Global and national approaches to reducing the harmful use of alcohol

Sources and pillars of public policy Ethical Political Technical Data information knowledge wisdom action

Plus numerous regional resolutions, strategies and frameworks Important milestones October 2002: World Health Report 2002 May 2005: WHA58.26 May 2007: WHA60 May 2008: WHA61.4 May 2010: WHA63.13 Plus numerous regional resolutions, strategies and frameworks

Too big alcohol-attributable burden

Global distribution of alcohol-attributable deaths and DALYs

Effective counter measures exist Effective measures: regulating the marketing of alcoholic beverages, (in particular to younger people); regulating and restricting availability of alcohol; enacting appropriate drink-driving policies; reducing demand through taxation and pricing mechanisms; raising awareness and support for policies; providing accessible and affordable treatment for people with alcohol-use disorders; and implementing screening programmes and brief interventions for hazardous and harmful use of alcohol

Proportion of alcohol-attributable DALYs in WHO subregions, 2004

APC in your countires Country APC Both sexes Drinkers only Female Male   Male Afghanistan 0.02 Cambodia 4.77 Chile 8.55 12.65 8.16 16.68 China 5.91 10.61 5.19 13.68 Georgia 6.4 13.09 9.44 14.81 India 2.59 22.25 10.35 23.93 Iran (Islamic Republic of) 1.02 Jordan 0.71 Kyrgyzstan 5.09 10.37 5.99 12.76 Oman 0.94 Peru 6.9 10 5.63 13.41 Saudi Arabia 0.25 Solomon Islands 1.66 4.6 1.44 5.51 Sri Lanka 0.79 8.98 6.93 9.32 United Arab Emirates 0.54 7.2 3.13 7.74 Uruguay 8.14 17.92 12.74 21.53 Uzbekistan 3.54 Viet Nam 3.77 15.64 11.6 16.1

WHO global strategy: Five objectives (a) raised global awareness of the magnitude and nature of the health, social and economic problems caused by harmful use of alcohol, and increased commitment by governments to act to address the harmful use of alcohol; (b) strengthened knowledge base on the magnitude and determinants of alcohol- related harm and on effective interventions to reduce and prevent such harm; (c) increased technical support to, and enhanced capacity of, Member States for preventing the harmful use of alcohol and managing alcohol-use disorders and associated health conditions; (d) strengthened partnerships and better coordination among stakeholders and increased mobilization of resources required for appropriate and concerted action to prevent the harmful use of alcohol; (e) improved systems for monitoring and surveillance at different levels, and more effective dissemination and application of information for advocacy, policy development and evaluation purposes.

Achieving the objectives of the global strategy Requires global, regional and national actions on levels of alcohol consumption patterns of alcohol consumption contexts of alcohol consumption wider social determinants of health Special attention needs to be given to reducing harm to people other than the drinker and to populations that are at particular risk from harmful use of alcohol

Global strategy: recommended ten target areas for policy measures and interventions Leadership, awareness and commitment Health services' response Community action Drink-driving policies and countermeasures Availability of alcohol Marketing of alcoholic beverages Pricing policies Reducing the negative consequences of drinking and alcohol intoxication Reducing the public health impact of illicit alcohol and informally produced alcohol Monitoring and surveillance

Global action: key components Public health advocacy and partnership Technical support and capacity building Production and dissemination of knowledge Resource mobilization

WHO global counterparts network first meeting 8-11 February 2011

The role of WHO national counterparts for implementation of the global strategy establish the working mechanisms and plans for the global network; elaborate priority areas and implementation plans for reducing the harmful use of alcohol at the global level; discuss priority areas and plans for implementing the global strategy at the regional level; discuss monitoring and reporting on the implementation of the global strategy at different levels;

Technical support and capacity building Implementation mechanisms for the Global strategy to reduce harmful use of alcohol Global network of WHO counter-parts WHO Secretariat Global level Coordinating council Task force on Public health advocacy and partnership Chairs of the global network Chairs of regional networks Chairs of task forces WHO Secretariat Chairs of working groups Task force on Technical support and capacity building Task force on Resource mobilization Task force on Production and dissemination of knowledge International partners and other stakeholders Technical working group(s) on selected target areas for national action Marketing Health services

Political Declaration of the September 2011 HLM of the UN General Assembly on the Prevention and Control of NCDs …underline the importance for MS to continue addressing common risk factors for non-communicable diseases through the implementation of … the Global Strategy to Reduce the Harmful Use of Alcohol; Recognize also the critical importance of reducing the level of exposure of individuals and populations to the common modifiable risk factors for non-communicable diseases … and their determinants…; Promote the implementation of the WHO Global Strategy to Reduce the Harmful Use of Alcohol…as well as raise awareness of the problems caused by the harmful use of alcohol, particularly among young people, and call upon WHO to intensify efforts to assist Member States in this regard…

Building capacity for national action This aim will be achieved through three outputs: Development of technical tools for the 10 different areas for alcohol policy development listed in the global alcohol strategy Regional capacity building workshops for training of national civil servants (national counterparts on alcohol, NCD focal points or other relevant government officials). Direct technical support in selected countries.

Information for policy and program development Global Survey on Alcohol and Health 2012 – launched 24 January 2012 Web-based (Datacol) data collection in collaboration with the regional offices Piloting new method of assessment of alcohol policy development and implementation in selected countries (2012) Global Information System on Alcohol and Health Update and maintenance Full integration with regional information systems on alcohol and health (2012) Preparation of the Global Status Report on Alcohol and Health (2013-2014) Supporting production and dissemination of new GBD/CRA estimates of alcohol-attributable burden Meeting of the WHO Reference Group on Alcohol Epidemiology (2012) WHO Research project on Alcohol, Health and Development Global prevalence study on Fetal Alcohol Spectrum Disorder (FASD) Harm to others Alcohol and infections diseases

Sources and pillars of public policy Ethical Political Technical Data information knowledge wisdom action

Thank you for your attention Further information at http://www.who.int/substance_abuse/