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Is the drinks industry damaging democracy as well as health? Dr Nick Sheron , FRCP

Is the drinks industry damaging democracy as well as health? Dr Nick Sheron , FRCP Royal College of Physicians Representative to the EU Alcohol and Health Forum Calling Time on Europe's Alcohol Problem, European Parliament, Brussels, 24 April 2013.

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Is the drinks industry damaging democracy as well as health? Dr Nick Sheron , FRCP

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  1. Is the drinks industry damaging democracy as well as health? Dr Nick Sheron, FRCP Royal College of Physicians Representative to the EU Alcohol and Health Forum Calling Time on Europe's Alcohol Problem, European Parliament, Brussels, 24 April2013

  2. Liver deaths in my unit in Southampton, most of the increase is alcohol related Nick Sheron, unpublished data

  3. Changes in liver death rates in Europe Bulgaria Finland Hungary Romania UnitedKingdom Belgium Croatia CzechRepublic Denmark Germany Poland Austria France Italy Portugal Spain Greece Ireland Netherlands Norway Sweden WHO – HFA data

  4. 64% of the variation in EU liver mortality can be explained by differences in population level consumption of alcohol. R 2 = 0.64 Linear regression of open source data, WHO-HFA

  5. Brandish & Sheron 2010

  6. Vodka Beer ONS data, N Sheron Clinical Medicine 2010

  7. 1992 Increasing wealth, Decreasing relative price Different retailers

  8. ONS data, decennial supplements 1921-2001, N Sheron

  9. Taxation v Minimum Unit Price (MUP) Taxation MUP Impact on all drinks Impact only cheapest drinks Impacts on pubs / bars No Impact on pubs / bars Impact proportional to consumption Impact targeted to heavy drinkers

  10. Taxation v Minimum Unit Price (MUP) Taxation MUP Revenue to government Revenue to industry Impact on all drinks Impact only cheapest drinks Impacts on pubs / bars No Impact on pubs / bars Scotland introduced MUP because they were unable to increase taxation The Scottish Nationalist Party did so AS A MANIFESTO POLICY COMMITMENT and subsequently won a landslide election victory

  11. Weekly alcohol consumption in 381 liver patients in Southampton Median consumption in patients with alcohol related liver disease is equivalent of 4 bottles of vodka / week Half drink more…

  12. The actual impact of MUP on patients with liver disease (n= 143) Univ of Southampton data, N Sheron

  13. The actual impact of MUP on patients with liver disease (n= 143) Minimum unit price is an exquisitely targeted measure Univ of Southampton data, N Sheron

  14. The Pareto principle 1/5 of consumers consume 4/5 of any product One third of profitability comes from harmful drinkers Three quarters of profitability comes from hazardous and harmful drinkers UK Deptof Health data

  15. Minimum unit price targeted at heavy consumers who buy the cheapest alcohols X

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