No more than 10 standard drinks a week, or 4 on any day: new guidelines urge Aussies to go easy on the booze



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Kate Conigrave, University of Sydney

The National Health and Medical Research Council (NHMRC) has today released new guidelines to reduce health risks from drinking alcohol. Under the new recommendations, healthy adults should drink no more than ten standard drinks a week, and no more than four on any one day.

I’m chair of the Alcohol Working Committee that for the past four years has worked on revising the Australian drinking guidelines.

These replace the previous version published in 2009, and come at the end of a year upended by a pandemic, and just before the festive season. That might sound like a curious time to release the alcohol guidelines, but it actually makes sense.

During the pandemic, some people have been drinking less because they are going less often to pubs. Others are drinking more at home. Of these, some have turned to drinking for stress relief and run into major strife with it.




Read more:
Women are drinking more during the pandemic, and it’s probably got a lot to do with their mental health


But these guidelines are not just for the pandemic year. They are to help all Australians make informed decisions about how much they drink, at any time.

Alcohol contributes to a major health burden in Australia. Harms related to drinking result in more than 4,000 deaths and 70,000 hospital admissions every year.

Alcohol guidelines graphic
The new NHMRC alcohol guidelines.
NHMRC, Author provided

Alcohol is a key cause of injuries, including road trauma, falls, burns, violence and self-harm. It contributes to drownings and other short-term harms. But much of the damage alcohol causes is less visible, and less immediate.

In the past decade, international research has shown even low levels of consumption are linked with an increase in several common cancers, including those of the breast and bowel. And we’ve known for a long time that alcohol consumption can contribute to high blood pressure, liver disease and many other conditions. The risk increases as more alcohol is consumed.

So, in line with its mission to provide robust evidence-based health advice, NHMRC has now released a set of three guidelines so Australians can make informed decisions about their health.

Standard drink graphic
Healthy adults should have no more than ten standard drinks per week.
NHMRC, Author provided

What do the new guidelines say?

The first guideline recommends healthy adult men and women consume no more than 10 standard drinks a week, and no more than four on any given day.

The less you drink, the lower your risk. If this advice is followed, there is a less than one in 100 chance of dying from an alcohol-related condition across your lifetime.

Guidelines two and three concern people under the age of 18, and women who are pregnant, trying to become pregnant, or breastfeeding. In all these cases, the recommendation is to drink no alcohol at all.

The guidelines were developed by a group of 14 health experts, including clinicians, public health professionals, researchers, and consumer representatives.

1 in 100 graphic
If you follow these guidelines, evidence suggests you’d have a less than 1% chance of dying from an alcohol-related condition.
NHMRC, Author provided

But doesn’t light drinking have a protective effect? The jury is out

After a thorough review of research evidence, NHMRC’s Alcohol Working Committee released draft guidelines for public consultation in December 2019. We received many responses, some asserting the guidelines didn’t go far enough, and others claiming they went too far.

Some studies mentioned suggested a possible protective effect of low-level consumption of alcohol, in particular against coronary heart disease.

These issues were scrutinised by our committee. The evidence for a protective effect has been challenged by research in recent years. Some researchers dispute its existence.

But at the least, any protective effect is not as strong as previously thought. Nonetheless, the guidelines do allow for a potential protective effect – if they hadn’t, the recommended maximum would have been far lower! Potential protective effects were balanced against the increased risk of certain cancers.

These guidelines are not trying to tell you what you can and can’t do. Rather, we’re providing advice on how you can reduce your health risks from drinking alcohol. That way, we can all make informed decisions in our daily lives.The Conversation

Kate Conigrave, Senior Staff Specialist and Professor of Addiction Medicine, Royal Prince Alfred Hospital and Sydney Medical School, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Cap your alcohol at 10 drinks a week: new draft guidelines



Further evidence about the harms of alcohol has accumulated over the past decade since the last guidelines were released.
Syda Productions/Shtterstock

Nicole Lee, Curtin University

New draft alcohol guidelines, released today, recommend healthy Australian women and men drink no more than ten standard drinks a week and no more than four on any one day to reduce their risk of health problems.

This is a change from the previous guidelines, released in 2009, that recommended no more than two standard drinks a day (equating to up to 14 a week).

(If you’re unsure what a standard drink looks like, use this handy reference.)

The guidelines also note that for some people – including teens and women who are pregnant or breastfeeding – not drinking is the safest option.




Read more:
Drink, drank, drunk: what happens when we drink alcohol in four short videos


What are the new recommendations based on?

The National Health and Medical Research Council looked at the latest research and did some mathematical modelling to come to these recommendations.

It found the risk of dying from an alcohol-related disease or injury is about one in 100 if you drink no more than ten standard drinks a week and no more than four on any one day.

So, for every 100 people who stay under these limits, one will die from an alcohol-related disease or injury.

This is considered an “acceptable risk”, given drinking alcohol is common and it’s unlikely people will stop drinking altogether. The draft guidelines take into account that, on average, Australian adults have a drink three times a week.

Why did the guidelines need updating?

Recent research has shown there is a clear link between drinking alcohol and a number of health conditions. These include at least seven cancers (liver, oral cavity, pharyngeal, laryngeal, oesophageal, colorectal, liver and breast cancer in women); diabetes; liver disease; brain impairment; mental health problems; and being overweight or obese.

Some previous research suggested low levels of alcohol might be good for you, but we now know these studies were flawed. Better quality studies have found alcohol does not offer health benefits.




Read more:
Health check: is moderate drinking good for me?


The new guidelines are easier to follow than the previous guidelines, which gave recommendations to reduce both short-term harms and longer-term health problems. But some people found these confusing.

