1 15 June 2010 REGIONAL COMMITTEE FOR AFRICA Sixtieth session Malabo, Equatorial Guinea, 30 August 3 September 2010 ORIGINAL: ENGLISH Provisional agenda item 7.2 REDUCTION OF THE HARMFUL USE OF ALCOHOL: A STRATEGY FOR THE WHO AFRICAN REGION Report of the Regional Director Executive summary 1. Public health problems related to alcohol consumption are substantial and have a significant adverse impact on both the alcohol user and the society. In the African Region, the alcoholattributable burden of disease is increasing with an estimated total of deaths attributable to harmful use of alcohol of 2.1% in 2000, 2.2% in 2002 and 2.4% in However, with new evidence suggesting a relationship between heavy drinking and infectious diseases, alcohol-attributable deaths in the African Region could be even higher. 2. No other product so widely available for consumer use accounts for so much premature death and disability as alcohol. Alcohol-related problems and their adverse impact result not only from the quantities of alcohol consumed but also from the detrimental patterns of use. Effective and adequate policy measures and interventions, surveillance mechanisms and public awareness need to be developed or enforced in the Region. 3. The Strategy aims to contribute to the prevention and reduction of harmful use of alcohol and related problems in the Region. It reviews the regional situation and provides a framework for action in Member States and for the Region, taking into consideration the global developments. The Strategy is intended to provide balanced guidance on priority interventions to be implemented, taking into account the Region s economic, social and cultural diversity. 4. The Regional Committee is invited to review and endorse this proposed Strategy.
2 CONTENTS Paragraphs INTRODUCTION SITUATION ANALYSIS AND JUSTIFICATION THE REGIONAL STRATEGY CONCLUSION ANNEX DRAFT RESOLUTION: AFR/RC60/WP/2 Reduction of the harmful use of alcohol: A strategy for the WHO African Region (Document AFR/RC60/4)
3 Page 1 INTRODUCTION 1. Public health problems related to alcohol consumption are substantial and have a significant adverse affect on people other than the alcohol user. Intoxication and the chronic effects of alcohol consumption can lead to permanent health damage (e.g. fetal alcohol syndrome, delirium tremens), neuropsychiatric and other disorders with short- and long-term consequences, social problems (e.g. unemployment and violence) and trauma or even death (e.g. road traffic accidents). There is also increasing evidence linking alcohol consumption with high-risk sexual behaviour and infectious diseases such as tuberculosis and HIV. 2. The alcohol-attributable burden of disease is increasing in the African Region, with an estimated total of deaths attributable to harmful use of alcohol of 2.1% in 2000, 2.2% in 2002 and 2.4% in However, with new evidence suggesting a relationship between heavy drinking and infectious diseases, alcohol-attributable deaths in the African Region could be even higher. 3. In 2007, at the Fifty-seventh session of the WHO Regional Committee for Africa, Member States expressed concern about the impact of harmful use of alcohol 2 on public health and emphasized the need to strengthen response in the Region. At the Fifty-eighth session of the Regional Committee, a set of evidence-based actions that would serve as a basis for developing national policies was adopted 3 and countries called for a Regional Strategy. 4. At the global level, Member States requested the submission to the Sixty-third World Health Assembly, in 2010, of a global strategy to reduce harmful use of alcohol. 4 In the process of collaboration to develop the draft global strategy, the WHO African Region has gathered information from Member States about existing evidence-based strategies and their applicability globally and in the Region, taking into account local needs and various national, religious and cultural contexts including national public health problems, needs and priorities, and differences in Member States' resources, capacities and capabilities This document analyses the situation in the African Region and proposes a strategy for appropriate action. The strategy builds on existing World Health Assembly resolutions and on discussions at regional and global levels, proposing a set of public health interventions aimed at reducing the harmful use of alcohol Rehm et al. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet 2009; 373: Harmful drinking encompasses drinking that is detrimental to health and has social consequences for the alcohol user, the people around the alcohol user and society at large, as well as patterns of drinking that are associated with increased risk of adverse health outcomes. WHO, Harmful use of alcohol in the WHO African Region: situation analysis and perspectives (AFR/RC57/14), Brazzaville, World Health Organization, Regional Office for Africa, 2007; WHO, Actions to reduce the harmful use of alcohol (AFR/RC58/3): Brazzaville, World Health Organization, Regional Office for Africa, Resolution WHA61.4: Strategies to reduce the harmful use of alcohol. In Sixty-first World Health Assembly, Geneva, May 2008, World Health Organization. Report on the WHO Regional Technical Consultation on a Global Strategy to Reduce Harmful Use of Alcohol. WHO Regional Office for Africa, 2009.
