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10.5596C12.2636 10.5596 12.1176 10.349 12.0783 9.37285H14.4503C14.9976 9.37285 15.2418 9.15664 15.2418 8.67213C15.2418 7.64237 15.0266 6.27171 13.165 6.27171C11.5931 6.27171 10.8919 7.12946 10.8919 9.05247C10.8919 10.9297 11.5452 11.6281 13.3016 11.6281C14.0318 11.6281 14.6097 11.5152 14.8366 11.4111C14.9811 11.3495 15.1138 11.2572 15.1138 11V10.8122C15.113 10.5699 14.9748 10.4239 14.7432 10.4239Z" fill="currentColor"></path><path d="M12.0846 8.41359C12.1301 7.57715 12.4701 7.20312 13.1831 7.20312H13.1838C13.8614 7.20312 14.1661 7.56532 14.1975 8.41202L12.0846 8.41359Z" fill="currentColor"></path><path d="M31.4197 13.2932H25.348L23.7136 18.0002H20.0957L26.4898 0.198242H30.7749L37.0436 18.0002H33.1032L31.4197 13.2932ZM28.4689 3.60924L26.1405 10.5302H30.6719L28.4689 3.60924Z" fill="currentColor"></path><path d="M49.178 18L45.1885 11.925H42.4616V18H38.9421V0.621C38.9421 0.621 41.1944 0 45.2332 0C49.8676 0 52.6393 1.62 52.6393 5.2515C52.6393 8.9595 50.3601 10.5525 48.7258 11.277L53.3826 18H49.178ZM42.466 9.1125H46.4556C48.1661 8.3925 48.9586 7.47 48.9586 5.6025C48.9586 3.6585 47.5706 2.889 45.2914 2.889C43.8541 2.889 42.466 3.1365 42.466 3.1365V9.1125Z" fill="currentColor"></path><path d="M55.4691 17.9996V0.24707H67.5319V3.25757H59.0109V7.71257H66.3677V10.6016H59.0109V14.9846H67.7558V17.9996H55.4691Z" fill="currentColor"></path><path d="M70.3842 17.9996V0.24707H82.4469V3.25757H73.926V7.71257H81.2828V10.6016H73.926V14.9846H82.6708V17.9996H70.3842Z" fill="currentColor"></path><path d="M88.7872 17.9996H85.2947V0.24707H88.5633L97.1111 11.4746V0.24707H100.631V17.9996H97.9798L88.7872 6.20057V17.9996Z" fill="currentColor"></path><path d="M113.831 13.2932H107.759L106.129 18.0002H102.511L108.901 0.198242H113.186L119.455 18.0002H115.514L113.831 13.2932ZM110.884 3.60924L108.556 10.5302H113.087L110.884 3.60924Z" fill="currentColor"></path></svg><p class="_1m3quf82 fck75q2">Sarjat. 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class="aw-1ag6w51 nvljT"><a href="/web/20240325062408/https://yle.fi/t/18-209306/fi" aria-label="Lisää artikkeleita aiheesta Terveys" class="aw-l7odld jXfkxq">Terveys</a></div><h1 class="sc-aXZVg cZXpWU yle__article__heading yle__article__heading--1">Lakimuutos tuo päivystyksiin yhä pahemmat ruuhkat, pelkää ylilääkäri – ”Ilman alkoholia ei olisi lääkäripulaa”</h1><p class="aw-1gybjub aw-5vja16 jxdWmn eeXVLF yle__article__paragraph">Alkoholilain uudistus voi asiantuntijoiden mukaan lisätä alkoholin haittoja yhteiskunnassa. Alkoholikuolleisuus kasvoi, kun vahvempia juomia viimeksi tuotiin kauppoihin.</p><div class="aw-e30oo3 blLbha"></div><figure class="aw-u5oz0a clzEhy yle__article__figure"><script type="application/ld+json">{"@id":"74-20079448","@context":"https://web.archive.org/web/20240325062408/https://schema.org","image":{"@type":"ImageObject","description":"”Alkoholi kuormittaa päivystyksiä tolkuttoman paljon. 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Ilman alkoholia päivystyksissä ei olisi lääkäripulaa, vaan olisi lääkärityöttömyyttä”, alueylilääkäri Kimmo Suojanen pohtii.</span><span> Kuva: Tiina Jutila / Yle</span></figcaption></figure><div class="aw-1wk2icm iaIVgA"><div class="aw-qww0lc eFtfQt"><div class="aw-x5rn7a iKNQRH"><span class="aw-z7z0zi hEWAhM">Emmi Siljamäki</span></div></div></div><div class="aw-1hwlbbb iumvhG"><div class="aw-64d2lh cPAYLb"><div class="aw-kzjed4 dgiUVP yle__article__date"><time class="aw-lsqctp jPSFYl yle__article__date--published" datetime="2024-03-25T06:05:36+02:00">6:05</time><span aria-hidden="true" class="aw-131q90r bsXkQk">•</span><time class="aw-lsqctp jPSFYl yle__article__date--modified" datetime="2024-03-25T08:14:49+02:00">Päivitetty 8:14</time></div></div><a href="https://web.archive.org/web/20240325062408/https://yle.onelink.me/46xJ/07zyq6zz?deep_link_sub1=74-20079448" class="aw-pqa0kd GtYAc">Avaa Yle-sovelluksessa<svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true"><path d="M15 2a1 1 0 1 0 0 2h3.586l-9.293 9.293a1 1 0 1 0 1.414 1.414L20 5.414V9a1 1 0 1 0 2 0V3a1 1 0 0 0-1-1h-6ZM5 7a1 1 0 0 0-1 1v11a1 1 0 0 0 1 1h11a1 1 0 0 0 1-1v-6a1 1 0 0 1 2 0v6a3 3 0 0 1-3 3H5a3 3 0 0 1-3-3V8a3 3 0 0 1 3-3h6a1 1 0 1 1 0 