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The Health , Social and Economic Impact of Alcohol Riga, 19 October 2005

The Health , Social and Economic Impact of Alcohol Riga, 19 October 2005. Structure of presentation. Is the European Commission serious about alcohol policy? Is alcohol good for the economy? Is drinking different across Europe?. Structure of presentation.

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The Health , Social and Economic Impact of Alcohol Riga, 19 October 2005

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  1. The Health, Social and Economic Impact of AlcoholRiga, 19 October 2005

  2. Structure of presentation • Is the European Commission serious about alcohol policy? • Is alcohol good for the economy? • Is drinking different across Europe?

  3. Structure of presentation • Is the European Commission serious about alcohol policy? • Is alcohol good for the economy? • Is drinking different across Europe?

  4. Alcohol’s economic role Goods account balance €9bn Tax revenue (€24bn in EU15) Employment: Industry say up to 3½ m jobs in EU15 The Alcohol Economy

  5. But… tax not dependent on consumption The Alcohol Economy

  6. …and jobs not dependent on consumption The Alcohol Economy Employment in the Hotels, Restaurants and Catering sector in Austria

  7. The Alcohol Economy Total tangible costs – €135bn

  8. Structure of presentation • Is the European Commission serious about alcohol policy? • Is alcohol good for the economy? • Is drinking different across Europe?

  9. Use of alcohol • Relative dispersion of EU consumption

  10. Binge drinking, menat least six portions per one occasion %

  11. Binge drinking, women at least six portions per one occasion %

  12. Consumption(L per adult) Less than 14 14 to 15 15 to 18½ More than 18½ Use of alcohol • Consumption-per-drinker: • Much less variation • EU range still 10-22 L • Very high levels overall: • 5 countries > 20 L • Average 15 L

  13. Use of alcohol Trends in binge-drinking in 15-16 year old malestudents, 1995-2003 5+ drinks on a single occasion 3+ times in last 4 weeks

  14. Structure of presentation • Is alcohol important for social well-being and health • Is alcohol an important European public health issue? • Is it better to drink like southern Europeans?

  15. Alcohol and individuals • Choosing different policy options Cost of implementing same policy options per 100 people per year (€) in sub-region A of EU25; Adapted from Chisholm et al 2004

  16. Structure of presentation • Is alcohol important for social well-being and health • Is alcohol an important European public health issue? • Is it better to drink like southern Europeans?

  17. Alcohol and Europe

  18. Alcohol and Europe • Each year, alcohol causes: • 17,000 road traffic accidents • 27,000 accidental deaths • 2,000 murders • 10,000 suicides • 50,000 cancer deaths, of which • 11,000 female breast cancer deaths • 17,000 psychiatric deaths • 45,000 deaths from liver cirrhosis

  19. The geographical relationship between alcohol consumption and cirrhosis mortality

  20. Structure of presentation • Is alcohol important for social well-being and health • Is alcohol an important European public health issue? • Is it better to drink like southern Europeans?

  21. Alcohol and southern Europe Alcohol consumption and cirrhosis rates in southern

  22. Alcohol and southern Europe Alcohol and violence in EU15 countries Alcohol consumption 5.6 9.3 10.4 (litres per capita)

  23. Structure of presentation • Is alcohol policy effective? • Is there a role for the alcohol industry? • Is alcohol policy very different across Europe?

  24. Education and Persuasion Pricing and Taxation Regulating Physical Availability Regulating Alcohol Promotion Drinking-Driving Countermeasures Treatment and Early Intervention Alcohol policy

  25. Choosing different policy options Alcohol policy Impact of different policy options in preventing DALYs per million people per year

  26. Choosing different policy options Alcohol policy Cost of implementing same policy options per 100 people per year (€)

  27. Alcohol policy • 10% in price: • consumption 2% to 8% • 9,000 deaths • €3 billion in revenue

  28. Alcohol policy Alcopops in Switzerland

  29. Alcohol policy Education programmes in young people

  30. Structure of presentation • Is alcohol policy effective? • Is there a role for the alcohol industry? • Is alcohol policy very different across Europe?

  31. Alcohol industry

  32. Structure of presentation • Is alcohol policy effective? • Is there a role for the alcohol industry? • Is alcohol policy very different across Europe?

  33. Alcohol policy in Europe Tax levels Average effective tax adjusting for purchasing power PP € <400 PP € 400 – 1000 PP € > 1000

  34. Legal purchase age of 18 Legal purchase age of 18 20 16 16 None 17, or 16 (B) and 18 (S) Alcohol policy in Europe Buying any drink from bars Buying beer from shops

  35. TV advertising Stronger for spirits, esp. in EU10 Stronger than for other media, such as billboards, print, sponsorship etc. Complete ad ban Voluntary agreements Legal restriction (not just content) Nothing Alcohol policy in Europe Beer advertising on television

  36. Alcohol policy in Europe Variation in alcohol policy… Policy score Score (0-20) showing strength of alcohol policy < 9 9 – 12 > 12

  37. Alcohol policy Education programmes in young people

  38. Alcohol industry

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