4 Page 2 SITUATION ANALYSIS AND JUSTIFICATION 6. Although alcohol constitutes an important source of income and its use is part of social and cultural practices and norms in many countries of the Region, alcohol-related health and social costs cannot be ignored. No other product so widely available for consumer use accounts for so much premature death and disability as alcohol. Alcohol-related problems and their adverse impact result not only from the quantities of alcohol consumed 6 but also from the detrimental patterns of use. Public awareness, especially of specific types of harm, is low in many of the countries. 7. Recent studies and surveillance data provide an insight into harmful use of alcohol in the Region. 7 The two main characteristics that describe alcohol consumption patterns in the Region are the high level of abstention in some countries and the high volume of consumption by drinkers, with severe health and social consequences. Overall, the adult per capita consumption of alcohol in the WHO African Region in 2004 was estimated at 6.2 L of pure alcohol. 8. In 2008/2009, countries collaborated in the WHO Global Survey on Alcohol and Health. This process showed that out of the 46 countries in the Region, only 10 countries had recent alcohol policies and 16 countries had advertising regulation. In many countries regular and systematic surveillance and monitoring systems with appropriate financial and human resources are still nonexistent; basic indicators are not defined; and even when data are available they are often scattered among different departments and therefore difficult to collect. 9. Adequate policies are few and coordination with relevant sectors and within government is lacking. Multisectoral approaches involving the private sector, professional associations, civil society, the informal sector, traditional healers, political and community leaders are not developed. At the community level there is a low level of awareness and nongovernmental organizations are not engaged in addressing the problem. 10. Within the health system, alcohol problems are often not recognized, tend to be minimized or are not properly addressed due to lack of appropriate skills, knowledge, adequate resources or lack of coordination and integration among different health programmes. 11. Although alcohol and illicit drugs share common neurobiological, psychological and behavioural characteristics, their related health hazards are often seen and treated separately, thus increasing the resources needed to address substance abuse in general. In the Region there is a lack of integrated approaches to dealing with substance use disorders. 12. The absence or misplacement (in psychiatric hospitals) of effective and adequate interventions, ranging from brief interventions in primary care to more intensive treatment in specialized settings is a reality in the African Region. Access to prevention, screening and treatment services and 6 7 Estimated mean of litres of pure alcohol per resident alcohol user aged 15 or over, higher than the global consumption rate estimated to be 15.8 litres. In Rehm, J et al., Alcohol, social development and infectious disease. Ministry of Health and Social Affairs, Sweden, Global Information System on Alcohol and Health GISAH, South African Community Epidemiology Network on Drug Use (SACENDU), Roerecke, M., Volume of alcohol consumption, patterns of drinking and burden of disease in sub-saharan Africa, African Journal of Drug and Alcohol Studies, 7(1), Obot IS, Alcohol use and related problems in sub-saharan Africa, African Journal of Drug and Alcohol Studies 5(1): 17 26, 2006.
5 Page 3 psychosocial care for patients and families are severely hampered by low or nonexistent budgetary allocations, general weakness of health systems and lack of public health infrastructure. 13. Interventions such as enactment of drinking and driving laws, taxation, restrictions on advertising and community information are already being used in the Region. Even so, they are used in an ad hoc, informal and fragmented manner, and frequently lack adequate control and enforcement systems. 14. It is estimated that unrecorded consumption accounts for about 50% of the overall consumption of alcohol in African countries. 8 Despite concerns about the potential health hazards arising from unregulated or illicit production, there is little information on the problem and the issue is often overlooked or not given the necessary consideration in policy development. Justification 15. The reduction of public health problems caused by harmful use of alcohol and the required interventions by governments to control alcohol-related harm are an essential step to improving the health of the populations in the Region. Important and effective alcohol control measures are available. 16. Therefore, the development and implementation of a regional strategy in the African Region is a timely and needed response. At the Fifty-eighth session of the WHO Regional Committee, in 2008, Member States requested WHO to support the development, implementation and evaluation of national policies and plans to combat the harmful use of alcohol and, to this end, submit a Regional Strategy to the Committee. 17. The magnitude and nature of alcohol-related harm clearly underscore the need for concerted action not only at national level, but also at regional and global levels. Strengthening national and region-wide capacities will enhance the capacity to respond effectively to the magnitude of the problem. THE REGIONAL STRATEGY Aim and objectives 18. The aim of this Strategy is to contribute to the prevention or at least reduction of harmful use of alcohol and related problems in the African Region. 19. The specific objectives are: (a) to provide a platform for advocacy for increased resource allocation, strengthening of action and intersectoral and international collaboration in responding to the problem; (b) to provide guidance to Member States for the development and implementation of effective alcohol control policies based on public health interests; 8 WHO, Global Status Report on Alcohol, Geneva 2004: World Health Organization Department of Mental Health and Substance Abuse.
