Abstract
Aim
To identify the presence and concentration of methanol in illegal alcoholic beverages sold commercially in a low socio-economic area of Tel-Aviv. Additionally, we aim to assess if findings represent an existing risk for public health in the area.
Subjects and methods
Ministry of Health Division of Enforcement and Inspection personnel carried out a series of inspections in grocery stores and kiosks in two adjacent neighborhoods of low socio-economic status: Neve Sha’anan and Hatikvah. Twenty-six samples of illicit drinks were identified, seized, and then analyzed for the presence and concentration of methanol.
Results
Alcohol products seized were spirits labeled as vodka, brandy, arak and “scotch flavor” drinks, which contained an average of 36.608% volume of ethanol. Methanol was detected in 15 samples. Methanol concentration levels varied considerably, from 12 to 4534 g/hl. Data of hospital emergency department visits revealed that only nine cases of methanol toxicity were reported for years 2014–2017, and none of them by area hospitals.
Conclusion
We identified the sale of alcoholic beverages with high methanol content in the disadvantaged areas of Tel-Aviv, though hospitalization data does not reveal a high prevalence of cases involving methanol toxicity. This may be related to misreporting or underreporting by area emergency rooms. Policy implications include the need to inform local shopkeepers and shop-owners on labeling regulations, and make information and health warnings accessible to the foreign-born population residing in the area. A larger sample is needed to determine the extent of the sale of methanol-containing illicit alcoholic beverages.
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References
Ahmad K (2000) Methanol-laced moonshine kills 140 in Kenya. Lancet 356:1911. https://doi.org/10.1016/S0140-6736(05)73469-3
Anderson P, Chisholm D, Fuhr DC (2009) Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet 373:2234–2246. https://doi.org/10.1016/S0140-6736(09)60744-3
Barceloux DG, Bond GR, Krenzelok EP, Cooper H, Vale JA (2002) American academy of clinical toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol 40:415–446. https://doi.org/10.1081/CLT-120006745
European Community (2008) Regulation (EC) No 110/2008 of the European Parliament and of the Council of 15 January 2008 on the definition, description, presentation, labelling and the protection of geographical indications of spirit drinks and repealing council regulation (EEC) No 1576/89. Off J Eur Union 51:16–54
Ghannoum M, Hoffman RS, Mowry JB, Lavergne V (2014) Trends in toxic alcohol exposures in the United States from 2000 to 2013: a focus on the use of antidotes and extracorporeal treatments. Semin Dial 27:395–401. https://doi.org/10.1111/sdi.12237
Knesset Information and Research Center (2016) Illegal aliens’ stay in Tel-Aviv’s Southern neighborhoods. Israel Knesset, Jerusalem. https://www.knesset.gov.il/mmm/data/pdf/m03790.pdf. Accessed 23 Nov 2017
Lachenmeier DW, Rehm J (2012) Unrecorded alcohol — no worries besides ethanol: a population-based probabilistic risk assessment. In: Anderson P, Braddick F, Reynolds J, Gual A (eds) Alcohol policy in Europe: evidence from AMPHORA, 2nd edn. Alcohol Measures for Public Health Research Alliance (AMPHORA), Barcelona, pp 94–106
Lachenmeier DW, Rehm J (2013) Is there a relationship between alcohol quality and health? Alcohol Alcohol 48:127–129. https://doi.org/10.1093/alcalc/ags101
Lachenmeier DW, Sarsh B, Rehm J (2008) The composition of alcohol products from markets in Lithuania and Hungary, and potential health consequences: a pilot study. Alcohol Alcohol 44:93–102. https://doi.org/10.1093/alcalc/agn095
Leitz J, Kuballa T, Rehm J, Lachenmeier DW (2009) Chemical analysis and risk assessment of diethyl phthalate in alcoholic beverages with special regard to unrecorded alcohol. PLoS One 4:e8127. https://doi.org/10.1371/journal.pone.0008127
Ministry of Health (2017) The dangers of drinking counterfeit alcohol. https://www.health.gov.il/Subjects/addictions/Alcohol/Pages/FakeAlcohol.aspx. Accessed 11 Jan 2018
