Skip to main content

The LAST Drink


The recent tragedy in West Bengal in which 170 people died after drinking locally made hooch shows once again how vulnerable our poor are, and how poor are our mechanisms to ensure their safety.
Hooch, Moonshine or Jake is the name given to illicitly distilled illegally produced alcoholic drinks that do not conform to safety standards. They are made by fermenting sugary or starchy substances, distilling them to increase the concentration of alcohol, and often adding other substances for more punch. They have been produced for generations in home-made stills or barns, often under the cover of forests and swamps, and catered to poor labourers, farmers, rikshaw-drivers and hawkers.
Outbreaks of poisoning and deaths due to bad hooch have occured in various parts of the world from time to time. Major Indian tragedies have occured in Gujarat, Tamil Nadu, Kerala, Odisha and UP in the last 3 years, and despite the temporary reactions they elicited, the magnitude of tragedies has just got bigger.
Ethanol or ethyl-alcohol is the intoxicating agent in all alcoholic beverages. It is when unscrupulous manufacturers resort  to mixing other substances  such as methanol (methyl-alcohol), lye, rubbing alcohol, wood paint, paint thinner, bleach, formaldehyde, chemical fertilizers, leather and lead to the drink either as cheaper substitutes or to provide more “kick”, that they become poisonous.
Methanol, a cheaper substitute of ethanol or ethyl-alcohol, produces abdominal pain, acidosis, coma, blindness and paralysis. Treatment, if the victim is brought to medical attention in time, requires giving ethyl-alcohol to flush out the toxic methyl one, or dialysis, both of which are usually not available in small rural centres where these tragedies take place. Those who survive methanol poisoning are often crippled with blindness, paralysis and loss of livelihood.
Hooch tragedies tell much about our society; our scant health and safety standards and the deep cleft between the rich and the poor.
Bootleg country liquor comes cheap and is often the only intoxicant that the poor can afford. The hooch kingpins get more and more people, especially the earning members, hooked to expand their market. Thay also provide employment to the poor for making and selling it, develop financial clout, poliical patronage, and often become invincible lords of local rings.
Banning hooch would seem the obvious solution, but would push the poor, who have already been hooked to intoxication as succour to their struggling lives, to more expensive alternatives, thus promoting the sale of branded products. And do we expect the same law enforcers who are vulnerable to bribes and who allowed this to happen, to be different then.
The deeper question is: Why do poor people who eke out their existence, take to intoxicating drinks? Do they too need entertainment , like their well-to-do counterparts? What options do they have? Could society or governments try to provide them with healthy entertaining engagements that would keep them from drinks and drugs? A well enforced ban would only then have a chance to work!
As published in HT City (Hindustan Times) dated 18 December, 2011.

Comments

Popular posts from this blog

Food Fads in Liver Disorders

In an attempt at trying to do well to those they love, spouses and parents often enforce diets on patients of liver diseases that often turn out to be detrimental. The commonest food fad is pale insipid boiled cabbage being doled out to nauseous patients suffering from hepatitis that makes them puke even more.  The liver, in a way, is a buzzing manufacturing unit that requires lots of energy to keep its multiple functions going. And it derives all this from the food we eat. During disease, such as during an attack of jaundice, when many of the liver cells get killed, the liver attemptsdamage control by trying to regenerate quickly. For its cells to multiply however, it requires a generous supply of energy that comes from carbohydrates, and protein, the building block for its cells and tissues. Boiled green vegetables unfortunately have neither of these. Hence the situation often progresses to that of a starved liver unable to recuperate due to cut-off food supply.

Bad Dreams, Disturbed Sleep

  A good night’s sleep, so essential to rest your body and mind, and restore ‘energy” and vitality, is becoming a casualty for many these days. Last week a 58 year old lady complained that she woke up with a startle in the middle of the night dreaming of “drugs”, something she had never been exposed to all her life. Another reported a nightmare in which he felt someone was “strangulating” him by tightening something around his neck, till he woke up feeling choked! Yet another reported dreaming that he was in an ICU of a hospital with PPE draped figures surrounding his bed while he was being prepared to be hooked to a ventilator. Bad dreams can be disturbing to say the least. One wakes up with a startle or in sweat, feeling disturbed and uneasy, and feeling drained. The mood in the morning is usually uneasy and snappy. Creative thinking has usually gone for a toss…postponed to yet another day when one feels more cheerful and positive.   Several factors could be contributing to “

The Doctor’s Dress

The familiar white coat worn by physicians as their distinctive dress for over 100 years, has started generating  murmurs  of controversy. It is not uncommon to find the blood pressure to be higher when measured by a white-coat-wearing-doctor in the hospital or clinic than the readings obtained at home by relatives.  This is due to the anxiety that the white coat and the hospital setting evokes in patients, and has been termed “White Coat Hypertension”. Mature clinicians often routinely subtract a few points from these measurements when entering records in case charts or calculating the dose of anti-hypertensive medications to be prescribed. The white coat scares children too.  Kids often express their dislike for this dress by crying and screaming and by denying access to their bellies or chest for examination by paediatricians in this attire. Many pediatricians across the world have folded up their white coats and taken to informal colourful dressing to get closer to thei