6 Page 4 (c) to address low awareness on alcohol related harm in the community; (d) to promote the provision of adequate health-care interventions for preventing harmful use of alcohol and managing the attendant ill-health and conditions; (e) to encourage the creation of systems of systematic surveillance and monitoring of alcohol production, consumption and harm in countries. Guiding principles 20. This strategy is based on five key principles which should guide policy development at all levels in countries: (a) (b) (c) (d) (e) Priority interventions Policies should be based on best available evidence and be sensitive to national contexts. Citizens, specially those at risk, should be protected from alcohol-related harm, particularly harm from other people s act of drinking, and from pressures to drink. Strong political commitment, leadership and appropriate funding will ensure that effective approaches to alcohol problems are formulated, taking into account public health principles. Actions should be undertaken in a coordinated, strategic and integrated manner jointly with key agencies and with appropriate involvement of all partners and stakeholders at all stages of decision-making, planning, implementation and evaluation. Equitable and non-stigmatized access to effective prevention and care services should be given to all individuals and families; human rights should be respected. 21. Develop and implement alcohol control policies. Alcohol control policies, legislation and regulations should be based on clear public health goals and best available evidence and should reflect national consensus regarding their implementation at country level. The policies require strong leadership and political commitment and are necessary to ensure transparency, continuity and sustainability of the measures adopted by all the relevant partners. Policy options can be grouped into the following areas: 22. Leadership, coordination and partners mobilization. Coherent, consistent and strong action with relevant actors such as producers, retailers, health workers and communities, is fundamental for effective implementation and reinforcement of national policies and action plans. It is necessary to clearly define partners areas of contribution, their roles in implementation, their responsibilities and mandates and the relevance of their support in line with national priorities. An appropriate coordination mechanism is therefore important to bring together all intervening agencies, organizations and stakeholders. 9 The capacities of local authorities and the role of NGOs in this drive should be strengthened. 9 Policies to reduce the harmful use of alcohol must reach beyond the health sector and engage such sectors as development, transport, justice, social welfare, fiscal policy, trade, agriculture, consumer policy, education and employment.
7 Page Awareness and community action. Provision of information for decision-makers and communities should be strengthened in order to increase commitment to public health protection, recognition of alcohol-related harm in the community and active participation in policy measures and in implementation. A dedicated day or week should be established to increase community and political awareness. 24. Information-based public education. Providing alcohol education and information to the public, and religious and community leaders is fundamental to support alcohol control policy measures and to increase community participation in their implementation. Efforts are needed to improve its quality and keep it under the responsibility of public bodies.the harmful use of alcohol should be integrated in the school curriculum. Community action programmes should be usefully combined with interventions in schools and other settings such as workplaces to mobilize public opinion to address local determinants of the increasing alcohol consumption and related problems. Local community action should be based on rapid assessment and involve the community and young people in problem identification, planning and policy implementation. 25. Improvement of health sector response. Efforts are needed to improve health sector response through adequate training, infrastructures and funding and by strengthening integrated approaches to alcohol problems at different levels of the health system, and in both urban and rural areas. Early detection and management of alcohol-related harms at primary care level and effective treatment of people with drinking-related disorders are vital. Health professionals have an essential role to play in educating the community and mobilizing and involving players within and outside the health sector. 26. Strategic information, surveillance and research. Surveillance and monitoring, research and knowledge management play pivotal roles in alcohol control. Countries should establish information systems to monitor alcohol production, consumption and related health, social and economic indicators as well as the application of existing laws and regulations and their effect on the general population. Alcohol indicators with direct relevance to national policy priorities need to be identified and opportunities to integrate alcohol indicators into other surveillance systems should be adequately utilized. New partnerships with research entities should be explored and operational research should be promoted as an integral part of alcohol control in order to map unrecorded drinking patterns and document effective alcohol policy interventions. 27. Enforcing drink-driving legislation and countermeasures. Drink-driving countermeasures including setting and enforcing a maximum limit of 0.5 g/l for blood alcohol concentration, 10 frequent random-breath testing by the police and sobriety check-points should be a high-priority intervention. The visibility of such measures, rigorous and sustained enforcement of existing legislation accompanied by regular public awareness and information campaigns have a sustained effect on drink-driving. 28. Regulating alcohol marketing. There is a need to regulate the content and scale of alcohol marketing and the promotion of alcoholic beverages, in particular sponsorship, product placement, as well as internet and promotional merchandising strategies. Public agencies or independent bodies should closely monitor the marketing of alcohol products. Effective systems of deterrence should be put in place and enforced. 10 Over the years, the stipulated maximum level has been lowered. It is as low as zero or 0.2g/l in a number of countries, and 0.5g/l or lower in most countries in Europe.
