Paola D'Acapito, Cinthia Menel Lemos. European Commission Executive Agency for Health and Consumers, EAHC. Health Unit.

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1 Health Programme (HP): funding projects for alcohol and drug addiction prevention and reduction of health related harm an overview of results, best practice and coverage Paola D'Acapito, Cinthia Menel Lemos Project Officers European Commission Executive Agency for Health and Consumers, EAHC Health Unit

2 EU Health Programmes different Action Programmes (health promotion, cancer, drug dependence, AIDS and other communicable diseases, health monitoring, rare diseases, accidents and injuries, pollutionrelated diseases) ,8 M ,5 M M Community Action Programme for Public Health Health Information Health Threats Health Determinants 2 nd Programme of Community Action in the field of Health Health Security and Safety Health Promotion and Health Inequality Health Information 3rd Programme of Community Action in the field of Health Innovative and sustainable Health Systems Access to high quality health care Prevent illness and promote health Protect citizens against crossborder health threats

3 Overview of results, best practice and coverage ALCOHOL HARM REDUCTION

4 EU Alcohol Strategy and EC co-funded projects Protect young people, children and the unborn child AMMIE Reduce injuries and deaths from alcohol-related road traffic accidents Prevent alcohol-related harm among adults and reduce the negative impact on the workplace Awareness on the impact of harmful and hazardous alcohol consumption, and on appropriate consumption patterns Develop, support and maintain a common evidence base 1) To curb under-age drinking, reduce hazardous and harmful FASE drinking among HEALTH young people. APYN 2) To reduce the harm suffered by children in families with alcohol TAKE problems. 3) To reduce exposure to EUDAP alcohol during 2 pregnancy. HaPYN 4) To contribute to reducing alcohol-related road fatalities and injuries PEER Drive Ten D CLEAN PHP FASE 5) To decrease alcohol-related chronic physical and mental PHEPA PROTECT disorders. 6) To decrease the number of alcohol related deaths. 7) To BISTAIRS provide information IATPAD to consumers. VINTAGE 8) Reduction of alcohol-related harm at the workplace 9) To increase EU citizens awareness of the impact of TAKE harmful and hazardous alcohol consumption on health, especially the impact of alcohol CARE on the foetus, on under-age drinkers, on working and on driving performance AMMIE EWA 10) To obtain comparable information on alcohol consumption; definitions on harmful and hazardous consumption Building SMART APYN 11) To evaluate the impact of initiatives taken on Capacity the basis of this Communication. EISAH CARE CLUB Heroes Heroes PROTECT

5 Some examples ALCOHOL HARM REDUCTION

6 SMART Standardizing Measurement of Alcohol Related Troubles The project developed standardized comparative survey methodology on heavy drinking, binge drinking (episodic heavy drinking), drunkenness, context of drinking, alcohol dependence and unrecorded consumption, and developed standardized methodology of costbenefit analyses of alcohol policies to evaluate the economic impact of existing alcohol policies in the EU.

7 AMMIE- Monitoring Alcohol Commercial Communications in Europe Monitoring of alcohol marketing to allow EC and MS to improve existing regulations on alcohol marketing at MS and EU level. (1) Monitoring reports of alcohol marketing by independent NGOs in selected Member States (NL, DE, DK, IT, BU) To evaluate the "audience threshold" rule Overview of sponsoring practices of team sports events in 5 countries (2) young people s assessment of existing alcohol marketing regulations Is marketing attractive to young people? (3) Report on complaints in respect to self-regulation requirements of alcohol marketing.

8 FASE Focus on Alcohol Safe Environment FASE project aimed at collecting best practices for work-place strategies, for safer drinking environments, and supporting development of best practice in advertising, self regulation and monitoring. Methodology: Collection of best practices and Policy report in different domains

9 FASE

10 FASE 1 Introduction 2 Methods 3 Results 3.4 Responsible server/staff training programmes 3.5 Interventions delivered in drinking environments 3.6 Policing and enforcement approaches 3.7 Interventions aimed at reducing underage access to alcohol 3.8 Community-based multi-component programmes 4 Discussion 4.4 Other approaches to reducing harm in drinking environments 5 Conclusions 6 References

