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Surrogate alcohol is a term for any substance containing ethanol that is intentionally consumed by humans but is not meant for human consumption. Some definitions of the term also extend to illegally produced alcoholic beverages. [1]
Consumption of such substances carries extreme health risks, both from the ethanol content and other more toxic substances that may be present. Users risk both acute poisoning from substances such as methanol, and chronic poisoning from substances such as lead. [1]
Most people turn to these as a last resort either out of desperation, being underaged or being unable to afford consumable alcoholic beverages (with homeless alcoholics) or due to lack of access to drinking ethanol (for example with prison inmates and individuals in psychiatric wards).
Many alcoholic liquids contain alcohol but are not meant to be ingested in the same way as alcoholic beverages. Typical surrogate alcohols include:
Most surrogate alcohols have very high alcoholic levels, some as high as 95%, and thus can lead to alcohol poisoning, along with other symptoms of alcohol intoxication such as vertigo, impaired coordination, balance and judgment, nausea, vomiting, blurred vision, and even long-term effects such as heart failure, stroke, and death.
Besides alcohol, there are many other toxic substances in surrogate alcohol such as hydrogen peroxide, antiseptics, ketones, as well as alcohols other than ethanol (drinking alcohol) such as isopropanol and methanol. Methanol, and to a far lesser extent isopropanol, is poisonous. The effect of other chemicals on health has not been adequately studied, and so the health risks are unclear. [1] However, observations in countries with high consumption of surrogate alcohols, such as Russia, indicate that the impurities in the consumed drink lead to high mortality rates. [2]
In December 2016, 78 people died from drinking surrogate alcohol in the Russian city of Irkutsk. [3]
Alcohol intoxication, also known in overdose as alcohol poisoning, commonly described as drunkenness or inebriation, is the behavior and physical effects caused by a recent consumption of alcohol. In addition to the toxicity of ethanol, the main psychoactive component of alcoholic beverages, other physiological symptoms may arise from the activity of acetaldehyde, a metabolite of alcohol. These effects may not arise until hours after ingestion and may contribute to the condition colloquially known as a hangover. The term intoxication is commonly used when large amount of alcohol is consumed along with physical symptoms and deleterious health effects.
Ethanol is an organic compound with the chemical formula CH3CH2OH. It is an alcohol, with its formula also written as C2H5OH, C2H6O or EtOH, where Et stands for ethyl. Ethanol is a volatile, flammable, colorless liquid with a characteristic wine-like odor and pungent taste. As a psychoactive depressant, it is the active ingredient in alcoholic drinks, and the second most consumed drug globally behind caffeine.
Methanol is an organic chemical compound and the simplest aliphatic alcohol, with the chemical formula CH3OH. It is a light, volatile, colorless and flammable liquid with a distinctive alcoholic odor similar to that of ethanol, but is more acutely toxic than the latter. Methanol acquired the name wood alcohol because it was once produced chiefly by the destructive distillation of wood. Today, methanol is mainly produced industrially by hydrogenation of carbon monoxide.
Denatured alcohol, also known as methylated spirits, metho, or meths in Australia, Ireland, New Zealand, South Africa, and the United Kingdom; and denatured rectified spirit is ethanol that has additives to make it poisonous, bad-tasting, foul-smelling, or nauseating to discourage its recreational consumption. It is sometimes dyed so that it can be identified visually. Pyridine and methanol, each and together, make denatured alcohol poisonous; and denatonium makes it bitter.
Rubbing alcohol is either an isopropyl alcohol or an ethanol-based liquid, with isopropyl alcohol products being the most widely available. The comparable British Pharmacopoeia (BP) is surgical spirit. Rubbing alcohol is denatured and undrinkable even if it is ethanol-based, due to the bitterants added.
Denatonium, usually available as denatonium benzoate and as denatonium saccharide (BITTERANT-s), is the most bitter chemical compound known, with bitterness thresholds of 0.05 ppm for the benzoate and 0.01 ppm for the saccharide. It was discovered in 1958 during research on local anesthetics by T.& H. Smith of Edinburgh, Scotland, and registered under the trademark Bitrex.
Liquor is an alcoholic drink produced by the distillation of grains, fruits, vegetables, or sugar that have already gone through alcoholic fermentation. Other terms for liquor include: spirit, distilled beverage, booze, spirituous liquor or hard liquor. The distillation process concentrates the liquid to increase its alcohol by volume. As liquors contain significantly more alcohol (ethanol) than other alcoholic drinks, they are considered "harder." In North America, the term hard liquor is sometimes used to distinguish distilled alcoholic drinks from non-distilled ones, whereas the term spirits is more commonly used in the UK. Some examples of liquors include vodka, rum, gin, and tequila. Liquors are often aged in barrels, such as for the production of brandy and whiskey, or are infused with flavorings to form flavored liquors, such as absinthe.