2H5Z" fill="currentColor"></path></svg></a><div class="aw-itub5i eehAxh"><div><button aria-label="Jaa artikkeli" aria-disabled="false" id="share-menu-button" aria-haspopup="true" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonText-sc-17sr1bx-3 jrqhnK kvhUhF"><span class="Buttonstyles__iconSize-sc-17sr1bx-4 Buttonstyles__IconWrapper-sc-17sr1bx-6 cazOWd dPcqZv yds-button__icon"><svg width="24" height="24" viewbox="0 0 24 24" fill="none" aria-hidden="true" class="aw-wi5224 fZrvxl"><path fill-rule="evenodd" clip-rule="evenodd" d="M12.43 3.078a1 1 0 0 1 1.087.207l8.182 8a1 1 0 0 1 0 1.43l-8.182 8a1 1 0 0 1-1.7-.715v-3.855h-.008c-1.968.029-3.972.988-5.827 2.417L3.61 20.389a1 1 0 0 1-1.592-.981l.5-2.597.014-.062c.23-.883.58-1.911.986-2.865.4-.94.88-1.876 1.387-2.532.964-1.246 2.07-2.138 3.405-2.709 1.057-.45 2.219-.684 3.508-.76V4a1 1 0 0 1 .612-.922Zm1.388 3.298v3.48h-1c-1.529 0-2.727.202-3.722.627-.984.42-1.826 1.081-2.609 2.093-.351.454-.753 1.206-1.129 2.09a19.46 19.46 0 0 0-.874 2.525l.277-.213c2.023-1.559 4.445-2.798 7.028-2.833h2.029v3.479L19.57 12l-5.752-5.624Z" fill="currentColor"></path></svg></span><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 WDnuQ yds-button__text">Jaa</span></button></div></div></div></header><section class="yle__article__content"><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Alkoholilain uudistus sallisi enintään 8 prosentin alkoholijuomien myynnin kaupoissa. Hallitus on perustellut lakiuudistusta reilun ja avoimen kilpailun edistämisellä. Aiempaa vahvempien oluiden, siiderien ja makeiden viinien myynti ruokakaupoissa voi kuitenkin asiantuntijoiden mukaan lisätä alkoholista aiheutuvia haittoja kansanterveydelle.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Laki on tällä hetkellä eduskunnan käsittelyssä, ja <a class="aw-iao6s4 drtaeR yle__article__link" href="https://web.archive.org/web/20240325062408/https://yle.fi/a/74-20074788" role="link">voi tulla voimaan</a> vielä kevään aikana. Sosiaali- ja terveysministeriön tekemän arvion mukaan muutos voisi lisätä alkoholin kulutusta 0,5–1 prosenttia.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Vuonna 2018 toteutetun alkoholilain uudistuksen yhteydessä myyntirajoitusten keventäminen ja vähittäismyynnin laajentaminen lisäsivät alkoholin kulutusta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Terveyden ja hyvinvoinnin laitoksen tutkimusprofessori <strong class="aw-ak79eh hgoSon yle__article__strong">Pia Mäkelä</strong> on seurannut aikaisempien alkoholilakiin tehtyjen muutosten vaikutuksia kansanterveydelle. Edellisen vuonna 2018 alkoholilakiin tehdyn lakiuudistuksen on arvioitu lisänneen alkoholin kulutusta noin kolme prosenttia tasosta, jolla se olisi ilman uudistusta ollut.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Alkoholijuomien kaupan avaaminen markkinoille ja kilpailulle on omiaan lisäämään alkoholin kauppaa, kulutusta ja sen myötä myös alkoholin haittoja, Mäkelä kertoo.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20079448","@context":"https://web.archive.org/web/20240325062408/https://schema.org","image":{"@type":"ImageObject","description":"”Alkoholilain uudistus lisäisi myös kustannusvaikutuksia, jos sen seurauksena alkoholin kulutus ja alkoholiongelmia kokevien alkoholinkäyttö lisääntyisi, kuten on ennakoitu”, Mäkelä kertoo.","copyrightHolder":"Markku Rantala / Yle","url":"https://web.archive.org/web/20240325062408/https://images.cdn.yle.fi/image/upload/ar_1.4046052631578947,c_fill,g_faces,h_546,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-125775965f3039442db7","keywords":"alkoholi,päihtymys,alkoholipolitiikka,alkoholismi,Terveyden ja hyvinvoinnin laitos"}}</script><div class="aw-1a00tic xgBdQ"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.4046052631578947,c_fill,g_faces,h_546,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710425112/39-125775965f3039442db7 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.4046052631578947,c_fill,g_faces,h_546,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425112/39-125775965f3039442db7 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.4046052631578947,c_fill,g_faces,h_452,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710425112/39-125775965f3039442db7 