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Alcohol Abuse

By Jared Moré  -  July 30th 2008

Alcohol abuse is defined as the use of alcoholic beverages to excess, either on individual occasions (“binge drinking”) or as a regular practice. Alcohol abusers may not be addicted to alcohol, but their drinking leads to things such as driving while intoxicated, poor performance in job or school, getting in trouble with the law due to intoxication, and continued drinking even though the above situations may have occurred.

Alcohol abuse is different from alcoholism in that abusers do not have the strong cravings for alcohol that alcoholics have, and they are not physically dependant on alcohol. They may, however continuously put themselves in bad situations because of their use of alcohol. Because alcohol abusers do have more control over their drinking habits than an alcoholic does, they may appear to some to simply exhibit poor judgment because of the problems their drinking causes. However, many people who abuse alcohol do eventually become alcoholics.

Side effects

Alcohol abuse can cause problems in the abuser’s family life, in their reputation with law enforcement (DWI, domestic disputes, arguments and fights), with their health (cancer, high blood pressure, liver problems, brain damage), and with their jobs. The abuse of alcohol causes poor judgment, mood swings, and lack of productivity, making it difficult to function in everyday life.

Treatment

Alcohol abuse can be treated, and there are many support groups and treatment facilities to help alcohol abusers and alcoholics get their life back on track. The first step in getting help is for the alcohol abuser to come to the realization that they have a drinking problem. Family members can help make the abuser aware of how their drinking is affecting others by being specific in their conversations about the alcohol abuse. It is easier for an abuser to seek help when they are confronted with the harm their alcohol use causes others.

Once the alcohol abuser resolves to find treatment for their alcohol abuse, they can be encouraged by the hope of successful treatment. The earlier the treatment, the more likely it is to be successful. The more motivated a person is to get treatment for alcohol abuse, the better the chances are for them to remain sober. With the support of family members, co-workers, and friends, an individual is more likely to stay in treatment and overcome the alcohol abuse. Support groups like Alcoholic Anonymous aid in the recovery process by giving patients the opportunity to help each other stay sober.

The Debate Over Drug Abuse Treatment: Methadone vs. Buprenorphine

By Jared Moré  -  July 23rd 2008

Since 1971, qualified physicians in the United States have been prescribing narcotic medications such as methadone to treat opioid addiction. But this treatment hasn’t come easy, or without its share of debate.

The Methadone Controversy

Russia is one of several countries where methadone is controversial. Recently, members of a Kremlin youth group launched a protest outside a methadone conference, where a group of physicians and specialists were gathered to discuss methadone treatment for drug addictions. In Russia and other countries struggling over this debate, critics of methadone argue that it traps patients in their addictions for life, leaving them addicted to yet another drug.

Methadone is used as a gradual therapy for recovering heroin users, allowing physicians to relieve their patient’s craving for heroin and block the effects of opiates. With methadone, the gradual and mild onset of the “high” prevents users from gaining the pleasurable effects associated with heroin.

However, opponents argue that methadone treatment substitutes one opioid for another, and fear of methadone being sold on the black market is a big concern. Often patients are left struggling with their addiction to methadone, causing their treatment to be lengthy or fail altogether.

In the United States, methadone treatment has become more regulated and widespread in recent years. An individual’s methadone treatment is often viewed as treatment for a disease rather than a poor moral choice. Therefore, treatment may continue throughout the patient’s life, allowing their bodies to be maintained with methadone and avoiding the symptoms of withdrawal altogether. While not a complete solution for a drug free life, methadone treatment has been found to decrease heroin related deaths and crime, and help individuals achieve greater control of their lives.

Buprenorphine and Suboxone

Today a new opioid medication is making its way into treatment facilities, doctor’s offices, and even homes. Buprenorphine is a partial opioid agonist, which causes it to be less addictive than either heroin or methadone. The “high” produced by buprenorphine is less intense, and the side effects are less dangerous. In general, buprenorphine is safer than methadone, and it is easier for a patient to discontinue buprenorphine than to detox from methadone. The NIDA views buprenorphine as a safer, more acceptable maintenance drug than methadone for the treatment of heroin addiction.

A form of buprenorphine, Suboxone, has been rapidly gaining approval for the treatment of opiates. Suboxone contains buprenorphine and naloxone, an opioid antagonist which is to be taken orally. As long as it is taken by mouth as prescribed, the naloxone causes no side effects. If a user would dissolve the Suboxone and inject it in order to get high, the injected naloxone would cause sever withdrawal symptoms. This special formulation of buprenorphine and naloxone is considered safer than just buprenorphine because it so strongly discourages misuse.

The future of drug addiction treatment with Suboxone looks promising. With the support of the NIDA and the SAMHSA, and with further testing, there is hope that in the future this will be a widespread, successful treatment for drug addiction in the United States and other countries.

