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28 Nisan 2017 Cuma

A moment that changed me: the loss of my brother to alcohol-related illness | Eve Ainsworth

This year it will be 17 years since my brother died, aged 40. I have so many regrets – regret not only for Kev, who was finally killed by the addiction that overtook him, but regret that I didn’t try to understand him more when he was alive. It is only now that I have begun to appreciate the pain and entrapment inflicted by alcohol addiction and how the man I thought I knew became swamped by this misunderstood and deadly condition. My brother deserved so much more. For so long, I questioned why drink always won, without realising that for him it was never a question of winning or losing. It was just about surviving each day.


One of my earliest memories of Kev was when I was sitting miserable and uncomfortable with chicken pox. I was around five years old and stank of calamine lotion – my entire skin was cracked pink with it. I hated missing school and was bored silly at home. Then my older brother walked into the house, carrying a bag of books. My day suddenly lit up. In my early life, Kev’s long hours as a nurse meant he didn’t often visit, but when he did he brought a different energy to the house, and a kindness.


He was the one who’d take me out for surprise shopping trips, or for weekends away at his house where he and his wife would take me to amazing firework displays and other outings. Kev always seemed full of life – talking, laughing and coming up with ideas. He loved reading and talked about books. He made me appreciate the wonder of words. I didn’t know then that he was working long hours, that he was struggling, and drinking to cope. I just saw the mask he painted on. The happy Kev, rather than the cracks. But of course all cracks deepen in time and the mask begins to slip.


His marriage fell apart and soon his drinking meant Kev was signed off from a job he loved and excelled at. He was forced to move back to our house. That’s when I saw the true problem. I was 10 years old, and I had an older brother who now spent most of his days sitting in his bedroom. His appearance had changed. His face was more red, speech slurred, eyes swollen. We still talked though. He gave me his old computer to type on and encouraged me to write.


Kev didn’t think it was silly that I wanted to be a writer: he actively encouraged me. He talked about the importance of plot structure and leaving the reader wanting more. It was just sad that he didn’t read himself any more. He still listened to music though: to David Bowie, Leonard Cohen and the Clash. He taught me to listen to the words and hear the real meaning. He told me to sound words out loud and hear how they worked. Above all, he told me not to give up on my dreams. He always looked sad when he said that, like he’d already given up on his.



Eve Ainsworth


Eve Ainsworth aged 4, around 1982. Photograph: Eve Ainsworth

But as a teenager things changed. I’d changed. I’d become ashamed of him. He’d become bloated and sick and would often do or say things to embarrass or shock people. I’d look at his closed door and imagine a monster behind it, consumed by alcohol, no longer recognisable. I didn’t want to be in his company any more. He frustrated me, and I couldn’t understand why he had chosen this existence. Finally, he moved to a house of his own and I suppose I was relieved. At least now his drinking was contained somewhere else. I could kid myself he was OK really. But he wasn’t. The reality was that he was just getting sicker and sicker.


When I became ill myself, hospitalised with quinsy, I begged my brother not to visit. I didn’t want people to see how bad he was. When I came home, he phoned me. “I’m glad you’re better,” he said. “That should be me in hospital. Not you.”


He collapsed a week later; his liver had finally failed him. I was at work when they made the decision to turn off his life support. I tried to go and see him, but I couldn’t get there in time. Guilt raged through me. I’m not religious but I found myself in a small church, lighting a candle. Praying for forgiveness. Ashamed.


The guilt affected me for a long time afterwards. I resigned from my job. I spent most nights out drinking with friends. I felt like I was lost. One night I drank too much and found myself vomiting in a toilet wondering if this had been what his life was like. I woke up feeling wretched and ill and knew I could never drink to excess again. Even now I struggle being around people who are excessively drunk.




I wish we could have helped Kev. I wish we could have saved him. But we couldn’t




It took me a long time to get over his death and in many ways perhaps I never will. But it changed me because I knew I never wanted to feel like that again. I tried to remember Kev for the man he was, not what the drink made him. And I carried on writing, because I knew then that life was short and cruel, and I had to try and achieve my goals in the time I had. When my first book was published I remembered my brother’s early encouragement and belief in me, and knew how happy he would be.


Now I’m almost at the age my brother was when he died – and that seems wrong somehow. It makes me realise how young he was and how much life he had yet to live. He had so much talent, wisdom and kindness. I wish we could have helped him. I wish we could have saved him. But we couldn’t. And I’ll never stop regretting that. But regrets are wasted. So instead, I just have to be thankful for what he gave us instead.


A few days after he died I had a vivid dream in which my brother appeared in a beautiful, peaceful setting. In the background Bowie’s lyrics played on a loop, like a soothing lullaby – “I’m happy, hope you’re happy too.”


I am happy, Kev. And I’d like to think in some way you are too.


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A moment that changed me: the loss of my brother to alcohol-related illness | Eve Ainsworth

18 Kasım 2016 Cuma

Alcohol-related cancer to kill 135,000 in England by 2035 – study

Alcohol-related cancers will cause about 135,000 deaths and cost the NHS £2bn over the next 20 years in England, unless concerted action is taken to highlight the dangers of drinking, health campaigners have warned.


Cancer Research UK, which commissioned Sheffield University to come up with the figures, said the government urgently needed to counter public ignorance about the link between drinking and cancer and introduce minimum unit pricing (MUP) to prevent the number of deaths reaching 7,100 a year by 2035.


The analysis also forecasts more than 1.2m hospital admissions for alcohol-related cancer over the next two decades.


