…. Why the industry of alcohol supports alcohol prevention
Presentation in Tallinn November 28th, 2013
Some reasons ………
another: on alcohol
The harmful use of alcohol results in 2.5 million deaths each year.
320 000 young people between the age of 15 and 29 die from alcohol-related causes, resulting in 9%
of all deaths in that age group.
Alcohol is the world's third largest risk factor for disease burden; it is the leading risk factor in the
Western Pacific and the Americas and the second largest in Europe.
The harmful use of alcohol is a global problem.…It harms the well-being and health of people around
the drinker. An intoxicated person can harm others or put them at risk of traffic accidents or violentbehaviour, or negatively affect co-workers, relatives, friends or strangers. Thus, the impact of the harmful use of alcohol reaches deep into society.
Harmful drinking is a major determinant for neuropsychiatric disorders, such as alcohol use disorders
and epilepsy and other non-communicable diseases such as cardiovascular diseases, cirrhosis of the liver and various cancers. …alcohol is also associated with several infectious diseases like HIV/AIDS, tuberculosis and sexually transmitted infections (STIs).
A significant proportion of the disease burden attributable to harmful drinking arises from
unintentional and intentional injuries….Fatal injuries attributable to alcohol consumption tend to occur in relatively younger age groups
The World Health Assembly adopted in May 2010 the "Global Strategy to Reduce the
Harmful Use of Alcohol".
The strategy calls for action at Member State level, naming various key stakeholders in the
The engagement of producers of beverage alcohol and other "economic operators" is explicitly
laid out in the WHO Strategy.
"Economic operators in alcohol production and trade are important players in their roles as
developers, producers, distributors, marketers and sellers of alcoholic beverages. They areespecially encouraged to consider effective ways to prevent and reduce harmful use of alcoholwithin their core roles mentioned above, including self-regulatory actions and initiatives……"(WHO Global Strategy, 2010, p.20)
What does the industry say:
The industry says:
Global producers of beer, wine, and spirits recognise that the harmful use of alcohol has a serious
effect on public health and is a risk factor for non‐communicable diseases.
We are concerned about individuals who abuse alcohol and the negative impact this behaviourhas on them, their families and on society.
We, therefore, support the WHO Global Strategy to Reduce the Harmful Use of Alcohol and arecommitted to its vision for improved health and social outcomes for individuals, families and communities.
WE ARE CONCERNED AND BELIEVE WE HAVE A
RESPONSIBILITY TO HELP SOCIETY FIGHT ABUSE/MISUSE
OF OUR PRODUCTS
A response to Oct. 2012
New Initiatives to Reduce Harmful Use of Alcohol was announced at an ICAP conference in
Washington D.C. by the major global companies
The world's leading producers of beer, wine and spirits have agreed to a new series of actions
that are designed to strengthen and expand existing efforts to reduce the harmful use ofalcohol.
The commitments will be implemented over a five-year time period beginning in 2013
A professionally qualified third party will audit the companies' compliance throughout this
A report to the international community on the progress we are making on an annual basis, is
scheduled at the end of 2013.
FIRST TIME THE INDUSTRY MAKES A GLOBAL COMMITMENT WITH 3RD PARTY EVALUATION
Pernod Ricard CEO, Pierre Pringuet said:
"I – and my fellow CEOs – believe that this program of actions is concrete, deliverable and,
most importantly, capable of being measured and evaluated".
"As the CEOs of our global companies, we want to have a role in working to limit harmful
drinking and intend to implement these commitments with the same passion and professionalism that we invest in all of our other business activities and goals."
The companies and CEOs making the commitments are:
Brewers Association of Japan
Jorgen Buhl Rasmussen,
Jean-Francois van Boxmeer,
Japan Spirits & Liqueurs Makers Association
IT IS A STRONG GROUP OF COMPANIES
Our key core beliefs stated to WHO:
We respect the rights of adults to choose to drink alcohol beverages – or to choose not to
We believe that all alcohol beverages sold in a society should be appropriately and effectively
We believe that alcohol consumption patterns are strongly influenced by cultural and religious
We believe the most feasible and effective measures to reduce harmful use of alcohol are
evidence‐based, take into account drinking patterns and target specific problems.
