However, a small percentage of people are born with a single-letter change in their DNA for this enzyme that causes the codeine-to-morphine reaction go faster.
Scientists have found that the genetic mutation which renders codeine ineffective is much more common among northern Europeans, than those who hail from the Mediterranean.
The other 90% of the population who take the medicine are able to break codeine down in their cells to make morphine and hence receive a significant amount of pain relief.
But it would be as wrong to conclude that giving codeine to somebody from Malta would be bound to work, as it would to assume that giving it to a Swede would be a waste of time.