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Alcohol Policy In An International Context Reinforce the family – “For a better and sustainable future”
Sven-Olov Carlsson, International President, IOGT International
IFNGO – OFAP Joint 2013 Conference, Macau, 21-25 October 2013
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Scoop for this presentation Alcohol policy in an international context. Reinforce the family – “For a better and sustainable future”
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Structure for this presentation Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Alcohol as the most harmful drug - Comparative risk analysis in WHO’s estimation of
the global burden of disease - Alcohol’s social harm (harms to others) Responses to alcohol as health and social issue at international level - The globalisation of the alcohol market - New initiatives in the 2010s - WHO Global Alcohol Strategy - NCDs global action plan and monitoring framework
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Structure for this presentation Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Responses to alcohol harm in the future - Moving towards international treaty coverage of
alcohol control
Questions and answers, discussion
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Alcohol Policy In An International Context Reinforce the family – “For a better and sustainable future”
Alcohol as the Most harmful Drug
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Alcohol as the most harmful drug Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Comparative risk analysis in WHO’s estimation of global burden of disease (GBD) - Important role of alcohol in death and disability, particularly in middle-
and high-income countries
- Alcohol 2nd among psychoactive substances to tobacco as risk factor for harm to the user; both far outrank all illicit drugs together
- Alcohol accounts for 3.9% of the total burden of disease globally
- Substantial harms from alcohol use to others; these harms are mostly not included in the GBD frame
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Alcohol Policy In An International Context Reinforce the family – “For a better and sustainable future”
Responses to alcohol As health and social Issue at international Level
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
The globalisation of the alcohol market - Accelerated rate of economic globalization has increasingly rendered
obsolete old assumption that alcohol issues are local issues - Globalization affects alcohol issues in three main ways:
- Influence of a global ideology of free markets - Effectively reduced the ability of national and
subnational governments to control their local alcohol markets
- Alcohol production, distribution, and marketing have became increasingly globalized driven by Big Alcohol that’s thirsting for new markets
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Beware of #BigAlcohol
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
New initiatives in the 2010s - 2005 World Health Assembly (WHA) passed new resolution on
alcohol, the first in over 20 years
- New impetus has been provided by the 2011 UN decision to put a global focus on preventing and controlling non-communicable diseases (NCDs)
- Alcohol is recognised as one of the major risk factors for NCDs
- These documents serve as the terms of reference for a UN “consultative process
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context.
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
The WHO Global Alcohol Strategy (GAS) - As used in GAS, the term “harmful use” is defined broadly, and in a
different sense from the use in the International Classification of Diseases
- The Strategy discusses 10 areas for national action, under the headings:
- leadership, awareness, and commitment - health services' response; - community action; - drink-driving policies and countermeasures;
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
The WHO Global Alcohol Strategy (GAS) - The Strategy discusses 10 areas for national action, under the
headings: - availability of alcohol; - marketing of alcoholic beverages;
- pricing policies; - reducing the negative consequences of drinking and
alcohol intoxication; - reducing the public health impact of illicit alcohol and
informally produced alcohol; - monitoring and surveillance.
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
The WHO Global Alcohol Strategy (GAS) - A 2013 progress report to the WHA describes a number of steps that
have been taken under GAS - A network of “national counterparts” has been set up and met in
2011.
- The progress report ends by pointing out the mismatch between the needs and resources for mounting an effective global strategy
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Alcohol in NCD monitoring framework, action plan, and implementation - Close to half of the harm to user’s health from alcohol is in form of
Non-communicable Diseases (NCDs) - The harms happen primarily to middle-aged and older alcohol users
- The aspect of alcohol use which is most closely connected to the risk of NCDs is the total volume of alcohol consumption.
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Alcohol in NCD monitoring framework, action plan, and implementation - Alcohol is addressed as one of the four main risk factors for NCDs in
the Global Action Plan for NCDs 2013-2020.
- Terms in which alcohol has been included are considerably weaker than for other specific conditions or risk factors
- The “voluntary global targets” agreed on for risk factors include 30% relative reductions in tobacco use and in salt intake, a 10% relative reduction in harmful use of alcohol
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Alcohol in NCD monitoring framework, action plan, and implementation - Among risk factors, countries are given three options of which
indicator of harmful use of alcohol to select: - total annual alcohol consumption per person aged 15+; - age-standardized prevalence of heavy episodic alcohol use
among adolescents and adults; - alcohol-related morbidity and mortality among adolescents
and adults.
- Action Plan sets out a variety of “policy options for member states” concerning each of the goals.
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Responses to alcohol as health and social issue at international level
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Alcohol in NCD monitoring framework, action plan, and implementation - For alcohol, in contrast to tobacco, there is no specificity in the policy
options: the ten headings of the Global Strategy are reproduced, without elaboration
- Otherwise governments are left on their own, with a recommendation to “formulate public health policies and interventions to reduce the harmful use of alcohol based on clear public health goals, existing best practices, best-available knowledge and evidence of effectiveness and cost-effectiveness generated in different contexts”.
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Alcohol Policy In An International Context Reinforce the family – “For a better and sustainable future”
Responses to Alcohol harm in The future
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Responses to alcohol harm in the future Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Moving towards international treaty coverage of alcohol control - Comparative risk analysis in WHO’s estimation of GBD has
underlined substantial role of alcohol in death and disability, particularly in middle- and high-income countries
- There’re substantial harms from alcohol to others, which are mostly not included in the GBD frame (Laslett et al., 2011)
- A need for more specific international agreement on action on alcohol than is contained in the Global Strategy?
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Any other questions? Time for discussion
Alcohol Policy In An International Context. Reinforce the family – “For a better and sustainable future”
Sven-Olov Carlsson International President [email protected]
+46 70 554 99 89
IOGT International
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