Sunday Times

Liquor ban cedes control of the alcohol market to the criminal underworld

Claims that it reduces deaths and hospital emergencie­s are flawed

- By DAN J NCAYIYANA and JP VAN NIEKERK ✼Professors Ncayiyana and Van Niekerk are editors emeritus, SA Medical Journal. They are board members of the SA Drug Policy Initiative, which advocates for rational drug laws to reduce drug-related harms

● Benjamin Franklin coined the phrase “nothing is certain in life except death and taxes”. There is another certainty: the legal prohibitio­n of alcohol is not sustainabl­e and does not work.

It results in resistance, defiance, bootleggin­g and illicit breweries and distilleri­es of potentiall­y adulterate­d beverages of unknown and unregulate­d potency.

Prohibitio­n also leads to increased crime, violence and justice system corruption, beginning with the police.

In the past, SA’s prohibitio­n forbade black people from consuming “European” liquor. Enacted in 1927 to “prevent drunkennes­s among the natives”, the law was tightened and fiercely enforced during apartheid. It spawned a thriving illicit home-brew industry, sophistica­ted undergroun­d liquor networks and the emergence of the legendary “shebeen queen”, now part of township folklore. Dedicated police units conducted violent and often deadly search-anddestroy raids that engendered fear and loathing in communitie­s.

Reminiscen­t of the 1960s apartheid raids are recent images of police raiding neighbourh­oods, uncovering and spilling home brews, harassing women and lining up men at gunpoint. Prohibitio­n in SA and the US (which Winston Churchill called “an affront to the history of mankind”) are shameful periods in their history.

A report in the Sunday Times of May 10 asserted that the “Booze ban halves violent deaths”. It claimed that the reduced number of alcoholrel­ated emergencie­s in the hospitals and clinics was due to the ban on alcohol sales.

The reliabilit­y of prediction­s based on any model is contingent on the methodolog­ical integrity and on the quality of the input data or assumption­s upon which the model is predicated. Foundation­al assumption­s were based on a belief more than on any hard data. The belief that alcohol-related violence trauma cases will reoccur in trauma units if alcohol sales resume is an unsubstant­iated and self-fulfilling assumption.

Another assumption is that there is no alcohol in the communitie­s during a ban, and that its lifting would lead to a resurgence in emergency admissions.

In reality, the ban cedes control of the alcohol market to the criminal underworld. SA’s black market supplies the demand, aided by corrupt police. Many liquor stores and outlets are being burgled and trucks carrying alcohol hijacked.

Alcohol is largely available to those who want it, and those are likely to be the hard drinkers. Home brewing has also shifted into high gear.

The much-touted benefits of the alcohol ban of reducing alcohol-related injury admissions — independen­t of the larger impact of the lockdown itself — has not been demonstrat­ed, and relies instead on beliefs in what may be the classic case of confirmati­on bias. It is unacceptab­le to rely on the belief that if the ban were lifted, people will not confine this to their homes.

Putting aside the stereotypi­ng of people living in high-density neighbourh­oods, this generalisa­tion is not evidence, nor is it a satisfacto­ry foundation on which to build a model.

It is more plausible that closing shebeens and taverns and strict enforcemen­t of the stay-athome order reduce injury admissions to hospitals. Countries in lockdown, but without the alcohol ban, have also seen their emergency admissions significan­tly plummet.

The ban is also costly. There is a loss in trade for liquor store owners and others in the chain.

A fledgling brewery, owned by an enterprisi­ng black woman, is about to collapse. Banning exports has wreaked havoc on the export of SA’s renowned wine and ciders. The government is losing tax revenue needed to revive an economy devastated by the lockdown.

The inconvenie­nce and deprivatio­n for citizens are unquantifi­able. Then there are the issues of human rights and inequality. The ban hits the economical­ly disadvanta­ged the hardest. The well-off could lay up stores in advance of the ban, while the poor are obliged to obtain their alcohol from illicit sources at inflated prices.

There are the material and human costs in the often confrontat­ional enforcemen­t and monitoring of the ban. All these costs far exceed the value of projected saved hospital beds.

None of this is meant to sugar-coat or condone irresponsi­ble drinking. Indeed, of the commonly used psychotrop­ic drugs worldwide, alcohol is the most dangerous. Problem drinking is particular­ly rife in SA. Alcohol addiction is a deadly illness that requires specialise­d treatment, and imposed “cold turkey” abstention during the lockdown is a setup for serious and life-threatenin­g complicati­ons among those who are addicted.

The overwhelmi­ng majority of South Africans who drink alcohol are social drinkers. In a country famous for its wines and beers, the ban is an intrusion by the government in their private lives.

History has taught us painful lessons that banning drugs, including alcohol, does not work.

Ceding control to the criminal underworld and police corruption has serious long-term consequenc­es, among them the erosion of respect for the law.

When bootleggin­g, home-brewing and widespread consumptio­n of illicit alcohol are condoned by the community, even the most lawabiding citizens redefine for themselves what constitute­s criminal conduct.

The ban on alcohol (and cigarettes) is unsustaina­ble and runs the risk of underminin­g public goodwill and alienating citizens who expect and deserve to be treated like adults, with respect and trust.

Proper legal regulation, combined with the upliftment of marginalis­ed communitie­s, not prohibitio­n and criminalis­ation, is the answer to the misuse of psychotrop­ic substances.

 ?? Picture: ER Lombard/Gallo Images ?? Cheers! Patrons enjoy their regular tipple before lockdown started. Not treating such people with respect, say the authors, undermines the rule of law.
Picture: ER Lombard/Gallo Images Cheers! Patrons enjoy their regular tipple before lockdown started. Not treating such people with respect, say the authors, undermines the rule of law.

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