1. Wexford General Hospital Wexford, Ireland
By: Michael O’Bryan

2. Objectives Objective #1: Alcohol in Ireland
To identify the epidemiology of alcohol consumption in Ireland
To identify the mortality related to alcohol in Ireland
To examine the effect of alcohol on the Irish population in regards to diseases and injuries
Objective #2: Access to and quality of healthcare in Ireland
To identify the access of healthcare in Ireland
To identify the system Ireland uses to provide healthcare
To examine the quality of the healthcare in Ireland
Objective #3: Obesity in Ireland
To identify the epidemiology of obesity in Ireland
To examine the impact of obesity on the Irish population
To identify the impact of obesity on the Irish children

3. Alcohol Irish adult per capita consumption of alcohol iss 13.35L
European average is 9.1L
Global average of 4.9L
In a 5 year period alcohol is estimated
4.4% (6,584) deaths
131,245 potential years of life lost,
America only 4% of males and 1.5% of females had deaths attributed to alcohol.

4. Access to and quality of healthcare in Ireland
Considered universal coverage with controlled access.
Medium level of total health care expenditure with a high share of public funding
Entitlement to healthcare from citizenship.
Access to healthcare providers is strictly regulated by the state, with restrictions to access to specialists

5. Obesity Obesity rates: Boys 4.1-11.2% Girls 9.3-16.3%,
2-4x increase in 8-12 year olds from 1990 to 2005
Men 20%, Women 16%
2x increase in adult men from 1990 to 2002
Increase of 13-16% in women from 1990 to 2002

6. Clinical Experience 30 year old Male 2 day history worsening headache
(+) Brudnizki sign
(-) CT Head scan
Patient requested I do the lumbar puncture, knowing it would be my first

7. Cultural Experience

8. Cultural Experience Murphy’s Ice Cream All home made ingredients
Milk only from Dingle cows
Sea salt from Dingle Sea water
Offer 16 flavors, willing (and wanting) anyone to taste them all
Best ice cream

9. Favorite Quote
In a radiology report for a person with likely Takotsubo Cardiomyopathy:
- “The patient experienced a stress of Icelandic volcanic eruption proportions”

10. Favorite Photo
Location: Ring of Kerry