1. The Four countries project: An International Sharing Experiences and Build up Networking on alcohol related harm reduction Prapag Neramitpitagk ul Sawika Sreaiumsaard 19 Dec,09

2. An International Sharing Experiences and Build up Networking on alcohol related harm reduction Vietnam : 9 – 10 Nov, 09Vietnam : 9 – 10 Nov, 09 Laos:1-4 : 12-13 Nov, 09Laos:1-4 : 12-13 Nov, 09 Cambodia : 16-17 Nov, 09Cambodia : 16-17 Nov, 09 Mongolia: 2- 4Dec,09Mongolia: 2- 4Dec,09

3. Report outline OverviewOverview Alcohol Situation in the Country (demand)Alcohol Situation in the Country (demand) Supply of Alcohol Product in the CountrySupply of Alcohol Product in the Country Marketing and InvestmentMarketing and Investment Impact of alcohol consumptionImpact of alcohol consumption Alcohol Policy in the CountryAlcohol Policy in the Country SuggestionsSuggestions

4. Hanoi, Vietnam 9 – 10 November 2009 9 Nov 09 – Side visiting to Social Affair Committee, Health Policy and Strategy Institute, MOH (HPSI), Ministry of Culture and Social Affairs: MCS and Department of Light Industry9 Nov 09 – Side visiting to Social Affair Committee, Health Policy and Strategy Institute, MOH (HPSI), Ministry of Culture and Social Affairs: MCS and Department of Light Industry 10 Nov 09 – Workshop “Sharing International Experiences on Alcohol Related Harm Reduction” at Horison Hotel, Hanoi, Vietnam10 Nov 09 – Workshop “Sharing International Experiences on Alcohol Related Harm Reduction” at Horison Hotel, Hanoi, Vietnam

5. I. Overview To exchange knowledge and experiences between World Health Organization Western Pacific Region Zone A (WPRO A) and Health Policy and Strategy Institute, Ministry Of Health, Vietnam (HPSI) about alcohol in order to provide evidences to support alcohol policy making in Vietnam To exchange knowledge and experiences between World Health Organization Western Pacific Region Zone A (WPRO A) and Health Policy and Strategy Institute, Ministry Of Health, Vietnam (HPSI) about alcohol in order to provide evidences to support alcohol policy making in Vietnam Speakers from ThailandSpeakers from Thailand 1. Mrs. Areekul Puangsuwan – “The Use of Earmarked Taxation for Health and Well-Being: Reduction Alcohol Consumption and its Related Harms” 2. Ms. Prapag Neramitpitakul - “Illegal Alcohol Consumption in Thailand” 3. Ms. Sawika Sreaiumsaard - “Stopdrink Network and Practical Alcohol Reducing Campaigns in Thailand”

6. II. Alcohol Situation in Vietnam People normally drink alcoholPeople normally drink alcohol Homemade alcohol is popular among Vietnamese peopleHomemade alcohol is popular among Vietnamese people Drinking age started at 24 yearsDrinking age started at 24 years Beer drinking rate: 20/headBeer drinking rate: 20/head Vietnam is the fastest growing beer market in the worldVietnam is the fastest growing beer market in the world

7. II. Alcohol Situation (Cont.) Research in 7 provinces found 1/3 of Vietnamese normally drink beerResearch in 7 provinces found 1/3 of Vietnamese normally drink beer 77.7% = higher education level that drink beer and wine every day77.7% = higher education level that drink beer and wine every day 46% = bachelor level.46% = bachelor level. Wine and alcohol product are available and easy to buy in VietnamWine and alcohol product are available and easy to buy in Vietnam Ministry of Culture and Social Affairs and IOGT have been emphasizing on controlling alcohol related problems for 20 years and also have supported alcohol free celebrations but have no real activities to penetrate teenagers group.Ministry of Culture and Social Affairs and IOGT have been emphasizing on controlling alcohol related problems for 20 years and also have supported alcohol free celebrations but have no real activities to penetrate teenagers group.

8. III. Supply of Alcohol Product 10 large size of local alcohol factories10 large size of local alcohol factories 30-40 small to medium size local alcohol factories30-40 small to medium size local alcohol factories Statistics from the Vietnam Food Safety Agency showed that there are more than 2,000 kinds of home-made alcohol available on the market including snake wineStatistics from the Vietnam Food Safety Agency showed that there are more than 2,000 kinds of home-made alcohol available on the market including snake wine – an alcoholic beverage that includes a whole venomous snake in the bottle – an alcoholic beverage that includes a whole venomous snake in the bottle

9. III. Supply of Alcohol Product (Cont.) III. Supply of Alcohol Product (Cont.) Producing beer can be done without permission (except produce more than 1 M littres)Producing beer can be done without permission (except produce more than 1 M littres) Have alcohol stamp law but no policy to collect tax from homemade alcoholHave alcohol stamp law but no policy to collect tax from homemade alcohol Alcohol industry grows less than homemade 4-500 m. liter and having high toxic levelAlcohol industry grows less than homemade 4-500 m. liter and having high toxic level Interference of the industry is considerably high but there’s no law to regulate their involvementInterference of the industry is considerably high but there’s no law to regulate their involvement

10. IV. Marketing and Investment IV. Marketing and Investment Annual growth rate 9- 11% and is witnessing a strong competition among many well-known brandsAnnual growth rate 9- 11% and is witnessing a strong competition among many well-known brands including Saigon, Hanoi, Tiger and Heineken including Saigon, Hanoi, Tiger and Heineken > 300 beer and alcohol production facilities,> 300 beer and alcohol production facilities, with key producers including Saigon Beer, Alcohol and Beverage Corporation (Sabeco), & Vietnam Brewery Limited Co. with key producers including Saigon Beer, Alcohol and Beverage Corporation (Sabeco), & Vietnam Brewery Limited Co. Some foreign beer brands like Budweiser, Kronenbourg 1664, SABMiller also have entered the local market.Some foreign beer brands like Budweiser, Kronenbourg 1664, SABMiller also have entered the local market.