Although most Australians drink within the previously recommended limits, one study found one in five adults drank more than the guidelines suggested and almost half could not correctly identify recommended limits.

The draft new guidelines are easier to follow than the old ones.
sama_ja/Shutterstock

Although women tend to be more affected by alcohol than men, at the rates of consumption recommended in the guidelines, there is little difference in long term health effects so the guidelines apply to both men and women.

The recommended limits are aimed at healthy men and women, because some people are at higher risks of problems at lower levels of consumption. These include older people, young people, those with a family history of alcohol problems, people who use other drugs at the same time (including illicit drugs and prescribed medication), and those with physical or mental health problems.

The guidelines are currently in draft form, with a public consultation running until February 24.

After that, there will be an expert review of the guidelines and the final guidelines will be released later in 2020. There may be changes to the way the information is presented but the recommended limits are unlikely to change substantially, given they’re based on very careful and detailed analysis of the evidence.

What’s the risk for people under 18?

The draft guidelines recommend children and young people under 18 years drink no alcohol, to reduce the risk of injury and other health harms.

The good news is most teenagers don’t drink alcohol. Among 12 to 17 year olds, only 20% have had a drink in the past year and 1.4% drink weekly. The number of teenagers who have never had a drink has increased significantly in the last decade, and young people are having their first drink later.




Read more:
Three ways to help your teenage kids develop a healthier relationship with alcohol


However, we know teenagers are more affected by alcohol than adults. This includes effects on their developing brain. We also know the earlier someone starts drinking, the more likely they will experience problems, including dependence.

The idea that if you give teenagers small sips of alcohol it will reduce risk of problems later has now been debunked. Teens that have been given even small amounts of alcohol early are more likely to have problems later.

What’s the risk for pregnant and breastfeeding women?

The guidelines recommend women who are pregnant, thinking about becoming pregnant or breastfeeding not drink any alcohol, for the safety of their baby.




Read more:
Health Check: what are the risks of drinking before you know you’re pregnant?


We now have a much clearer understanding of the impacts of alcohol on the developing foetus. Foetal alcohol spectrum disorder (FASD) is a direct result of foetal exposure to alcohol in the womb. Around one in 67 women who drink while pregnant will deliver a baby with foetal alcohol spectrum disorder.

Foetal alcohol spectrum disorder is characterised by a range of physical, mental, behavioural, and learning disabilities ranging from mild to severe – and is incurable.

Worried about your own or someone else’s drinking?

If you enjoy a drink, stick within these recommended maximums to limit the health risks of alcohol.

If you have trouble sticking to these limits, or you are worried about your own or someone else’s drinking, call the National Alcohol and other Drug Hotline on 1800 250 015 to talk through options or check out these resources online.




Read more:
Did you look forward to last night’s bottle of wine a bit too much? Ladies, you’re not alone


The Conversation


Nicole Lee, Professor at the National Drug Research Institute (Melbourne), Curtin University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Taxing sugary drinks would boost productivity, not just health



File 20170620 22151 8jzq1m
Taxing sugary drinks to tackle obesity would lead to a stronger economy, new research shows.
from www.shutterstock.com

Lennert Veerman, Cancer Council NSW

Many studies have looked at the potential benefits of a sugar tax in
terms of the longer, healthier lives and reduced health expenditure associated with tackling obesity.

But our new study goes one step further. It predicts that higher taxes on sugar-sweetened drinks will benefit the wider economy through increased economic productivity, by having more, healthier people in paid and unpaid work.

Obesity delivers a double whammy

A total of 63% Australian adults and one in four children are overweight or obese, making this both a health and an economic problem.

Obesity increases the risk of diseases including cancer, diabetes, heart disease and stroke. Obesity has also been estimated to cost Australia about A$8.6 billion a year or more. Not only does obesity drive up health-care costs, by causing illness and premature death, it also reduces people’s ability to work and contribute to the economy.

Added sugar contributes energy to the diet, but no useful nutrients. Increasingly, health experts suggest we should be treating sugar, and in particular sugar in soft drinks, as we do tobacco or alcohol, by taxing it to reduce consumption and so reduce obesity rates.

Taxing sugar is not a new concept. In the 1700s, Scottish economist Adam Smith wrote in An Inquiry into the Nature and Causes of the Wealth of Nations:

Sugar, rum, and tobacco, are commodities which are nowhere necessaries of life, which are become objects of almost universal consumption, and which are therefore extremely proper subjects of taxation.

Smith’s proposal to tax sugar was not aimed at improving health, as it is today. Now organisations like the World Health Organisation, the Australian Medical Association and many non-governmental organisations are advocating a tax on drinks with added sugar, as part of wider efforts to tackle obesity.

What we did and what we found

Until our study, few worldwide had looked at the wider economic effects of taxing sugary drinks.

We modelled the Australian adult population as it was in 2010, in terms of consumption of sugar-sweetened drinks, body mass, obesity-related diseases, death rates, and the amount of paid or unpaid work people were likely to do.

We compared a scenario in which the prices of sugared drinks went up by 20%, compared to business-as-usual, and estimated what difference this would make for the number of obese people, the number of years lived, and for overall economic production.


Further reading: Dietary guidelines don’t work. Here’s how to fix them


We used data from the 2011-12 Australian Health Survey and found that obese people aged 15-64 had a lower chance of being in a paid job, compared to people whose weight was normal. We assumed this was related to illness.

Of people in work, obese workers needed more sick leave, but only about an hour a year.

We also looked at unpaid work (like cooking, cleaning and caring, and volunteer work). We included gains due to more people surviving for longer due to lower body weight. We assumed that if work was not done as unpaid work, somebody would have to be hired to do it (so there would be a replacement cost).