8 Page Addressing accessibility, availability and affordability of alcohol. Commercial licensing systems that regulate the production, importation and sale (wholesale and retail) of alcoholic beverages should be put in place. Stricter regulation of the formal and informal sector and licensing of traditional outlets is crucial to ensure that beverages meet safety requirements and that they are controlled in order to protect most vulnerable groups such as adolescents and the low income population. There is a need to enact and enforce legislation on the minimum age at which alcohol drinking and purchasing is authorized and to restrict the times and places of sale. At the point of sale in supermarkets, alcoholic beverages should not be displayed together with water and other nonalcoholic drinks. Taxation should be increased 11 with regular review of prices, based on the inflation rate, income levels and alcohol contents. To that end, adequate enforcement mechanisms should be established. 30. Addressing illegal and informal production of alcohol. The illegal and informal production of alcoholic beverages 12 is seen as a major impediment to the adoption of effective policies. Nevertheless, this situation impacts on health and on tax revenues and reduces the ability to control production. This needs to be addressed and included in the national policy response. Some measure of quality control is needed including licensing and training of producers and introduction of appropriate enforcement measures. In addition, it is important to raise awareness among the general population and consumers about the dangers inherent in the consumption of certain forms of alcoholic beverages and to find funding to assist local informal producers to establish alternative income-generating business. 31. Resource mobilization, appropriate allocation and integrated approach. Resources are crucial to the implementation of the measures needed to reduce alcohol-related problems. These resources, to be mobilized by governments, from individuals, the private sector and international partners, should be available on sustainable basis and distributed among the different levels of the health system according to relative needs. There is a need to include harmful use of alcohol as a priority in the health development plans of countries. The development of an integrated approach to prevention and treatment can facilitate the use of existing resources in other areas or programmes for implementing the necessary interventions. Roles and responsibilities 32. Countries should: (a) develop and implement comprehensive alcohol policies that are evidence-based and focus on public health interest; to facilitate this task a coordination body such as a national alcohol council should be established; (b) mobilize and allocate resources for alcohol policies; Several studies have found mean price elasticities of 0 46 for beer, 0 69 for wine, and 0 80 for liquor, meaning that if the price of beer is raised by 10%, beer consumption would fall by 4.6%; if the price of wine was increased by 10%, wine consumption would fall by 6.9%; if the price of spirits was increased by 10%, consumption of liquor would fall by 8.0%. Anderson, P et al. Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet 2009; 373: Illegally produced alcohol refers to alcoholic beverage not produced according to law or not authorized by law; Informally produced alcohol means alcoholic beverages produced at home or locally by fermentation and distillation of fruits, grains, vegetables and the like, and often within the context of local cultural practices and traditions.
9 Page 7 (c) create public awareness on alcohol-related harm and mobilize communities to support the implementation of evidence-based policy; (d) adopt and enforce regulations and legislation aimed at reducing alcohol consumption and related harm and strengthen clinical practices; (e) promote and strengthen independent research in order to assess the situation and monitor national trends and the impact of adopted policy measures; (f) reinforce training and support for all those engaged in alcohol control policy activities in an attempt to increase knowledge and skills and facilitate policy implementation; (g) establish systems for monitoring and surveillance in order to capture the magnitude of alcohol consumption and related health, social and economic harms, provide information on existing laws and regulations and contribute to the exchange of alcohol surveillance information between regions and countries. 33. WHO and partners should support countries by: (a) developing and providing evidence-based tools and guidelines for policies, interventions and services; (b) (c) (d) (e) maintaining a regional information system and providing technical support to Member States in surveillance, monitoring and evaluation of alcohol consumption and related problems; providing them technical support in the development and review of effective and comprehensive alcohol policies and strategies; facilitating the creation and capacity building of Intercountry networking for exchange of experiences; facilitating effective linkages, cooperation and collaboration among international agencies, partners and stakeholders. Resource implications 34. Resources are required to support the implementation of this strategy, particularly for the implementation of surveillance and recording systems, policy monitoring including enforcement measures, research and early detection and treatment components. This will reduce costs in the long term. Furthermore, there is a need to ensure the availability not only of trained human resources at different levels of the health care system but also of treatment structures. In most countries in the Region part of the revenues gathered from alcohol taxes should be allocated to support the implementation of this strategy.
10 Page 8 Monitoring and evaluation 35. Continuous monitoring and evaluation will be based on progress, outcome and impact measurements, formulated under a regional plan of action, and to be reported every two years to the Regional Committee. Progress monitoring indicators include: (a) (b) (c) The availability and effective implementation of policies to reduce alcohol consumption and related harm; The implementation of sustainable national monitoring systems capable of collecting, analyzing and disseminating data for evidence-based policy decisions; The development and implementation of appropriate health care interventions at all levels of the health system, ranging from early interventions to adequate treatment. 36. Outcome and impact indicators will require the availability of data on trends and alcoholrelated harm. CONCLUSIONS 37. The African Region is faced with the growing burden of harmful alcohol consumption and lacks appropriate mechanisms to respond to this situation. The main challenge is to develop such mechanisms for effective implementation of national actions that will contribute to reducing harmful use of alcohol and strengthen global initiatives. 38. This strategy outlines actions needed to reduce alcohol-related harm and facilitate policy development and implementation at the country level. In order to reduce alcohol-related morbidity and mortality in countries, Member States are invited to take guidance from this document according to their specific needs and situation. This strategy will pave the way for action region-wide including stronger cooperation among Member States, stakeholders and partners. Strong advocacy and commitment at the highest political level are fundamental elements for its success. 39. The Regional Committee is invited to review and endorse this proposed strategy.