11. IV. Marketing and Investment (Cont.) The plan to develop Vietnam’s alcohol, beer and beverage sector by 2010The plan to develop Vietnam’s alcohol, beer and beverage sector by 2010 The country aims to supply an output of 1.2 billion litres in 2005 and 1.5 billion litres in 2010.The country aims to supply an output of 1.2 billion litres in 2005 and 1.5 billion litres in 2010. Of the output, over 50 % is to be supplied by the Vietnam Alcohol, Beer and Beverage Corporation,Of the output, over 50 % is to be supplied by the Vietnam Alcohol, Beer and Beverage Corporation, More than 20% by foreign-invested enterprises (FIEs)More than 20% by foreign-invested enterprises (FIEs) Nearly 30% by businesses in other economic sectors and small-scale production basesNearly 30% by businesses in other economic sectors and small-scale production bases

12. IV. Marketing and Investment (Cont.) Vietnam is to only license new joint ventures or increase production capacity of existing breweriesVietnam is to only license new joint ventures or increase production capacity of existing breweries Vietnam’s annual beer consumption per head will increase from 10 litres in 2000 to 13 litres in 2005,Vietnam’s annual beer consumption per head will increase from 10 litres in 2000 to 13 litres in 2005, 16 litres in 2010 and 25 litres in 2020 16 litres in 2010 and 25 litres in 2020 Hanoi and Ho Chi Minh City. Among its beer products, around 70 % comes in the form of draught beer, 20 % bottled beer and 10 % canned beer.Hanoi and Ho Chi Minh City. Among its beer products, around 70 % comes in the form of draught beer, 20 % bottled beer and 10 % canned beer. Many local and foreign brands have appeared nationwide, and other kinds of draught beer have become more and more commonMany local and foreign brands have appeared nationwide, and other kinds of draught beer have become more and more common

13. V. Impact of alcohol consumption Drink-driving was involved in 12,000 deaths.Drink-driving was involved in 12,000 deaths. A General Department of Preventive Medicine and Environmental Health study found the rate of road traffic crashes in Viet Nam in 2008 was 3.3 times higher than 2002.A General Department of Preventive Medicine and Environmental Health study found the rate of road traffic crashes in Viet Nam in 2008 was 3.3 times higher than 2002. The rate of road traffic crashes liked to an increase in alcohol production, which is forecast to reach 1.5 billion litres 2010.The rate of road traffic crashes liked to an increase in alcohol production, which is forecast to reach 1.5 billion litres 2010. A survey (Yen Bai, Da Nang & Binh Duong 2007 ) showed up to 93% of people drove after drinking.A survey (Yen Bai, Da Nang & Binh Duong 2007 ) showed up to 93% of people drove after drinking.

14. V. Impact of alcohol consumption (Cont.) V. Impact of alcohol consumption (Cont.) The domestic consumers must pay more thanThe domestic consumers must pay more than VND 14 trillion (US$823.5 million) for their alcohol VND 14 trillion (US$823.5 million) for their alcohol before covering the costs of hospital treatment. before covering the costs of hospital treatment. The State budget could get about 30 % of this amount from alcohol production and trading tax.The State budget could get about 30 % of this amount from alcohol production and trading tax. The average treatment costs for a crash victim were VND2.3 million ($135).The average treatment costs for a crash victim were VND2.3 million ($135). Drink featured in 60 % of domestic violence cases & 10 % traffic accidentsDrink featured in 60 % of domestic violence cases & 10 % traffic accidents.

15. VI. Alcohol Policy Drinking culture in Viet Nam, wine and beer could not be banned but there should be a ban on advertising,Drinking culture in Viet Nam, wine and beer could not be banned but there should be a ban on advertising, as well as stricter regulations on trading. as well as stricter regulations on trading. The alcohol level of 80mg/100ml blood drops to 50mg/100ml for motorcyclists and zero for car driversThe alcohol level of 80mg/100ml blood drops to 50mg/100ml for motorcyclists and zero for car drivers Dec 2009, Not allow to sale 14 degree alcohol product or higher including homemade alcohol to people age under 25 year oldDec 2009, Not allow to sale 14 degree alcohol product or higher including homemade alcohol to people age under 25 year old The law still have gap for allowing people over 18 to buy beer and rumThe law still have gap for allowing people over 18 to buy beer and rum

16. VI. Alcohol Policy (Cont.) the Government is preparing a decree guiding in detail some articles of the Law against Domestic Violence and another on administrative sanctions in this domain.the Government is preparing a decree guiding in detail some articles of the Law against Domestic Violence and another on administrative sanctions in this domain.

17. VII. Suggestions Standard >StopStandard >Stop International framework will contribute a lot to national policy. International framework will contribute a lot to national policy. Should work with women union which has concerns and is working very actively. Having campaigns to reduce consumption.Should work with women union which has concerns and is working very actively. Having campaigns to reduce consumption. Evidence baseEvidence base

18. GDP 2000-2007

19. Statistic of the Secondary students in Vietnam from 1976 - 2008

20. Beer product in Supermarket

21. Beer and Beverage product

22. Side Walk in morning at Hanoi

23. Cha Ca

24. Thank you