Alison Cox, the director of prevention at Cancer Research UK, said: “These new figures reveal the devastating impact alcohol will have over the coming years. That’s why it’s hugely important the public are aware of the link between alcohol and cancer, and what they can do to improve their risk.


“If we are to change the nation’s drinking habits and try to mitigate the impact alcohol will have, then national health campaigns are needed to provide clear information about the health risks of drinking alcohol.”


The majority of alcohol-related cancer deaths in 2035 are expected to come from oesophageal cancer (3,697), followed by bowel (1,369), other mouth and throat cancers (887), breast (835) and liver cancer (333).


Alcohol-related cancer deaths

Earlier this year, the government lowered the officially advised maximum weekly alcohol consumption by men to 14 units, bringing it in line with the existing limit for women.


But it said that there was no safe level of drinking for either sex, warning that any amount of alcohol consumption increased the risk of developing a range of cancers.


England’s chief medical officer, Dame Sally Davies, has said she would like people to think about their increased risk of cancer each time they reach for a glass of wine.


However, Cancer Research UK and its partners in the Alcohol Health Alliance believe there is still more the government can do, including introducing a 50p minimum unit price for alcohol in England.


The analysis, published on Friday, found that a 50p minimum price per unit of alcohol could, over 20 years, reduce alcohol-related deaths in England by about 7,200, including about 670 cancer deaths. It would also reduce healthcare costs by £1.3bn, the research suggests.


Prof Sir Ian Gilmore, chair of the Alcohol Health Alliance, said: “It is clear from the report that MUP will save lives, including those lost to cancer, and ease the burden on our health service. Importantly, MUP will do this while leaving moderate drinkers and prices in pubs and bars unaffected.


“In addition, we need mandatory health information on the labels of all alcoholic products, informing the public of the link between alcohol and cancer, and the new low-risk drinking guidelines.


“The public have the right to know about how their drinking impacts their health, so that they are empowered to make informed choices.”


The research assumes drinking trends will follow those seen over the last 40 years and takes into account recent falls in alcohol consumption.


Caroline Moye, head of the World Cancer Research Fund, said 21,000 cancer cases a year could be avoided in the UK if no one drank.


“After not smoking and being a healthy weight, not drinking alcohol is the best thing people can do to help reduce their cancer risk,” she said.


Responding to the study, the Department of Health highlighted the guidelines on alcohol consumption.


Rosanna O’Connor, director of drugs, alcohol and tobacco at Public Health England, said: “Anyone can reduce their risk of cancer by making changes to their lifestyle: drinking less alcohol, eating a balanced diet, staying physically active and not smoking.


“The One You campaign run by Public Health England will help achieve these aims and lower the risk of cancer by enabling everyone to live a healthier life.”


The Home Office said it was reviewing minimum pricing and would be watching implementation in Scotland.



Alcohol-related cancer to kill 135,000 in England by 2035 – study

7 Eylül 2016 Çarşamba

Exercise can cut risk from alcohol-related diseases, study suggests

Drinkers who do the recommended amount of exercise can reduce their risk of dying from alcohol-related cancer, according to new medical research.


Undertaking two and a half hours a week of physical activity can also reduce, but not banish, someone’s chances of dying from any cause, according to the study of 36,370 British patients.


The findings, published on Wednesday in the British Journal of Sports Medicine, found that: “Stratified analysis showed that the association between alcohol intake and mortality risk was attenuated (all-cause) or nearly nullified (cancer) among individuals who met the physical activity recommendations.”


The authors added: “Meeting the current physical activity public health recommendations offsets some of the cancer and all-cause mortality risk associated with alcohol drinking.”


The study, by academics in London, Canada, Norway and Australia, examined the health of men and women over the age of 40 who had provided data for six editions of the Health Survey for England up to 2006, and the 1998 and 2003 editions of the Scottish Health Survey.


“In this large British general population cohort we found that the association between alcohol intake and mortality risk was moderated by physical activity,” says the study.


The researchers found that risk of death from either cause increased more slowly among Britons who followed the government-backed advice and did five lots of moderate-intensity exercise a week than those who undertook less physical activity, although the effect was more noticeable for cancer.


Kevin McConway, emeritus professor of statistics at the Open University, said: “Does this mean that I don’t have to worry about the effect of drinking on my health, as long as I get enough exercise? Well, no, it doesn’t, for a long list of reasons.”


McConway advised caution. “It’s possible the changes in risk patterns in people who exercised were not because of the exercise, but because of something else that just happened to be different.”


Matt Field, professor of psychology at Liverpool University, said the “rigorous piece of research” showed that “it appears that physical activity may partially offset some of the harmful effects of drinking, particularly alcohol-attributable cancers”.


The findings have prompted calls for fitness trainers to work in pubs to encourage drinkers to be more active.


“From our Let’s Get Moving physical activity initiative, we’ve seen the benefits of linking exercise professionals to GP surgeries to improve the health of at-risk patients. This research suggests we should look at similar measures in pubs to help engage harder-to-reach sections of society in physical activity,” said Steven Ward, executive director of ukactive, which represents the exercise industry.


“This research might sound like great news for Sunday league footballers everywhere, but as the recently updated chief medical officer’s guidelines show, excessive drinking remains a major health risk,” Field added.


However, the researchers found that 27.5% of the patients studied took no exercise at all and almost 61% did not achieve the target of 150 minutes a week.


Nonetheless, the authors believe their findings show that physical activity can promote good health and reduce at least some of the associated harmful effects of drinking, even among those who do no more than the minimum 150 minutes. “Our results provide an additional argument for the role of [physical activity] as a means to promote the health of the population even in the presence of other less healthy behaviours,” they say.



Exercise can cut risk from alcohol-related diseases, study suggests