Our results show that a 20% sugar tax would mean about 400,000 fewer people would be obese. Three-quarters of these would be in the workforce, so that about 300,000 fewer employed people would be obese.


Further reading: Australian sugary drinks tax could prevent thousands of heart attacks and strokes and save 1,600 lives


Over the lifetime of the adult population of Australia in 2010, this would add about A$750 million to the formal, paid economy, due to more, healthier people producing more goods and services.

The gains in unpaid work were even larger at A$1.17 billion. Fewer obese people means more healthy people, who have a greater likelihood to do unpaid work, in the household or as volunteers.

These indirect economic benefits from increased employment in the workforce and from greater participation in unpaid work were larger than the savings in health care costs, which we estimated at about A$425 million over the lifetime of the adult population.

In all, the tax could deliver over A$2 billion in economic benefits in indirect economic benefits plus health care savings. And that does not even include the value of the gains in people’s quality of life and how long they lived.


Further reading: Fat nation: the rise and fall of obesity on the political agenda


The exact size of the benefits depend on assumptions about what people would drink (and eat) if they drink fewer sugared drinks. In this study, we used Australian evidence that found an increase only for diet drinks, which contain virtually no energy.

Other evidence finds a sugar tax reduces the consumption of sugar and energy-rich foods, but may also lead to people eating fewer fruit and vegetables and more salt. This would reduce the health benefit, and that study suggests it would be even better to tax all sugar instead of only sugared drinks.

Nevertheless, the available evidence shows health benefits of increased taxation of sugared drinks.

What’s happening overseas?

Studies in other countries have predicted similar effects of a sugar tax on the proportion of obese people. For example, a 20% tax is expected to reduce the number of obese people by about 1.3% in the UK and 2-4% in South Africa.

And an increasing number of countries, including the UK, France, Denmark, Finland, Hungary and recently Estonia and Saudi Arabia, have already announced or have implemented a tax on drinks with added sugar.

If Australia introduces a 20% tax on sugar-sweetened drinks, as many health advocates and economists have called for, that would not only improve health, our results predict it would also promote economic growth.


The ConversationThe author of this article will be available for a live Q&A today 1-2pm. Please post your questions in the comments below.

Lennert Veerman, Senior health economist, Cancer Council NSW

This article was originally published on The Conversation. Read the original article.

Pakistan’s ‘Blasphemy’ Laws Claim Three More Christians


Cafeteria worker, couple convicted without basis under widely condemned statutes.

KARACHI, Pakistan, March 10 (CDN) — A Christian couple was sentenced to 25 years in prison for violating Pakistan’s widely condemned “blasphemy” laws last week, and another Christian convicted without basis under the same statutes the previous week received the same sentence.

In Kasur, Ruqqiya Bibi and her husband Munir Masih were sentenced on March 3 to 25 years of prison under Section 295-B of the Pakistan Penal Code for defiling the Quran. They had been arrested by Mustafabad police in December 2008 for touching Islam’s sacred scripture without ritually washing.

Punishment for defiling the Quran is “life imprisonment,” which means 25 years in Pakistan.

Prosecution witnesses accused Ruqqiya and her husband of using the Quran as part of black magic, and that in the process Ruqqiya had touched it without it without ritual cleansing. They also claimed that the couple had written the creed of Islam, or Kalima-e-Tayyaba, on the walls of their house.

Tahir Gul, a lawyer of the Centre for Legal Aid Assistance and Settlement (CLAAS), told Compass that the Christian couple had not used the Quran for black magic. He said the matter arose out of a quarrel between Muslim and Christian children and turned into a clash of their parents. Because Pakistan’s blasphemy statues are so commonly used to settle such personal scores, they are widely condemned by human rights advocates and legislators around the world.

After police investigation, the couple was further charged under Section 295-C of the blasphemy laws, which criminalizes any derogatory remark – spoken, written or by visible representation – against Muhammad, the prophet of Islam. The minimum punishment for such remarks is also “life imprisonment” of 25 years, but the law also allows for the death penalty.

Gul said the court had absolved the couple of charges under Section 295-C, as no evidence was found of them blaspheming Muhammad. He said that when the crime report was initially filed, the couple was accused only of defiling the Quran and not of blaspheming Muhammad.

The attorney said the case would be appealed in the Lahore High Court.

In Karachi, the Additional District and Sessions Court on Feb. 25 sentenced another Christian, Qamar David, to 25 years in prison and a fine of 100,000 rupees (US$1,170) after he was convicted without basis of sending blasphemous text messages in May 2006.

David was convicted under Section 295-A of the blasphemy statues for “injuring religious feelings of any community,” and also under Section 295-C for derogatory remarks against Muhammad. Maximum punishment for violation of Section 295-A is life imprisonment, and for Section 295-C the maximum punishment is death, though life imprisonment is also possible. David received the sentence of life in prison.

His lawyer, Pervaiz Aslam Chaudhry, told Compass that the conviction was without basis as all 16 witnesses at the trial said that not David but the owner of the cell phone, who is also the subscriber to the SIM card through which they received the blasphemous messages, was guilty. The SIM card and the cell phone are owned by a Muslim, Munawar Ahmad, who was named with David, he said.

“In spite of these facts, the court has absolved him [Ahmad] of all charges,” Chaudhry said.

In May 2006, two First Information Reports (FIR) were filed against David in Karachi under sections 295-A and 295-C. The first was filed under both sections by Khursheed Ahmed Khan, a travel agent, at the Sadar Police Station in Clifton. David still awaits trial on the second FIR, also under sections 295-A and 295-C, filed by Hafiz Muhammad Hamid at the Azizabad police station in Gulberg Town.

