Not Invented Here (2): alcohol

Doctors have been advising people to have several days without alcohol each week for decades. It is sound advice because, as the British Liver Trust says, ‘it is simple and easy to understand, reduces the overall number of units that you drink each week, helps prevent alcohol dependency and importantly for liver health gives your liver a rest and a chance to rejuvenate.’ In 2011, Ian Gilmore, the chairman of the Alcohol Health Alliance, advised drinkers to have ‘two to three alcohol-free days a week’. In 2012, the House of Commons Science and Technology Committee said that ‘people should be advised to take at least two drink-free days a week’. In 2016, the Chief Medical Officer said that ‘a good way’ for people to reduce their alcohol consumption was to have ‘several drink-free days each week’. None of this was remotely controversial until the alcohol education charity DrinkAware partnered with Public Health England (PHE) in 2018 to launch the ‘Drink Free Days’ campaign. Aimed at drinkers aged between 40 and 64, it advertised on radio and digital platforms and provided an app to help people monitor their alcohol consumption.

You might think that public health groups would be delighted to see a well known charity put its time and money into encouraging drinkers to consume less alcohol. But you would be wrong. DrinkAware is funded by donations from alcohol producers and retailers, and this was enough to make the aforementioned Ian Gilmore resign as co-chair of PHE’s alcohol leadership board and write an article titled ‘Public Health England’s capture by the alcohol industry’. An open letter opposing any collaboration between PHE and Drinkaware was signed by 332 academics, some of whom threatened to stop working with PHE if it did not part ways with the charity.

 

Read the rest at the IEA Substack.

Not Invented Here (1): obesity

This month I'll be writing a series of articles about Not Invented Here Syndrome - when institutions reject practical solutions because they weren't part of their plan. The first is about obesity and weight loss drugs.

 

The Department of Health and Social Care says that obesity costs the NHS ‘up to £6.5 billion a year’. The health secretary Wes Streeting has claimed that it costs the NHS £11 billion a year. When wider societal costs, including lost productivity, are included, Frontier Economics estimated that obesity cost Britain £58 billion in 2020, and when they made a further estimate to include the cost of people being overweight in 2023, this rose to £98 billion, of which £19.2 billion were direct costs to the NHS.

Obesity is routinely referred to as a ‘crisis’ in the UK and elsewhere. Fifteen million adults (28 per cent) have a body mass index of 30 or more and are therefore classified as obese. The number of obese Britons has been gradually growing for decades and none of the anti-obesity policies enacted so far, such as the sugar tax and traffic light labelling on food, has made any tangible difference. Some countries have gone further. Hungary, for example, has an extensive system of taxes on food that is high in fat, salt or sugar (HFSS). Chile has had mandatory health warnings on HFSS food since 2016 and has banned the use of cartoon mascots such as Tony the Tiger. Both countries have seen obesity rates continue to rise.

Given how seriously public health campaigners take obesity as a health problem, you might think that they would be delighted to find something that makes people lose a great deal of weight in a short space of time. But you would be wrong. A new generation of pharmaceuticals that have been shown in randomised controlled trials to help people lose an average of 15 per cent to 20 per cent of their body weight have been given a cautious welcome at best by those who should be most excited by them.

 

Read the rest.

Has vaping backfired? (No)

Has vaping backfired? That is the question asked by Sunday Times journalist Tom Calver yesterday. He claims that rising e-cigarette use has left Britain with more nicotine users than it did when the smoking ban was introduced in 2007 and that nearly 40 per cent of 16-24 year olds are “hooked” on nicotine. This, he says, “might just about be tolerable if cigarette smoking rates were quickly falling. But they are not.” He even claims that there are “some signs that the number of young cigarette smokers is ticking back up again”.

Read the rest at The Critic.