Impact of COVID-19 pandemic on people with alcohol use disorder in Kerala– An observation from Thrissur district

Authors

  • Chithira Thomas Jubilee Mission Medical College & Research Institute, Thrissur
  • Girish Menon Jubilee Mission Medical college and Research Institute, Thrissur
  • Praveenlal kuttichira Jubilee Mission Medical College& Research Institute, Thrissur

Keywords:

COVID-19, alcohol use disorder, delirium, withdrawal

Abstract

The novel coronavirus pandemic had caused the closure of beverage outlets in Kerala in late March 2020. There were a few suicides in the immediate period, which were highlighted in the media attributing to non-availability of alcohol. An observational study of patients admitted at the De-addiction Centre, NEST and Jubilee Mission Medical College and Research Institute was done. We recorded our observations from the closure of the beverage outlets until two weeks after. Though the government anticipated at least 100 patients, we encountered only 17. Those admitted were brought in delirium, with seizures or injuries sustained during delirium. The possible reasons behind this disparity are discussed which included the sale of illicit liquor or use of home-made preparations. The current situation arose due to a lack of planning and sudden closure of beverage outlets without warning being issued to mental health professionals. Opinions regarding steps to be taken for similar situations in the future are posited.

References

Timeline of a protracted lockdown: How Kerala dealt with Coronavirus. (2020, 2nd May) Onmanorama. Retrieved from: https://english.manoramaonline.com/news/kerala/2020/03/29/coronavirus-india-timeline.html

Chandrakanth Viswanath. A different tragedy strikes Kerala during COVID-19 lockdown due to non-availability of alcohol. (2020, 29th March) News 18. Retrieved from: https://www.news18.com/news/india/a-different-sort-of-tragedy-strikes-kerala-during-covid-19-lockdown-due-to-non-availability-of-alcohol-2556049.html

Poznyak V, Fleischmann A, Rekve D, Rylett M, Rehm J, Gmel G. The world health organisation's global monitoring system on alcohol and health. Alcohol Res. 2014;35(2):244-49

McKeon A, Frye MA, Delanty N. The alcohol withdrawal syndrome. J Neurol Neurosurg Psychiatry. 2008; 79(8):854-62.

Eyer F, Schuster T, Felgenhauer N, Pfab R, Strubel T, Saugel B et al. Risk assessment of moderate to severe alcohol withdrawal--predictors for seizures and delirium tremens in the course of withdrawal. Alcohol Alcohol. 2011; 46(4):427-33.

Salottolo K, McGuire E, Mains CW, van Doorn EC, Bar-Or D. Occurrence, Predictors, and Prognosis of Alcohol Withdrawal Syndrome and Delirium Tremens Following Traumatic Injury. Crit Care Med. 2017; 45(5):867-74.

Omkar Khandekar. Is an alcohol ban necessary during the lockdown? (2020, 24th April) Mint. Retrieved from: https://www.livemint.com/mint-lounge/features/is-an-alcohol-ban-necessary-during-the-lockdown-11587726286324.html

Barnett R.E, The Harmful Side Effects of Drug Prohibition. Georgetown Public Law and Legal Theory Research Paper No. 12-037. Utah L Rev 2009.11-34. Retrieved from: https://scholarship.law.georgetown.edu/facpub/817

Borges G, Bagge C, Cherpitel C J, Conner K, Orozco R, Rossow I. A meta-analysis of acute alcohol use and the risk of suicide attempt. Psychol Med. 2017; 47(5): 949–57

Kaneharaa A, Andob S, Arakic T, Usamid S, Kuwabarae H, Kanof Y, et al. Trends in psychological distress and alcoholism after The Great East Japan Earthquake of 2011. SSM - Population Health 2016;2: 807–12

National Centre for PTSD. US Centre for Veterans. https://www.ptsd.va.gov/professional/treat/type/PFA/PFA_Substance_Use.pdf. Accessed last on 23/05/2020.

Disaster Events and Services for Persons with Co-Occurring Substance Abuse and Mental Health Disorders. http://cretscmhd.psych.ucla.edu/nola/Video/MHR/CSAT/outreach/04-COCE DisasterEvents Text-SAMHSAapproved.pdf. Accessed last on 23/05/2020

Nordløkken A, Pape H, Wentzel-Larsen T, Heir T. Changes in alcohol consumption after a natural disaster: a study of Norwegian survivors after the 2004 Southeast Asia tsunami. BMC Public Health 2013; 13:58. Retrieved from: http://www.biomedcentral.com/1471-2458/13/58

North C.S, Ringwalt C.L, Downs D, Derzon J, Galvin D. Post disaster Course of Alcohol Use Disorders in Systematically Studied Survivors of 10 Disasters. Arch Gen Psychiatry. 2011;68(2):173-80.

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Published

2020-09-30

How to Cite

Thomas, C. ., Menon, G., & Kuttichira, P. (2020). Impact of COVID-19 pandemic on people with alcohol use disorder in Kerala– An observation from Thrissur district. Kerala Journal of Psychiatry, 33(2), 165–169. Retrieved from https://kjponline.com/index.php/kjp/article/view/205

Issue

Section

Psychiatry in Kerala