www.alkoholpolitik.ch

Abstract:
Aims: Minimum alcohol prices in British Columbia have been adjusted intermittently over the past 20 years. The present study estimates impacts of these adjustments on alcohol consumption.
Design: Time series and longitudinal models of aggregate alcohol consumption with price and other economic data as independent variables.
Setting: British Columbia (BC), Canada.
Measurements: Data on alcohol prices and sales for different beverages were provided by the BC Liquor Distribution Branch for 1989 to 2010. Data on household income were sourced from Statistics Canada.
Findings: Longitudinal estimates suggest that a 10% increase in the minimum price of an alcoholic beverage reduced its consumption relative to other beverages by 16.1% (P<0.001). Time series estimates indicate that a 10% increase in minimum prices reduced consumption of spirits and liqueurs by 6.8% (P=0.004), wine by 8.9% (P=0.033), alcoholic sodas and ciders by 13.9% (P=0.067), beer by 1.5% (P=0.043) and all alcoholic drinks by 3.4 % (P=0.007).
Conclusions: Increases in minimum prices of alcoholic beverages can substantially reduce alcohol consumption.
(Source: Alcohol Reports, 01/10/12) Full Report (pdf)

An article in the Bulletin of the World Health Organization raises concerns regarding conflict of interest in a partnership where SABMiller, the world’s second largest brewer by sales volume, receive funding from the Global Fund for a HIV/AIDS prevention project in drinking establishements in South Africa.
„No conflict of interest“ replies the Global Fund.
The recent issue of Bulletin of the World Health Organization carries a round table section: „Global Fund collusion with liquor giant is a clear conflict of interest. The First article is by Richard Matzopoulos, Charles DH Parry, Joanne Corrigall, Jonny Myers, Sue Goldstein and Leslie London. They describe how the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) has recently included SABMiller as a recipient of funding for an education intervention aimed at minimizing alcohol-related harm, including HIV prevention, among men in drinking establishments.The authors think Global Fund support for this initiative is cause for concern.

The article discusses whether men in drinking establishments are the best target group for the intervention, whether a drinking establishment is the best location, and whether the educational intervention itself is effective. Their experience is that the liquor industry is inclined to support alcohol interventions that will not affect drinking rates at a population level. These interventions allow the industry to simultaneously fulfil social and legal obligations to address the harmful use of alcohol while ensuring that sales and profits are maintained.

Providing funding for a highly profitable industry that could afford to fund its own interventions also reduces the funds available for less well-resourced organizations.

Ask the authors: „Do we take it that the problem of “corporate capture” has now spread to one of the largest health funders in the world?“ …
(Source: Alcohol Reports, 01/08/12) add-recources.org, 01/05/12
Comment: At least the industry accepted the role of alcohol regarding HIV.

On January 1, 1991, the federal excise tax on beer doubled, and the tax rates on wine and liquor increased as well. These changes are larger than the typical state-level changes that have been used to study the effect of price on alcohol abuse and its consequences. In this paper, we develop a method to estimate some important effects of those large 1991 changes, exploiting the interstate differences in alcohol consumption.

We demonstrate that the relative importance of drinking in traffic fatalities is closely tied to per capita alcohol consumption across states. As a result, we expect that the proportional effects of the federal tax increase on traffic fatalities would be positively correlated with per capita consumption. We demonstrate that this is indeed the case, and infer estimates of the price elasticity and lives saved in each state. We repeat this exercise for other injury-fatality rates, and for nine categories of crime. For each outcome, the estimated effect of the tax increase is negatively related to average consumption, and that relationship is highly significant for the overall injury death rate, the violent crime rate, and the property crime rate. A conservative estimate is that the federal tax reduced injury deaths by 4.7%, or almost 7,000, in 1991. (Source: Alcohol Reports, 01/02/11) NBER Working Paper No. 17709, Dec. 2011

Warning labels aimed at pregnant women will be added to all alcohol products in New Zealand and Australia.

The Australian and New Zealand Ministerial Council on Food Regulation agreed to introduce labelling telling of the risks of drinking alcohol during pregnancy at a Melbourne meeting last week in response to the recommendations of the independent Food Policy and Labelling Review.
The labelling will be regulated in two year’s time. …
(Source: Alcohol Reports, News, 12/20/11) nzherald.co.nz, 12/16/11

Research that claims lifting the price of alcohol will not curb binge drinking has been denounced by a leading alcohol health promotion group.