11 AFR/RC60/WP/2 15 June 2010 DRAFT RESOLUTION REDUCTION OF THE HARMFUL USE OF ALCOHOL: A STRATEGY FOR THE WHO AFRICAN REGION The Regional Committee, Having examined the document entitled Reduction of the harmful use of alcohol: A strategy for the WHO African Region ; Recalling World Health Assembly resolutions WHA58.26 on public-health problems caused by the harmful use of alcohol; WHA61.4 on strategies to reduce the harmful use of alcohol; and the adoption at the Sixty-third World Health Assembly, in May 2010, of the global strategy to reduce harmful use of alcohol; Having considered the report of the Regional Director on Harmful use of alcohol in the WHO African Region: situation analysis and perspectives and on Actions to reduce the harmful use of alcohol respectively presented at the Fifty-seventh and Fifty-eighth sessions of the WHO Regional Committee for Africa; Recognizing that the alcohol-attributable burden of disease is increasing in the African Region and that public health problems related to alcohol consumption are substantial and can adversely affect people other than the alcohol user; Concerned about the increasing evidence linking alcohol with illicit drugs consumption and with high-risk sexual behaviour and infectious diseases such as tuberculosis and HIV/AIDS; Noting the lack of public awareness and the low recognition of alcohol-related harm; Conscious of the need to ensure government leadership in order to protect at-risk populations, youths, and people affected by harmful drinking of others; Noting the existing opportunities to mobilize the community, the health sector and partners to improve surveillance and develop evidence-based interventions; Mindful of the need to consider multisectoral approaches and coordinate with key intervening agencies, organizations and stakeholders; 1. ENDORSES the Regional Strategy to reduce harmful use of alcohol in the WHO African Region as proposed in Document AFR/RC60/PSC/4; 2. URGES Member States: (a) to acknowledge harmful use of alcohol as a major public health issue and accord it priority in their national health, social and development agendas;
12 AFR/RC60/WP/2 Page 2 (b) (c) (d) (e) (f) to develop, strengthen and implement evidence-based national policies and interventions and adopt and enforce necessary regulations and legislation in this area; to mobilize and ensure appropriate financial and human resources to implement national alcohol policies and consider using revenues resulting from alcohol taxes to support the implementation of this Strategy; to set up the necessary research, surveillance and monitoring mechanisms to assess performance in alcohol policy implementation and ensure regular reporting to the WHO Secretariat; to ensure intersectoral coordination through the creation of an intersectoral committee bringing together all relevant governmental sectors, agencies and governmental and nongovernmental organizations; to create public awareness on alcohol-related harm and encourage the mobilization and active engagement of all the social and economic groups concerned in reducing harmful use of alcohol; 3. REQUESTS the Regional Director: (a) (b) (c) (d) (e) (f) (g) to continue to support and give priority to prevention and reduction of harmful use of alcohol and to increase efforts to mobilize necessary resources to implement this Strategy; to provide technical support to Member States in building and strengthening institutional capacity to develop and implement national policies and evidence-based interventions to prevent harm from alcohol use; to support further collection and analysis of data on alcohol consumption and its health and social consequences and reinforce the WHO regional information system on alcohol and health; to facilitate research on and dissemination of best practices among African countries through conferences and facilitate the implementation of this Strategy by organizing a regional network of national counterparts; to draw up a regional action plan for implementing this Strategy; to organize regional open consultations with representatives of the alcohol industry, trade, agriculture and other relevant sectors on how they can contribute to reducing harmful use of alcohol; to report on progress made in the implementation of the regional strategy to the Regional Committee every two years and at regional or international forums as appropriate.
Commentaries on WHO:s alcohol strategy Pekka Puska Alcohol control A global public health issue Noncommunicable diseases and conditions have become the leading cause of mortality worldwide. According to
Grenada National Alcohol Policy CONTENTS 1. Purpose 1.1 Policy objectives 1.2 Scope 1.3 Target population 1.4 Expected outcomes 2. Background 2.1 What is the public health problem? 2.2 Stakeholders 2.3
Workers health: global plan of action Sixtieth World Health Assembly 2 SIXTIETH WORLD HEALTH ASSEMBLY SIXTIETH WORLD HEALTH ASSEMBLY WHA60.26 Agenda item 12.13 23 May 2007 Workers health: global plan of
AZERBAIJAN SOCIOECONOMIC CONTEXT Total population 8,406,000 Annual population growth rate 0.6% Population 15+ years 76% Adult literacy rate 98.8% Population in urban areas 52% Income group (World bank)
TAJIKISTAN SOCIOECONOMIC CONTEXT Total population 6,640,000 Annual population growth rate 1.3% Population 15+ years 61% Adult literacy rate 99.5% Population in urban areas 25% Income group (World bank)
WHA resolution on Strategies to reduce the harmful use of alcohol: Background and follow up activities by the WHO Secretariat Mr. Dag Rekve Management of Substance Abuse Department of Mental Health and
SIXTY-SIXTH WORLD HEALTH ASSEMBLY A66/8 Provisional agenda item 13.1 15 March 2013 Draft comprehensive global monitoring framework and targets for the prevention and control of noncommunicable diseases
Alcohol and drug prevention - national policies and possibilities in communities Zaza Tsereteli, MD, MPH International Technical Advisor Alcohol and Substance Abuse Expert Group (ASA EG) NDPHS Recorded
EVIDENCE-BASED POLICIES TO REDUCE ALCOHOL-RELATED HARM Best practices in the prevention of alcohol problems Prof. Isidore S. Obot Director, Centre for Research and Information on Substance Abuse (CRISA)
EXECUTIVE BOARD EB130/9 130th session 1 December 2011 Provisional agenda item 6.2 Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors
COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, xxx COM(2006) yyy final COMMUNICATION FROM THE COMMISSION TO THE COUNCIL, THE EUROPEAN PARLIAMENT, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND THE COMMITTEE
Framework for alcohol policy in the WHO European Region European Charter on Alcohol: five ethical principles and goals 1. All people have the right to a family, community and working life protected from
Alcohol Consumption and Alcohol-Related Harms 2012 Australians drink a large volume of alcohol overall, and many drink at harmful levels, including teenagers and young adults. Young Australians are starting
First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control Moscow, 28-29 April 2011 MOSCOW DECLARATION PREAMBLE We, the participants in the First Global Ministerial Conference
European status report on alcohol and health 2014 Reducing the negative consequences of drinking and alcohol intoxication Reducing the negative consequences of drinking and alcohol intoxication Background
The WHO Global CODE of Practice on the International Recruitment of Health Personnel WHO Global Code of Practice on the International Recruitment of Health Personnel Sixty-third World Health Assembly -
The Prevention Status Reports (PSRs) highlight for all 50 states and the District of Columbia the status of public health policies and practices designed to prevent or reduce important health problems.