David has never been granted bail since his arrest in 2006, and he is in Central Jail in Landhi. Chaudhry said that he would file an application in the Sindh High Court for a hearing on the second case, because no trial date has been given despite the lapse of three and a half years.

“I feel that Qamar will also be convicted in the lower court again, because we see no signs of impartiality,” he added.

David’s family members criticized the blasphemy laws and his conviction, holding a protest on Feb. 28 with the help of Save the Churches’ Property Welfare Association and the United Church of Christ. They said that David was innocent and that the court was biased.

Chaudhry said that David lived a harsh life in the jail, where he was often threatened and once attacked by fellow inmates. The attorney said his client has faced obstacles in pursuing his case, and that extremists accused him of being a supporter of “blasphemers” because he was a Christian.

“Muslims raised slogans of triumph of Islam outside the court premises on the day David was convicted,” Chaudhry said. “The judgment was expected against David due to pressure on the judge, Jangu Khan.”

David had worked in the cafeteria of a hospital in Karachi, where he served drinks and food to customers, before he was accused in May 2006 of sending blasphemous messages.

Report from Compass Direct News 

BY WHAT MEANS MAY MINISTERS BEST WIN SOULS? Robert Traill


October 1682

Take heed unto thyself, and unto the doctrine; continue in them: for in doing this thou shalt both save thyself, and them that hear thee. (1 Tim. iv. 16).

 

The words are a substantial part of the good counsel and direction the apostle gives to Timothy, and through him to all the ministers of the gospel.

In them are two things:

1. A threefold duty laid on gospel-ministers, Take heed unto thyself, and unto thy doctrine; continue in them.

2. A double advantage consequent upon the discharge of this duty: For in doing this, thou shalt both save thyself, and them that hear thee.

 

1. Ministers’ duty is in three things here.

First, Take heed unto thyself. You are set in a high office in a dangerous place; take good and narrow heed, look well to thyself, thy heart and way.

Second, Take heed unto thy doctrine. Though thou be ever so well gifted, and approved both of God and men; though thou be an extraordinary officer (as Timothy was); yet take heed unto thy doctrine. These two we pass at present; because we shall resume them at greater length, when we take their help to the resolving of this question.

Third, Continue in them. This is related to vs.12, and 15. as well as to the preceding part of this verse. I shall dismiss this part of the verse with these comments,

(1.) Continue in thy work. Thou who art a minister, it is a work for thy lifetime; and not to be taken up and laid down again, according as it may best suit a man’s carnal inclinations, and outward conveniences. The apostles that laboured with their hands have, by that example, set the conscience of a minister at liberty to provide for the necessities of this life by other employments when he cannot live of the gospel, yet certainly no man that is called of God to this work can with a safe conscience abandon it wholly. Paul, for example rather than necessity, both preached and wrought as a tent maker. As preaching doth not make working unlawful, so neither should any other business of a minister make preaching to cease.

(2.) Continue in endeavours after greater fitness for thy work. No attainments in fitness and qualifications for this work can free a man of the obligation that lies on him to increase and grow therein more and more. It is not enough that a man study and be careful ere he enter into the ministry, but he must labour still to be more fit for his great work.

(3.) Continue in your vigour, and carefulness, and diligence. Young ministers that are sound and sincere before God are usually warm and diligent in the first years of their ministry; and many do decline afterwards and become more cold and remiss. This exhortation is a check thereunto: Continue in them.

2. The second thing in the word is, the double advantage proposed to encourage ministers to this hard duty.

The first advantage is, Thou shalt save thyself. Thy own salvation shall be promoted thereby.

How becoming is it for a minister to mind his own salvation! and to mind it so heartily, as to be animated from the hopes of it unto the greater diligence in his ministry!

But how doth faithfulness in the ministry of the gospel further the minister’s salvation?

(1.) Thou shalt save thyself from the guilt of other men’s sins and ruin, if thou be faithful in the ministry: Ezek. xxxiii. 9. Thou hast delivered (or saved) thy soul, saith the Lord to the prophet in the case of unsuccessful faithfulness. So Paul, Acts xviii. 6. I am clean, your blood be upon your own heads: and Acts xx. 26-27. I take you to record this day, that I am pure from the blood of all men: for I have not shunned to declare unto you all the counsel of God. Every minister pledgeth his soul to God, that he shall be a faithful servant, whatever his success may be.

(2.) Faithfulness and carefulness in the ministry of the gospel, promotes a man’s own salvation, in so far as the work of Christianity is woven in with the right discharge of the office of the ministry. Many ministers can say that if they had not been ministers they had in all appearance lost their souls. The subject of the minister’s work, is the same with that of a Christian’s; and above all men should he be careful of his heart and intentions that all be pure and spiritual. No man in any work he is called to is under so strict a necessity of dependence on the influence and assistance of the Holy Ghost both for gifts and grace. And are not all these great helps unto our own salvation?

The second advantage is, Thou shalt save them that hear thee. There is little hope of that man’s being useful to save others that minds not his own salvation; and therefore the apostle puts them in this order, thyself, and then, them that hear thee.

This description of the people, them that hear thee, tells us that the principal work of a minister is preaching; and the principal benefit people have by them is to hear the Lord’s word from them; though there be a seeing (i.e. of their holy conversation) that is also useful, Phil. iv. 9. But the apostle knew no such ministers as were only to be seen in worldly pomp and grandeur and seldom or never heard preaching.

Thou shalt save them. The great end of both preaching and hearing, is salvation; and if salvation were more designed by preachers and hearers, it would be more frequently the effect of the action.