The research, from Australia’s Griffith University, found there was no significant change to the number of occasions people engaged in binge drinking when the price of liquor rose.

However, price rises did increase the number of days people went alcohol-free, while the the number of days people consumed between one and four drinks (non-binge drinking) also fell.

But Alcohol Healthwatch director Rebecca Williams said overall research had shown that price was one of the best tools available to reduce overall consumption and harm.

„Price is probably the sharpest tool in the shed as a mechanism for affecting harm. The overall research is very, very clear that it does target the things we need to target, which is the early drinking in young people, and the heavy drinking.“

The Law Commission recommendations on alcohol reform included a 50 per cent increase in excise tax, which would increase the price of alcohol by about 10 per cent on average.

The Griffith University research analysed household surveys of almost 80,000 people and asked them how their behaviour would change with a 1 per cent increase in the price of alcohol.

„There may be a need to broaden the net and better identify what policies can and cannot do and investigate alternatives to price increases,“ researcher Joshua Byrnes said.

Source: Alcohol Reports, 12/20/11) stuff.co.nz, 12/18/11

Comment: No wonder they didn’t find a significant change when asking about an increase of 1 per cent. Even a 10% increase could be too little.

Scientific Opinion of the Science Group of the European Alcohol and Health Forum

From the Foreword: The enormous burden of individual harm (often to those around the problem drinker as well as the drinker themselves) and aggregated lost productivity that are highlighted in the report should make it clear to all that inactivity is not an option and complacency will cost lives. We owe it to the populations we serve to use every opportunity that is founded in sound evidence to preserve and improve health and this report should lay the foundations of applying this to the workplace. But the workplace cannot be taken in isolation: just as work affects health and wellbeing beyond the workplace, so do many factors outside work, such as the price, availability and marketing of alcohol, or access to social programs and general healthcare reflect back on the health of the workforce. The Science Group believes that the European Commission across its various directorates has the potential to be a vital catalyst for good practice in this two-way process.
Professor Ian Gilmore
Chair, Science Group
From the Summary:
Impact of alcohol on the workplace and productivity
Globally, alcohol is the world’s number one risk factor for ill-health and premature death amongst the 25-59 year old age group, the core of the working age population. It is unsurprising, therefore that lost productivity costs feature as the dominant element in social costs studies arising from the harm done by alcohol (contributing to one half or more of the
total social costs). Becoming unemployed worsens alcohol-related harm, and heavy drinking, itself, leads to unemployment. Alcohol is a significant risk factor for absenteeism and presenteeism at work, largely in a dose response manner, with a relationship between societal and individual level of alcohol consumption and sickness absence. Although some studies have reported a positive impact of alcohol consumption on earnings, a proxy measure of productivity, a meta-analysis of relevant studies suggested that the relationship was an artefact. Often forgotten is the impact of drinkers on the productivity of people other than the drinker. An Australian study found this to be comparable in cost size as the lost
productivity costs of the drinkers themselves. The work place itself also impacts on alcoholrelated harm. Certain occupations (in particular bar staff and sea workers) are at particular risk, and, in general, stressful working environments increase the risk of alcohol-related harm.
(Source: Alcohol Reports, 12/18/11) ec.europa.eu, Sept. 2011
Comment: This report should be taken into account by all industrial leaders and governments. Especially interesting the part about the role of abstainers. It’s the same „artefact“ as we see in studies on alcohol and health.

The health and social care provider Turning Point has said alcohol misuse within families is an escalating concern in its new report „Bottling it up: the next generation“. It says early screening and identification of families is needed urgently to prevent the ‘inter-generational cycle’ of alcohol misuse which blights the lives of children and undermines their life chances.

Up to 2.6 million children live with parents who drink at „hazardous“ levels and around 700,000 children are thought to live with dependent drinkers. As picked up in the Daily Express, pressure put on women to be „supermums“ was felt to be increasing alcohol use as a coping mechanism. Turning Point said more than 5,000 people who used their alcohol treatment services last year were parents.

