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Scotland’s Futures Forum. Scotland’s Alcohol Problem Where Are We? How Did We Get Here? Where Do We Go Next? How Can We Reduce Damage By Half by 2025?. Peter Rice, Consultant Psychiatrist, NHS Tayside Alcohol Problems Service, Sunnyside Royal Hospital, Montrose .

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slide2

Scotland’s Alcohol Problem

Where Are We?

How Did We Get Here?

Where Do We Go Next?

How Can We Reduce Damage By Half by 2025?

Peter Rice,

Consultant Psychiatrist,

NHS Tayside Alcohol Problems Service,

Sunnyside Royal Hospital, Montrose

slide4

ISD 2005

ISD 2005

slide5

SCOTTISH CANCER TRENDS 1950-2003

Chief Medical Officer Report 2005

slide11

ISD 2005

ISD 2005

slide16

WORLD HEALTH ORGANISATION REPORT 2003

ALCOHOL: No Ordinary Commodity

Effect

High

High

Mid

Mid

Low

Low

MeasurePricingAvailability - Age limit- Outlet DensitySafer Drinking- Sever training- Safer glassesTreatment- Brief InterventionsRegulating Ads & PromotionsInformation- Schools- Product Labelling

cost effectiveness
Cost Effectiveness

Recent studies suggest that alcohol treatment has both short and long-term economic benefits.

The Review of the effectiveness of treatment for alcohol problems suggests that provision of alcohol treatment to 10 per cent of the dependent drinking population within the UK would reduce public sector resource costs by between £109 million and £156 million each year.

Analysis from the United Kingdom Alcohol Treatment Trial suggests that for every £1 spent on alcohol treatment, the public sector saves £5.

slide21

Beer Sales Type

On Off

1991 80% 20%

2001 65% 35%

1997-2001

23% increase in

Supermarket sales

slide24

INTERNATIONAL TRENDS IN ALCOHOL CONSUMPTION

1970 2002 % Change

Consumption in pure litres of alcohol per head total population

Brazil 0.7 4.2 500

China 1.03 3.8 170

Ireland 5.9 10.8 83

UK 5.3 9.6 81

United States 6.7 6.7 0

Switzerland 10.7 9.0 - 16

Spain 11.6 9.6 - 18

France 16.2 10.3 - 37

Italy 13.7 7.4 - 47

World Drink Trends 2004

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INTERNATIONAL TRENDS IN ALCOHOL CONSUMPTION

1990 2002

Consumption in pure litres of alcohol per head total population

Ireland 7.6 10.8

UK 7.7 9.6

Netherlands 8.1 8.0

Belgium 9.9 7.9

Austria 10.4 9.2

New Zealand 8.8 6.9

Australia 8.5 7.3

World Drink Trends 2004

us prohibition 1919 to 33 the great failure
US Prohibition 1919 to 33 – The Great Failure ??
  • Alcohol consumption halved.
    • Cirrhosis deaths down by 1/3.
    • Violent crime fell by 90% in first two years.
    • 50% fall in domestic violence incidents.
slide27

“Prohibition’s good if it’s conducted right,

There’s no sense in shooting a man ‘til he shows flight,

Officers kill without a cause, then complain about about the funny laws,

Tell me, how can a poor man stand such times and live ?

West Virginia 1929

slide30

Glasgow City Council

Theglasgowstory.com

slide31

Dundee - 1922 General Election

Edwin Scrymgeour - Winston Churchill -

Prohibition Party Liberal Party

32, 578 votes 20,466 votes

slide32

SCOTLAND AND PROHIBITION

Scotch Whisky exports to Bahamas

1918 – 944 gallons

1922 – 386,000 gallons

“Prohibition was the best thing that ever happened to Scotch”

Maclean (2003) Scotch Whisky – A Liquid History.

french high committee on public health 1992
French High Committee on Public Health 1992
  • Alcohol is responsible for 20% of all deaths
  • 1,000 cases of foetal alcohol syndrome each year
  • 15-35% of hospital beds taken up by victims of alcohol abuse
  • More than a third of road deaths are thought to be due to alcohol,
  • The excess mortality before 65 years of age,particularly in men, is largely linked to alcohol consumption.
  • The current situation remains unacceptable and major efforts must be made.
french alcohol policy from 1991
French Alcohol Policy from 1991
  • Raise duty rates
  • Train more specialists
  • Label warnings
  • Driving and workplace controls
  • “Promote image of non-drinkers.”
  • Loi Evin 1994
    • Ban on TV advertising
    • Sports sponsorship