WORLD HEALTH ORGANIZATION OPEN-ENDED INTERGOVERNMENTAL WORKING GROUP ON THE 27 January 2005 WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL Second Session Provisional agenda item 5.2 Draft budget for the first
Evidence-based Prevention of Alcohol-related Problems for College Students Toben F. Nelson, ScD www.epi.umn.edu/alcohol Recommendations for Reducing College Student Drinking Individual interventions for
Policy Brief Tackling Harmful Alcohol Use Economics and Public Health Policy May 2015 Directorate for Employment, Labour and Social Affairs OECD s new flagship report examines the economic and public health
SIXTY-SEVENTH WORLD HEALTH ASSEMBLY WHA67.6 Agenda item 12.3 24 May 2014 Hepatitis The Sixty-seventh World Health Assembly, Having considered the report on hepatitis; 1 Reaffirming resolution WHA63.18,
EXECUTIVE BOARD EB138/CONF./8 138th session 27 January 2016 Agenda item 7.2 Health in the 2030 Agenda for Sustainable Development Draft resolution proposed by Japan, Panama, South Africa, Thailand, United
244 East 58 th Street, 4th Floor New York, NY 10022 212-269-7797 212-269-7510 Fax www.ncadd.org NCADD POLICY STATEMENT Drinking and Driving Preamble A significant percentage of drinking drivers are suffering
Draft Sri Lanka National Health Promotion Policy Table of contents Executive summary...1 Forewords...2 Preamble...3 The Concept for Health Promotion development...4 Guiding Principles...4 Current Sri Lanka
NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,
Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug
Ouagadougou Action Plan to Combat Trafficking In Human Beings, Especially Women and Children Introduction This booklet contains the Ouagadougou Action Plan to Combat Trafficking in Human Beings, Especially
Strengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease A joint UNDP, WHO, IOGT, & FORUT initiative Dudley Tarlton firstname.lastname@example.org SVRI Forum, September
38th Session, Paris, 2015 38 C 38 C/70 3 November 2015 Original: English Item 4.23 of the provisional agenda PROCLAMATION OF 28 SEPTEMBER AS THE INTERNATIONAL DAY FOR THE UNIVERSAL ACCESS TO INFORMATION
National Health Research Policy The establishment of a Department of Health Research (DHR) in the Ministry of Health is recognition by the GOI of the key role that health research should play in the nation.
AHG/Decl.2 (XXXII) 32 nd OAU Summit DECLARATION AND PLAN OF ACTION ON DRUG CONTROL ABUSE AND ILLICIT DRUG TRAFFICKING IN AFRICA The features of the Plan of Action elaborated herewith comprise five sections
AFRICAN UNION UNION AFRICAINE UNIÃO AFRICANA AU CONFERENCE OF MINISTERS OF HEALTH (CAMH6) Sixth Ordinary Session, 22-26 April 2013, Addis Ababa, ETHIOPIA CAMH/Exp/6(VI) iv THEME: The Impact of Non-Communicable
Alcohol Related Harm in India a fact sheet INDIAN ALCOHOL POLICY ALLIANCE Policy Advocacy Alliance against harms related to alcohol use Affiliated to: Global Alcohol Policy Alliance (GAPA), UK Reg. Office:
UNITED NATIONS E Economic and Social Council Distr. GENERAL ECE/TRANS/WP.1/2006/3 5 January 2006 Original: ENGLISH ECONOMIC COMMISSION FOR EUROPE INLAND TRANSPORT COMMITTEE Working Party on Road Traffic
UNODC World Drug Report 2016: Launch in Geneva on 23 June 2016 Briefing to the Member States and Civil Society Organizations Remarks by Aldo Lale-Demoz, Deputy Executive Director, UNODC UNODC is honoured
Action Plan on Youth Drinking and on Heavy Episodic Drinking (Binge Drinking) (2014-2016) Endorsed by the Committee on National Alcohol Policy and Action (CNAPA) on 16 September 2014 1 1 Introduction 1.1.