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.4046052631578947,c_fill,g_faces,h_452,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425112/39-125775965f3039442db7 1x"/><img alt="Pia mäkelä, THL, tutkimusprofessori,alkoholi, alkoholin haitat, vahvat oluet, " src="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/c_crop,h_2882,w_5124,x_0,y_237/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425112/39-125775965f3039442db7" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>”Alkoholilain uudistus lisäisi myös kustannusvaikutuksia, jos sen seurauksena alkoholin kulutus ja alkoholiongelmia kokevien alkoholinkäyttö lisääntyisi, kuten on ennakoitu”, Mäkelä kertoo.</span><span> Kuva: Markku Rantala / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Kulutuksen lisääntyessä uudistuksella voisi olla myös alkoholikuolleisuutta lisäävä vaikutus. Se oli nähtävissä myös vuoden 2018 alkoholilain uudistuksen jälkeen, jolloin muun muassa 4,7–5,5 prosenttiset alkoholijuomat vapautettiin kauppojen hyllyille.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Sen seurauksena jo vuosia vähentynyt alkoholikuolleisuus kääntyi kasvuun.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Hyvä kehitys pysähtyi. Siitä, mihin oltiin päästy vuoteen 2017 vuoteen mennessä, tultiin vuositasolla 160 kuolemaa takaisinpäin. On ennakoitu, että uuden uudistuksen merkitys on pienempi, mutta kuitenkin vääränsuuntainen.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20079448","@context":"https://web.archive.org/web/20240325062408/https://schema.org","video":{"@type":"VideoObject","description":"Alkoholin saatavuuden parantaminen voi lisätä alkoholin kulutusta ja siten myös siitä aiheutuvia terveyshaittoja.","name":"Alkoholilain uudistus voi lisätä alkoholin kulutusta","thumbnailUrl":"https://web.archive.org/web/20240325062408/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-42973859c268d07fd2f","uploadDate":"2024-03-21T13:51:56+02:00"}}</script><div class="aw-1a00tic ircCun"><div><div data-testid="video-player" class="aw-1kfkhk6 kyBcqJ"></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>Alkoholin saatavuuden parantaminen voi lisätä alkoholin kulutusta ja siten myös siitä aiheutuvia terveyshaittoja.</span></figcaption></figure><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Lakiuudistus voi lisätä ruuhkaa päivystyksissä</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Alkoholin aiheuttamat kuolemat, työkyvyttömyyseläkkeet, hoitojaksot ja rikokset aiheuttivat reilun 1,4 miljardin euron kustannukset vuonna 2022. Lisäksi työnantajille kertyi 500 miljoonan euron menetykset alkoholin vuoksi menetetystä työpanoksesta.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Alkoholisairauksien vuoksi hoitojaksoja terveydenhuollon vuodeosastoilla oli THL:n tuoreimman tilaston mukaan yli 40 000. Lisäksi alkoholisairaudesta johtuvia käyntejä erikoissairaanhoidon avohoidossa kirjattiin reilusti yli 30 000 vuonna 2022.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">HUS akuutin alueylilääkäri <strong class="aw-ak79eh hgoSon yle__article__strong">Kimmo Suojasen</strong> mukaan alkoholin saatavuuden parantuminen uuden lakimuutoksen seurauksena tulee todennäköisesti ruuhkauttamaan päivystyksiä entisestään.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Suojasen mukaan päivystyksessä on jo nyt toisinaan tilanteita, joissa lähestulkoon kaikki yöaikana saapuvat potilaat ovat osastolla alkoholin seurauksena.</p><blockquote class="aw-5b7r8f fgSgxm"><svg aria-hidden="true" fill="var(--yds-color-text-default)" stroke="none" height="32" role="img" viewbox="0 0 31 19" width="32"><path d="M0.996094 18.9644L3.29009 0.982422H15.5741L10.3201 18.9644H0.996094ZM15.4261 18.9644L17.7201 0.982422H30.0041L24.7501 18.9644H15.4261Z"></path></svg><p class="aw-1gybjub aw-c9wyj2 jxdWmn bFuvKl">Kyllä herää kysymys, että mitä tällä alkoholilain uudistuksella tavoitellaan. Onko nyt oikeasti tiedostettu nämä seuraukset, mitä siitä uudistuksesta tulee?