Presentation is loading. Please wait.

Presentation is loading. Please wait.

FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 8.11.2013 - Symposium B INGE D RINKING IN B ELGIAN MINORS : AN INNOCENT PROBLEM ? Health.

Similar presentations


Presentation on theme: "FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 8.11.2013 - Symposium B INGE D RINKING IN B ELGIAN MINORS : AN INNOCENT PROBLEM ? Health."— Presentation transcript:

1 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Symposium B INGE D RINKING IN B ELGIAN MINORS : AN INNOCENT PROBLEM ? Health policy and the social cost of alcohol use in Belgium K URT D OMS Head Drugs Unit, FPS Health, Food chain safety and Environment 1 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

2 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Structure 1.Mission Drug Unit 2.Social cost studies 1.International 2.National 3.Public expenditure : one element of social cost 4.General policy implications 5.Health policy implications ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

3 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 1. Mission Drug Unit Stimulating quality improvement and innovation in alcohol and drug treatment Supporting development and implementation of integrated and global drug policy Promoting Belgian drug policy views internationally ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

4 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 2. Social cost studies ‘The social cost of alcohol is the cost to society of everything that happens that would not happen in a world without alcohol. It does not show how much could be saved by any particular policy measure, nor does it show how much could be saved if alcohol suddenly vanished.’ (A NDERSON & B AUMBERG, 2006) 4 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

5 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Concepts -Tangible and intangible costs -Tangible: monetary harms -Intangible : non monetary harms (value placed on harms) -Direct and indirect costs -Direct : immediately linked with harm -Indirect : e.g. productivity losses, … Ideal : combination, not always possible/available 5 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

6 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU International data Total tangible costs of alcohol use to the European Union in 2010 amount to € 155,8 billion (R EHM, 2012 ). 6 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

7 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Total tangible social cost of alcohol use, in billion €, EU, 2010 R EHM, ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

8 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU High public health costs : epidemiology -Several alcohol attributable diseases: neuropsychiatric disorders, cancer, cardiovascular and gastro-intestinal diseases (mainly liver cirrosis) (R EHM, 2013) -11 million people in EU with alcohol dependence (Belgium : 1,9 % of women and 5,4 % of men) (R EHM, 2013) -Net burden of alcohol consumption in EU was 1 in 7 deaths in men, and 1 in 13 deaths in women (R EHM, 2012) -Alcohol use is fifth most important risk factor for burden of disease in 2010 in 21 regions worldwide (L IM, 2012) 8 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

9 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Belgian data Total tangible costs of alcohol use in Belgium amount to € 4,2 billion in 2007 (A NNEMANS, 2013). 9 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

10 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Total tangible social cost of alcohol use, in billion €, by field, Belgium, 2007 A NNEMANS, ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

11 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Comparisons 1.On the EU level roughly the same as for tobacco (A NDERSON,2006) 2.Total tangible costs of alcohol use in Belgium amount to € 6 billion in 1999 (D EGREEF & P ACOLET, 2003). Difference due to decline of accidents and absenteeism (A NNEMANS, 2013) 11 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

12 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Quid benefits ? (D EGREEF & P ACOLET, 2003) -Gains through avoided morbidity and mortality : medical costs, productivity, … -Taxation revenues net social cost of alcohol use in Belgium in 1999 : € 4,4 billion 12 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

13 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Limitations -Different methodologies -Data availability -Wide margins of error -Assumptions under discussion : transfers of unemployment, consumed goods, … -No thorough comparisons with other substances/diseases Need of internationally validated instrument : review and update of WHO Guidelines on Estimating the Cost of Substance Abuse (S INGLE, 2003) 13 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

14 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Discussion -Global analysis -Social cost studies as starting point of economic contributions to policy making -Cost-effectiveness studies remain essential -Ideological debates : solidarity ? 14 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

15 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Further research -University of Ghent (V ANDER L AENEN, ET. AL.) : social cost study of tobacco, alcohol, illicit drugs and psychoactive medication -Objectives -Definition of social cost -Screening of existing national and international data -Estimation of social cost of substances in Belgium -SWOT analysis of the method used -Formulate general conclusions and policy recommandations Belgian Science Policy Office 15 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

16 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 3. Public expenditure : one element of social cost University of Ghent and Vrije Universiteit Brussel (V ANDER L AENEN, 2011), ‘Drugs in figures III’ Scope: Expenses made by public services, no external, private or social costs Alcohol, illicit drugs, tobacco and psychoactive medication ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

17 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Results Total public expenditure on drug policy in 2008 amounts to € 975 million, of which - alcohol : € 632 million - illicit drugs : € 273 million - psychoactive medication : € 35 million - tobacco : € 11 million - substances combined : rest 17 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

18 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Total expenditure on drug policy, by substance, percentages, 2008, Belgium 18 V ANDER L AENEN, 2011 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

19 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Public expenditure on alcohol policy, by piller, percentages, 2008, Belgium 19 V ANDER L AENEN, 2011 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

20 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 4. General policy implications Awareness of social and economic harms of alcohol ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – Need of intersectoral approach Effectiveness and monitoring

21 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU General policy initiative Alcoholplan by the Interministerial Conference on Drugs 1.Intersectoral approach 2.WHO priorities 3.Actions and responsabilities 4.Monitoring To be decided on the 9th December 2013 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

22 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 5. Health policy implications Jointed priority for awareness building ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – Evidence based care innovation Monitoring

23 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Some health policy initiatives Monitoring ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – Treatment Demand Indicator Review Minimal Psychiatric Registration

24 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Evidence based care innovation ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – ‘UP-TO-DATE’ study : GP’s and occupational practitioners Mental health sector reform, including for minors

25 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Awareness building ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium – Prevention, early detection and intervention Agenda setting with involvement of civil society

26 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU References -A NDERSON, P. & B AUMBERG, B. (2006), Alcohol in Europe. London : Insitute of Alcohol Studies -A NNEMANS, L. (2013), The health, social and economic burden of alcohol dependence. A Brief Update, Brussels. -D EGREEF, T., P ACOLET, J. & R. B OUTEN (2003), Sociale kosten-batenanalyse van alcoholgebruik en – misbruik in België, Leuven: HIVA. -L IM, S. ET. AL. (2012), A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, : a systematic analysis of the Global Burden of Disease Study 2010, Lancet, 380, R EHM, J. ET. AL. (2012), Alcohol consumption, alcohol dependance and attributable burden of disease in Europe : Potential gains from effective interventions for alcohol dependence, Centre for Addiction and Mental Health, Canada. -R EHM, J. ET. AL. (2013), Modeling the impact of alcohol dependence on mortality burden and the effect of available treatment interventions in the European Union, European Neuropsychopharmacology, 23, S INGLE, E. ET. AL. (2003), International Guidelines for Estimating the Cost of Substance Abuse, 2, WHO. -V ANDER L AENEN, F., D E R UYVER, B., C HRISTIAENS, J. & D. L IEVENS (2011), Drugs in Cijfers III. Onderzoek naar de overheidsuitgaven voor het drugsbeleid in België, Gent: Academia Press. 26 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

27 FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU Thank you Contact : Info : 27 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –


Download ppt "FOD VOLKSGEZONDHEID, VEILIGHEID VAN DE VOEDSELKETEN EN LEEFMILIEU 8.11.2013 - Symposium B INGE D RINKING IN B ELGIAN MINORS : AN INNOCENT PROBLEM ? Health."

Similar presentations


Ads by Google