Title: ALCOHOL IN EUROPE: A PUBLIC HEALTH PERSPECTIVE Evidence for an EU strategy
1ALCOHOL IN EUROPE A PUBLIC HEALTH
PERSPECTIVEEvidence for an EU strategy
- Presentation to SAADAT meeting, 4 Oct 2006
- Ben Baumberg, Institute of Alcohol Studies
2(No Transcript)
3INTRODUCTION
- Alcohol in Europe report is not the EU
strategy! - Snippets from a full report of over 400 pages,
available online - Political context
4How and how much we drink
5Use of alcohol
6The EU and the world
7Drinking meals
Source Eurobarometer (2002)
8Young mens drinking
Heavy drinking 1 bottle of wine or equivalent
on a single occasion Source ECAS
9Binge-drinking in young people
- Intoxication
- Binge-drinking
- 3 in last 30 days on map (right)
10Trends in young boys
Source ESPAD (Hibell et al 2004)
11Trends in young girls
Source ESPAD (Hibell et al 2004)
12and the consequences
13Net burden of ill-health (1)
14Net burden of ill-health (2)
Source WHO GBD study (Rehm et al 2003)
15likely under-estimate
Source Lloyd-Jones et al 1998
16Burden on young people
Source WHO GBD study (Rehm 2005)
17Cost of alcohol to Europe
Total tangible costs 125bn
18Social harm in Europe
Source ECAS
19The policy response
20Cirrhosis in southern Europe
Source Un-weighted average of France, Italy,
Greece, Spain and Portugal data from the HFA
database
21Effect of 1l consumption dropMedium-consuming
EU15 males
Source (Norström et al. 2001)
22Licensing hours
23Tax levels in Europe
Tax levels Average effective tax adjusting for
purchasing power PP lt400 PP 400 1000 PP
gt 1000
24The Swiss alcopops tax
Before
After
Source Eidgenössische Alkoholverwaltung 2005
25Community initiatives
26Strengthening Families Programme
Controls
SFP
27Most other programmes
28The effect of the Loi Evin
Before
After
29Cost-effectiveness
10,000 per DALY
1,000 per DALY
Brief interventions
Random breath testing
Taxes
100 per DALY
30The alcohol economy
- Employment in bars in Italy (left) and hotels,
restaurants and bars in Finland (right)
31What can the EU do?
- EU internal market flexibility
- Drink-driving and other campaigns
- Community mobilization
- Brief interventions
- Health warnings
- Advertising restrictions
- And political pressure
32CONCLUSIONS
- Alcohol is a major health problem across all of
Europe but the UK looks worse than many other
countries - We know what we could do to reduce levels of harm
and we also know what wont work
33Institute of Alcohol Studieswww.ias.org.uk44
(0)207 222 4001
- Ben Baumberg
- Policy and Research Officer
- bbaumberg_at_ias.org.uk