Thou shalt save them. Thou shalt, by the Lord’s blessing on thy ministry, be successful in converting sinners, and in building up of saints in holiness and faith unto salvation. Not that ministers are of themselves able by all their endeavours to carry on this great end; they are only God’s tools and instruments, 1 Cor. iii. 6, 7. Concerning this,

(1.) We find that the Lord hath appointed this great ordinance of the gospel-ministry for this end, the saving of men, Eph. iv. 11-13. It is through their word that men believe, John xvii. 20. And divine appointment of the means, declares it to be both useful and the end to be hopeful.

(2.) He hath also given many promises of His presence, blessing, and success, to follow and attend them whom He sends on this great errand. Christ’s first calling of the apostles had this promise in it, I will make you fishers of men; which not only declared what that employment was he called them to, but it assured them of success in it. At his leaving of them, Matt. xxviii. 20, He promised to be with them unto the end of the world. And this promise is as good to us as it was to them.

(3.) He has also revealed much of His mind about ministers’ duty, in order to this end of saving men. This also makes the end more hopeful.

(4.) We find that the Lord does qualify and fit them whom He makes successful. He makes men able ministers of the New Testament, the word of life, 2 Cor. iii. 5-6. And still, according to the success the Lord hath a mind to bless a man with gifts, and qualifications, and assistance, are proportionably given. The apostles that had the greatest harvest to gather in were made the strongest labourers: and, though in a far inferior degree, the same method is observed by the Lord in dealing with and by ordinary ministers. It is true, that not always the most able and learned ministers are most successful; yet, generally, the most skilful labourers are most blessed. Neither are the most learned and able men for parts most fit and skilful in dealing with souls at all times.

Now, having opened the words, we shall return to the question to be resolved,

By what Means may Ministers best win Souls?

Consider what this text speaks about this matter. It looks two ways upon this question. 1. It gives a direct answer to it: and points out duty. 2. It gives an encouraging promise of the good effect and fruit of the discharge of the duty.

 

I. Take heed unto thyself. Would you be a saved and successful minister? Take heed unto thyself. Such warnings imply always a case of difficulty and danger.

First; Take heed that thou be a sound and sincere believer, The importance of sincere godliness in a minister, is written in the deep wounds that the church of Christ has received by the hands of ungodly ministers. It has been made a question, whether an ungodly man can be a minister? But such men are in a most desperate condition: Mat. vii. 22, 23. Depart from me; not because you ran unsent, or preached error instead of truth, or preached poorly and meanly, (all great sins in themselves); but because you work iniquity; the usual expression of entire ungodliness. What use the Lord may make of the gifts (for, great gifts He gives to the worst of men) of ungodly men, even in the ministry of the gospel, is one of His deep paths. But no man can reasonably imagine, that a walker in the way to hell can be a fit and useful guide to them that mind to go to heaven. If a man would have peace in his conscience and success in his work of the ministry, let him take good heed to this, that he be a sound Christian. There is a special difficulty for a minister to know his grace. Gifts and grace have deceived many with their likeness; although the difference be great, both in itself, and to an enlightened eye.

Second; Take heed to thyself, that thou be a called and sent minister. This is of great importance as to success. He that can say, “Lord, thou hast sent me,” may boldly add, “Lord, go with me, and bless me.” It is good when a man is serious in this inquiry. It is to be feared that many run, and never asked this question; so is it seen in their speed and success. Jer. xxiii. 32. I sent them not, therefore they shall not profit this people at all, is a standing rule to this day.

These things, if found, may serve to satisfy a minister’s conscience, that Jesus Christ hath sent him.

(a.) If the heart be filled with a single desire after the great end of the ministry, the glory of God in the salvation of men. Every work that God calls a man to, He makes the end of it amiable. This desire sometimes attends men’s first conversion. Paul was called to be a saint and an apostle at once, Acts ix; and so have many been called to be saints and ministers together. If it be not so, yet this is found with him that Christ calls, that when he is most spiritual and serious, when his heart is most under the impressions of holiness, and he is nearest to God in communion with Him; then are such desires after the serving of Jesus Christ in the ministry most powerful. And the sincerity of his desire is also to be examined: and when it is found, it adds greatly to a man’s peace: when his heart bears him witness, that it is neither riches, nor honour, nor ease, nor the applause of men, that he seeks after, but singly Christ’s honour in the saving of men.

(b.) It helps to clear a man’s call, that there has been a conscientious diligence in all the means of attaining fitness for this great work. That love to the end that does not direct and determine to the use of the appointed means, may justly be suspected as irregular, and not flowing from the Holy Ghost. Even extraordinary officers seem not to have been above the use of ordinary means, 2 Tim. iv. 13: old, dying Paul sends for his books and papers.

(c.) A competent fitness for the work of the ministry is another proof of a man’s call to it. The Lord calls no man to a work for which He does not qualify. Though a sincere humble man (as all ministers should be) may and should think little of any measure he has, whether compared with the greater measures of others, or considered with regard unto the weight and worth or the work; yet there must be some confidence as to his competency, for clearing a man’s call, 2 Cor. iii. 5, 6. What this competency is, is not easy at all times to determine. But in general there must be, 1. A competent knowledge of gospel-mysteries. 2. A competent ability of utterance to the edifying of others. This is aptness to teach, required of the apostle in I Tim. iii. 2: and Titus i. 9. that a minister be able, by sound doctrine, to exhort and to convince gainsayers.