11 FASE 1. Introduction 2. Method 3. Alcohol Marketing is everywhere 4. Effects of exposure to alcohol advertising 5. Effective content restrictions 6. Effective volume restrictions 7. Effective regulatory systems 8. How to evaluate alcohol marketing regulations: A proposed framework The need for a framework to evaluate alcohol marketing regulations Criteria of effective alcohol marketing regulations Previous attempts of evaluating alcohol marketing regulations Comparing evidence-based criteria with criteria of the industry The need to have alcohol marketing regulations that aim to protect public health 9. Policy recommendations

12 VINTAGE Good health into older age To build capacity at the European, country and local levels by providing the evidence base and collecting best practices to prevent the harmful use of alcohol amongst older people, including the transition from work to retirement. Methodology: Collection of best practices and Policy report

13 Available at

14 Database on best practices Available at

15 Database on grey literature in the field Available at

16 PROTECT - Alcohol labelling policies to protect young people PROTECT aimed at collecting and disseminating science-based information regarding the usefulness of health warnings on alcoholic beverages. Through a network of European partners, interviews with young people were conducted, scientific literature, best practices and relevant laws in Europe were reviewed, debates with stakeholders were planned.

17 EAHC Project Database word=114

18 Overview of results, best practice and coverage DRUG PREVENTION AND HARM REDUCTION

19 EU projects co-funded 13 Prevention people from starting to use drugs 15 Prevention experimental use becoming regular use 13 Developed Early intervention for risky consumption patterns SRAP DC&D BORDER NET WORK FreD goes net (HNT) PEER Drive CLEAN SEID EUDAP 2 CLUB HEALTH Ten D PEER Drive CLEAN FreD goes net NEWIP SEID CORRELATION and II 17 Provision of treatment programmes, including testing, access and quality of services ENDIPP AIDS integration SCALE UP HARM REDUCTION Moretreat ENCAP TUB-IDU Im.p.ACT 1 Rehabilitation and social reintegration programmes 23 Reducing drug related health and social damage SDDCARE ENDIPP Connections ENCAP Moretreat CORRELATION and II AIDS integration SCALING UP HARM REDUCTION

20 Drug prevention and harm reduction funding under the Health Programme , projects were funded during addressing addiction prevention and harm reduction to illicit drugs and night life, with EC funding of 23 M Participation: in average 8 countries participating varying from 4 to 31 countries Small pilot networks, like ENCAP, SDDCARE, Imp.Ac.T to large mapping reports, like the Report on the current state of play of the 2003 Council Recommendation on the prevention and reduction of health-related harm or HIV prevention tender

21 Healthy Nightlife Toolbox General objective: To support the identification and implementation of effective preventive interventions that address emerging trends in alcohol and drug use in nightlife settings, especially regarding ecstasy, cocaine, amphetamines & cannabis.

22 Specific objectives A. Development of a web-based toolbox for prevention workers and policymakers that : o o enables them to have easy access to high quality preventive measures and programs concerning substance (ab)use in nightlife settings and stimulates them to develop/implement high quality preventive programs in their MS/municipality. B. Stimulate exchange among EU MS, so EU MS can learn from each others experiences on prevention of substance (ab)use in nightlife settings.

23 Results achieved Development of a web-based toolbox for prevention workers and policymakers in EU Member States, which enables easy access to the databases and handbook. Four databases were developed with a) relevant literature on interventions; b) relevant literature on related issues; c) high quality interventions; and d) contacts for advice or consultation haven been developed. Handbook was developed and tested in two countries, pilot tests were very positive.

24 2011 HIV and co-infections prevention strategies - concepts for the future, Royal Tropical Institute (NL) Specific objectives: To produce a comprehensive mapping and analysis, with a systematic assessment of the response to the HIV infection, needs analysis, identification of gaps and challenges, a systematic review of what the effective HIV interventions were and what is potentially not working per region and per risk group Results achieved: 31 country reports prepared in 2012, taking as reference the year 2011, presenting the analysis of the drivers of the HIV epidemic; coverage of HIV prevention programmes, with a special focus on the most affected regions or countries per priority group, including IDUs.

25 Thank you! Paola D'Acapito Cinthia Menel Lemos Scientific Project Officers on Alcohol and drug porfolios European Commission Executive Agency for Health and Consumers Health Unit and

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