</p><p class="aw-1gybjub aw-1pgj57y jxdWmn gptzje">Kimmo Suojanen</p></blockquote><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Yleisimpiä alkoholin käyttöön liittyviä terveyshaittoja ovat alkoholin vaikutukset erilaisiin syöpäsairauksiin, uneen ja mielenterveyteen sekä verenkierto- ja ruuansulatuselimistön sairauksiin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Lisäksi muun muassa alkoholimyrkytykset ja alkoholin aiheuttamat tapaturmat näkyvät Suojasen mukaan päivystysosastoilla. Suojanen uskoo, että alkoholin saatavuuden parantaminen voi lisätä jonoja päivystyksessä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Sitä on jo pitkään pohdittu, että miten saadaan terveydenhuollon resurssit riittämään, kun väestö vanhenee ja tarve lisääntyy. Pulaa henkilökunnasta on jo nyt, joten kaikki terveydenhuollon kysyntää ja tarvetta lisäävät toimet ovat jo lähtökohtaisesti huonoja ideoita.</p><h2 class="sc-gEvEer dSgPhs yle__article__heading yle__article__heading--2">Uudistuksella vaikutuksia myös nuorten juomatottumuksiin</h2><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">A-klinikkasäätiön toimitusjohtaja <strong class="aw-ak79eh hgoSon yle__article__strong">Hannu Jouhki</strong> pitää päätöstä alkoholilain uudistamiseksi vahingollisena ja tarpeettomana. Hän uskoo, että nykyistä vahvempien alkoholijuomien vapauttaminen lainsäädännöllä kauppojen hyllyille voi lisätä entisestään alkoholin haittoja henkilöillä, joilla on jo nykyisin alkoholin ongelmakäyttöä.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Hänen mukaansa uudistuksen haitat eivät rajoitu kuitenkaan vain alkoholia ennestään liikakäyttäviin, vaan muutos tulee koskemaan koko yhteiskuntaa.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Kyllä myös ihmiset, joilla ei muuten ole ongelmia alkoholin kanssa saattavat kehittää riski- ja ongelmajuomista yksinkertaisesti sen kautta, että alkoholia on saatavilla niin paljon.</p><figure class="aw-u5oz0a crkERF yle__article__figure"><script type="application/ld+json">{"@id":"74-20079448","@context":"https://web.archive.org/web/20240325062408/https://schema.org","image":{"@type":"ImageObject","description":"”Ei tämä uudistus millään todennäköisyydellä tule vähentämään tai edes pitämään samana alkoholin kulutusta, joten kyllä haitat jonkin verran lisääntyvät sekä myös paine terveydenhuoltopuolelle kasvaa”, Jouhki pohtii.","copyrightHolder":"Markku Rantala / Yle","url":"https://web.archive.org/web/20240325062408/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-125776365f304649b8fb","keywords":"A-klinikkasäätiö,alkoholi,alkoholijuomat,päihtymys,juomateollisuus,alkoholipolitiikka,alkoholinkulutus,alkoholismi,alkoholivero,alkoholirikokset,Alkoholivalvonta,alkoholiongelmat"}}</script><div class="aw-1a00tic xFA-da"><div class="aw-1qvmjke bKIcxT"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710425298/39-125776365f304649b8fb 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_511,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425298/39-125776365f304649b8fb 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_2.0/q_auto:eco/f_auto/fl_lossy/v1710425298/39-125776365f304649b8fb 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.5,c_fill,g_faces,h_424,w_636/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425298/39-125776365f304649b8fb 1x"/><img alt="Hannu Jouhki, A-klinaikkasäätiö, toimitusjohtaja, alkoholi, alkoholin haitat, " src="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/c_crop,h_3078,w_5472,x_0,y_262/ar_1.7777777777777777,c_fill,g_faces,h_431,w_767/dpr_1.0/q_auto:eco/f_auto/fl_lossy/v1710425298/39-125776365f304649b8fb" class="aw-1l9m598 bTKagC"/></picture></div><div class="aw-45s348 glxCAO"><button aria-disabled="false" class="Buttonstyles__ButtonBase-sc-17sr1bx-0 Buttonstyles__ButtonSecondary-sc-17sr1bx-2 blJlbw iLYbQX"><span class="Buttonstyles__TextWrapper-sc-17sr1bx-7 kWJvkV yds-button__content">Avaa kuvien katselu</span></button></div></div></div><figcaption class="aw-kr26k0 iEoONW"><span>”Ei tämä uudistus millään todennäköisyydellä tule vähentämään tai edes pitämään samana alkoholin kulutusta, joten kyllä haitat jonkin verran lisääntyvät sekä myös paine terveydenhuoltopuolelle kasvaa”, Jouhki pohtii.