Sildes presentation for the debate on alcoholic beverages labelling
Presentazione per il dibattito sulle informazioni da porre in etichetta delle bevande alcoliche
A contribution for the European Researchers' Night 2017 #mscanight
Alkoholijuomien kulutus
Tilastoimattoman kulutuksen määräksi arvioidaan 1,9 litraa asukasta kohden.
Alkoholijuomien kulutus oli 7,7 litraa (100 % alkoholina) eli 5 % vähemmän kuin vuonna 2011.
Vähittäismyynnin osuus tilastoidusta alkoholin kulutuksesta oli hieman yli 86 prosenttia. Alkon myynnin osuus oli 41,4 prosenttia ja päivittäistavarakaupan osuus kasvoi 44,8 prosenttiin.
Kokonaiskulutustilastot julkaisee Valvira.
Integrated Treatment for ARLD: making it happen, 2nd February 2017, Presenta...Health Innovation Wessex
This document summarizes evidence on reducing alcohol-related harm, particularly liver disease. It discusses international patterns of alcohol consumption and harm, highlighting groups that consume the most alcohol and are most at risk of harm. The evidence shows policies that effectively reduce harm include increasing alcohol taxes and prices, limiting availability and marketing. However, non-regulatory approaches alone are less effective. Public support for regulation is growing. Reducing consumption can have rapid health benefits, even for cirrhosis. The alcohol industry should have no role in policy-making given its vested interests.
EMANUELE SCAFATO . How can we make a successful story of reducing alcohol con...Emanuele Scafato
This document discusses strategies for reducing alcohol consumption in Italy. It describes how Italy has implemented the WHO European Alcohol Action Plan and the European Charter on Alcohol through its Frame Law on Alcohol from 2001. This law aims to protect people's rights from alcohol abuse and promote education, research, and support for organizations working to prevent alcohol problems. The document also outlines Italy's national health plan, monitoring system, and strategies to increase early identification of harmful drinkers and treatment of alcohol dependence through primary healthcare. It emphasizes the importance of continued public health efforts like education, training, and supporting a culture of lower alcohol consumption.
This document summarizes recent alcohol policy developments in Estonia. It discusses Estonia's Alcohol Strategy adopted in 2014, which aims to reduce alcohol consumption to under 8 liters per capita. It outlines initiatives taken such as increased treatment programs, health campaigns, and excise tax increases. A new program called "Sober and Healthy Estonia" aims to prevent and treat alcohol use disorders from 2015-2020. While alcohol consumption is decreasing, alcohol-related deaths and hospitalizations have not decreased. Proposed changes to alcohol advertising and sales regulations are discussed to further reduce consumption and harm.
Consensus and differing views in RARHA Delphi survey on "low risk" drinkingTHL
The document summarizes the results of a Delphi survey conducted as part of a Joint Action on reducing alcohol-related harm in the EU. There was consensus among experts that providing the general population with "low risk" drinking guidelines is important for informing consumers about health risks. However, views differed on some issues, such as whether guidelines should be gender-specific. Most experts felt guidelines should separately address long-term and single-occasion drinking. There was also discussion on standardizing definitions and warning labels across countries to improve communication.
Assessing alcohol policy in an international contextTHL
This document summarizes Marion DEVAUX's presentation on assessing alcohol policy in an international context. It shows that overall alcohol consumption in Europe has slightly declined but binge drinking has increased in some groups. Younger people are initiating drinking and getting drunk at younger ages. Correcting for self-report bias leads to estimates of higher rates of hazardous drinking. Modeling shows that brief interventions and policies like pricing and advertising regulations can significantly reduce alcohol consumption and related harms in a cost-effective manner. An international alcohol policy model is being developed to evaluate policies across multiple countries.
Alcohol related liver disease focussing on “Alcoholic Hepatitis”Pratap Tiwari
This document discusses alcohol-related liver disease, focusing on alcoholic hepatitis. It provides an overview of the types of alcohol-related liver disease, including alcoholic steatosis, alcoholic hepatitis, alcohol-related cirrhosis, and cirrhosis complicated by hepatocellular carcinoma. It also discusses the diagnosis and screening of alcohol use disorders based on DSM-5 criteria. Treatment options for alcohol use disorders are mentioned, including medications for relapse prevention such as baclofen, acamprosate, and naltrexone. Biomarkers for detecting alcohol use like ethyl glucuronide and phosphatidylethanol are also summarized.
