bringing the Global Alcohol Strategy

to those who need it mostDr Joanne Corrigall

Richard Matzopoulos

Injury prevention workgroup: current

activitiesVision: To reduce injuries in the

Western CapeAll injuries

Interpersonal violence &Road Traffic injuries

Alcohol-related Interpersonal violence

and road injuries

Largest contributors to injury BoD

Largest contributing risk factor to

injury BoD

Groundwork for broader interventions

22078 45 54

686

1672 1681

1430

1038

763

535

334236

138241

0

200

400

600

800

1000

1200

1400

1600

1800

Age group

Number of cases

Source: Medical Research Council of South Africa. 2009. A profile of fatal Injuries in South Africa 2008: Annual Report for South Africa based on the

National Injury Mortality Surveillance System (NIMSS).

Who is dying from homicide?

Men aged 20-39

>50% are alcoholpositive

Domestic violence?

Inconsistency?

More than 95% of studies show a positive association between alcohol and violence

The only real inconsistency is the SIZE of the effect i.e. how big an influence does alcohol have on aggressive behaviour?

Largest effects in populations with-high binge-drinking-high public drinking

-violent societies-easy access to alcohol

SOUTH AFRICAForan & O’Leary 2008 Clinical Psychological

Review 28(7) 1222-1234

Health burden from Alcohol (South Africa)

Violence

Road

39%

4%6%

7%

6%

6%

14%

18%

Violence

Neuropsychiatric

Road injuries

Other injuries

FAS

Other

Cardiovascular

Suicide

Violence

Mental illness

Road Injuries

HIV, TB

South Africans are big drinkers

South Africa 2nd highest rate of substance abuse & dependence in the world

Alcohol consumed per drinker per year +/- 18 litres : comparable to UK, Ukraine & Russia : top 4 heaviest drinkers in the world

Western Cape province- more drinkers, more binge drinkers

Trends: increase in alcohol consumption amongst youth

Alcohol related violence

10 times the global average of violence (men)

Western Cape: Highest homicide per capita in SA

Within Western Cape:

50% of alcohol-related injury deaths occur in 5 suburbs!!

Suburbs Zero Positive Unknown Total

Khayelitsha 313 (15%) 527 (21%) 303 (8%) 1143 (13%)

Gugulethu 97 (5%) 169 (7%) 143 (4%) 409 (5%)

Nyanga 121 (6%) 161 (7%) 149 (4%) 431 (5%)

Kraaifontein 73 (3%) 124 (5) 92 (2%) 289 (3%)

Philippi 110 (5%) 125 (5%) 143 (4%) 378 (4%)

.  . .  .  .

Total 2135 (100%) 2460 (100%) 3902 (100%) 8497 (100%)

Source: PIMMS (DoP analysis)

The “High 5” approachViolence is CONCENTRATED

Approx. 50% of alcohol-related violence occurs in 5 areas

The High 5 project

High 5A focus on 5 high risk areas to deliver intersectoral alcohol-related violence reduction interventions

VPUU with Alcohol included

Examples:ECDConflict managementSocial cohesionBusiness development

Examples:Street lightsCreating local trading placesUse of Public Buildings/Spaces

Examples:Financial Models, Action PlansGovernance, Capacity BuildingM&EPolicy

Alcohol:Brief InterventionsCounter-messagingEducationRecreationSkills developmentECDMental HealthSocial CohesionUrban upgrading

Alcohol:Implementation of Liquor ActSafer drinking environmentsTraffic calmingInfrastructural improvementsUrban upgrading

Alcohol:Expand include alcohol

Alcohol abuse prevention model a good fit with VPUU model

MEETS

bringing the Global Alcohol Strategy to those who need it most

Need for campaignGENERAL PUBLIC, DRINKERS & INTERVENTION

AGENTS Scewed normative views of drinking Bombardment of alcohol advertising &

misinformation campaign Poor knowledge of risks & how to avoid them Poor knowledge of what the problem is & how

to fix it Need to gain support for

policies/legislation/interventions : need community involvement

PUBLIC MESSENGERS: Wrong messages being spread!

BOOZA MYTHS

Drugs cause more violence than alcohol

Advertising has no effect on drinkingAlcoholics are the main problemEducating people about the harms of

alcohol is the answerRestricting access to alcohol will make

no difference

BUSTED

to the rescue!!

Booza TV

EPISODE 1: THE CULTURE OF DRINKING

EPISODE 2: WHY WE DRINK ALCOHOL AND WHY WE ABUSE IT

EPISODE 3: ALCOHOL, THE MEDIA & ROAD INJURIES

EPISODE 4: ALCOHOL AND VIOLENCE EPISODE 5: THE LIQUOR ACT EPISODE 6: SOLUTIONS

PLAY CLIP OF BOOZA TV

Elsies River Pilot Project

Pilots Booza TV as a tool for social mobilisation for actions to reduce alcohol-related violence

2 groups: Stakeholders & Binge Drinking Youth

Pilot study results:

Booza TV is effective in challenging normative views about

drinking; and Establishing links between violence

& drinking successfully mobilised support for

evidence-based interventions including the Liquor Act

MOST notable effects amongst DRINKING YOUTH (opinion changes, fact uptake, possibility of changing current culture)

Campaign

1. AIMS

Stimulate and inform public debate about alcohol what should be done about alcohol abuse

Increase knowledge about and promote action for safer drinking practices

Promote adoption of evidence-based alcohol abuse prevention interventions by government, non-governmental and community-based organizations

Maximize viewing/usage of Booza TV

Thank You

The Boozalution will be televised!