</span><span> Kuva: Markku Rantala / Yle</span></figcaption></figure><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Eniten alkoholin liikakäyttöä esiintyi THL:n tuoreimman Terve Suomi tutkimuksen mukaan 55–64-vuotiailla. Jouhki uskoo alkoholin saatavuuden parantumisen vaikuttavan kuitenkin myös nuorten juomatottumuksiin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Yhä vahvemman alkoholin tuominen myyntiin ruokakauppoihin arkipäiväistää ja normalisoi alkoholin kulutusta nuorten keskuudessa. Luodaan kuvaa siitä, että alkoholi on normaali kulutushyödyke sen sijaan, että kiinnitettäisiin huomiota ongelmallisen alkoholinkäytön tai riippuvuuden riskeihin.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">Jouhki pitää ristiriitaisena sitä, että poliittisella päätöksellä mahdollistetaan alkoholin haittojen ja sen myötä kustannusten kasvu samaan aikaan, kun esimerkiksi hyvinvointialueet ovat säästötoimenpiteiden kohteena.</p><p class="aw-1gybjub aw-1p7kakr jxdWmn ilDxnw yle__article__paragraph">– Se on todella ristiriitaista. Tällä hetkellä meillä on sote-sektorilla kustannuskriisi ja työvoimapula. On hyvin vaikea nähdä, että tämä johtaisi mihinkään myönteiseen sote-sektorin puolella.</p></section><footer class="yle__article__footer"><h2 class="aw-zh6d69 dMYkJU">Aiheesta enemmän: Paketissa 2 linkkiä</h2><h2 class="sc-eqUAAy dUJkWc yle__article__heading yle__article__heading--3" aria-hidden="true">Aiheesta enemmän</h2><div class="yle__article__links" role="list" aria-label="Aiheesta enemmän"><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240325062408/https://yle.fi/t/18-211104/fi" aria-label="Lisää artikkeleita aiheesta Päihteet" class="aw-l7odld jXfkxq">Päihteet</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240325062408/https://yle.fi/a/74-20080067" class="aw-3ocnud eBKakF">Juomajätti haukkuu hallituksen alkoholiuudistuksen pystyyn: perustelut ovat naurettavia ja tuulesta temmattuja</a></h3><time class="aw-4gocmc guzJZN">21.3.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1225473659d79f37b25d 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1225473659d79f37b25d 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-1225473659d79f37b25d 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1225473659d79f37b25d 1x"/><img alt="Lonkerot on siirretty varkauksien takia kassoihin." src="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-1225473659d79f37b25d" class="aw-1l9m598 bTKagC"/></picture></div></div></div></div></div><div aria-hidden="true" class="aw-4s1vft kcSOOZ"><hr class="aw-mkek3u lkNxNt"/></div><div role="listitem" class="aw-124ec9l cFgRwb"><div class="aw-yq4wj5 hkKela"><div class="aw-fou4nx hULxUh"><div class="aw-aqrehu kskGQO"><div class="aw-ej1jxx Vjwex"><a href="/web/20240325062408/https://yle.fi/t/18-211104/fi" aria-label="Lisää artikkeleita aiheesta Päihteet" class="aw-l7odld jXfkxq">Päihteet</a></div><h3 class="aw-x9ikft cGmEmT"><a href="https://web.archive.org/web/20240325062408/https://yle.fi/a/74-20077541" class="aw-3ocnud eBKakF">Toimiiko punaviini kahdeksanprosenttisena, entä kuohuva? Asiantuntija vinkkaa ruokakauppojen tulevat hittiviinit</a></h3><time class="aw-4gocmc guzJZN">9.3.</time></div></div><div class="aw-vhyz8i mQzOb"><div class="aw-8sjfvz juaHCW"><div class="aw-1njknqq euollB"><picture><source data-testid="source-for-S" media="(max-width: 767px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-125333565e6fbd68223f 2x, https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.0,c_fill,g_faces,h_104,w_104/dpr_1.0/q_auto:eco/f_auto/fl_lossy/39-125333565e6fbd68223f 1x"/><source data-testid="source-for-M" media="(min-width: 768px)" srcset="https://web.archive.org/web/20240325062408im_/https://images.cdn.yle.fi/image/upload/ar_1.7777777777777777,c_fill,g_faces,h_110,w_196/dpr_2.0/q_auto:eco/f_auto/fl_lossy/39-125333565e6fbd68223f 2x, 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<script type="text/javascript">window.__INITIAL__STATE__={"pageData":{"article":{"properties":["audio:enabled","priority:normal"],"headline":{"image":{"alt":"Kimmo Suojanen.","source":"Tiina Jutila \u002F Yle","aspect":1.5,"caption":"”Alkoholi kuormittaa päivystyksiä tolkuttoman paljon. 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Ilman alkoholia päivystyksissä ei olisi lääkäripulaa, vaan olisi lääkärityöttömyyttä”, alueylilääkäri Kimmo Suojanen pohtii.","id":"39-105749863bd5eb586dd1","type":"image","alts":[{"language":"fin","value":"Kimmo Suojanen."