1. Global and national approaches to reducing the harmful use of alcohol

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

3. 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

4. Too big alcohol-attributable burden

5. Global distribution of alcohol-attributable deaths and DALYs

6. 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

7. Proportion of alcohol-attributable DALYs in WHO subregions, 2004

8. 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

9. 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.

10. 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

11. 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

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

13. WHO global counterparts network first meeting 8-11 February 2011

14. 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;

15. 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

16. 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…

17. 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.

18. 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 ( )
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

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

20. Thank you for your attention
Further information at