Alkoholijuomien kulutus
Tilastoimattoman kulutuksen määräksi arvioidaan 1,9 litraa asukasta kohden.
Alkoholijuomien kulutus oli 7,7 litraa (100 % alkoholina) eli 5 % vähemmän kuin vuonna 2011.
Vähittäismyynnin osuus tilastoidusta alkoholin kulutuksesta oli hieman yli 86 prosenttia. Alkon myynnin osuus oli 41,4 prosenttia ja päivittäistavarakaupan osuus kasvoi 44,8 prosenttiin.
Kokonaiskulutustilastot julkaisee Valvira.
Integrated Treatment for ARLD: making it happen, 2nd February 2017, Presenta...Health Innovation Wessex
This document summarizes evidence on reducing alcohol-related harm, particularly liver disease. It discusses international patterns of alcohol consumption and harm, highlighting groups that consume the most alcohol and are most at risk of harm. The evidence shows policies that effectively reduce harm include increasing alcohol taxes and prices, limiting availability and marketing. However, non-regulatory approaches alone are less effective. Public support for regulation is growing. Reducing consumption can have rapid health benefits, even for cirrhosis. The alcohol industry should have no role in policy-making given its vested interests.
EMANUELE SCAFATO . How can we make a successful story of reducing alcohol con...Emanuele Scafato
This document discusses strategies for reducing alcohol consumption in Italy. It describes how Italy has implemented the WHO European Alcohol Action Plan and the European Charter on Alcohol through its Frame Law on Alcohol from 2001. This law aims to protect people's rights from alcohol abuse and promote education, research, and support for organizations working to prevent alcohol problems. The document also outlines Italy's national health plan, monitoring system, and strategies to increase early identification of harmful drinkers and treatment of alcohol dependence through primary healthcare. It emphasizes the importance of continued public health efforts like education, training, and supporting a culture of lower alcohol consumption.
This document summarizes recent alcohol policy developments in Estonia. It discusses Estonia's Alcohol Strategy adopted in 2014, which aims to reduce alcohol consumption to under 8 liters per capita. It outlines initiatives taken such as increased treatment programs, health campaigns, and excise tax increases. A new program called "Sober and Healthy Estonia" aims to prevent and treat alcohol use disorders from 2015-2020. While alcohol consumption is decreasing, alcohol-related deaths and hospitalizations have not decreased. Proposed changes to alcohol advertising and sales regulations are discussed to further reduce consumption and harm.
Consensus and differing views in RARHA Delphi survey on "low risk" drinkingTHL
The document summarizes the results of a Delphi survey conducted as part of a Joint Action on reducing alcohol-related harm in the EU. There was consensus among experts that providing the general population with "low risk" drinking guidelines is important for informing consumers about health risks. However, views differed on some issues, such as whether guidelines should be gender-specific. Most experts felt guidelines should separately address long-term and single-occasion drinking. There was also discussion on standardizing definitions and warning labels across countries to improve communication.
Assessing alcohol policy in an international contextTHL
This document summarizes Marion DEVAUX's presentation on assessing alcohol policy in an international context. It shows that overall alcohol consumption in Europe has slightly declined but binge drinking has increased in some groups. Younger people are initiating drinking and getting drunk at younger ages. Correcting for self-report bias leads to estimates of higher rates of hazardous drinking. Modeling shows that brief interventions and policies like pricing and advertising regulations can significantly reduce alcohol consumption and related harms in a cost-effective manner. An international alcohol policy model is being developed to evaluate policies across multiple countries.
Alcohol related liver disease focussing on “Alcoholic Hepatitis”Pratap Tiwari
This document discusses alcohol-related liver disease, focusing on alcoholic hepatitis. It provides an overview of the types of alcohol-related liver disease, including alcoholic steatosis, alcoholic hepatitis, alcohol-related cirrhosis, and cirrhosis complicated by hepatocellular carcinoma. It also discusses the diagnosis and screening of alcohol use disorders based on DSM-5 criteria. Treatment options for alcohol use disorders are mentioned, including medications for relapse prevention such as baclofen, acamprosate, and naltrexone. Biomarkers for detecting alcohol use like ethyl glucuronide and phosphatidylethanol are also summarized.
This document from the World Health Organization contains data on alcohol consumption and abstention rates across various European countries. It shows the proportion of former and lifetime abstainers from alcohol by country in Europe. It also includes data on average recorded adult alcohol consumption per capita in liters by country for Europe as well as the UK specifically from 1961-2006. Additionally, it presents age-standardized death rates related to alcohol for those aged 15+ in the UK.