1. Schwirtz, Michael, Russia Scorns Methadone for Heroin Addiction The New York Times July 22, 2008
2. Blaine, Jack D., Buprenorphine: An Alternative Treatment for Opioid Dependence NIDA Research Monograph, Number 121, 1992
3. National Institute on Drug Abuse, 1999. Principles of Drug Abuse Treatment: A Research-Based Guide. NIH Publication No. 99-4180.
4. Marion, Ira J., Methadone Treatment at 40 Science and Practice Perspectives December 2005
5. Wunsch, Martha Buprenorphine: Balancing Access with Quality of Care (NIH) February 2008
6. Condon, Timothy P., and Clark, Wesley Buprenorphine in the Treatment of Opioid Addiction: Balancing Medication Access with Quality Care (NIH) February 2008

“You’ve Got Drugs” Troubling findings from Columbia University’s report on the availability of prescription drugs on-line.

By Jared Moré  -  July 11th 2008

We have all received them in our email boxes, messages from purveyors of prescription drugs claiming to offer these drugs at on-line pharmacies. These types of emails are not only annoying but they offer a portal into an on-line realm of readily available controlled substances. In a society where we are constantly being bombarded by the notion that every ailment from clinical depression to cancer has a “one pill fixes all” solution the availability of these dangerous drugs with little to no oversight causes real problems for our society.

According to the CASA report a total of 365 web sites were found which advertise or offer for sale controlled prescription drugs. Granted of the 365 206 were only advertising the sales of controlled substance but 159 actually offered these drugs for sale. Only two of these 159 websites were certified by the National Association of Boards of Pharmacy as legitimate on-line pharmacies. (you’ve Got Drugs V, Pg.1)

This puts dangerous drugs into the hands of anyone surfing the internet. It is no wonder that prescription drug abuse and addiction rates have been steadily on the rise since 2001, even as rates of other illicit drug use have dropped. It is troubling also to note the trends of who uses the internet when discussing how easily controlled substances are available in these on-line pharmacies. The CASA report states that while only 68% of adults in the U.S. have access to the internet nearly 100% of college students and 78% of children aged 12-17 years old have online access regularly (you’ve Got Drugs V, Pg. 2).

These internet pharmacies are also not verifying the age of customers either. Users 13 and under were allowed to purchase drugs even while admitting their true age (you’ve Got Drugs V, Pg. 9). This dangerous combination of ready availability and access by young people to the internet has led to an increase of prescription drug use especially by teenagers and young adults.

No longer is it necessary to venture to “the wrong side of tracks” to find drugs. There is no need to associate with drug dealers or have to seek them out any longer. Today drugs are so readily available on the internet that anyone can use them and purchase them at will. The disturbing statistics released in the CASA report reveal that we all need to be vigilant in watching our children and their friends for signs that they may be an addict, and offering the appropriate help when necessary.

Download the Full CASA report for free here
Sources:
You’ve Got Drugs V CASA whitepaper
Prescriptions drugs Abuse and Addiction, a research Report by the NIDA

How health issues can help organize women— and why it’s important

By Jared Moré  -  July 2nd 2008

What you need to know to prevent cervical cancer

  • Cervical cancer comes from virus (from persistent high risk strands of the human papilomavirus,HPV);
  • HPV is transmitted by skin-to-skin contact;
  • Cervical cancer can be prevented (70% of the high risk strains of HPV can be prevented by getting the new HPV vaccine (approved for girls and young women aged9-26)) and by getting screened regularly using the most current appropriate technology, which forewomen 30 or older is Pap and HPV test
  • Most union health plans cover the vaccine and the screenings that are necessary… and if they don’t,the union should push for coverage under their plan.

What is preventive health?

The most important part of preventive health care is keeping up good health habits, which include:

  • Daily exercise
  • Weight control
  • Proper nutrition
  • Avoidance of smoking and drug abuse
  • Abstinence from, or moderation of, alcohol use
  • Proper control of any diseases or disorders, such as high blood pressure, diabetes, or high levels of cholesterol in the blood.

Professional services

In addition to these habits, there are some professional services that may prove worthwhile in preventing or at least minimizing disease:

  • Periodic screening of adults for specific problems
  • Many diseases can be effectively treated when detected early
  • Keep immunizations up-to-date.
Carolyn J. Jacobson

Director, Cervical Cancer Prevention Works — CLUW

815 16th St., 2nd Floor

South Washington, DC 20006 202-508-6901 (Direct)

202-508-6968 (Fax)

cjacobson@cluw.org

www.cluw.org/cervcancer.html

The following article was written by our guest author Carolyn Jacobson. Carolyn is the Director of Cervical Cancer Prevention Works (www.cluw.org). Treatment Solutions Network is proud to support her cause as we strongly believe in the power of Labor Unions and organizations to better the lives of their members. We hope you enjoy her articles and consider contributing to her cause by becoming a member of the CLUW. You will find a PDF file linked at the end of this article with a membership form available.

