[Risk behaviour in association with addictive drugs - data and insights on treatment].
About one third of the economical costs, which are due to death, sickness and life quality deficits in higher developed industrial countries, are caused by pollutants such as nicotine, alcohol and false eating habits. Within a period of one year 183,000 people in Germany die on tobacco associated sickness effects, 73,000 on direct or indirect aftermath of alcohol usage and a proportional amount of mostly adipoptic people on the hereoff resulting sickness effects. These risk trias, decided by every person mainly for himself by his own behaviour or mis-behaviour, are even aggravated by the free enterprise sanctioned drug politics of the highly profitable mega markets of the tobacco-, alcohol- and fast-food-industry. Health orientated drug politic, which is based on independence and solidarity and an exhaustive primary prevention within the scope of early nationalization authorities can therefore only have a limited effect. Even though, standardized, therapeutic short interventions used by hazardous alcohol- and drug usage, the qualified detoxification on addiction illness and an way to little used meanwhile time- and cost optimized withdrawal treatment have been proven to be quite effective. Exhaustive established ambulant smoking-withdrawal treatment programs are of special importance, because with continuously sinking of first contact, nicotine is know to be the "gate way drug" with the strongest addiction potential among all legalized and non-legalized drugs. In canon of mean while worldwide (except for Germany) started drug-control politics one will be able to start a health orientated drug politic in the future, which is including especially the drug economic aspects for the benefit of all as well as for the national budgets.
Böning
J
J
Klinik für Psychiatrie und Psychotherapie der Bayerischen Julius-Maximilians-Universität Würzburg. boening@mail.uni-wuerzburg.de
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology* / Q000401:mortality; D000437:Alcoholism / Q000150:complications / Q000453:epidemiology* / Q000517:prevention & control*; D002648:Child; D005260:Female; D005858:Germany; D006291:Health Policy; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008297:Male; D009035:Mothers; D009765:Obesity / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications; D011322:Primary Prevention; D011788:Quality of Life; D012307:Risk Factors; D012309:Risk-Taking; D012907:Smoking / Q000453:epidemiology* / Q000401:mortality; D000074606:Smoking Prevention; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000517:prevention & control*