This document contains multiple figures and charts related to alcohol and drug use in the UK. It shows that:
1) Between 2013-2014, 584 online drug shops were identified across multiple European countries, with 18% (106 shops) no longer active by May 2014.
2) Data from 26 UK police forces showed that 10% of sexual offenses were alcohol-related.
3) A study found reductions in criminal offending after treatment for alcohol use disorder, with less offending associated with completing treatment and pharmacological therapy.
4) The document presents statistics on drug prices, purity, seizures and other measures related to alcohol and drug use in the UK.
Eurocare recommendations for EU alcohol strategy, Mariann SkarIrish Cancer Society
The document outlines recommendations from Eurocare, a European alcohol policy alliance, for an EU alcohol strategy. Some key points include:
1. Eurocare has grown to 55 member organizations across 24 countries to advocate for alcohol policy reforms.
2. Countries take different approaches to regulating alcohol marketing, from total bans to "watershed" hours where advertising is prohibited.
3. Price increases on alcohol across the EU have not kept up with inflation since 1992, and wine has a zero excise duty in some places.
4. Stronger regulations are needed around alcohol availability, labelling, drink driving limits, and creating safer environments to reduce alcohol-related harms.
De las intervenciones breves a los farmacos. malaga 2015 Antoni Gual
Conferencia sobre los problemas derivados del alcoholismo y su tratamiento, impartida el 6 de marzo del 2015 en la reunión de la Red de Trastornos Adictivos, realizada el Hospital Universitario de Málaga
Alcohol is an organic compound containing a hydroxyl group that is bound to a carbon atom. Ethanol is the type of alcohol found in alcoholic beverages. While alcohol can provide warmth and short-term relief from problems, long-term use leads to negative health effects like alcoholism and cancer. Excessive alcohol consumption also harms societies through lost productivity, violence, and traffic accidents. Countries implement policies like taxation, marketing restrictions, and treatment programs to reduce the health and social costs of harmful alcohol use as part of the WHO global strategy. Quitting alcohol benefits individuals and communities.
The document discusses Italy's efforts over three decades to decrease alcohol consumption and related public health impacts. Key strategies included: 1) Improving alcohol use monitoring through annual surveys; 2) Updating nutritional guidelines and definitions of hazardous drinking; 3) Increasing public awareness through prevention campaigns; 4) Improving monitoring of alcohol-related hospital data and health plans; 5) Validating screening tools and implementing early intervention programs; and 6) Strengthening overall monitoring of alcohol services and policies. Regular reporting to assess progress has helped inform ongoing public health actions and policies related to alcohol in Italy.
What guidelines does the French health community use in practiceTHL
The document summarizes guidelines from the French health community on alcohol consumption. It finds that guidelines commonly recommend no more than 2 drinks per day and no more than 4 drinks on one occasion for men, and no more than 1-2 drinks per day and no more than 2 drinks on one occasion for women. The guidelines also recommend abstaining from alcohol for youth under 16, pregnant women, and when driving or operating machinery. While some studies suggest 1-2 drinks per day may reduce cardiovascular risk, the evidence is inconsistent and there is no consensus on protective effects for other diseases.
The document summarizes the history and key findings that informed the 2016 UK Chief Medical Officers' drinking guidelines. Previous guidelines dating back to 1984 recommended lower weekly limits. New guidelines in 2016 equalized recommendations for men and women based on evidence that even low levels of alcohol consumption can increase health risks. The guidelines define low-risk drinking as less than a 1% chance of alcohol-related death but note other everyday activities pose similar small risks.
Prof Peter Anderson: Substance Use, Policy and Practice, Institute of Health and Society at Newcastle University and Professor, Alcohol and Health, Faculty of Health, Medicine and Life Sciences at Maastricht University, Netherlands.
Letter to Commissioner for Health and Food Safety, Dr. AndriukaitisAlcoholActionIreland
1) Several public health organizations resigned from the EU Alcohol and Health Forum due to the lack of an EU Alcohol Strategy and concerns about the efficacy of voluntary commitments from the alcohol industry.
2) The organizations called for a renewed EU Alcohol Strategy to adequately address alcohol harm, such as crime, violence, and traffic accidents.
3) As founding members of the Forum, the organizations had raised past concerns about the lack of evidence that industry commitments reduce harm and about insufficient discussions of effective policy absent vested interests.
