1. WHO-EURO/ CPH 26/3/2010 SIHLWA-9/ ALC-subgroup report SIHLWA-9/ NDPHS WHO-EURO/ CPH 24-26 March 2010 ALC (+ADO) SUBGROUP MEETING REPORT

2. ALC-sub-group participants (19) BAKONINA YuliaLIEDBERGIUS Anna PIETRUSZKA Magdalena CAUNITIS JanisLIEPINA IngaSON Irina HELLMAN MatildaLITVINOVA OlgaTSECHKOVSKI Mark JENSEN Johan DamgaardMACIEJOWSKI MarekTÄHT Triinu KRIVELIENE GelenaPARKKUNEN HeiniWARPENIUS Katarina Chair Bernt BULLRapporteur Mikko VIENONEN Co-Chair Lars MØLLERCo-Rapporteur Anna SKVORTSOVA

3. NDPHS Task Group on ALCOHOL AND DRUG PREVENTION AMONG YOUTH IN NDPHS AREA for implementing fast-track flagship project (ADPY) TERMS OF REFERENCE Lead partner:Sweden (”STAD”) Co-lead partner: open Coordinator nominated: Anna Liedbergius Preparation starts at once (started already/ “OPEN SPACE” Countries and organizations invited to ”register” their interest soonest October 2010 PAC-side event target for presenting a mature project proposal at “donor-meeting” To be submitted to CSR-17 (Moscow 19/3) Project Preparation Task Group

5. Alcohol: a simplified systems model Alcohol Indicators  Determinants Price, physical availability, marketing, enforcement, attitudes, risk perception, risk and protective factors  Consumption Sales data, survey data, other data  Harm Health: morbidity & mortality Crime: assaults, drink-drive, crimes against the alcohol act, etc.  Prevention Structure for prevention Preventive activity/measures Consumption Medical, social, econ. consequences Legislation and enforcement Norms, attitudes and treatment Economic interest Serving, Retail sales legal and illegal Production, marketing distribution

6. Tour de table: a very useful excercise Participants asked to provide their input electronically to m.vienonen@kolumbus.fim.vienonen@kolumbus.fi Important information on countries/ organizations developments and plans

7. Tour de table: “Degustations” Russia: St conception of alcohol policy 2009- 2020. ”Healthy Russia Projects. Ongoing tightening restrictions of alc. availability. www. … Latvia and Lithuania: presently the pendulum is shifting towards INCREASING access. Considered good for tourism! Sweden: State alc monopoly being squeezed on alcohol sales on wine-farms all mornig was spent on lively and useful exchange of views and experience,

8. Disability adjusted life years lost due to risk factors in EURO in 2004 1 Tobacco useAlcohol useTobacco 2 Blood pressureBlood pressure Alcohol use 3 Alcohol useTobacco High blood pressure 4 Overweight/obesityOverweight/obesityOverweight/obesity 5 High blood glucoseHigh cholesterol High cholesterol 6 Physical inactivityPhysical inactivityPhysical inactivity 7 High cholesterol High blood glucose High blood glucose 8 Illicit drug useIllicit drug use Low fruit/vegetables 9 Low fruit/vegetableSuboptimal breastfeed.Illicit drug use 10 Unsafe sexUnsafe sexUnsafe sex High Income European Countries Low Income European Countries Total European Countries Source: Global Health Risks, WHO 2009

9. Male deaths age 15-29 in EURO due to selected risk factors in 2004

10. Female deaths age 15-29 in EURO due to selected risk factors in 2004

11. NDPHS Task Group on AVAILABILITY TO AND ADVERTISING OF ALCOHOLIC BEVERAGES IN NDPHS AREA (APO) TERMS OF REFERENCE Lead partner: OPEN (WHO-EURO will be approached urgently in writing). The problem is lack of human resources to meet the demand. Secondment would be a solution. Co-Lead Partner: OPEN (Russia has been asked to seriously consider the position Terminology: access -> availability Text finalized and ready for submission to CSR-17 if Lead Partner is identifies.