The awareness of blindness related to misuse of illicit liquor containing methanol: A community study

https://doi.org/10.22146/jcoemph.36866

Indra Tri Mahayana(1*), Tatang Talka Gani(2), Suhardjo Pawiroranu(3)

(1) Department of Ophthalmology, Faculty of Medicine, Public Health, and Nursing, Universtias Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Ophthalmology, Faculty of Medicine, Public Health, and Nursing, Universtias Gadjah Mada - Dr. Sardjito General Hospital, Yogyakarta, Indonesia; Dr. Yap Eye Hospital, Yogyakarta, Indonesia
(3) Department of Ophthalmology, Faculty of Medicine, Public Health, and Nursing, Universtias Gadjah Mada - Dr. Sardjito General Hospital, Yogyakarta, Indonesia; Dr. Yap Eye Hospital, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Methanol is a cheap organic solvent and additive in the production of illicit liquors. There are many recorded incidences in Indonesia regarding methanol intoxication induced visual loss. We aimed to investigate the level of awareness of liquor-containing methanol misuse in the community related to its hazard of visual loss. Participants were recruited from 3 primary health care units which represent the population of rural communities in Yogyakarta, Indonesia and then divided into two groups: drinkers (cases) and nondrinkers (control). The participants answered closed questions in a questionnaire about knowledges related to the misuse of illicit liquor. Forty participants (mean age: 39.8 ± 13.39) completed the questionnaires. There were 40% and 60% of participants who reside in the city and suburbs; their education levels were 2.5%, 12.5%, 30%, 35%, and 7.5% for uneducated, elementary, junior, senior high school, and undergraduate, respectively. There were 6 drinker and 34 nondrinker participants (sex difference p <0.001). Only 1 drinker and 7 nondrinkers answered correctly regarding the ethanol based liquor. Fifty percent of drinkers and 32.35% of nondrinkers were aware that illicit liquors were most probably mixed with methanol. The drinkers were aware that liquor-containing methanol can cause sudden death (33.33%) or sudden visual loss (33.33%), while 55.8% nondrinker answered only sudden death. Participants’ awareness levels regarding the content and the visual outcome of methanol-containing liquor remain low. From this pilot study, we confirmed the need to conduct further research with a larger sample size, followed by clear ethical considerations for prevention.


Keywords


alcohol poisoning; methanol illicit liquor; vision loss; blindness prevention

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References

  1. Das A, Siddique A, Haque M, Lopa I. Acute blindness following methanol poisoning. J Bangladesh Coll Phys Surg. 2014;31:232-4.
  2. Surhio SA, Memon S, Memon M, Nizamani NB, Talpur KI. Alcohol related toxic optic neuropathy case series. Ophthalmol Pak. 2013;29:173.
  3. Zakharov S, Nurieva O, Navratil T, Diblik P, Kuthan P, Pelclova D. Acute methanol poisonings: Folates administration and visual sequelae. J Appl Biomed. 2014;12:309-16.
  4. Wang MY, Sadun AA, Chan JW. Optic Nerve Disorders. 2nd ed. New York: Springer; 2014. Chapter: Nutritional and toxic optic neuropathies. p. 177-207.
  5. Grzybowski A, Zülsdorff M, Wilhelm H, Tonagel F. Toxic optic neuropathies: An updated review. Acta Ophthalmol. 2015;93:402-10.
  6. Mustafa S, Pandit L. 2014. Approach to diagnosis and management of optic neuropathy. Neurol India. 2014;62:599.
  7. Zakharov S, Nurieva O, Kotikova K, Urban P, Navratil T, Pelclova D. Factors predicting optic nerve axonal degeneration after methanol-induced acute optic neuropathy: A 2-year prospective study in 54 patients. Monatsh Chem. 2016;147:251-61.
  8. Yunita DR. Hubungan konsumsi minuman beralkohol dengan tajam penglihatan pada peminum alkohol usia 15-39 tahun di Kota Malang. Malang: UMM Institutional Repository; 2014.
  9. Hayreh MS, Hayreh SS, Baumbach Gl, Cancilla P, Martin-Amat G, Tephly TR, et al. Methyl alcohol poisoning III. Ocular toxicity. Arch Ophthalmol. 1977;95(10):1851–58.
  10. Halavaara J, Valanne L, Setälä K. Neuroimaging supports the clinical diagnosis of methanol poisoning. Neuroradiology. 2002;44(11):924-928.
  11. BBC News. More alcohol deaths in Indonesia [Internet]. UK: BBC News; 2009. [updated 2009; cited 20 October 2018]. Available from: http://News.Bbc.Co.Uk/2/Hi/Asia-Pacific/8079531.Stm
  12. Yamani N. Dampak perilaku penggunaan minuman keras di kalangan remaja di Kota Surakarta. Surakarta: UMS ETD-db; 2009.
  13. Parry C, Patra J, Rehm J. Alcohol consumption and non-communicable diseases: Epidemiology and policy implications. Addiction. 2011;106(10):1718-1724.
  14. Rehm J, Baliunas D, Borges G, Graham K, Irving H, Kehoe T, et al. The relation between different dimensions of alcohol consumption and burden of disease: An overview. Addiction. 2010;105(5):817-843.
  15. Navarro H, Shakeshaft A, Doran C, Petrie D. Does increasing community and liquor licensees’ awareness, police activity, and feedback reduce alcohol-related violent crime? A benefit-cost analysis. Int J Environ Res Public Health . 2013; 10(11):5490–506.
  16. Fletcher A. Low uptake of eye services in rural India. Arch Ophthalmo. 1999;117(10):1393.



DOI: https://doi.org/10.22146/jcoemph.36866

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