The Hidden Costs of Smoking and Drinking: A South African Perspective

Excessive smoking and drinking used to be symbols of sophistication and rebellion but are now increasingly viewed through a lens of concern and caution. Whether we indulged ourselves or watched family members light up after dinner, smoking and drinking have touched all our lives in some way.

But times are changing. The image of the “cool” smoker is fading, replaced by a growing awareness of the health risks associated with tobacco and excessive alcohol consumption. This shift in perception marks a turning point in our collective relationship with these habits.

Smoking and excessive alcohol consumption are two of the most prevalent and harmful lifestyle choices affecting millions of South Africans. These habits not only jeopardize individual health but also impact productivity and overall well-being.

Let’s examine the consequences and some sobering statistics:

• Tobacco use is responsible for more than 42,100 deaths annually in South Africa, according to the Tobacco Atlas.

• Smokers are at a significantly higher risk of developing lung cancer, chronic obstructive pulmonary disease (COPD), and cardiovascular diseases and the World Health Organization reports that smoking is responsible for 80% of lung cancer cases globally.

• In South Africa, alcohol-attributable mortality is estimated at 62,300 deaths annually, according to a 2018 study published in BMC Medicine.

• The same study found that 60% of South African road traffic deaths involve alcohol.

• Hangovers and alcohol-related absences cost the South African economy an estimated R9 billion annually, according to a report by the Department of Trade and Industry.

• The South African National Health and Nutrition Examination Survey found that 17.6% of adults smoke tobacco.

• According to the World Health Organization, South Africa has one of the highest levels of alcohol consumption in Africa, with 31% of adults engaging in heavy episodic drinking.

The harmful effects of excessive smoking and drinking are undeniable. The shift in public perception isn’t just a passing trend, but a reflection of our growing understanding of these health risks.

We’ve come a long way from the days when cigarettes and alcohol were seen as harmless social lubricants or status symbols. Today, armed with knowledge and supported by changing social norms, more people are choosing to abstain or consume in moderation.

This doesn’t mean the battle is won. As we move forward, let’s continue to spread awareness, support those struggling with addiction, and make informed choices about our own habits. After all, our health is one of our most valuable assets – and it’s worth protecting.