}],"blurhash":"LCHxpO~W009X^*R$W;t8E5R*?GIA","tags":[{"label":[{"language":"fin","value":"Helsingin ja Uudenmaan sairaanhoitopiiri (HUS)"},{"language":"swe","value":"Helsingfors och Nylands sjukvårdsdistrikt (HUS)"}],"extId":"18-202080"},{"label":[{"language":"eng","value":"on-call"},{"language":"fin","value":"päivystys"},{"language":"swe","value":"Jourverksamhet"}],"extId":"18-336631"},{"label":[{"language":"fin","value":"päivystyspoliklinikka"},{"language":"swe","value":"Akutmottagning"}],"extId":"18-165760"},{"label":[{"language":"fin","value":"päivystysosastot"},{"language":"swe","value":"jouravdelningar"}],"extId":"18-299574"},{"label":[{"language":"eng","value":"Hospitals & Clinics"},{"language":"fin","value":"Sairaalat ja terveyskeskukset"},{"language":"swe","value":"Sjukhus och hälsocenter"}],"extId":"18-35444"},{"label":[{"language":"fin","value":"sairaalat"},{"language":"swe","value":"sjukhus"}],"extId":"18-217440"},{"label":[{"language":"fin","value":"Jorvin sairaala"},{"language":"swe","value":"Jorv sjukhus"}],"extId":"18-180408"}],"copyright":[{"language":"und","value":"Tiina Jutila \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":296,"width":5567,"height":3131}},{"name":"2:3","aspect":0.67,"coordinates":{"x":859,"y":0,"width":2474,"height":3711}},{"name":"1:1","aspect":1,"coordinates":{"x":483,"y":0,"width":3711,"height":3711}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":713,"width":5567,"height":2227}}],"height":3712,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1673355540","width":5568,"recommendedFormat":"jpg"},{"text":"Alkoholilain uudistus voi asiantuntijoiden mukaan lisätä alkoholin haittoja yhteiskunnassa. Alkoholikuolleisuus kasvoi, kun vahvempia juomia viimeksi tuotiin kauppoihin.","type":"text"},{"text":"Alkoholilain uudistus sallisi enintään 8 prosentin alkoholijuomien myynnin kaupoissa. Hallitus on perustellut lakiuudistusta reilun ja avoimen kilpailun edistämisellä. Aiempaa vahvempien oluiden, siiderien ja makeiden viinien myynti ruokakaupoissa voi kuitenkin asiantuntijoiden mukaan lisätä alkoholista aiheutuvia haittoja kansanterveydelle.","type":"text"},{"text":"Laki on tällä hetkellä eduskunnan käsittelyssä, ja [voi tulla voimaan](https:\u002F\u002Fyle.fi\u002Fa\u002F74-20074788) vielä kevään aikana. Sosiaali- ja terveysministeriön tekemän arvion mukaan muutos voisi lisätä alkoholin kulutusta 0,5–1 prosenttia.","type":"text"},{"text":"Vuonna 2018 toteutetun alkoholilain uudistuksen yhteydessä myyntirajoitusten keventäminen ja vähittäismyynnin laajentaminen lisäsivät alkoholin kulutusta.","type":"text"},{"text":"Terveyden ja hyvinvoinnin laitoksen tutkimusprofessori **Pia Mäkelä** on seurannut aikaisempien alkoholilakiin tehtyjen muutosten vaikutuksia kansanterveydelle. Edellisen vuonna 2018 alkoholilakiin tehdyn lakiuudistuksen on arvioitu lisänneen alkoholin kulutusta noin kolme prosenttia tasosta, jolla se olisi ilman uudistusta ollut.","type":"text"},{"text":"– Alkoholijuomien kaupan avaaminen markkinoille ja kilpailulle on omiaan lisäämään alkoholin kauppaa, kulutusta ja sen myötä myös alkoholin haittoja, Mäkelä kertoo.","type":"text"},{"displayStyle":"normal","alt":"Pia mäkelä, THL, tutkimusprofessori,alkoholi, alkoholin haitat, vahvat oluet, ","source":"Markku Rantala \u002F Yle","aspect":1.4046052631578947,"caption":"”Alkoholilain uudistus lisäisi myös kustannusvaikutuksia, jos sen seurauksena alkoholin kulutus ja alkoholiongelmia kokevien alkoholinkäyttö lisääntyisi, kuten on ennakoitu”, Mäkelä kertoo.","id":"39-125775965f3039442db7","type":"image","alts":[{"language":"fin","value":"Pia mäkelä, THL, tutkimusprofessori,alkoholi, alkoholin haitat, vahvat oluet, "}],"blurhash":"LIFYZ9y?