Post on 30-Sep-2020
Name of presentationDate of presentation
Alcohol-related harm in Europe
and the WHO policy response
Lars MollerProgramme Manager
World Health Organization Regional Office for Europe
Name of presentationDate of presentation
NCD global monitoring framework: alcohol-related targets and indicatorsOne target: • At least 10% relative reduction in the
harmful use of alcohol, as appropriate, within the national context.
Indicators:• Total (recorded and unrecorded)
alcohol per capita (15+ years old) consumption
• Age-standardized prevalence of heavy episodic drinking
• Alcohol-related morbidity and mortality
Alcohol and harm
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3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol
Alcohol and harm
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SDG 2015: 17 goals (1 health), 169 targets (13 health) adopted at the United Nations Sustainable Development Summit 2015 25 – 27 September 2015
– 3.5.1 Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders
– 3.5.2 Harmful use of alcohol, defined according to the national context as alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol
– 3.5.3 Past 12 month prevalence of alcohol and drug use (still under negotiation)
Alcohol and harm
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New data
Alcohol and harm
Name of presentationDate of presentationAlcohol and harm
Total average alcohol per capita consumption, recorded and unrecorded, 2014, men and women
0
2
4
6
8
10
12
14
16
18
20Tu
rkey
Tajik
ista
nAz
erba
ijan
FYR
Mac
edon
iaIs
rael
Turk
men
ista
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zbek
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nKy
rgyz
stan
Arm
enia
Bos
nia
Her
zego
vina
Alb
ania
Italy
Icel
and
Geo
rgia
Nor
way
Mal
teKa
zakh
stan
Gre
ece
Sw
eden
Net
herla
nds
Eur
ope
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itzer
land
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inD
enm
ark
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nlan
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bia
Por
tuga
lLu
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bour
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erm
any
Mon
tene
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Fran
ceG
reat
Brit
ain
Aust
riaC
ypru
sS
lova
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iaC
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iaH
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land
Bel
gium
Bul
garia
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aine
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nia
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ch R
epub
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epub
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f Mol
dova
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arus
Lith
uani
a
Litre
sof
pur
e al
coho
l
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Alcohol use during the past 30 days, boys (ESPAD, 2015)
0
10
20
30
40
50
60
70
80%
Alcohol and harm
Name of presentationDate of presentation
Alcohol use during the past 30 days, girls (ESPAD, 2015)
0
10
20
30
40
50
60
70
80
%
Alcohol and harm
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Being drunk during the past 30 days, boys (ESPAD, 2015)
0
5
10
15
20
25
30
35
%
Alcohol and harm
Name of presentationDate of presentation
Being drunk during the past 30 days, girls (ESPAD, 2015)
0
5
10
15
20
25
30
35%
Alcohol and harm
Name of presentationDate of presentation
Age standardized alcohol-attributable mortality, 2014 (rate per million)
0200400600800100012001400160018002000
Alcohol and harm
Alcohol attributable liver cirrhosis mortality. Rates per million
0
50
100
150
200
250
300
Kyrgyzstan
Repu
blic of M
oldo
vaKazakhstan
Uzbekistan
Romania
Hungary
Turkmen
istan
Lithuania
Slovakia
Ukraine
Geo
rgia
Belarus
Sloven
iaCroatia
Russian Fede
ratio
nAzerbaijan
Poland
Armen
iaBu
lgaria
Tajikistan
Estonia
Czech Re
public
Finland
Latvia
Portugal
Denm
ark
Austria
Germany
France
Belgium
United Kingdo
mSpain
Italy
Serbia
Bosnia and
Herzegovina
Ireland
Switzerland
Mon
tene
gro
Swed
enNethe
rland
sGreece
Malta
The form
er Yugoslav Re
public of…
Cyprus
Norway
Israel
Turkey
Iceland
Albania
Alcohol attributable CVD mortality. Rates per million
‐200
0
200
400
600
800
1000
1200
1400
Belarus
Ukraine
Repu
blic of M
oldo
vaRu
ssian Fede
ratio
nKyrgyzstan
Kazakhstan
Bulgaria
Mon
tene
gro
Turkmen
istan
Geo
rgia
Uzbekistan
Tajikistan
Romania
Lithuania
Poland
Serbia
Estonia
Azerbaijan
Bosnia and
Herzegovina
Armen
iaPo
rtugal
Albania
Slovakia
Greece
Malta
Turkey
Ireland
Croatia
Hungary
Spain
Sloven
iaThe form
er Yugoslav Re
public of…
Cyprus
France
Swed
enIta
lyGermany
Austria
United Kingdo
mBe
lgium
Nethe
rland
sIsrael
Denm
ark
Czech Re
public
Finland
Latvia
Switzerland
Iceland
Norway
Alcohol attributable cancer mortality. Rates per million
0
20
40
60
80
100
120
140
Hungary
Slovakia
Belarus
Lithuania
Croatia
