1 / 27

8.11.2013 - Symposium Binge Drinking in Belgian minors : an innocent problem ?

8.11.2013 - Symposium Binge Drinking in Belgian minors : an innocent problem ?. Health policy and the social cost of alcohol use in Belgium Kurt Doms Head Drugs Unit, FPS Health , Food chain safety and Environment.

alika
Download Presentation

8.11.2013 - Symposium Binge Drinking in Belgian minors : an innocent problem ?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 8.11.2013 - SymposiumBinge Drinking in Belgian minors : an innocent problem ? Healthpolicy and the social cost of alcohol use in Belgium Kurt Doms Head Drugs Unit, FPS Health, Food chainsafety and Environment ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  2. Structure • Mission Drug Unit • Social coststudies • International • National • Public expenditure : one element of social cost • General policy implications • Healthpolicy implications ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  3. 1. Mission Drug Unit • Stimulatingqualityimprovement and innovation in alcohol and drugtreatment • Supportingdevelopment and implementation of integrated and global drugpolicy • Promoting Belgian drugpolicyviewsinternationally ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  4. 2. Social coststudies • ‘The social cost of alcoholis the cost to society of everythingthathappensthatwould not happen in a world withoutalcohol. It does not show how muchcouldbesaved by anyparticularpolicymeasure, nordoesit show how muchcouldbesaved if alcoholsuddenlyvanished.’ (Anderson & Baumberg, 2006) ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  5. Concepts • Tangible and intangible costs • Tangible: monetaryharms • Intangible : non monetaryharms(value placed on harms) • Direct and indirect costs • Direct : immediately linked with harm • Indirect : e.g. productivity losses, … • Ideal : combination, not always possible/available ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  6. International data • Total tangible costs of alcohol use to the European Union in 2010 amount to € 155,8 billion(Rehm, 2012). ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  7. Total tangible social cost of alcohol use, in billion €, EU, 2010 • Rehm, 2012 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  8. High public healthcosts : epidemiology • Severalalcoholattributablediseases: neuropsychiatricdisorders, cancer, cardiovascular and gastro-intestinal diseases (mainlylivercirrosis) (Rehm, 2013) • 11 million people in EU withalcoholdependence (Belgium : 1,9 % of women and 5,4 % of men) (Rehm, 2013) • Net burden of alcoholconsumption in EU was 1 in 7 deaths in men, and 1 in 13 deaths in women(Rehm, 2012) • Alcohol use is fifth most important risk factor for burden of disease in 2010 in 21 regions worldwide (Lim, 2012) ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  9. Belgian data • Total tangible costs of alcohol use in Belgium amount to € 4,2 billion in 2007 (Annemans, 2013). ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  10. Total tangible social cost of alcohol use, in billion €, by field, Belgium, 2007 • Annemans, 2013 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  11. Comparisons • On the EU level roughly the same as for tobacco(Anderson,2006) • Total tangible costs of alcohol use in Belgium amountto • € 6 billion in 1999 (Degreef & Pacolet, 2003). Difference due to decline of accidents and absenteeism (Annemans, 2013) ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  12. Quid benefits ? (Degreef & Pacolet, 2003) • Gains through avoided morbidity and mortality : medical costs, productivity, … • Taxation revenues • net social cost of alcohol use in Belgium in 1999 : • € 4,4 billion ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  13. Limitations • Differentmethodologies • Data availability • Wide margins of error • Assumptionsunder discussion : transfers of unemployment, consumedgoods, … • No thorough comparisons with other substances/diseases • Need of internationally validated instrument : review and update of WHO Guidelines on Estimating the Cost of Substance Abuse (Single, 2003) ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  14. Discussion • Global analysis • Social coststudies as starting point of economic contributions to policymaking • Cost-effectiveness studies remain essential • Ideologicaldebates : solidarity ? ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  15. Further research • University of Ghent (Vander Laenen, et. al.) : social cost study of tobacco, alcohol, illicit drugs and psychoactive medication • Objectives • Definition of social cost • Screening of existing national and international data • Estimation of social cost of substances in Belgium • SWOT analysis of the methodused • Formulategeneral conclusions and policy recommandations • 11.2013-10.2015 • Belgian Science Policy Office ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  16. 3. Public expenditure : one element of social cost • University of Ghent and VrijeUniversiteit Brussel (Vander Laenen, 2011), ‘Drugs in figures III’ • Scope: • Expenses made by public services, no external, private or social costs • Alcohol, illicitdrugs, tobacco and psychoactive medication • 2008 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  17. Results Total public expenditure on drugpolicy in 2008 amounts to € 975 million, of which • alcohol : € 632 million • illicitdrugs : € 273 million • psychoactive medication : € 35 million • tobacco : € 11 million • substances combined : rest ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  18. Total expenditure on drugpolicy, by substance, percentages, 2008, Belgium • Vander Laenen, 2011 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  19. Public expenditure on alcoholpolicy, by piller, percentages, 2008, Belgium • Vander Laenen, 2011 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  20. 4. General policy implications • Awareness of social and economicharms of alcohol • Need of intersectoralapproach • Effectiveness and monitoring ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  21. General policy initiative • Alcoholplan 2014-2018 by the InterministerialConference on Drugs • Intersectoralapproach • WHO priorities • Actions and responsabilities • Monitoring • To bedecided on the 9th December 2013 ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  22. 5. Healthpolicy implications • Jointedpriority for awareness building • Evidence based care innovation • Monitoring ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  23. Somehealthpolicy initiatives • Monitoring • TreatmentDemandIndicator • Review Minimal Psychiatric Registration ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  24. Evidence based care innovation • ‘UP-TO-DATE’ study : GP’s and occupationalpractitioners • Mental healthsectorreform, including for minors ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  25. Awareness building • Prevention, earlydetection and intervention • Agenda setting withinvolvement of civil society ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  26. References • Anderson, P. & Baumberg, B. (2006), Alcohol in Europe. London : Insitute of AlcoholStudies • Annemans, L. (2013), The health, social and economicburden of alcoholdependence. A Brief Update, Brussels. • Degreef, T., Pacolet, J. & R. Bouten(2003), Sociale kosten-batenanalyse van alcoholgebruik en –misbruik in België, Leuven: HIVA. • Lim, S. et. al. (2012), A comparative riskassessment of burden of disease and injuryattributable to 67 riskfactors and risk factor clusters in 21 regions, 1990-2010 : a systematicanalysis of the Global Burden of DiseaseStudy 2010, Lancet, 380, 2224-60. • Rehm, J. et. al. (2012), Alcoholconsumption, alcoholdependance and attributableburden of disease in Europe : Potential gains from effective interventions for alcoholdependence, Centre for Addiction and Mental Health, Canada. • Rehm, J. et. al. (2013), Modeling the impact of alcoholdependence on mortalityburden and the effect of availabletreatment interventions in the European Union, EuropeanNeuropsychopharmacology, 23, 89-87. • Single, E. et. al. (2003), International Guidelines for Estimating the Cost of Substance Abuse, 2, WHO. • Vander Laenen, F., De Ruyver, B., Christiaens, J. & D. Lievens(2011), Drugs in Cijfers III. Onderzoeknaar de overheidsuitgavenvoorhetdrugsbeleid in België, Gent: AcademiaPress. ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – 8.11.2013

  27. ThankyouContact :kurt.doms@gezondheid.belgie.beInfo :www.health.belgium.be/drugs ‘BingeDrinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the socialcost of alcohol use in Belgium – 8.11.2013

More Related