-:no~B?GWXRO56rCR*Rj","tags":[{"label":[{"language":"eng","value":"Alkohol"},{"language":"fin","value":"alkoholi"},{"language":"swe","value":"alkohol"}],"extId":"18-220411"},{"label":[{"language":"fin","value":"päihtymys"},{"language":"swe","value":"berusning"}],"extId":"18-210981"},{"label":[{"language":"fin","value":"alkoholipolitiikka"},{"language":"swe","value":"alkoholpolitik"}],"extId":"18-214896"},{"label":[{"language":"fin","value":"alkoholismi"},{"language":"swe","value":"alkoholism"}],"extId":"18-211856"},{"label":[{"language":"eng","value":"Terveyden ja hyvinvoinnin laitos"},{"language":"fin","value":"Terveyden ja hyvinvoinnin laitos"},{"language":"swe","value":"Institutet för hälsa och välfärd"}],"extId":"18-179403"}],"copyright":[{"language":"und","value":"Markku Rantala \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":237,"width":5124,"height":2882}},{"name":"2:3","aspect":0.67,"coordinates":{"x":2052,"y":0,"width":2422,"height":3648}},{"name":"1:1","aspect":1,"coordinates":{"x":1368,"y":0,"width":3648,"height":3648}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":456,"width":5115,"height":2037}}],"height":3648,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1710425112","width":5124,"recommendedFormat":"png"},{"text":"Kulutuksen lisääntyessä uudistuksella voisi olla myös alkoholikuolleisuutta lisäävä vaikutus. Se oli nähtävissä myös vuoden 2018 alkoholilain uudistuksen jälkeen, jolloin muun muassa 4,7–5,5 prosenttiset alkoholijuomat vapautettiin kauppojen hyllyille.","type":"text"},{"text":"Sen seurauksena jo vuosia vähentynyt alkoholikuolleisuus kääntyi kasvuun.","type":"text"},{"text":"– Hyvä kehitys pysähtyi. Siitä, mihin oltiin päästy vuoteen 2017 vuoteen mennessä, tultiin vuositasolla 160 kuolemaa takaisinpäin. On ennakoitu, että uuden uudistuksen merkitys on pienempi, mutta kuitenkin vääränsuuntainen.","type":"text"},{"caption":"Alkoholin saatavuuden parantaminen voi lisätä alkoholin kulutusta ja siten myös siitä aiheutuvia terveyshaittoja.","type":"video","id":"1-68551086","programResponse":{"series":{"title":{"main":{"swe":"Nyhetsvideor","fin":"Uutisvideot"}},"image":{"cover":{"fin":{"type":"Image","id":"13-1-1255967-1677743590609","version":1711292482}},"main":{"fin":{"type":"Image","id":"13-1-1255967-1684137541041","version":1711292482}}}},"publications":[{"tags":["archive"],"service":{"type":"Service","id":"yle-areena"},"publisher":{"type":"Service","id":"yle-areena"},"startTime":"2024-03-21T13:51:56+02:00","geoRestriction":"None","type":"Publication","id":"4-68551087","kind":"Ondemand","protectionLevel":{"key":"none","type":"ContentProtectionPolicy","id":"22-0"},"media":{"videoTrack":{"format":"HD","aspectRatio":"16:9","type":"VideoTrack","duration":"PT71S"},"captionTracks":[{"type":"CaptionTrack","language":"fin","kind":"hardOfHearing"}],"downloadable":false,"type":"Video","duration":"PT71S","audioTracks":[{"format":"stereo","type":"AudioTrack","duration":"PT71S","language":"fin"}],"id":"67-83fa07ca4edf4cd28b0bf3bcf5fe3921","available":true}}],"title":{"main":{"fin":"Alkoholilain uudistus voi lisätä alkoholin kulutusta"}},"id":"1-68551086","image":{"main":{"fin":{"type":"Image","id":"39-125249565e436c5d1c6f","version":1711340465}}}}},{"text":"Lakiuudistus voi lisätä ruuhkaa päivystyksissä","level":2,"type":"heading"},{"text":"Alkoholin aiheuttamat kuolemat, työkyvyttömyyseläkkeet, hoitojaksot ja rikokset aiheuttivat reilun 1,4 miljardin euron kustannukset vuonna 2022. Lisäksi työnantajille kertyi 500 miljoonan euron menetykset alkoholin vuoksi menetetystä työpanoksesta.","type":"text"},{"text":"Alkoholisairauksien vuoksi hoitojaksoja terveydenhuollon vuodeosastoilla oli THL:n tuoreimman tilaston mukaan yli 40 000. Lisäksi alkoholisairaudesta johtuvia käyntejä erikoissairaanhoidon avohoidossa kirjattiin reilusti yli 30 000 vuonna 2022.","type":"text"},{"text":"HUS akuutin alueylilääkäri **Kimmo Suojasen** mukaan alkoholin saatavuuden parantuminen uuden lakimuutoksen seurauksena tulee todennäköisesti ruuhkauttamaan päivystyksiä entisestään.","type":"text"},{"text":"Suojasen mukaan päivystyksessä on jo nyt toisinaan tilanteita, joissa lähestulkoon kaikki yöaikana saapuvat potilaat ovat osastolla alkoholin seurauksena.","type":"text"},{"style":"short","source":"Kimmo Suojanen","text":"Kyllä herää kysymys, että mitä tällä alkoholilain uudistuksella tavoitellaan. Onko nyt oikeasti tiedostettu nämä seuraukset, mitä siitä uudistuksesta tulee?","type":"quote"},{"text":"Yleisimpiä alkoholin käyttöön liittyviä terveyshaittoja ovat alkoholin vaikutukset erilaisiin syöpäsairauksiin, uneen ja mielenterveyteen sekä verenkierto- ja ruuansulatuselimistön sairauksiin.","type":"text"},{"text":"Lisäksi muun muassa alkoholimyrkytykset ja alkoholin aiheuttamat tapaturmat