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Liberalization of alcohol control legislation and it

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Title: Liberalization of alcohol control legislation and it


1
Liberalization of alcohol control legislation
and its relation to alcohol consumption lessons
to be learnt from LithuaniaRiga 2007 03 12
  • Dr. Aurelijus Veryga
  • Kaunas University of Medicine
  • Lithuanian National Tobacco and Alcohol Control
    Coalition
  • National Health Board

2
Pure Alcohol Consumption Liters per capita
Source Department of Statistics to the
Government of the Republic of Lithuania WHO/Europ
e/European HFA Database
3
Alcohol Consumption Among Schoolchildren
Source ESPAD research data
4
Reported alcohol use during one drinking episode
among women
STD, 2005
5
Reported alcohol use during one drinking episode
among men
STD, 2005
6
Sales of Alcoholic Drinks
Source Department of Statistics to the
Government of the Republic of Lithuania
7
Mental and Behavioral Disorders Due to Use of
Alcohol for 100 000 of Population
Source State mental health centre
8
Road Accidents Caused by Drunk Drivers
2001 2002 2003 2004 2005
Total (number of accidents) 5972 6091 5963 6360 6790
Drunk drivers (number of accidents) 770 766 649 752 850
Deaths caused by drunk drivers (number of persons) 101 78 68 84 90
Injured persons by drunk drivers (number of persons) 1071 1112 918 1094 1257
Source Lithuanian police traffic supervision
service
9
Self reported problems to buy alcohol and tobacco
(age 12-17)

Kaunas University of Medicine, 2004
10
Prognosis
  • According to strategic marketing research
    company Euromonitor International during next
    five years due to rise of population income,
    liberal legislative base, and development of sell
    market Lithuanian alcohol market will rise for
    about 35.5 ...

DELFI
11
Best Practices
  • Minimum legal purchase age
  • Government monopoly of retail sales
  • Restriction on hours or days of sale
  • Outlet density restrictions
  • Alcohol taxes
  • Random Breath Testing
  • Lowered BAC limits
  • Administrative license suspension
  • Graduated licensing for novice drivers
  • Brief interventions for hazardous drinkers

Thomas F. Babor
12
Least Effective Practices
  • Public service messages
  • Warning labels
  • Designated drivers and ride services
  • Voluntary codes of bar practice
  • Promoting alcohol-free activities
  • Alcohol education in schools
  • College student education

Thomas F. Babor
13
Main Principles of Alcohol Control Policy in the
Law on Alcohol Control 1995/2005
  • to reduce availability of alcohol beverages
    through taxation
  • to limit promotion of the sale and consumption of
    alcoholic beverages
  • to prohibit the means of promotion of buying and
    consumption of alcoholic beverages by youth
  • to encourage legal persons who are engaged in
    alcohol business to join in implementing the
    State alcohol control policy
  • to increase public awareness

14
Main Principles of Alcohol Control Policy in the
Law on Alcohol Control 1995/2005
  • to sponsor action programs of health and
    temperance societies
  • to promote the production and sale of non
    alcoholic beverages
  • to promote the creation of a social environment
    free of alcohol
  • to promote scientific research and dissemination
    of information
  • to strengthen the cooperation with other Member
    States of the European Union and international
    organizations regarding the issues of the
    reduction of the consumption of alcohol.

15
The Main Purpose and Strategy Related to Alcohol
Control Stated in Lithuanian Health Programme 1998
  • Main target
  • by the year 2010 to reduce alcohol consumption by
    25
  • To decrease annual alcohol production by 2
  • To increase alcohol costs depending on the
    overall economic situation
  • To increase proportion of people not using strong
    alcoholic beverages
  • To provide treatment and rehabilitation for all
    those suffering from drug and alcohol abuse
  • To develop a system for the quantitative
    monitoring of alcohol use
  • To develop intersectoral collaboration in
    fighting alcohol abuse
  • To develop and implement the State Program of
    Alcohol Control.

16
State Programme of Alcohol Control 1999 2011 as
Long Term Target
  • Progressively decrease alcohol consumption by 25
    until 2009
  • Drop of mortality from cirrhosis by 15
  • Decrease mortality from accidents related to
    consumption of alcohol by 25
  • Reduce number of crimes committed in connection
    with alcohol
  • Reduce number of drunk drivers
  • Implementation of alcohol prevention devoted
    especially for youth.

17
Real changes in situation
  • Alcohol control law was changed 24 times
  • Alcohol sales were allowed all 24 hours per day
  • Sale was allowed in fuel stations, sanatoriums,
    living houses
  • Limitation on time was canceled
  • Prices of alcoholic beverages fell down by 0,4
    while disposable cash income edged up by 21
  • Advertisement control was taken from State
    tobacco and alcohol control agency and given to
    Consumers rights protection agency which has no
    competence to do it
  • Alcohol production, import and sales are rising
    every year
  • Lowered fines for failures to comply with the
    requirements of Alcohol Control Law.

18
  • New initiatives
  • To legalize alcohol sale via internet
  • To legalize home made alcohol
  • To close State tobacco and alcohol control
    agency.

19
Main mistakes (I)
  • Criminal negligence in Alcohol control law
  • to extend priority to (in first redaction of he
    law to stimulate) production of alcoholic
    beverages by natural fermentation and import and
    sale thereof
  • at concerts, circus, discotheques, youth sport
    and leisure time events, other mass events,
    theatre presentations, movie and video film
    demonstration locations, except for retail
    outlets located at sites of such events. At mass
    events (except for events intended for children
    and adolescents of up to 18 years of age) the
    name and (or) trade mark of the undertaking which
    is sponsoring the event and is the producer and
    seller of alcoholic beverages whose sales are
    permitted at mass events, may also be displayed
    provided that by their content and form they do
    not contradict the requirements of legal acts
  • Other.

20
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21
As result we have
  • Few cases of teenagers alcoholic psychosis
  • Many cases of teenagers drunk until status of
    coma
  • On September 1st many children are drunk
  • Teenagers do not treat beer and cider as alcohol.

22
Main mistakes (II)
  • Main role in alcohol control is playing Ministry
    of Economy not a Ministry of Health
  • Alcohol is treated as simple product which
    production should be stimulated
  • Recommendations of health specialists (National
    Health Board, Universities) were not taken into
    account
  • No evidence based regulations were used at all
  • No leading institution responsible for
    implementation of prevention programs
  • Until last year no active alcohol control NGOs.

23
Lessons to be learned
  • There is not enough to have good legislation and
    program. There should be community movement
    (NGOs) that will monitor how the law is
    implemented and will prevent form changes in the
    way of liberalization
  • Alcohol industry is not a partner, it is profit
    industry that will newer allow measures that will
    decrease incomes
  • Firstly evidence based measures should be used
  • Children are most vulnerable group and measures
    should be firstly related to protection of
    children from alcohol marketing
  • Health, not economy, structures in the Government
    and Parliament should be primarily responsible
    for alcohol control
  • National and international movement of alcohol
    control NGOs is crucial
  • Best practice from international tobacco control
    should be used.

24
Thank You
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