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Prohibition and alcohol intoxication.

Summary 
 
The effect of total prohibition imposed in Bihar State with effect from April, 1979, was assessed on the basis of the hospital records of Patna Medical College Hospital. During the first seven months of prohibition, there was a significant decrease in the number of alcohol intoxication cases as compared to the numbers of such cases during the corresponding periods of 1976, 1977 and 1978 (P 0.07). Age, sex and urban or rural distributions of cases remained unaltered during prohibition and pre-prohibition periods. A similar trend was observed in Pilgrim Hospital, Goya which is situated 92 km south of Patna. There was however a significant decrease in alcohol related crimes during prohibition compared to previous years (P. < 0.01), and possible reasons for discrepancy between the hospital and arrest indicator are discussed. During the prohibition period there was a 20 per cent increase in illicit trade in liquor. While people from the lower income group favoured prohibition, those from the higher income group did not approve of it. People from both groups got alcohol in the black market. Except for the initial drop in the number of hospital cases, the medical problem of alcohol intoxication was not solved by the ineffective enforcement of prohibition.