(d.) The savour of a man’s ministry on the hearts and consciences of others, both ministers and people, helps much to clear a man’s call. So that indeed ordinarily a man can never be so well confirmed in the faith of his being called of God, until he make some essay in this work. Deacons must first be proved, I Tim. iii 10; much more ministers. A single testimony given by ministers and Christians, that the word dispensed by the man is savoury and has effect on the conscience is a great confirmation; especially if sound conversion of some follow his labours. That is indeed a seal of his ministry, 2 Cor. iii. 3, and 1 Cor. ix. 2.

Third; Take heed unto thyself that thou be a lively thriving Christian. See that all your religion run not in the channel of your employment. It is found by experience, that as it fares with a minister in the frame of his heart, and thriving of the work of God in his soul, so doth it fare with his ministry both in its vigour and effects. A carnal frame, a dead heart and a loose walk, makes cold and unprofitable preaching. And how common is it for ministers to neglect their own vineyard? When we read the word we read ill as ministers to know what we should teach rather than what we should learn as Christians. Unless there be great heed taken, it will be found that our ministry and labour therein may eat out the life of our Christianity. Not that there is any discord betwixt them; but rather a friendly harmony, when each has its place and respect. The honest believer meditates that he may excite his grace; and ministers too often meditate only to increase their gifts. When we preach, the sincere hearer drinks in the word; and it may be we seldom mix faith with it, to grow thereby. O how hard is it to be a minister and a Christian in some of these acts! We are still conversant about the things of God; it is our study all the week long. This is our great advantage. But take heed to thyself, lest ordinary meddling with divine things bring on an ordinary and indifferent impression of them; and then their fruit to you, and your benefit by them, is almost gone and hardly recovered.

Fourth; Take heed unto thyself in reference to all the trials and temptations you may meet with. Be on your guard, watch in all things, 2 Tim. iv. 5. No men are shot at more by Satan than ministers, and Christ is liberal in His warnings of dangers, and in His promises of help in them.

 

2. The second word in the text to this purpose of directing ministers how to be useful to others, is take heed unto thy doctrine. Are you a minister? You must be a preacher. An unpreaching minister is a sort of contradiction. Yet, every sort of preaching is not enough; you must take heed to your doctrine what it is.

Here is a warrant for studying what we are to teach and what we have taught people. But the great matter is to take heed, or study aright. Students commonly need little direction about ordinary study. But concerning the doctrine, I shall entreat to take heed unto it in these things:—  First; Take heed unto thy doctrine, that it be a divine truth:—Let a man speak as the oracles of God, 1 Pet. iv. 11. And therefore it is needful that ministers be well acquainted with the holy scriptures. It is a mark against a man that relishes any book more than the word of God. The world is full of books written on pretence and design to explain the scriptures; and men’s studies are full of them. There is also a blessing in them, and good use to be made of them; but also a bad use is made of them. Many ministers have found that they have preached better and to more profit to the people when they got their sermon by meditation on the word and prayer than by turning over many authors. From this neglect of the word also come a great many doctrines that are learned by man and borrowed from philosophy; which though they may have some truth in them, yet since it is divine truth that a minister should bring forth to the people, he should not rest on such low things.

Second; Take heed unto thy doctrine that it be plain and suited to the capacity of the hearers. Learned preaching (as it is called) is a vanity, pleasing principally to such as neither design nor desire edification. True godly learning consists in preaching plainly; and therein is no small difficulty. Two things would help to plain preaching. 1. Clearness of knowledge. The alleged depth of our doctrine often proceeds from our own darkness. 2. Humility and self-denial. We must not seek ourselves, nor the applause of men; but God’s glory, and men’s salvation. It is found that the holiest ministers preach most plainly and the plainest preachers are most successful.

Third; Take heed unto thy doctrine, that it be grave, and solid, and weighty; sound speech that cannot be condemned, Tit. ii. 8. Deep and weighty impressions of the things of God upon a man’s own heart would greatly advance this. A minister’s spirit is known in the gravity or lightness of his doctrine.

 

II. But now we come to the second thing proposed, to give some answer to this question from other things in the word.

And I shall, 1. Shew some things that must be laid to heart about the end, the saving of souls; and then, 2. Shall give some advice about the means.

1. About the end, the winning of souls. This is to bring them to God. It is not to win them to us, or to engage them into a party, or to the espousal of some opinions and practices, supposing them to be never so right and consonant to the word of God. But the winning of them is to bring them out of nature into a state of grace, that they may be fitted for, and in due time admitted into everlasting glory.

Concerning which great end, these few things should be laid deeply to heart by all that would serve the Lord in being instrumental in reaching it.

First; The exceeding height and excellency of this end is to be laid to heart. It is a wonder of condescension that the Lord will make use of men in promoting it. To be workers together with God in so great a business, is no small honour. The great value of men’s souls, the greatness of the misery they are delivered from, and of the happiness they are advanced to, with the manifold glory of God shining in all, makes the work of saving men great and excellent. Preaching the gospel, and suffering for it, are services that angels are not employed in. Mean and low thoughts of the great end of the ministry, as they are dissonant from truth, are also great hindrances to due endeavours after the attaining the end.

Second; The great difficulty of saving souls must be laid to heart. The difficulty is undoubted. To attempt it is to offer violence to men’s corrupt natures; and a storming of hell itself, whose captives all sinners are. Unless this difficulty be laid to heart ministers will be confident of their own strength and so miscarry and be unfruitful. Whoever prospers in winning souls is first convinced that it is the arm of Jehovah only can do the work.

Third; The duty of winning souls must be laid to heart by ministers. That it is their principle work and they are under many commands to endeavour it. It is a fault to look on fruit only as a reward of endeavours; but it should be so minded as the end we would strive for, Col. i. 28-29; which, when attained, is still to His praise: yet most commonly when it is missing it is to our reproach and danger, when it is (as alas! it is often) through our default.

