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Global Alcohol Policy

WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM. Global Alcohol Policy. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM. Declarations of interest Used to be Regional Advisor for both alcohol and tobacco policy, WHO Regional Office for Europe

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Global Alcohol Policy

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  1. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM Global Alcohol Policy

  2. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Declarations of interest • Used to be Regional Advisor for both alcohol and tobacco policy, WHO Regional Office for Europe • Scientist and policy advisor for Eurocare

  3. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Structure of presentation • Eurocare • The problem of alcohol • Some solutions for alcohol policy • Expectations of the WHO • What NGOs can bring

  4. Eurocarewas formed in 1990 as an alliance of non-governmental organisations concerned with the impact of the European Union on alcohol policy in Member States Starting with 9 member organisations in 1990, it now has 46 members from 12 EU States, 5 non EU States and 3 International Organisations with members in 26 European countries Brief Description of Eurocare:

  5. Eurocarepromotes the implementation of evidence based alcohol policy and provides support to its member organizations Key publications include: Alcohol problems and the family, 1998 The beverage alcohol industry’s social aspects organizations: A public health warning, 2002 Drinking and driving in Europe, 2003 Brief Description of Eurocare:

  6. Eurocarewill be implementing a 3 year European Commission funded project (Alcohol Policy Network in the Context of a larger Europe: Bridging the Gap): Creating an alcohol policy network in 27 European Member States and applicant countries, Norway and Switzerland Preparing a report on alcohol in Europe Preparing an advocacy training manual Convening a European conference, Bridging the Gap, Warsaw, Poland, 16-19 June 2004 Convening two summer advocacy schools, Slovenia 2005 and Catalonia 2006. Brief Description of Eurocare:

  7. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  8. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM These are net costs, accounting for heart disease They do not include social harms They do not include financial costs

  9. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  10. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  11. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  12. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  13. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • At the community level: • Drinking and driving • Intoxication

  14. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  15. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM Towards a solution It is not a complicated message It is not don’t smoke, But it is less is better

  16. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM Risk of CHD by g alcohol per day Source: Corrao et al. (2000)

  17. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  18. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM Most of the benefit One drink every second day

  19. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM

  20. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM Alcohol is NOT an ordinary commodity The science for alcohol policy is made

  21. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Healthy Public Policy: • Taxation • Bans on advertising and marketing

  22. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Strengthening Community Action: • Drink driving • Educational and prevention programmes • Manage availability

  23. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Helping individuals: • Brief interventions in primary care • Treatment for dependence

  24. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Match resources to the size of the problem The purpose of alcohol policy is to reduce the harm done by alcohol. The greater the harm, the greater the need for policy. 4% of GBD; 5th in list of risk factors

  25. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? There is a strong team But, it seems divided and unclear at present

  26. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Strong Regional Offices Seems a posteriority rather than a priority

  27. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Need a simple metric (like a billion deaths from smoking) Globally, every drinker loses on average 11 days of healthy life per year.

  28. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Do we need a FCAC? Or some other mechanism to mobilize action?

  29. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Make the science clear

  30. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Calculate the economic burden

  31. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Estimate the social burden

  32. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Get some powerful partners (?World Bank)

  33. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? In dealing with the alcohol industry, ENSURE that WHO sticks to its guidelines

  34. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Disseminate and implement these guidelines throughout: The organization The Regional Offices The Collaborating centres The country offices

  35. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? The industry argues that they have a place at the policy table. They don’t.

  36. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? The industry argues that they are a public health body. They are not.

  37. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Don’t be duped by the alcohol industry and their social aspects organizations.

  38. Price and the availability of alcohol X X X X 

  39. Creating safer drinking environments X X 

  40. Prevention and education programmes X  X   

  41. Drink driving programmes X X X X   

  42. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? There cannot be common ground on drinking and driving

  43. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • Eurocare recommendation: • Because of limited evidence for their effectiveness in reducing drinking and driving, public education efforts to persuade drinkers not to drive after drinking, programmes to encourage servers to prevent intoxicated individuals from driving, and organized efforts to make provisions for alternative transportation should not be the main cornerstones of drinking and driving policy.

  44. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? There should be no discussion on self-regulation

  45. It serves the needs of the industry The reality is based on complaints rather than compliance The advertisements still go ahead anyway There is no enforcement It is not independent, and reflects the ‘intentions’ of the advertisers Does not reflect the marketing to young people We should not waste any more time on self-regulation

  46. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? The Smirnoff day off speaks much louder to politicians than all the research

  47. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Encourage litigation

  48. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM • What can WHO (and its MS) do? • Policy • Action Plans: • Globally • Regionally • Country wide • Regional • Local

  49. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Community Action Database of community programmes

  50. WORKING IN EUROPE FOR THE PREVENTION OF ALCOHOL RELATED HARM What can WHO (and its MS) do? Health sector Be clear and consistent on nomenclature (ICD 10) Promote brief interventions Reorient health care

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