Glossary Specialized terms used in this workbook and their meanings: Absorption: The way alcohol enters the bloodstream. Alcohol is absorbed into the blood through the stomach and small intestine. Addiction:
WHO Global Code of Practice on the International Recruitment of Health Personnel Preamble The Member States of the World Health Organization, Recalling resolution WHA57.19 in which the World Health Assembly
Second International Conference on Health Promotion, Adelaide, South Australia, 5-9 April 1998 Adelaide Recommendations on Healthy Public Policy (WHO/HPR/HEP/95.2) The adoption of the Declaration of Alma-Ata
The Healthy Asia Pacific 2020 Roadmap INTRODUCTION: THE HEALTHY ASIA PACIFIC 2020 INITIATIVE In the 2014 APEC Leader s Declaration and Joint Ministerial Statement, it is recognized that the prospect of
Unit 6. MULTISECTORAL COLLABORATION 89 UNIT 6 Multisectoral collaboration Overview Objectives Why collaborate? What kind of collaboration can be developed? Activity International collaboration National
WHO Consultation on the Zero Draft Global Mental Health Action Plan 2013-2020 International Diabetes Federation (IDF) Submission The International Diabetes Federation (IDF), an umbrella organisation of
Mental Health and Development: Targeting People with Mental Health Conditions as a Vulnerable Group Almost three quarters of the global burden of neuropsychiatric disorders occurs in low and middle income
EXECUTIVE BOARD EB134/28 134th session 20 December 2013 Provisional agenda item 9.4 Strengthening of palliative care as a component of integrated treatment throughout the life course Report by the Secretariat
Annex - Resolution 1 Declaration: Together for humanity Gathered in Geneva for the 30th International Conference of the Red Cross and Red Crescent, we, the members of this Conference, have focused on the
Key trends nationally and locally in relation to alcohol consumption and alcohol-related harm November 2013 1 Executive Summary... 3 National trends in alcohol consumption and alcohol-related harm... 5
Rio Political Declaration on Social Determinants of Health Rio de Janeiro, Brazil, 21 October 2011 1. Invited by the World Health Organization, we, Heads of Government, Ministers and government representatives
SIXTY-SIXTH WORLD HEALTH ASSEMBLY A66/9 Provisional agenda item 13.2 6 May 2013 Draft action plan for the prevention and control of noncommunicable diseases 2013 2020 Report by the Secretariat 1. The global
WHO European Ministerial Conference on Mental Health Facing the Challenges, Building Solutions Helsinki, Finland, 12 15 January 2005 EUR/04/5047810/6 14 January 2005 52667 ORIGINAL: ENGLISH Mental Health
United Nations A/RES/66/2 General Assembly Distr.: General 24 January 2012 Sixty-sixth session Agenda item 117 Resolution adopted by the General Assembly [without reference to a Main Committee (A/66/L.1)]
WORLD HEALTH ORGANIZATION FIFTY-SIXTH WORLD HEALTH ASSEMBLY A56/27 Provisional agenda item 14.18 24 April 2003 International Conference on Primary Health Care, Alma-Ata: twenty-fifth anniversary Report
UNODC-WHO Joint Programme on drug dependence treatment and care The vision Effective and humane treatment for all people with drug use disorders. Nothing less than would be expected for any other disease.