Fourth; The great advantage there is to the labourer by his success is to be pondered. Great is the gain by one soul. He that winneth souls, is happy as well as wise, Prov. ix. 30. Dan. xii. 3. Won souls are a minister’s crown, and glory, and joy. Phil. iv. 1. 1 Thess. ii. 20. How far is this account above all others that a man can give of his ministry? These things fixed upon the heart, would enliven us in all endeavours to attain this excellent end.

 

2. For advice about the means, I shall add these few thoughts besides what hath been said.

First; Let ministers, if they would win souls, purchase and retain amongst the people a persuasion of their being sent of God; that they are Christ’s ministers, 1 Cor. iv. 1. It is not the confident asserting of it, nor justifying the lawfulness of our ecclesiastical calling, though there be some use of these things at some times: but it is ability, carefulness, faithfulness, humility, and self-denial, and, in a word, conformity to our Lord Jesus in His ministry, that will constrain people to say and think that we are sent of God. Nicodemus comes with this impression of Christ, John iii. 2. A teacher come from God. It is certain, that these thoughts in people further the reception of the gospel; Gal. iv. 14. Ye received me as an angel of God, even as Christ Jesus.

Second; Let ministers, if they would win souls, purchase and maintain the people’s love to their persons. And this is best done by loving them and dealing lovingly and patiently with them. There should be no striving with them especially about worldly things: yea, meekness to them that oppose themselves, 2 Tim. ii. 24-26. It is of great advantage to have their love. How carefully doth Paul sue for it in several epistles; and condescend to intreat and make apologies when indeed he had not wronged them but they only did imagine he had wronged them! 2 Cor. ix.

Third; It would further the winning of souls, to deal particularly and personally with them; not always nor altogether in public, Col. i. 28. Acts xx. 20-21. Great fruit hath constantly followed the conscientious discharge of this duty. The setting of it up in Geneva did produce incredible fruits of piety, as Calvin reports: when the ministers and some of the elders went from house to house and dealt particularly with the people’s consciences. And we are not without many instances of the fruit of this mean in our own time and in these nations. Blessed be the Lord for the labourers and their success.

Fourth; Ministers must pray much if they would be successful. The apostles spent their time this way, Acts vi. 3. Yea, our Lord Jesus preached all day, and continued all night alone in prayer to God. Ministers should be much in prayer. They used to reckon how many hours they spend in reading and study; it were far better both with ourselves and the church of God if more time were spent in prayer. Luther’s spending three hours daily in secret prayer, Bradford’s studying on his knees, and other instances of men in our time are talked of rather than imitated. Ministers should pray much for themselves; for they have corruptions like other men and have temptations that none but ministers are assaulted with. They should pray for their message. How sweet and easy is it for a minister, (and likely it is to be the more profitable to the people), to bring forth that scripture as food to the souls of his people that he hath got opened to his own heart by the power of the Holy Ghost in the exercise of faith and love in prayer! A minister should pray for a blessing on the word, and he should be much in seeking God particularly for the people. It may be this may be the reason why some ministers of meaner gifts and parts are more successful than some that are far above them in abilities; not because they preach better, but because they pray more. Many good sermons are lost for lack of much prayer in study.

But because the ministry of the word is the main instrument for winning souls, I shall therefore add somewhat more particularly concerning this, and that both as to the matter and manner of preaching.

For the subject-matter of gospel-preaching, it is determined by the apostle expressly to be Christ crucified, 1 Cor. ii. 2. Two things ministers have to do about Him in preaching Him to them that are without. 1. To set Him forth to people, Gal. iii. 1; to paint Him in His love, excellency, and ability to save. 2. To preach Him unto them freely, fully, without any limitation as to sinners, or their sinful state. And then Christ’s laws or will to be published to them that receive Him, and are His, for the rule of their walk; and His promises, for the measure and foundation of all their hopes and expectations; and His grace and fulness, for their supply in every case, till they be brought to heaven. This was the simplicity of the gospel that remained but a little while in the Christian church: for ceremonies amongst the Jews, and sinful mixtures of vain philosophy amongst the Gentiles, Col. ii. did by degrees so corrupt the gospel that the mystery of iniquity ripened in the production of Antichrist. It was a sad observation of the fourth century that it became a matter of learning and ingenuity to be a Christian. The meaning was that too much weight was laid on notions and matters of opinion; and less regard had unto the soundness of the heart and holiness of life. In the beginning of the reformation from Popery, the worthies whom God raised up in several countries did excellently in retrieving the simplicity of the gospel from the Popish mixtures. But that good work is on the decline greatly. How little of Jesus Christ is there in some pulpits! It is seen as to success, that whatever the law doth in alarming sinners, it is still the gospel-voice that is the key that opens the heart to Jesus Christ. Would ministers win souls? Let them have more of Jesus Christ in their dealing with men, and less of other things that never profit them that are exercised therein.

As for the manner of successful preaching, I shall give it in a negative and positive, from these two places: 1 Cor. i. 17, and ii. 1, 4.

First; What this negative condemns, is our inquiry. The words are full: For Christ sent me not to baptize, but to preach the gospel: not with wisdom of words, lest the cross of Christ should be made of none effect. Again, I came not to you with excellency of speech, or of wisdom, declaring unto you the testimony of God. Again, And my speech, and my preaching was not with enticing words of man’s wisdom. These are the words of the Holy Ghost concerning a way of preaching that is unprofitable: a way that seems was in use and respect with the Corinthians; and honest Paul was despised by them, for his simple and plain way, different from theirs. I shall only instance in things that this scriptural negative doth check and reprove in the way of preaching.

