Pubdate: Wed, 26 Apr 2006
Source: Vancouver Sun (CN BC)
Copyright: 2006 The Vancouver Sun
Contact:  http://www.canada.com/vancouver/vancouversun/
Details: http://www.mapinc.org/media/477
Author: Norma Greenaway, Ottawa Citizen
Bookmark: http://www.mapinc.org/find?143 (Hepatitis)

SUBSTANCE ABUSE COSTS HIT NEW HIGH

While Tobacco Is The Worst Offender, Alcohol And Illegal Drug Use Is 
Up Alarmingly, Report Says

OTTAWA -- The abuse of alcohol, tobacco and illegal drugs costs the 
Canadian economy almost $40 billion a year, a whopping tab that boils 
down to $1,276 for every man, woman and child in the country, says a 
new national report.

The study, being released today by the Canadian Centre on Substance 
Abuse, says the cost is up significantly from the last comprehensive 
review in 1996, and should be cause for concern.

"It's a wakeup call for all of us to rethink how it is we should 
address this problem," Michel Perron, the centre's chief executive 
officer, said in an interview.

"While this is an accounting exercise in a sense of quantifying these 
costs, I think we all know that substance abuse really does affect 
every Canadian from coast to coast to coast."

The report says two legal substances -- tobacco followed by alcohol 
- -- account for 80 per cent of the $39.8 billion toll that substance 
abuse is taking on the economy.

However, the report says a dramatic increase in illegal drug abuse, 
which ranks third, is cause for special concern. It says there was 
more than a doubling of drug-related deaths between 1992 and 2002, 
largely because of drug overdoses and the spread of previously 
unmeasured hepatitis C.

Tobacco accounted for about $17 billion, or 42 per cent of the total 
estimate, alcohol accounted for $14.6 billion, or 36.6 per cent, and 
illegal drugs for about $8.2 billion, or 20.7 per cent.

The report measured the impact of substance abuse on the health care 
system and the criminal justice system. It also weighed the indirect 
impact on productivity as a result of premature death and ill health.

Using a different breakout, the report traced $24.3 billion to lost 
productivity because of death or illness, $8.8 billion to health care 
costs, and $5.4 billion to law enforcement costs.

Perron called the direct and indirect costs staggering, and singled 
out the impact on the health care system in particular.

He said Canadians would probably be surprised to know that 20 per 
cent of all acute care hospital days are the result of alcohol, 
tobacco and illegal drug use.

"This is an enormous factor which impacts wait times, and which has 
to be reduced to ultimately reduce the strain on our health care 
system," he said.

The centre says the report, based on data from 2002, is a more 
detailed and accurate reading of the costs than the first one it 
produced in 1996.

The 1996 report, based on 1992 data, put the total cost of abuse at 
$18.5 billion a year.

The report says the impact of substance abuse was relatively uniform 
across the country. The exception was the three northern territories 
where the costs are higher than in the provinces.

The report did not explain the causes of substance abuse, but its 
authors offered some analysis for the trends. Given Canada's growing 
population, they said, it is not surprising the deaths associated 
with abuse have risen.

They said, however, the rate of deaths from alcohol and illegal drug 
use has outpaced the rate of population growth.

There also has been a shift in the cause of death in the case of 
alcohol abuse. In 1992, the leading cause was vehicle collisions, 
followed by alcoholic liver cirrhosis. In 2002, the order was reversed.

The one silver lining is a reduction of 2.2 per cent in the number of 
deaths and illnesses related to tobacco consumption.

$40-Billion Toll On Economy

Tobacco, alcohol and drugs are costing a hefty price on the Canadian 
economy, according to the Canadian Centre on Substance Abuse

42.7% - Smoking is the single substance most to blame for harming the 
Canadian economy. It accounted for this percentage of the total cost 
of abuse, or $17 billion in costs.

36.6% - Percentage of economic drain caused by alcohol. It was blamed 
for 4,258 deaths in 2002, mostly from liver disease, drunk driving 
and alcohol-related suicides.

20.7% - Illegal drugs accounted for this share of the total substance 
abuse cost. B.C. recorded higher levels than elsewhere of illegal drug use.

Source: Canadian Centre on Substance Abuse
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MAP posted-by: Beth Wehrman