Prevention & Control of Viral Hepatitis Infection: A Strategy for Global Action World Health Organization 2011. All rights reserved. The designations employed and the presentation of the material in this
Check against delivery_ Commission on Population and Development 45th Session Economic and Social Council Statement by Dr. Sugiri Syarief, MPA Chairperson of the National Population and Family Planning
SIXTY-SIXTH WORLD HEALTH ASSEMBLY WHA66.10 Agenda item 13.1 27 May 2013 Agenda item 13.2 Follow-up to the Political Declaration of the High-level Meeting of the General Assembly on the Prevention and Control
Substance Abuse Workplace Prevention in South Africa Nadine Harker Burnhams Alcohol & Drug Abuse Research Unit, Medical Research Council Cape Town email@example.com Presentation overview
LEADERSHIP: The state chronic disease prevention and control unit is the unifying voice for the prevention and control of chronic diseases. LS1 LS2 LS3 LS4 LS5 The unit is a key contact for others both
ValueSec use case scenario: Alcohol abuse intervention in Finland Director Tarja Mankkinen Ministry of the Interior Finland Brussels, 10 th December 2013 7.1.2014 Government Programme, 22 June 2011: The
State of Delaware Suicide Prevention Plan July 2013 - July 2018 A Five-Year Strategy Approved by Delaware Suicide Prevention Coalition on Monday, June 17, 2013 Goal 1 : Integrate and coordinate suicide
Key message: Public Health Association of Australia: Policy-at-a-glance Alcohol Policy 1. Alcohol is responsible for a substantial burden of death, disease and injury in Australia. Alcohol-related harm
NAMIBIA MOHSS STRATEGY FOR ALCOHOL CONTROL PEPFAR Southern & Eastern Africa Meeting on Alcohol and HIV Prevention Presented by: René A. Adams Programme Manager: Substance Abuse, Prevention, Drug Control
2 nd ENCARE SYMPOSIUM Alcohol related problems, and family violence in Poland MARIA ZAŁUSKA The Institute of Psychiatry and Neurology in Warsaw. Poland 1. Consumption of alcohol as = risk factor for family
A Community-based Primary Prevention Plan to Reduce High-Risk and Underage Alcohol Use Minnesota Department of Health Attached is a comprehensive community-based primary prevention plan for reducing high-risk
IV. GENERAL RECOMMENDATIONS ADOPTED BY THE COMMITTEE ON THE ELIMINATION OF DISCRIMINATION AGAINST WOMEN Twentieth session (1999) * General recommendation No. 24: Article 12 of the Convention (women and
Alcohol Marketing, the Alcohol Industry and Their Impact on Binge Drinking by Adolescents Thomas F. Babor, PhD, MPH The University of Connecticut School of Medicine Department of Community Medicine and
Alcohol Quick Facts ALCOHOL FACTS New Zealand s drinking patterns The proportion of New Zealanders aged 15 years or more who drank alcohol in the past year dropped from 84% in 2006/07 to 80% in 2011/12
Program Descriptions: Alcohol Education Alcohol education programs include underage drinking prevention and diverse community outreach. Underage drinking is America s number one youth drug problem, killing
THE PREVENTION OF OCCUPATIONAL DISEASES World Day for safety and health at work 28 April 2013 Outline The hidden epidemic: a global picture Assessing the need for better data Steps for the prevention of
Alberta Alcohol Strategy July 2008 Alberta Alcohol Strategy July 2008 Copyright Notice This document is the property of Alberta Health Services (AHS). On April 1, 2009, AHS brought together 12 formerly
W O R KING TO BUILD A HE A LTHY AUSTRALIA FREQUENTLY ASKED QUESTIONS www.nhmrc.gov.au National Health and Medical Research Council AUSTRALIAN GUIDELINES TO REDUCE HEALTH RISKS FROM DRINKING ALCOHOL Australian
Diversity of Cultural Expressions 1.EXT.IGC Distribution limited CE/08/1.EXT.IGC/Dec. Rev. 2 Paris, 20 August 2008 Original: English / French INTERGOVERNMENTAL COMMITTEE FOR THE PROTECTION AND PROMOTION
Maternal and Child Health Issue Brief Substance Abuse among Women of Reproductive Age in Colorado September 14 9 Why is substance abuse an issue among women of reproductive age? Substance abuse poses significant
Department of Economic and Social Affairs United Nations Guidelines for Consumer Protection (as expanded in 1999) UNITED NATIONS New York, 2003 United Nations guidelines for consumer protection (as expanded
ATLANTA DECLARATION AND PLAN OF ACTION FOR THE ADVANCEMENT OF THE RIGHT OF ACCESS TO INFORMATION We, over 125 members of the global access to information community from 40 countries, representing governments,
Kennesaw State University Drug and Alcohol Policy I. Introduction National statistics reveal that the leading causes of death among the 18-23 year-old population are alcohol-related accidents, alcohol-related
IASC Inter-Agency Standing Committee Global Health Cluster Guidance Note Promotion and Advocacy for Stronger National and Local Capacities in Health Emergency Preparedness and Risk Reduction 1. Background
Royal Government of Bhutan The National Policy and Strategic Framework to Reduce Harmful Use of Alcohol (2013-2018) Contents FOREWORD...5 ACKNOWLEDGEMENT...6 LIST OF ABBREVIATIONS...7 SECTION I: BACKGROUND...8
United Nations Convention on the Rights of the Child CRC/C/OPSC/VEN/CO/1 Distr.: General 19 September 2014 Original: English ADVANCE UNEDITED VERSION Committee on the Rights of the Child Optional Protocol
X./2.: The short intervention In the course of the processing of the chapter the student gets acquainted with the field of application and the methods of short intervention X./2.1. Theoretical bases of
THE FILIPINO AS THE QUINTESSENTIAL DRINKER: A Study of Alcohol Drinking Patterns Among Filipinos Maritona Victa Labajo Purpose of the Study To examine the available literature on and observations about
Report card on the WHO Framework Convention on Tobacco Control Tanzania Introduction Tobacco use is the single most preventable cause of death in the world today, and is estimated to kill more than five
Title registration for a review proposal: Effects of early, brief computerized interventions on risky alcohol and cannabis use among young people: a systematic review Names of authors: Lillebeth Larun,
Further Discussion of Comprehensive Theory of Substance Abuse Prevention March, 2011 The prime dichotomy between profoundly challenged children and socially influenced teens may be similar to some other