European Alcohol Action Plan and European Alcohol Information System NordAN Conference 2002

1
European Alcohol Action PlanandEuropean Alcohol
Information SystemNordAN Conference 2002

• Lars Møller
• Project Manager
• WHO-Regional Office for Europe

2
European Charter on Alcohol

• The Charter provided countries with ethical
  principles and goals for developing comprehensive
  alcohol policies and programs, and was endorsed
  by all Member States of the European Region.

3
European Alcohol Action Plan

• 2000-2005

4
Overall objectives

• Generate greater awareness of, provide education
  in, build up support for public health policies
  that address the task of preventing the harm that
  can be done by alcohol

5
Overall objectives

• Reduce the risk of alcohol-related problems that
  may occur in a variety of settings such as the
  home, workplace, community or drinking
  environment
• Reduce alcohol-related harm such as fatalities,
  accidents, violence, child abuse and neclect, and
  family crisis

6
Overall objectives

• Provide greater protection from the pressures to
  drink for children, young people and those who
  choose not to drink alcohol
• Provide accessible and effective treatment for
  people with hazardous and harmful alcohol
  consumption and those with alcohol dependence

7
National Action Plan

• All Member States should create their own
  National Action Plan
• About half of the 51 Member States have done this
  so far
• Evaluate beginning of 2003 midterm report RC 53

8
Stockholm Declaration

• Provide protection
• Alcohol promotion and sponsorship
• Control availability
• Protect children in families with alcohol
  dependence
• Promote education
• Awareness
• Health promotion programmes in educational
  institutions, workplaces, youth organizations and
  local communities

9
Stockholm Declaration

• Support environments
• Create environments where alternatives to the
  drink culture are encouraged
• Ensure that schools and (if possible) other
  educational institutions are alcohol-free
  environments
• Reduce harm
• Promote greater understanding of the negative
  consequences of drinking
• Training of servers
• Enforce drink-driving regulations
• Provide help for young people with drinking
  problems

10
European Alcohol Information System (EAIS)

• Periodic and systematic collection and
  presentation of reliable and up-date information
  about situations, trends and developments
  concerning alcohol consumption, related harm,
  policies and evaluated alcohol programmes, from a
  clearly defined baseline, for the purpose of
  policy making

11
Tasks of EAIS

• Measure alcohol consumption, health determinants
  and alcohol policies throughout the region
• Provide countries with information to make
  comparisons and support the development of a
  national health policy on alcohol
• Facilitate planning and implementation of
  community programmes to reduce alcohol
  consumption and related harm

12
Tasks of EAIS

• Follow and evaluate the Second European Alcohol
  Action Plan (EAAP)
• Follow and evaluate the progress of the
  declaration from the Ministerial Conference in
  Stockholm, February 2001

13
Elements in EIAS

• A network with a counterpart in each country
• A database on consumption, related harm, policies
  and programmes
• A system for presentation of data

14
Elements in EAIS

• Easy access to data for all
• Regular data collections through registers and
  counterparts
• Regular reporting and analysing by WHO-EURO
• A system for sharing information between
  counterparts

15
HFA-databaseConsumption

• In 2002 WHO has established a database on
  consumption
• Total for all
• Total for 15
• Beer
• Wine
• Spirits
• Survey data World Health Survey

16
HFA-databaseConsumption

• http//www.euro.who.int/
• Information Sources
• Data
• European health for all database
• 2 versions
• online version
• download version

17
Alcohol and Drugsweb page

• http//www.euro.who.int/alcoholdrugs

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HFA-databaseHarm

• Data on mortality for alcohol poisoning, liver
  cirrhosis, and total for alcohol related
• Morbidity data on alcoholic psychosis and
  unspecific data on poisoning and data on road
  traffic accidents related to alcohol intake

19
Alcohol policy database

• Based on a primary baseline survey from 1999
• Updated by a recent survey (July 2002)
• Will be updated continuously

20
What is the current situation?
21
Total alcohol consumption (15)
25
20
15
10
5
1970
1975
1980
1985
1990
1995
2000
EUROPE
EU average
Nordic average
22
Total alcohol related mortality in Europe
23
Mortality due to liver diseases and cirrhosis
24
Total alcohol consumption 15 (litre/person/year)
25
Total alcohol consumption 15 (litre/person/year)
18
16
14
12
10
8
6
4
1970
1975
1980
1985
1990
1995
2000
Estonia
Nordic average
Latvia
Lithuania
26
Total alcohol related mortality (cases per
100.000/year)
160
140
120
100
80
60
40
1985
1987
1989
1991
1993
1995
1997
1999
2000
Denmark
Norway
Finland
Sweden
Iceland
27
Total alcohol related mortality (cases per
100.000/year)
300
250
200
150
100
50
1970
1975
1980
1985
1990
1995
2000
Estonia
Nordic average
Latvia
Lithuania
28
Mortality due to liver diseases and cirrhosis
29
Mortality due to liver diseases and cirrhosis
20
15
10
5
0
1970
1975
1980
1985
1990
1995
2000
Estonia
Nordic average
Latvia
Lithuania
30
Road traffic accidents involving alcohol/100.000
60
50
40
30
20
10
0
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
Denmark
Norway
Finland
Sweden
Iceland
31
Road traffic accidents involving alcohol/100.000
60
50
40
30
20
10
0
1970
1975
1980
1985
1990
1995
2000
Estonia
Nordic average
Latvia
Lithuania
32
Consumption and harm

• Is there an association between consumption and
  harm?

33
Reductions in problems during prohibition in USA
34
Mortality per 1.000.000 in former Soviet
Union(age standardised)
35
Alcohol consumption and alcohol related mortality
in France
36
Alcohol consumption and alcohol related mortality
in Italy
37
Alcohol consumption and alcohol related mortality
in Latvia
38
Alcohol consumption and alcohol related mortality
in Ukraine
39
Alcohol policies and consumption

• Is there an association between alcohol policies
  and consumption?

40
Alcohol policies and alcohol consumption
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Alcohol policies and consumption(literature
review)

• Availability (age limits, hour, days, places for
  buying alcohol, prices) are all effective in
  reducing both harm and consumption
• Drink driving low BAC and RBT is effective to
  reduce traffic accidents
• Information and education not much evidence of
  any effect
• Advertising not much evidence but impact on
  behaviour

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