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      Alcohol use in times of the COVID 19: Implications for monitoring and policy

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          Abstract

          Based on a literature search undertaken to determine the impacts of past public health crises, and a systematic review of the effects of past economic crises on alcohol consumption, two main scenarios—with opposite predictions regarding the impact of the current COVID‐19 pandemic on the level and patterns of alcohol consumption—are introduced. The first scenario predicts an increase in consumption for some populations, particularly men, due to distress experienced as a result of the pandemic. A second scenario predicts the opposite outcome, a lowered level of consumption, based on the decreased physical and financial availability of alcohol. With the current restrictions on alcohol availability, it is postulated that, for the immediate future, the predominant scenario will likely be the second, while the distress experienced in the first may become more relevant in the medium‐ and longer‐term future. Monitoring consumption levels both during and after the COVID‐19 pandemic will be necessary to better understand the effects of COVID‐19 on different groups, as well as to distinguish them from those arising from existing alcohol control policies.

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          Most cited references10

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          Global alcohol exposure between 1990 and 2017 and forecasts until 2030: a modelling study

          Alcohol use is a leading risk factor for global disease burden, and data on alcohol exposure are crucial to evaluate progress in achieving global non-communicable disease goals. We present estimates on the main indicators of alcohol exposure for 189 countries from 1990-2017, with forecasts up to 2030.
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            Is Open Access

            National, regional, and global burdens of disease from 2000 to 2016 attributable to alcohol use: a comparative risk assessment study

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              Focus On: Alcohol and the Immune System

              Alcohol abuse suppresses multiple arms of the immune response, leading to an increased risk of infections. The course and resolution of both bacterial and viral infections is severely impaired in alcohol-abusing patients, resulting in greater patient morbidity and mortality. Multiple mechanisms have been identified underlying the immunosuppressive effects of alcohol. These mechanisms involve structural host defense mechanisms in the gastrointestinal and respiratory tract as well as all of the principal components of the innate and adaptive immune systems, which are compromised both through alcohol’s direct effects and through alcohol-related dysregulation of other components. Analyses of alcohol’s diverse effects on various components of the immune system provide insight into the factors that lead to a greater risk of infection in the alcohol-abusing population. Some of these mechanisms are directly related to the pathology found in people with infections such as HIV/AIDS, tuberculosis, hepatitis, and pneumonia who continue to use and abuse alcohol.
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                Author and article information

                Contributors
                jtrehm@gmail.com
                Journal
                Drug Alcohol Rev
                Drug Alcohol Rev
                10.1111/(ISSN)1465-3362
                DAR
                Drug and Alcohol Review
                John Wiley & Sons Australia, Ltd (Melbourne )
                0959-5236
                1465-3362
                02 May 2020
                May 2020
                : 39
                : 4 ( doiID: 10.1111/dar.v39.4 )
                : 301-304
                Affiliations
                [ 1 ] Institute of Clinical Psychology and Psychotherapy TU Dresden Dresden Germany
                [ 2 ] Institute for Mental Health Policy Research Centre for Addiction and Mental Health Toronto Canada
                [ 3 ] Campbell Family Mental Health Research Institute Centre for Addiction and Mental Health Toronto Canada
                [ 4 ] Dalla Lana School of Public Health University of Toronto Toronto Canada
                [ 5 ] Department of Psychiatry University of Toronto Toronto Canada
                [ 6 ] I.M. Sechenov First Moscow State Medical University (Sechenov University) Moscow Russia
                [ 7 ] WHO European Office for Prevention and Control of Noncommunicable Diseases Moscow Russia
                [ 8 ] Department of Health Law, Policy and Management Boston University School of Public Health Boston USA
                [ 9 ] Pan American Health Organization Washington USA
                [ 10 ] Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council Cape Town South Africa
                [ 11 ] Department of Psychiatry Stellenbosch University Cape Town South Africa
                [ 12 ] Departamento de Medicina Preventiva, Universidade Federal de Sao Paulo São Paulo Brazil
                [ 13 ] Centre for Interdisciplinary Addiction Research, UKE Hamburg‐Eppendorf Hamburg Germany
                Author notes
                [*] [* ]Correspondence to Professor Jürgen Rehm, Centre for Addiction and Mental Health, 33 Russell Street, Room T420, Toronto, Ontario M5S 2S1, Canada. Tel: +1 416 535 8501 ext. 36173; E‐mail: jtrehm@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-5665-0385
                https://orcid.org/0000-0001-5913-6488
                https://orcid.org/0000-0001-9787-2785
                https://orcid.org/0000-0002-7427-7956
                Article
                DAR13074
                10.1111/dar.13074
                7267161
                32358884
                b607526a-e309-43f4-8dc6-146b1979add8
                © 2020 Australasian Professional Society on Alcohol and other Drugs

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 27 March 2020
                : 29 March 2020
                Page count
                Figures: 0, Tables: 0, Pages: 4, Words: 3034
                Funding
                Funded by: Consumers, Health, Agriculture and Food Executive Agency , open-funder-registry 10.13039/501100007565;
                Award ID: 20177124
                Funded by: Institute of Neurosciences, Mental Health and Addiction , open-funder-registry 10.13039/501100000034;
                Award ID: SMN‐13950
                Categories
                Commentary
                Commentaries
                Custom metadata
                2.0
                May 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.3 mode:remove_FC converted:03.06.2020

                alcohol drinking,covid‐19,pandemics,psychological distress,availability

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