We believe that governments, producers and other stakeholders need to work together more
vigorously to reduce harm associated with "noncommercial" and unrecorded alcohol, given that it accounts for a significant proportion of all alcohol consumed globally, particularly in many low‐ and middle‐income countries.
We believe that reducing harmful use of alcohol will benefit society and our businesses alike.
5 areas of commitments:
1. Reducing under‐age drinking
2. Strengthening and expanding marketing codes of practice
3. Providing consumer information and responsible product innovation
4. Reducing drinking and driving
5. Enlisting the support of retailers to reduce harmful drinking
1. Reducing under‐age drinking:
We undertake to encourage national governments to set ambitious but realistic and measurabletargets to significantly reduce underage purchase and underage consumption of alcoholbeverages by 2018.
We commit to actively seek enforcement of government regulation of under‐age purchase and consumption in all countries where we are commercially active and where a minimum purchaseand/or consumption age has been set. In countries where no such limits exist, we will encouragegovernments to introduce a minimum purchase age and to enforce it.
We commit to strengthening our work with other interested stakeholders, including NGOs and IGOs, to develop, promote and disseminate educational materials and programmes designed to prevent and reduce underage purchase and consumption…
There are good examples that can be used!
"Talk About Alcohol" School Programmes, educational material
• Sweden 2006, Denmark 2008, Finland 2010, Estonia 2011/2012
• Latvia to be introduced 2013
2. Strengthening and Expanding Marketing Codes of Practice:
We commit to take independently verifiable measures (using reasonably available data) within the next12 months so that print, electronic, broadcast and digital media in which we advertise our productshave a minimum 70% adult audience.
We commit to develop during 2013 a set of global guiding principles for alcohol beverage marketing in digital media that will require the content of any online marketing to meet the same high standards that apply to our traditional marketing activities…
With respect to digital ‘social media sites', where we are engaged in direct interaction with
consumers, we also commit to put in place, where possible, controls to limit under‐age access and operate a consumer age affirmation mechanism.
Over the next 5 years, we commit to take steps to enable non‐industry participation where none
already exists in self-regulatory processes that enforce code standards, and will undertake to abide by the decisions made.
We commit to include appropriate contractual language in our agreements with our advertisingagencies, where practicable and legal, that will require them to abide by our responsible marketing and promotional codes for our products.
3. Providing consumer information and responsible product innovation:
We commit not to produce any beverage alcohol products that contain excessive amounts ofadded stimulants, such as caffeine, guarana and taurine, and will not market any beveragealcohol product or promote any beverage alcohol combination as delivering energizing or stimulating effects.
We commit to develop in 2 years a standard set of easily understood symbols or equivalentwords to discourage (1) drinking and driving (2)consumption by those under‐age and (3) consumption by pregnant women to be applied globally (except where similar information is already legally required, prohibited or already provided by voluntary agreements).
Over the next 5 years these symbols or words in these three areas will appear individually or in combination on our packaging.
To supplement those already in existence, we will also create a dedicated website with additionalinformation, including …reminders about the dangers of excessive drinking on health…
4. Reducing drinking and driving:
We therefore encourage governments to enforce existing drink‐drive laws and regulations, and
we will actively advocate for the introduction of effective drink‐drive laws, including a BAC limit
and lower BAC limit for novice drivers, backed by appropriate enforcement, where these do not
already exist in countries where we are commercially active.
We have a long history of engagement around the world in programmes to discourage drinkingand driving, including the existing six Global Actions drink‐drive pilots in China, Colombia, Mexico, Nigeria, Russia and Vietnam (www.global‐actions.org).
At the end of 2014, we commit to assessing these pilots and decide which are successful and locally sustainable. We also undertake to replicate those which prove to be successful in at leastsix additional countries, covering all continents, but focusing on the developing world, in the next5 years.
5. Enlisting the support of retailers to reduceharmful drinking:
We commit to invite leading international retailers with whom we have commercial relationships to join us in launching a responsible retailing initiative. The primary aim of the initiative will be tocreate ‘guiding principles of responsible beverage alcohol retailing', which will focus on identifying and cataloguing best practice guidelines for responsible beverage alcohol retailing(including discouraging irresponsible price promotions to the extent legally permissible; encouraging responsible pointof‐sale marketing and promotion in retail establishments; appropriate retailer undertakings on responsible sale of our products and other measures toreduce alcohol‐related harm).
