Regional overview of child injuries Joanne Vincenten European Child Safety Alliance, EuroSafe EURO Regional Consultation to discuss the World Report on child and adolescent injury prevention July 2-3, 2007 Amsterdam, The Netherlands Alcohol Policies Supporting Child Injury Prevention Joanne Vincenten Child Safety Europe 6 th European Alcohol Policy Conference

The use of alcohol fuels high levels of: - Violence - Child neglect and abuse - Fatal road incidents - Drowning - Falls - Burns and - Poisonings Source: WHO, 2011

Impact of alcohol use on intentional injury Nearly 10% of children in the EU live in families suffering under alcohol abuse. Alcohol is a cause child abuse in 16% of child abuse cases in Europe. Alcohol is a cause in 40% of all domestic violence cases in Europe. 19% of all homicides of children in Europe are due to alcohol.

Impact of alcohol use on unintentional injury 23% of all fatal road injuries of children ages 0 to 5 years are due to alcohol. Alcohol is involved in 30-50% of all adolescent and adult drowning. A study of teenage head-first diving with severe spinal injuries showed alcohol was a factor in nearly 50% of the cases. Research in Northern Ireland showed impairment due to alcohol is a factor in 80% of fatal house fires.

CHILD SAFETY REPORT CARDS 2012 Assessment and benchmarking tool of policy action at national level Participation from 31 countries in 2012; baseline for all 27 EU Member States 12 areas (4 road safety, water safety, falls, burns, poison, choking, national leadership, infrastructure, and capacity including alcohol policy) Score individual indicators and overall performance grade Trend analysis comparing results

CHILD INTENTIONAL INJURY REPORT Assessment and benchmarking tool of policy action at national level Participation of 28 countries Includes evidenced based policies for maltreatment, peer to peer violence, suicide as well as alcohol policies.

NATIONAL ALCOHOL POLICY QUESTIONS Strategy (existing, implemented and enforced) # out of 31 Country has a national alcohol policy 22 National alcohol policy addresses injury to children as a specific issues related to alcohol 17 National alcohol policy makes specific mention of alcohol and youth or under age drinking and ways to address the problems 22 Country has a national policy that includes support to children whose parents have substance abuse problems 14 Country has a national law addressing drinking and driving of licensed vehicles by young drivers 30 Source: MacKay and Vincenten 2012, 2014

Alcohol Policy Case Example - Finland Local Alcohol Policy Project PAKKA Local cooperation model developed and implemented for the prevention of alcohol related harms with a focus on regulating the availability of alcoholic beverages. Results showed availability of alcohol to minors decreased in all regions. Decrease in actual sale and unofficial supply of alcohol to minors as well as licensed serving to persons under the influence of alcohol. Overall increase in the number of under age non- drinkers in Finland