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This Is Your Child’s Brain on Alcohol

Mary Jane Rotheram-Borus (professor of psychology and the director of the UCLA Global Center for Children and Families); Mark Tomlinson (professor of psychology at Stellenbosch University in South Africa)

40,000 children are born each year with fetal alcohol spectrum disorders

Social scientists have calculated that detrimental effects of alcohol cost the U.S. some $223.5 billion a year. We’re talking health issues such as liver disease, impaired driving, lost work due to hangovers, and emergency room visits. Alcohol costs substantially more to Americans than the harmful effects of illicit drug use ($151.4 billion) or tobacco ($167.8 billion).

But there’s a more disturbing cost that you might be surprised to learn about that’s not even factored into those staggering numbers: fetal alcohol spectrum disorders, the conditions that can result when a mother drinks during pregnancy. (When all of the disorders are present, in their most severe forms, we call it fetal alcohol syndrome.) According to the U.S. Centers for Disease Control and Prevention, almost all of these children will have mental health problems as adults and 82 percent will not live independently. During adolescence, they also face an increased risk of drug and alcohol addiction. As a result, the lifetime cost of providing services to just one person with fetal alcohol spectrum disorder in 2002 was about $2 million. And 40,000 children are born each year in the U.S. with the disorders.

While both of us will have a beer or glass of wine with friends, neither Mary Jane nor Mark’s wife had a drink of alcohol while pregnant. Our friends and our doctors, along with casual reading on the subject, had impressed on us the serious risks and we decided it was not worth it. Only about 12.2 percent of pregnant women drink in the United States; however, in low- and middle-income countries about double that number of women will drink during pregnancy.

The two of us really saw the visceral impact of fetal alcohol spectrum disorders when we started working on improving mothers’ and children’s lives in South Africa. Fetal alcohol spectrum disorder affects as many as one in 10 children entering first grade in South Africa, the highest reported rate in the world.

Up until the 1990s, black South Africans were partially paid for their work in fields with a “DOP” or portion of wine. Drinking alcohol continues to be a part of the daily fabric of life in the townships—including brewing (and drinking) beer or spirits at home and visiting local bars known as shebeens. Alcohol is directly related to the high unemployment rates, especially for men in the townships—up to half of the young men are un- or under-employed over their lifetime.

The impacts of a mother drinking during pregnancy are not seen immediately. Brain damage slowly shows itself when the baby is small and fails to grow, speech comes late, colors are not learned by kindergarten, and school becomes a daily challenge. As we walked through informal settlements in Cape Town and Worcester—shacks without running water or flush toilets—we saw stunted and malnourished children playing outside all day long, many with the telltale signs of the disorder. Their faces feature foreshortened chins, thin upper lips, a flat mid face, short nose, and low nasal bridge. We couldn’t help but think ahead to the problems these children will have in school and their increased likelihood for dropping out. Their futures evaporated before they had a chance to grow, because of what their mothers knowingly or unknowingly drank before they were even born.

About one in four pregnant women in South Africa drink alcohol before recognizing she is pregnant and, without intervention, women who drank before realizing they were pregnant drank much more throughout their pregnancy. Even though there has lately been much chatter about how the occasional glass of wine with dinner should be OK, there really is no known “safe” amount of alcohol to drink during pregnancy. There is also no known safe period to drink during pregnancy. Binge drinking is by far the worst thing to do while pregnant—large doses (even if infrequent) are far worse than a small amount of alcohol routinely. Unfortunately, among alcohol drinkers in America, one in four binge drink, typically on weekends. This includes women who knowingly or unknowingly binge drink while pregnant.

The variations in how and when people drink may be the reason we have not been able to eliminate the negative consequences of alcohol during pregnancy. While access to drugs is often limited in many parts of the world, alcohol is almost universally available, especially in low-income countries because it can be manufactured locally. Brief, one-time counseling sessions that focus on the vulnerability of a fetus during pregnancy can help mothers understand the risks and reduce their drinking while pregnant. At sessions we offered to expectant mothers in South Africa, the influence of alcohol on a developing brain is starkly demonstrated by cracking an egg in alcohol at room temperature—the egg poaches. A child’s brain is fried when alcohol is circulating through its body. However, most women worldwide do not have access to these interventions. Compounding the problem: local healers throughout the world often use alcohol-laced remedies to help their clients relax. Pregnant women are often encouraged to take brews that include alcohol.

Here in the U.S., alcohol is embedded in almost all of our social rituals. Mary Jane’s parents in Los Angeles never drank, but they always had liquor to offer friends who came over for dinner. She does not know a male colleague who does not fancy himself a wine connoisseur and has been flabbergasted at the amount of money peers will spend on bottles of wine. Christmas, Yom Kippur, football tailgate parties, and practically all developmental milestones (graduations, child births, deaths) are marked with alcohol.

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copia integrale del testo si può trovare al seguente link: http://time.com/3342053/this-is-your-childs-brain-on-alcohol/

(Articolo pubblicato dal CUFRAD sul sito www.alcolnews.it)