Alcohol is any organic compound in which a hydroxyl functional group (-OH) is bound to a carbon atom, usually connected to other carbon or hydrogen atoms. An important class are the simple acyclic alcohols, the general formula for which is CnH2n+1OH. Of those, ethanol (C2H5OH) is the type of alcohol found in alcoholic beverages, and in common speech the word alcohol refers specifically to ethanol. Articles related to alcohol include:
A hangover is the experience of various unpleasant physiological and psychological effects usually following the consumption of alcohol, such as wine, beer, and liquor. Hangovers can last for several hours or for more than 24 hours. Typical symptoms of a hangover may include headache, drowsiness, concentration problems, dry mouth, dizziness, fatigue, gastrointestinal distress, absence of hunger, light sensitivity, depression, sweating, hyper-excitability, irritability, and anxiety.
An alcoholic beverage is a beverage containing alcohol. Alcoholic drinks are typically divided into three classes—beers, wines, and spirits—and typically their alcohol content is between 3% and 50%.
Isopropyl alcohol is a colorless, flammable organic compound with a pungent alcoholic odor.
Denaturation is the process by which or foods or liquids are made unpleasant or dangerous to consume; it is done by adding a substance known as a denaturant. Aversive agents—primarily bitterants and pungent agents—are often used to produce an unpleasant flavor. For example, the bitterant denatonium might be added to food used in a laboratory, where such food is not intended for human consumption.
A caffeinated alcoholic drink is a drink that contains both alcohol and a significant amount of caffeine. Caffeine, a stimulant, masks some of the depressant effects of alcohol. However, in 2010 and 2011, this type of drink faced criticism for posing health risks to its drinkers. In some places there is a ban on caffeinated alcoholic drinks.
Nip joints, found most commonly in Appalachia and similar areas where corn is grown in abundance, are venues where illegal liquor is sold, often by the drink. Most nip joints are located in residential areas inside homes. The individual in charge is therefore referred to as the "House Man" or "House Lady". Some nip joints have more amenities than others.
In the alcoholic beverages industry, congeners are substances, other than the desired type of alcohol and ethanol, produced during fermentation. These substances include small amounts of chemicals such as methanol and other alcohols, acetone, acetaldehyde, esters, tannins, and aldehydes. Congeners are responsible for most of the taste and aroma of distilled alcoholic beverages, and contribute to the taste of non-distilled drinks. Brandy, rum and red wine have the highest amount of congeners, while vodka and beer have the least.
Methanol toxicity is poisoning from methanol, characteristically via ingestion. Symptoms may include a decreased level of consciousness, poor or no coordination, vomiting, abdominal pain, and a specific smell on the breath. Decreased vision may start as early as twelve hours after exposure. Long-term outcomes may include blindness and kidney failure. Blindness may occur after drinking as little as 10 mL; death may occur after drinking quantities over 15 mL.
Alcohol, sometimes referred to by the chemical name ethanol, is a depressant drug found in fermented beverages such as beer, wine, and distilled spirit — in particular, rectified spirit. Ethanol is colloquially referred to as "alcohol" because it is the most prevalent alcohol in alcoholic beverages. But technically all alcoholic beverages contain several types of psychoactive alcohols, that are categorized as primary, secondary, or tertiary. Primary, and secondary alcohols, are oxidized to aldehydes, and ketones, respectively, while tertiary alcohols are generally resistant to oxidation. Ethanol is a primary alcohol that has unpleasant actions in the body, many of which are mediated by its toxic metabolite acetaldehyde. Less prevalent alcohols found in alcoholic beverages, are secondary, and tertiary alcohols. For example, the tertiary alcohol 2M2B which is up to 50 times more potent than ethanol and found in trace quantities in alcoholic beverages, has been synthesized and used as a designer drug. Alcoholic beverages are sometimes laced with toxic alcohols, such as methanol and isopropyl alcohol. A mild, brief exposure to isopropyl alcohol is unlikely to cause any serious harm. But many methanol poisoning incidents have occurred through history, since methanol is lethal even in small quantities, as little as 10–15 milliliters. Ethanol is used to treat methanol and ethylene glycol toxicity.
In December 2016, 74 people died in a mass methanol poisoning in the Russian city of Irkutsk. Precipitated by drinking counterfeit surrogate alcohol, the Associated Press news agency called its high death toll "unprecedented in its scale".
The Consequences of Prohibition did not just include effects on people's drinking habits but also on the worldwide economy, the people's trust of the government, and the public health system. Alcohol, from the rise of the temperance movement to modern day restrictions around the world, has long been a source of turmoil. When alcoholic beverages were first banned under the Volstead Act in 1919, the United States government had little idea of the severity of the consequences. It was first thought that a ban on alcohol would increase the moral character of society, but a ban on alcohol had vast unintended consequences.