näkyvät Suojasen mukaan päivystysosastoilla. Suojanen uskoo, että alkoholin saatavuuden parantaminen voi lisätä jonoja päivystyksessä.","type":"text"},{"text":"– Sitä on jo pitkään pohdittu, että miten saadaan terveydenhuollon resurssit riittämään, kun väestö vanhenee ja tarve lisääntyy. Pulaa henkilökunnasta on jo nyt, joten kaikki terveydenhuollon kysyntää ja tarvetta lisäävät toimet ovat jo lähtökohtaisesti huonoja ideoita.","type":"text"},{"text":"Uudistuksella vaikutuksia myös nuorten juomatottumuksiin","level":2,"type":"heading"},{"text":"A-klinikkasäätiön toimitusjohtaja **Hannu Jouhki** pitää päätöstä alkoholilain uudistamiseksi vahingollisena ja tarpeettomana. Hän uskoo, että nykyistä vahvempien alkoholijuomien vapauttaminen lainsäädännöllä kauppojen hyllyille voi lisätä entisestään alkoholin haittoja henkilöillä, joilla on jo nykyisin alkoholin ongelmakäyttöä.","type":"text"},{"text":"Hänen mukaansa uudistuksen haitat eivät rajoitu kuitenkaan vain alkoholia ennestään liikakäyttäviin, vaan muutos tulee koskemaan koko yhteiskuntaa.","type":"text"},{"text":"– Kyllä myös ihmiset, joilla ei muuten ole ongelmia alkoholin kanssa saattavat kehittää riski- ja ongelmajuomista yksinkertaisesti sen kautta, että alkoholia on saatavilla niin paljon.","type":"text"},{"displayStyle":"normal","alt":"Hannu Jouhki, A-klinaikkasäätiö, toimitusjohtaja, alkoholi, alkoholin haitat, ","source":"Markku Rantala \u002F Yle","aspect":1.5,"caption":"”Ei tämä uudistus millään todennäköisyydellä tule vähentämään tai edes pitämään samana alkoholin kulutusta, joten kyllä haitat jonkin verran lisääntyvät sekä myös paine terveydenhuoltopuolelle kasvaa”, Jouhki pohtii.","id":"39-125776365f304649b8fb","type":"image","alts":[{"language":"fin","value":"Hannu Jouhki, A-klinaikkasäätiö, toimitusjohtaja, alkoholi, alkoholin haitat, "}],"blurhash":"LMGR#Y.8_4S1~W?bIoD*o~ofRjM{","tags":[{"label":[{"language":"eng","value":"A-Clinic Foundation"},{"language":"fin","value":"A-klinikkasäätiö"},{"language":"swe","value":"A-klinikstiftelsen"}],"extId":"18-164533"},{"label":[{"language":"eng","value":"Alkohol"},{"language":"fin","value":"alkoholi"},{"language":"swe","value":"alkohol"}],"extId":"18-220411"},{"label":[{"language":"fin","value":"alkoholijuomat"},{"language":"swe","value":"alkoholdrycker"}],"extId":"18-211977"},{"label":[{"language":"fin","value":"päihtymys"},{"language":"swe","value":"berusning"}],"extId":"18-210981"},{"label":[{"language":"fin","value":"juomateollisuus"},{"language":"swe","value":"dryckesvaruindustri"}],"extId":"18-208305"},{"label":[{"language":"fin","value":"alkoholipolitiikka"},{"language":"swe","value":"alkoholpolitik"}],"extId":"18-214896"},{"label":[{"language":"fin","value":"alkoholinkulutus"},{"language":"swe","value":"alkoholkonsumtion"}],"extId":"18-206491"},{"label":[{"language":"fin","value":"alkoholismi"},{"language":"swe","value":"alkoholism"}],"extId":"18-211856"},{"label":[{"language":"eng","value":"Alcohol Tax"},{"language":"fin","value":"alkoholivero"},{"language":"swe","value":"alkoholskatt"}],"extId":"18-16932"},{"label":[{"language":"fin","value":"alkoholirikokset"},{"language":"swe","value":"alkoholbrott"}],"extId":"18-217277"},{"label":[{"language":"eng","value":"Supervision of Alcohol Law"},{"language":"fin","value":"Alkoholivalvonta"},{"language":"swe","value":"Alkoholkontroll"}],"extId":"18-45866"},{"label":[{"language":"fin","value":"alkoholiongelmat"},{"language":"swe","value":"alkoholproblem"}],"extId":"18-210557"}],"copyright":[{"language":"und","value":"Markku Rantala \u002F Yle"}],"crops":[{"name":"16:9","aspect":1.78,"coordinates":{"x":0,"y":262,"width":5472,"height":3078}},{"name":"2:3","aspect":0.67,"coordinates":{"x":2166,"y":0,"width":2422,"height":3648}},{"name":"1:1","aspect":1,"coordinates":{"x":1368,"y":0,"width":3648,"height":3648}},{"name":"5:2","aspect":2.5,"coordinates":{"x":0,"y":0,"width":5472,"height":2180}}],"height":3648,"licence":{"id":"6","name":[{"language":"und","value":"Yle"}],"properties":[]},"version":"1710425298","width":5472,"recommendedFormat":"jpg"},{"text":"Eniten alkoholin liikakäyttöä esiintyi THL:n tuoreimman Terve Suomi tutkimuksen mukaan 55–64-vuotiailla. 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