The report says children of parents who misuse alcohol are more at risk of depression, anxiety and increased anger. Turning Point also highlighted JRF research which found that children who see their parents drunk are twice as likely to get drunk themselves. Children living with drinking parents are also more likely to experiment at an early age with alcohol and drugs, increasing the risk of their own later life substance problems.

In the report Turning Point call on the Government to place a duty on Local Authorities to develop strategies that take into account the harms to family life and children’s development. They also advocate the development of services which are more family focused and home-based, better liaison between adult and children’s services, and more information available to help affected children. … (Source: Alcohol Policy UK, 12/15/11)

The economics think-tank the Institute for Fiscal Studies (IFS) have published a new report on Alcohol pricing and taxation policies. It echoes many of the findings from a report last year in which it suggested minimum pricing would transfer further profits to industry and retailers, therefore favouring increased taxation.

The new report however suggests the current alcohol taxation system is not optimal and a „sensible starting point would be to tax all alcohols at an equivalent rate per unit. Such a change would require policy action at the EU level which the Government should pursue.“ …

„…prefer higher and restructured alcohol taxes as an alternative to minimum pricing. At least with taxation the revenues flow to the Government rather than to the industry. Taxes that were more closely focused on the alcohol content of different products could also allow something closer to a minimum price to be introduced through the tax system, perhaps in tandem with a ban on below-tax sales.“

However Dr Petra Meier, who conducted the University of Sheffield modelling on pricing impacts has previously said both taxes and minimum pricing should be used to reduce alcohol-related harm as it should not be an ‚either or‘ argument. (Source: Alcohol Reports, 12/08/11) Alcohol Policy UK, 12/06/11

This supplement provides up-to-date estimates of the numbers (and percentages) of new cancer cases in the UK that are attributable to factors that have been established by international consensus as potentially avoidable causes of the disease. It therefore offers a useful guide to the relative importance of different preventive interventions.

Excluded from consideration are factors that, although known to be effective in reducing the risk of numerically important cancers, do not offer acceptable or practical preventive strategies at present. Early and multiple childbearing (to prevent breast cancer) and the widespread use of anti-androgen drugs (to prevent prostate cancer) come under this category. What remains is a limited number of important factors that can, at least to some extent, be affected by personal or political choices. The most important among these is continuation of the significant reduction in tobacco exposure. Next in importance are reductions in obesity and in heavy alcohol consumption, and certain other dietary changes. Each of these four main strategies for cancer control would also substantially reduce the burden of other non-communicable diseases, particularly cardiovascular, diabetic, renal and hepatic disease. … (Source: Alcohol Reports, 12/08/11) BJC British Journal of Cancer, 12/06/11
Comment: Today, a part of the Swiss parliament (chamber of the cantons) has refused to enter into discussion of a new law on prevention. Prevention should be private. The lobbyists have worked well. (Source: parlament.ch, 12/08/11)

Dear grown-ups, decision-makers in the European Parliament, in the national peoples’ representations, in the national governments and ministries, in the European Commission, We hope this letter finds you well.

We are not well. We are concerned because it looks like our future (is) broke.
In our organizations and for many of the young people and youth organizations we are cooperating with, the picture is clear: young Europeans are concerned, often even scared. We are extremely aware of the tremendous burden that is being put on each and every single young European, who will have to make huge efforts, work relentlessly to master the debt challenges collected and piled up by the grown-ups who have been making decisions in the past and do so today.
Millions of young Europeans – in youth organizations, schools, universities and the public places all over the continent – ask: how are we ever going to be able to pay back these paramount debts that exceed any form of imagination?

With this question came another realization: we, Europe’s youth, need the best possible conditions, tools and qualifications to be able to tackle the debt piled up by yesterday’s and today’s grown-ups. In that sense and in many other ways, it is wrong to cut and try and save money on education, youth facilities, culture. It is especially wrong when other measures go largely unnoticed. Therefore Active and (only) 30 of its members collected during 2 hours in Rome last weekend more than 130 postcards from people whom they met. 130 ideas what €125 Billion could be spent on – instead of paying for alcohol related harm every year. … (Source: Press Release activeeurope.org, 11/16/11)
Comment: This could be an essential part of the Occupy-movement.