Kazakhstan
Czech Re
public
Romania
Repu
blic of M
oldo
vaUkraine
Poland
France
Estonia
Russian Fede
ratio
nBu
lgaria
Sloven
iaPo
rtugal
Serbia
Latvia
Turkmen
istan
Belgium
Germany
United Kingdo
mNethe
rland
sSpain
Denm
ark
Mon
tene
gro
Ireland
Austria
Geo
rgia
Switzerland
Italy
Armen
iaBo
snia and
…Finland
Greece
Kyrgyzstan
Swed
enMalta
Uzbekistan
Norway
The form
er Yugoslav…
Albania
Cyprus
Azerbaijan
Iceland
Israel
Tajikistan
Turkey
Alcohol attributable injury mortality. Rates per million
0
100
200
300
400
500
600
700
Belarus
Russian Fede
ratio
nUkraine
Lithuania
Kazakhstan
Repu
blic of M
oldo
vaEstonia
Latvia
Poland
Romania
Geo
rgia
Hungary
Sloven
iaSlovakia
Belgium
France
Czech Re
public
Turkmen
istan
Finland
Kyrgyzstan
Armen
iaAu
stria
Bulgaria
Croatia
Germany
Uzbekistan
Mon
tene
gro
Ireland
Greece
Swed
enDe
nmark
Portugal
Spain
Iceland
United Kingdo
mNorway
Nethe
rland
sSw
itzerland
Italy
Albania
Cyprus
Azerbaijan
Malta
Bosnia and
Herzegovina
Serbia
Israel
The form
er Yugoslav Re
public of…
Tajikistan
Turkey
Name of presentationDate of presentationAlcohol and harm
The WHO Policy Response
Name of presentationDate of presentation
Global strategy and European action plan
Alcohol and harm
Name of presentationDate of presentation
European action plan to reduce the harmful useof alcohol (EAAP) 2012–2020 – 10 action areas
• Leadership, awareness and commitment, as sustainable intersectoral action requires strong leadership and a solid base of awareness and political will
• Health services’ response, as these services are central to tackling health conditions in individuals caused by harmful alcohol use
• Community action, as governments and other stakeholders can support and empower communities in adopting effective approaches to prevent and reduce harmful alcohol use
• Policies and countermeasures on drink–driving, as it is extremely dangerous to drivers, passengers and other people using the roads
• Availability of alcohol, as public health policies to regulate commercial or public availability have proved to be very effective in reducing the general level of harmful use and drinking among minors
Alcohol and harm
Name of presentationDate of presentation
EAAP 2012–2020 – 10 action areas
• Marketing of alcoholic beverages, as systems are needed to protect people, particularly children and young people, from advanced advertising and promotion techniques
• Pricing policies, as most consumers, particularly heavy drinkers and young people, are sensitive to changes in the prices of alcohol products
• Reducing the negative consequences of drinking and alcohol intoxication, in order to minimize violence, intoxication and harm to intoxicated people
• Reducing the public health impact of illicit and informally produced alcohol, as its consumption could have additional negative health consequences due to its higher ethanol content and potential contamination with toxic substances
• Monitoring and surveillance, as relevant data create the basis for the appropriate delivery and success of responses
Alcohol and harm
Name of presentationDate of presentation
Alcohol policy scoringStrengths Limitations
The role of governments in reducing population exposure to modifiable risk factors is emphasized.
Political accountability is promoted. A rounded evaluation of national alcohol
strategies is provided. A big picture for each overarching policy area
is presented. Comparisons between countries are
facilitated. Monitoring of a country’s progress over time
is facilitated. Communication with stakeholders is
simplified.
Enforcement of policies is not measured. Some aspects of the methodology (such as policy
weights) are potentially contentious. Data for some indicators (such as pricing
estimates) are less reliable. Aggregated information does not reflect
subnational variations in alcohol policies. Summary measures are prone to being
misinterpreted.
Alcohol and harm
0
10
20
30
40
50
60
70
80
90
100
Score
Leadership, awareness and commitment (n=29)
0
10
20
30
40
50
60
70
80
90
100
Score
Health services’ response (n=18)
0
10
20
30
40
50
60
70
80
90
100
Score
Community and workplace action (n=29)
0
10
20
30
40
50
60
70
80
90
100
Score
Drinkdriving policies and countermeasures (n=30)
0
10
20
30
40
50
60
70
80
90
100
Score
Availability of alcohol (n=30)
0
10
20
30
40
50
60
70
80
90
100
Score
Marketing of alcoholic beverages (n=30)
0
10
20
30
40
50
60
70
80
90
100
Score
Pricing policies (n=27)
0
10
20
30
40
50
60
70
80
90
100
Score
Reducing the negative consequences of drinkingand alcohol intoxication (n=31)
0
10
20
30
40
50
60
70
80
90
100
Score
Reducing the public health impact of illicit alcoholand informally produced alcohol (n=53)
0
10
20
30
40
50
60
70
80
90
100
Score
Monitoring and surveillance (n=30)
Name of presentationDate of presentation
Our publications
Alcohol and harm
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mollerl@who.int
http://www.euro.who.int/alcohol
More information on the WHO website
Alcohol and harm