Friday 9 September 2016


The era of the legal prohibition of alcohol in the United States that lasted from 1920 to 1933 is both the subject of history and the stuff of legend. The era of the cultural prohibition of alcohol in the United Kingdom that began in 2005, and hasn’t yet ended, has a history up to this point, but will probably never create an Al Capone to compete with the American legend. But there are lessons to be learnt from both.

The main lesson from the American experience is that the law cannot successfully suppress a mass market in an open society. The attempt to do so led to the corruption of police, judges, politicians and public officials on a massive scale. It led to the rampant gangsterism that spawned Al Capone and helped finance the Cosa Nostra’s diversification into illegal drugs. Drinking alcohol didn’t fall by much either, although the quality of it did; some 10,000 people are thought to have died from drinking poisonous moonshine during America’s era of prohibition.

Lesson learnt? Well, not quite. India is now embarking on an experiment in alcohol prohibition that is truly breath-taking in scale. More than 200 million Indians now live in ‘dry’ states where the sale of alcohol is banned. That’s approximately twice the population of the United States in 1920. I say “embarking on”, but in the state of Gujurat alcohol has been banned since 1958, but contraband alcohol is readily available there. A thriving industry making moonshine that has become established, as well as bootleggers smuggling in alcohol from ‘wet’ states, ensures that Gujurat’s booze ban is ineffective. 

But the ban has been spreading rapidly. Bihar, India’s third most populous state, brought in a complete ban on the consumption of alcohol in April this year. And, no doubt learning the lessons of Gujurat, they don’t mess about when it comes to deterrent punishments. You can now be sentenced to death in Bihar if you make or sell alcohol, and you can be sentenced to life imprisonment for drinking it! And the state authorities aren’t above instituting a bit of collective punishment either. The new law holds all family members over 18 years old guilty if anyone has been drinking in a house, and you can get up to 10 years for failing to inform police of an offence. Despite these draconian punishments it seems alcohol is still widely available in Bihar.

It appears India has a growing alcohol problem even though only about a third of Indians drink. Mostly Indians consume spirits, and an increasing number of people just drink to get drunk. Sound familiar? The impetus for legal prohibition has come from women’s groups and ambitious local politicians – just as it did in America with the Women’s Christian Temperance Union and agitation from local political activists. It seems many more will die or be imprisoned before the outcome of this experiment in prohibition is determined. I think one of the reasons why successive generations have to relearn the lessons of history is that very few people read history any more. Watch this space.

In the UK anti-alcohol health zealots know they can’t call for the outright legal prohibition of alcohol because the public will then recognise them for the cranks they are. So, in the UK over the past 10 years we have seen a much more subtle campaign of cultural prohibition by stealth. This has culminated in the Chief Medical Officers’ new, low risk drinking guidelines of 14 units a week – approximately three quarters of a pint of beer a day. Protests by trade organisations and published research by Camra detailing the rejection of this advice by GP’s and the public at large has convinced the government to soften the language around this. So, out goes “there is no safe level of consumption” and in comes “the risks are similar to that of driving a car”. 

But our cultural prohibitionists haven’t finished yet. The media around the CMO’s drinking limits is all about establishing the link between alcohol and cancer as a means of discouraging people from drinking. And experience in other contexts shows this works. Do you remember the headline a couple of years ago “A bacon sandwich a day raises your risk of colon cancer”? Recently published research shows that this had an extraordinary effect on public perception and levels of consumption (of bacon). 

A World Health Organisation report that classified processed meat such as bacon and sausages as carcinogens had a big impact. A survey showed that nearly 50% of people in all age groups were aware of this conclusion and around a third of people said they were trying to cut down on consumption. And this was reflected in sales figures. In the four weeks subsequent to the publication of the WHO’s report and the headlines accompanying it, sales of packs of bacon in the UK fell by 8.5% and this appears to have been a stepped change that hasn’t reversed itself.

Anti-alcohol campaigners have latched onto this tactic and you can expect lots more junk science linking alcohol with cancers even though the evidence is extraordinarily weak. The temperance movement is quite prepared to tell “noble lies” if it advances their cause. The lesson we need to learn is that we have to engage the drinker in the alcohol debate. When we do, government backtracks. I have written a lengthy piece on alcohol and cancer in CPL’s magazine Aspire. Do have a read.

1 comment:

  1. Good post, Paul! The CMO's guidelines (“there is no safe level of consumption”) reminds me of WCTU mantra ("use is abuse")... a simple solution to overcome WHO's "harmful alcohol consumption" term.