The initiative will also encourage local responsible retailing initiatives to implement the guiding
principles focusing on measures to prevent under‐age drinking through, eg, proof‐of‐age requirements, and on the training of retail staff in how to identify, prevent and manageintoxicated drinkers.
ICAP handles the commitments
A not-for-profit organization, by major producers of beverage alcohol.
The mission of the International Center for Alcohol Policies (ICAP) is:• To promote understanding of the role of alcohol in society and help reduce the
abuse of alcohol worldwide.
• To encourage dialogue and pursue partnerships involving the beverage alcohol
industry, governments, the public health community, and others interested in alcohol policy.
Global Actions via ICAP
The companies sponsoring Global Actions on Harmful Drinking have launchedthree critical initiatives to address the harmful use of alcohol.
with a focus on , , , and ;—with a focus on, and ; and—with a focus on , and .
Our commitments :
Reduce under‐age drinking
2. Strengthen and expand marketing codes of practice
3. Provide consumer information and responsible product innovation
4. Reduce drinking and driving
5. Enlist the support of retailers to reduce harmful drinking
Effectiveness of policy Chapter 7 – The effectiveness of alcohol policy Alcohol policies can be grouped within five headings: (i) policies that reduce drinking and driving; (ii) policies that support education, communication, training and public awareness; (iii) policies that regulate the alcohol market; (iv) policies that support the reduction of harm in drinking and surrounding environments; and (v) policies that support interventions for individuals. Since the 1970s, considerable progress has been made in the scientific understanding of the relationship between alcohol policies, alcohol consumption and alcohol-related harm. The drinking-driving policies that are highly effective include unrestricted (random) breath testing, lowered blood alcohol concentration (BAC) levels, administrative license suspension, and lower BAC levels for young drivers. The limited evidence does not find an impact from designated driver and safe drive programmes. Alcohol locks can be effective as a preventive measure, but as a measure with drink driving offenders only work as long as they are fitted to a vehicle. The World Health Organization has modelled the impact and cost of unrestricted breath testing compared with no testing; applying this to the Union finds an estimated 111,000 years of disability and premature death avoided at an estimated cost of €233 million each year. The impact of policies that support education, communication, training and public awareness is low. Although the reach of school-based educational programs can be high because of the availability of captive audiences in schools, the population impact of these programs is small due to their current limited or lack of effectiveness. Recommendations exist as to how the effectiveness of school-based programmes might be improved. On the other hand, mass media programmes have a particular role to play in reinforcing community awareness of the problems created by alcohol use and to prepare the ground for specific interventions. There is very strong evidence for the effectiveness of policies that regulate the alcohol market in reducing the harm done by alcohol, including taxation and managing the physical availability of alcohol (limiting hours and days of sale and raising the minimum drinking age). Alcohol taxes are particularly important in targeting young people and the harms done by alcohol. If alcohol taxes were used to raise the price of alcohol in the EU15 by 10%, over 9,000 deaths would be prevented during the following year and an approximate estimate suggests that €13bn of additional excise duty revenues would also be gained. The evidence shows that if opening hours for the sale of alcohol are extended more violent harm results. The World Health Organization has modelled the impact of alcohol being less available from retail outlets by a 24 hour period each week; applying this to the Union finds an estimated 123,000 years of disability and premature death avoided at an estimated implementation cost of €98 million each year. Restricting the volume and content of commercial communications of alcohol products is likely to reduce harm. Advertisements have a particular impact in promoting a more positive attitude to drinking amongst young people, and, even in advertisements that do not portray drinking of alcohol, young people perceive the characters as heavy drinkers. Self-regulation of commercial communications by the beverage alcohol industry does not have a good track record for being effective. The World Health Organization has modelled the impact of an advertising ban; applying this to the Union, finds an estimated 202,000 years of disability and premature death avoided, at an estimated implementation cost of €95 million each year.
August 2009 Australian treatment guide for consumers and carers © The Royal Australian and New Zealand College of Psychiatrists, 2009 Key points about bipolar disorder Compiled by The Royal Australian and New Zealand College of Psychiatrists (RANZCP), this information and advice is based on current medical knowledge and practice as at the date of publication. It is intended as a general guide only, and not as a substitute