving interventions to get traders to play their part in ensuring responsible trading and drinking. This includes not serving alcohol to people who have clearly exceeded their limit, not serving alcohol to pregnant women, and definitely not selling to people who are underage.
  • A more responsible approach by marketers. The alcohol industry has developed a code of best practice for advertisers and brand managers to ensure they do not encourage under-age drinking and avoid promoting the concept that excessive drinking is “cool”.
  • Increased advocacy around a government health code, which will hopefully consist of actual government minimum drinking guidelines – as is global best practice.
  • In addition, on underage drinking, our research is showing that teenagers are able to purchase alcohol from alcohol stores. This is illegal. As aware.org.za, we are working with alcohol traders – whether on-site, off-site, or online – to educate them about their responsibility to insist on ID verification and related compliance.

Ultimately, though, it comes down to the need for a concerted whole-sided and multi-stakeholder national effort to address and explain the dangers of underage drinking, binge drinking, drinking while pregnant or walking/driving drunk. 

And that also means you: if you’re encouraging minors to fetch a drink for you from the fridge, or sending your child to the nearest outlet to buy drinks, you’re playing a role in promoting under-age drinking. All our research shows that exposure to alcohol at an early age inevitably leads to under-age drinking. Only you have the power to stop that – by being a responsible parent or elder. 

Our research also shows that peer pressure is a major contributor to under-age drinking and binge drinking, far beyond what people may see in adverts or the movies. Only you have the power to stop that – by telling your friends and family when they’ve had enough, and why it’s harmful to drink excessively. 

And if you are a heavy drinker yourself, only you have the power to know the limits, stay within those limits, and behave responsibly. 

As I said at the beginning of this article, the national conversation around alcohol use and abuse is a valuable one. Sadly, as the lockdown has critically affected the alcohol industry and its extended value chain, including hospitality, and emboldened those who would like to see alcohol banned forever, the arguments have become more positional. This is not helpful. It has polarised role players who could and should come together to create solutions to address the harmful consumption of alcohol in our communities. 

Arguing over research models, blaming the low price of some brands, calling for alcohol in smaller bottles – these ideas do not produce realistic solutions to the massive challenge we face as a people. They do not address the dire need for awareness and collective action that is needed if we are to bring about real behavioural change. 

What would be beneficial for all – drinkers, teetotallers, traders, marketers and law enforcement agencies alike – is a national conversation in which we put our heads together and do some sober thinking, if you’ll excuse the pun, around how we reduce alcohol harm. 

If we did that, we’d not only save lives – we would also save livelihoods. DM

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All Comments 7

  • This is smoke and mirrors and red herrings.

    The booze ban is to relieve pressure in full hospitals. This whole article is disingenuous

    • Arguably, the ban is necessary but keep in mind that this problem (need to relieve pressure on hospitals) was created by the government not organising operation of the covid-focused ‘field’ hospitals in spite of 5-6 months notice of the ‘third wave’.

      • ZA’s emergency and trauma wards are like a war zone – medical electives come here from all over the world to learn! Alcohol misuse has much to do with it. No amount of extra capacity can deal with that. Change is long overdue. (That said, of course it is an utter disgrace if more than a year later some provinces are still not prepared!)

  • “… the government’s view that alcohol consumption somehow contributes to the spread of the coronavirus, whether directly or indirectly” is ignorant or disingenuous – see CR’s speech of last night: “We know that restrictions on alcohol sales reduce the number of admissions at hospitals and emergency rooms with alcohol-related trauma, such as motor vehicle accidents and interpersonal violence.
    Reducing alcohol harm frees up much-needed capacity in our health facilities to deal with Covid-19 cases.
    Alcohol abuse is also associated with gatherings and non-adherence to public health regulations.”
    Still don’t get it? Stop lamenting and come up with suggestions – the problems of a total ban like currently poses to restaurants, wine farms etc are huge and the damage enormous. Stupid texts like this one don’t help.
    Maybe time for the puppetmasters to get themselves a cleverer puppet… One that does not write in such a condescending tone – talk to your teenagers like that if you think it’s appropriate but not to an adult audience!

    • T A Moultrie, R E Dorrington, R Laubscher, P Groenewald, C D H Parry, R Matzopoulos, D Bradshaw
      Unnatural deaths, alcohol bans and curfews: Evidence from a quasi-natural experiment during COVID-19
      search for samj.org.za/index.php/samj/article/view/13345

  • I wonder if Ingrid Louw has read the White Paper on Alcohol Harms Reduction produced by the Western Cape in 2017. It makes many very sensible suggestions. It does not advocate any sort of ban on the sale of alcohol. It does however suggest severe restrictions on advertising and the reduction in trading hours for off sales.
    I have not heard that the alcohol traders have decided to support the proposals in the White Paper. I am under the impression that they have not been implemented because the alcohol lobby has totally opposed what is proposed.
    Tell us now Ingrid whether you and the alcohol industry will throw your considerable weight behind the Western Capes Alcohol Harms Reduction proposals and promote them country wide.

  • An alcohol control body (Aware.org) funded by the industry is a contradiction in terms. The industry needs to make money- they need to increase profits and recruit new markets. Focusing all efforts on personal responsibility and underage drinking ensures that the industry’s bottom line will not be affected. There are evidence-based (not funded by the industry) interventions recommended by numerous organizations and well-respected ones, such as the British Medical Association, the World Health Organization, etc.
    These recommendations focus on making alcohol less accessible – i.e. control the density of outlets (in SA this is critical as there are far more alcohol outlets than schools in many areas, marketing of alcohol (including the introduction of twelve-packs, and alcohol pops aimed at young people and advertising all indicate the opposite of what Ms. Louw is saying. Instead of having an organisation like Aware.org we need an independent health promotion foundation funded by excise taxes (on alcohol, sugar, and tobacco) to engage with what it really means to control alcohol in SA.

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