1. The establishing and advancing of divine truth upon the foundation of human reason; as if there were some weakness and insufficency in those methods and arguments of working on men’s consciences, that the Holy Ghost prescribes. The great foundation of all a minister hath to say, is, Thus saith the Lord; and a grave declaring of the testimony of God in this matter is a minister’s duty, 1 Cor. ii. 1, and will have more authority on men’s consciences than many human reasons. There is a rational preaching (as it is called), wherein men do not satisfy themselves to make use of reason as a tool and instrument (and then its use is excellent), but will establish it as a judge and dictator in all divine matters and truth; and so in effect turn all their preaching into little better things than the lectures of the philosophers of old; save that the poor pagans were more sincere in their morals and serious in delivering their opinions.

Let a minister therefore still think with himself, that a plain scripture-testimony is his main argument; and accordingly let him use it. When he teacheth philosophy, and when he teacheth men the will of God about salvation, he is in distinct provinces, and his management of his work therein should be very different.

2. It is to preach with excellency of speech, and words of man’s wisdom, when men think to reach the gospel end on sinners by force of even spiritual reason and persuasion. This corrupt thought riseth in some, from an imagination that moral suasion is all that is needful for converting a sinner: and in some this thought rises on a better account; the light of the glory of God in the gospel shines so brightly in upon their own hearts, that they fall into this conceit, that no man can stand before that light which they can hold forth: Melancthon’s mistake at first, till experience made him wiser. Hast thou a clear knowledge of gospel-mysteries, and the word of exhortation is with thee also, so that thou art qualified to urge, beseech. and plead warmly with sinners on Christ’s behalf? Take heed of this snare. Lest thou think that thy wisdom and gifts can promote and carry on the gospel-design on men.

3. This also is checked in the apostle’s words, the setting forth the beauty of the gospel by human art. The truth of the gospel shines best in its bare proposal; and its beauty in its simple and naked discovery. We may observe from church history, that as soundness of doctrine and the power of godliness decayed in the church, the vanity of an affected way of speaking and of writing of divine things came in. Quotations from the fathers, Latin, and languages, are pitiful ornaments to preaching if a man design conversion and soul-edification. And yet more despicable are all playing on words, jinglings, and cadences, (which things are in all the rules of true eloquence justly exploded); and yet some men reckon much on them. But would any man think his friend in earnest with him that would accost him in any affair with such sort of language and gesture?

Second; The positive is, in demonstration of the Spirit, and of power, 1 Cor. ii. 5.

1. Paul preached so as gave a demonstration that the Holy Ghost was in him, sanctifying him. This is a plain and blessed thing. Happy is the minister that manageth his work so that if the hearers get not a demonstration of great parts and learning, yet they have a demonstration of the sanctifying Spirit of God in the minister.

2. Paul preached so as gave a demonstration that the Spirit of God was with him, assisting and helping him in his work; even when he was amongst them in much weakness, fear, and trembling, ver. 3. Happy is the minister that can preach this way. He must be a depender upon assistance from the Holy Ghost.

3. Paul preached so as a demonstration of the power of the Holy Ghost was given to the hearts of the hearers. The Spirit of God so wrought on them by His power in and by Paul’s preaching, 2 Cor. iv. 2, commending ourselves to every man’s conscience in the sight of God. This is the principle thing to be aimed at, and it is the proper source of all profitable preaching.

 

III. To conclude: You that are ministers, suffer a word of exhortation.

Men, brethren, and fathers, you are called to an high and holy calling. Your work is full of danger, full of duty, and full of mercy. You are called to the winning of souls; an employment near akin unto our Lord’s work, the saving of souls; and the nearer your spirits be in conformity to His holy temper and frame, the fitter you are for, and the more fruitful you shall be in your work. None of you are ignorant of the begun departure of our glory, and the daily advance of its departure, and the sad appearances of the Lord’s being about to leave us utterly. Should not these signs of the times rouse up ministers unto greater seriousness? What can be the reason of this sad observation, that when formerly a few lights raised up in the nation, did shine so as to scatter and dispel the darkness of popery in a little time; yet now when there are more and more learned men amongst us, the darkness comes on apace? Is it not because they were men filled with the Holy Ghost, and with power; and many of us are only filled with light and knowledge, and inefficacious notions of God’s truth? Doth not always the spirit of the ministers propagate itself amongst the people? A lively ministry, and lively Christians. Therefore be serious at heart; believe, and so speak; feel, and so speak; and as you teach, so do: and then people will feel what you say, and obey the word of God.

And, lastly, for people: it is not unfit that you should hear of ministers’ work, and duty, and difficulties. You see that all is of your concernment. All things are for your sakes, as the apostle said in another case.

Then only I entreat you,

1. Pity us. We are not angels, but men of like passions with yourselves. Be fuller of charity than of censure. We have all that you have to do about the saving of our own souls; and a great work besides about the saving of yours. We have all your difficulties as Christians; and some that you are not acquainted with, that are only ministers’ temptations and trials.

2. Help us in our work. If you can do anything, help us in the work of winning souls. What can we do, say you? Make haste to heaven, that you and we may meet joyfully before the throne of God and the Lamb.

3. Pray for us. How often and how earnestly doth Paul beg the prayers of the churches! And if he did so, much more should we beg them, and you grant them; for our necessities and weaknesses are greater than his: 2 Thess. iii. 1-2. Finally, brethren, pray for us, that the word of the Lord may have free course, and be glorified, even as it is with you: and that we may be delivered from unreasonable and wicked men: for all men have not faith.