Municipality of Tel-Aviv (2013) The socio-economic ranking of Tel-Aviv–Jaffa. No. 2013/1. The Center for Socio-Economic Research, Tel-Aviv
Negri G, Neto JARS, de Araujo Carlini EL (2015) Chemical analysis of suspected unrecorded alcoholic beverages from the states of São Paulo and Minas Gerais, Brazil. J Anal Methods Chem 2015:1–8. https://doi.org/10.1155/2015/230170
Newman IM, Qian L, Tamrakar N, Feng Y, Xu G (2017) Chemical content of unrecorded distilled alcohol (bai jiu) from rural Central China: analysis and public health risk. Int J Alcohol Drug Res 6:59–67. https://doi.org/10.7895/ijadr.v6i1.236
Nikunjkumar P, Kerns ES (2017) Methanol and ethylene glycol poisoning. In: Ferri FF (ed) Ferri’s clinical advisor. Elsevier, Philadelphia, pp 794–795
Organization for Economic Co-operation and Development (2008) The economic impact of counterfeiting and piracy. OECD Publishing, Paris. https://doi.org/10.1787/9789264045521-en
Paine A, Davan AD (2001) Defining a tolerable concentration of methanol in alcoholic drinks. Hum Exp Toxicol 20:563–568. https://doi.org/10.1191/096032701718620864
Population and Immigration Authority, Israel (2016) Data on foreigners in Israel. (No. 4/2016). https://www.gov.il/he/Departments/publications/reports/foreigners_in_israel_data_2016. Accessed 4 Jan 2018
Probst C, Roerecke M, Behrendt S, Rehm J (2014) Socioeconomic differences in alcohol-attributable mortality compared with all-cause mortality: a systematic review and meta-analysis. Int J Epidemiol 43:1314–1327. https://doi.org/10.1093/ije/dyu043
Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J (2009) Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 373:2223–2233. https://doi.org/10.1016/S0140-6736(09)60746-7
Rehm J, Kanteres F, Lachenmeier DW (2010) Unrecorded consumption, quality of alcohol and health consequences. Drug Alcohol Rev 29:426–436. https://doi.org/10.1111/j.1465-3362.2009.00140.x
Rehm J, Kailasapillai S, Larsen E, Rehm MX, Samokhvalov AV, Shield KD, Roerecke M, Lachenmeier DW (2014) A systematic review of the epidemiology of unrecorded alcohol consumption and the chemical composition of unrecorded alcohol. Addiction 109:880–893. https://doi.org/10.1111/add.12498
Rostrup M, Edwards JK, Abukalish M et al (2016) The methanol poisoning outbreaks in Libya 2013 and Kenya 2014. PLoS One 11:e0152676. https://doi.org/10.1371/journal.pone.0152676
Sassi F (2015) Tackling harmful alcohol use: economics and public health policy. OECD Publishing, Paris. https://doi.org/10.1787/9789264181069-en
State Comptroller and Ombudsman (2016) Annual report 2015 and accounts fiscal year 2014. (No. 66C). http://www.mevaker.gov.il/he/Reports/Report_537/60ccf493-940c-4e22-93ff-02d609ce5414/207-alcohol-phenom.pdf. Accessed 11 Jan 2018
United Nations Environment Programme, International Labour Organisation, World Health Organization (1997) Environmental health criteria No 196: methanol. World Health Organization, Geneva
Wang H, Naghavi M, Allen C et al (2016) Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the global burden of disease study 2015. Lancet 388:1459–1544. https://doi.org/10.1016/S0140-6736(16)31012-1
World Health Organization (2013) Status report on alcohol and health in 35 European countries 2013. WHO Regional Office for Europe, Copenhagen
World Health Organization (2014a) Global status report on alcohol and health −2014 edition. World Health Organization, Geneva
World Health Organization (2014b) Methanol poisoning outbreaks (information note). http://www.who.int/environmental_health_emergencies/poisoning/methanol_information.pdf. Acessed 11 Jan 2018
Acknowledgments
We wish to thank the analytical lab team in the Institute for Standardization and Control of Pharmaceuticals for their material support and professional guidance.
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Shapira, B., Schaefer, E., Poperno, A. et al. The methanol content of illicit alcoholic beverages seized in a low socio-economic area of Tel-Aviv: public health impact and policy implications. J Public Health (Berl.) 27, 37–42 (2019). https://doi.org/10.1007/s10389-018-0922-8
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DOI: https://doi.org/10.1007/s10389-018-0922-8