As director of Cervical Cancer Prevention Works, CLUW, Berger-Marks Trustee Carolyn Jacobson is passionate about the important role unions can play in educating women workers about health and preventing problems. CLUW(Coalition of Labor Union Women) delegates endorsed this vision when they passed a resolution at their fall convention committing the group to continue its involvement in health care issues.

But what does this have to do with organizing? It’s one of the many ways to show that a union improves the lot of workers. As Jacobson argues, “Union women… unlike most other American women, have access to regular communications from a trusted source, that is, their union. [And] research shows that women will unionize around quality of life issues more readily than around wages.”

For some women and their families, getting the right preventive information in time will be a matter of life or death. (As Jacobson points out, women are usually the health gatekeepers of the family.) How can a union be more relevant than that?

Jacobson explains how unions can get involved, with the fight against cervical cancer as a key example.

* The Berger-Marks Foundation (www.bergermarks.org) seeks to bring the benefits of unionization to working women and to assist organizations committed to those principles.

By Carolyn Jacobson
Director, Cervical Cancer Prevention Works, CLUW

If we are smart and pro-active about our health we can live longer, more comfortable, and more fulfilling lives. We can also spend less of our own (and the unions’ and society’s) money and avoid many illnesses and premature death.

Research shows that workers would be willing to take a greater degree of responsibility for their health (including modifying unhealthy behaviors and reaching out for help) but they don’t know where to begin or how to proceed.

Women don’t know this cancer is 100% preventable

I head up a project called Cervical Cancer Prevention Works CCPW. The project focuses on making sure union women know that cervical cancer is100% preventable-and how to prevent it. CCPW is a project of the Coalition of Labor Union Women, CLUW, (www.cluw.org), the only national organization representing union women.

Union women, like most U.S. women, don’t know that cervical cancer is 100% preventable and how to prevent it. As a result, 11,150 U.S. women will get cervical cancer this year and 3,670 will die from it. Union women (there are 6.5 million of them in the U.S.), unlike most other American women, have access to regular communications from a trusted source, that is, their union. More unions should be using their communications channels to reach their members with health information.

Urge unions to communicate health information

I write this article to encourage readers to urge their unions to communicate health information to their members.

There is lots of good (often free) health information (like how to prevent cervical cancer, see sidebar) available at no charge-information that union members need and will not get anywhere else-to help them be pro-active about their health. Having and following this information can increase the length, as well as the quality, of their lives. It can also help them and their unions hold on to the good health benefits the union has negotiated for them.

Women especially have much to gain by getting health information, as women are not only the health gatekeepers of the family, but they are also the primary consumers of health care generally.

A key to encouraging women to be pro-active about their health is getting them to take responsibility for their own health-which is a two-step process involving education and action.

Letting them know about cervical cancer

Let’s use cervical cancer as an example. Unions can easily provide information to empower union women with the knowledge they need about the disease, as well as the information and motivation to take specific actions to prevent it.

It is also important to remind women that it isn’t selfish to put their own health first. One way to do this is by using the metaphor of the oxygen mask on the airplane: we are told to put our own on first, because if we don’t, we might not be able to help the child sitting next to us. If women don’t take care of themselves, they won’t be around or able to take care of those they love.

My experience is that when women get this information, they are extremely grateful to the organization that is getting it to them. If it’s coming from their union, it is a plus for the union… and it can also provide value added in organizing, especially since the research shows that women will unionize around “quality of life” issues more readily than around wages.

CLUW health resolution

Delegates to CLUW’s recent convention adopted a resolution on this subject entitled, SUPPORT CLUW’S HEALTHCARE INVOLVEMENT. The resolution commits CLUW “to continue its involvement in health care issues.” Specifically, it says that:

  • CLUW support the efforts of its chapters to educate women about healthcare risks and prevention by providing available resources as needed;
  • CLUW continue and further publicize its Cervical Cancer Prevention Works program-a program that can help eradicate this deadly form of cancer;
  • CLUW support the work of its Women’s Health and Wellness Committee in providing CLUW members with information they can use to maintain their health and fight off illness;
  • CLUW make health care issues a cornerstone of its ongoing work to help all working women lead fuller, happier, longer, and more productive lives. It’s time for unions to follow CLUW’s lead and it’s union women who must demand that their unions take action!

Free Resources on Women’s Health

On the U.S. Health and Human Services website:

More From Carolyn Jacobson

Join CULW
Preventing Cervical Cancer: Two Union Women Take Action