Fire him.
He was hired, he ****ed up, he gets fired. Simple as that. If the people above you want you do to it, you do it. Otherwise you're the one who gets in trouble.
Just tell him like it is. Hell, take this and use it verbatim.
"Hey, we hired you to do this job, and you showed up drunk and vomiting. This was seen as a great show of disrespect and a lack of professionalism. We no longer require your services."
Keep it short and simple. Just tell him what he did wrong and that he's done because of it. You don't need to explain anything else.
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