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Health policy and the social cost of alcohol use in Belgium

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Presentation on theme: "Health policy and the social cost of alcohol use in Belgium"— Presentation transcript:

1 Health policy and the social cost of alcohol use in Belgium
Symposium Binge Drinking in Belgian minors : an innocent problem ? Health policy and the social cost of alcohol use in Belgium Kurt Doms Head Drugs Unit, FPS Health, Food chain safety and Environment ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

2 Structure Mission Drug Unit Social cost studies
International National Public expenditure : one element of social cost General policy implications Health policy implications ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

3 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 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.’ (Anderson & Baumberg, 2006) ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

5 Concepts Tangible and intangible costs Direct and indirect 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 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

6 International data Total tangible costs of alcohol use to the European Union in 2010 amount to € 155,8 billion (Rehm, 2012). ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

7 Total tangible social cost of alcohol use, in billion €, EU, 2010
Rehm, 2012 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

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

9 Belgian data Total tangible costs of alcohol use in Belgium amount to € 4,2 billion in 2007 (Annemans, 2013). ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

10 Total tangible social cost of alcohol use, in billion €, by field, Belgium, 2007
Annemans, 2013 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

11 Comparisons On the EU level roughly the same as for tobacco (Anderson,2006) Total tangible costs of alcohol use in Belgium amount to € 6 billion in 1999 (Degreef & Pacolet, 2003). Difference due to decline of accidents and absenteeism (Annemans, 2013) ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

12 Quid benefits ? (Degreef & Pacolet, 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 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

13 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 (Single, 2003) ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

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

15 Further research University of Ghent (Vander Laenen, 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 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

16 3. Public expenditure : one element of social cost
University of Ghent and Vrije Universiteit Brussel (Vander Laenen, 2011), ‘Drugs in figures III’ Scope: Expenses made by public services, no external, private or social costs Alcohol, illicit drugs, tobacco and psychoactive medication 2008 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

17 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 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

18 Total expenditure on drug policy, by substance, percentages, 2008, Belgium
Vander Laenen, 2011 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

19 Public expenditure on alcohol policy, by piller, percentages, 2008, Belgium
Vander Laenen, 2011 ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

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

21 General policy initiative
Alcoholplan by the Interministerial Conference on Drugs Intersectoral approach WHO priorities Actions and responsabilities 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 5. Health policy implications
Jointed priority for awareness building Evidence based care innovation Monitoring ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

23 Some health policy initiatives
Monitoring Treatment Demand Indicator Review Minimal Psychiatric Registration ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

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

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

26 References Anderson, P. & Baumberg, B. (2006), Alcohol in Europe. London : Insitute of Alcohol Studies Annemans, L. (2013), The health, social and economic burden of alcohol dependence. A Brief Update, Brussels. Degreef, T., Pacolet, J. & R. Bouten (2003), Sociale kosten-batenanalyse van alcoholgebruik en –misbruik in België, Leuven: HIVA. Lim, 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, Rehm, 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. Rehm, 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, Single, E. et. al. (2003), International Guidelines for Estimating the Cost of Substance Abuse, 2, WHO. Vander Laenen, F., De Ruyver, B., Christiaens, J. & D. Lievens (2011), Drugs in Cijfers III. Onderzoek naar de overheidsuitgaven voor het drugsbeleid in België, Gent: Academia Press. ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –

27 Thank you Contact : kurt. doms@gezondheid. belgie. be Info : www
Thank you Contact : Info : ‘Binge Drinking in Belgian Minors : an innocent problem ? ‘ - Health policy and the social cost of alcohol use in Belgium –


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