The document discusses the harmful effects of alcohol misuse and provides information for pharmacists on how to address this issue. It notes that alcohol misuse costs Scotland over £3.5 billion per year. Pharmacists can help by providing advice on safe drinking, screening patients, delivering brief interventions, assisting with alcohol detoxes, and dispensing relapse prevention medication. A pilot study found it is possible for pharmacists to effectively screen and intervene with patients about their alcohol use in a community pharmacy setting.
The PPACTE survey on the economic aspects of smoking in EuropeUCT ICO
The document summarizes the results of a 2010 survey on smoking conducted in 18 European countries with over 18,000 participants. Some key findings include:
- Overall tobacco tax evasion based on invalid health warnings or tax stamps was less than 8%, highest in Latvia, Bulgaria, and Sweden.
- Around 80% of non-smokers and 50% of smokers supported a 5% price increase for cigarettes if funds support smoking cessation.
- Assuming a 20% price increase, 14% of current smokers would quit, 31% would reduce consumption, and 22% would switch to cheaper cigarettes.
Guidelines for reducing alcohol related harm for young peopleTHL
The Delphi process sought to develop guidelines on reducing alcohol-related harm for young people in Europe. Experts agreed children under 16 should not drink, and 16-17 year olds should ideally avoid drinking but may need harm reduction advice. For ages 18-25, binge drinking should be addressed. Guidelines should be jointly developed and involve youth. While opinions varied on gender-specific guidelines, most agreed short-term consequences like accidents have the highest impact. Parents play a key role by communicating, being good role models, and ensuring safety.
Alcohol is produced by fermenting yeast, sugars, and starches. It can be found in beer, wine, and liquor and is known as ethanol, which depresses the central nervous system. A standard drink is defined as containing 0.6 ounces of pure alcohol. Heavy drinking can damage organs and fetal development. Factors like gender and food intake influence individual reactions to alcohol. Over 16 million US adults and 697,000 youth have alcohol use disorders. Alcohol misuse results in substantial economic and health burdens globally and is the fifth leading cause of premature death and disability worldwide. Addiction is considered a disease, not a choice.
What does research tell us about alcohol related health risksTHL
This document discusses setting low-risk drinking guidelines in the EU. It describes work by the Joint Action on Reducing Alcohol Related Harm project to summarize scientific evidence on health risks of alcohol consumption for 7 EU countries. The project team calculated lifetime mortality risks for alcohol consumption levels to inform guideline discussions. Results showed differences between countries due to varying disease patterns. Guidelines balance drawing clear risk lines with accounting for disease and gender differences. Calculations provide data for individual countries to assess risks and derive guidelines.
European Alcohol and Health Forum: NGO Resignation Briefing DocumentAlcoholActionIreland
Several public health organizations and NGOs resigned from the European Alcohol and Health Forum in May 2015 due to concerns that the Forum was ineffective and that the European Commission had no plans to develop a new EU Alcohol Strategy to address alcohol-related harm in Europe. Specifically, the organizations were concerned that failing to adopt a new strategy ignored calls from the European Parliament and member states to tackle alcohol harm, and that incorporating alcohol policy into a broader health framework would not adequately address the drivers of alcohol-related issues like drunk driving and domestic violence. Europe remains the heaviest drinking region in the world and incurs over 120,000 premature deaths and 125 billion euros in costs related to alcohol each year, demonstrating the ongoing need for an EU Alcohol Strategy
E. SCAFATO Bere o affogare ? Alcol, giovani e l'ambiguità e inadeguatezza del...Emanuele Scafato
Bere o affogare: la dipendenza alcolica nei giovani e le strategie di intervento. E. SCAFATO. SIPAD Napoli 29 maggio 2022
Centocinque slides per sensibilizzare i giovani, i decisori , le istituzioni, le famiglie con un unico invito : USARLE.
Cambiamento, cultura, condivisione sono gli elementi di base per proteggere i minori, i giovani e gli adolescenti dai modelli inadeguati e a loro nocivi del "bere responsabile" privi di qualunque efficacia ed evidenza scientiifca e da evitare nelle scuole.
La prevenzione sull'alcol è prerogativa esclusiva del settore di salute pubblica, e di competenze proprie di chi ha mandato e vocazione sanitaria essendone legittimato nel ruolo che non può essere di settori che hanno interessi diversi e inconciliabili con quello di tutela della salute, primo tra tutti il settore della produzione che secondo l'OMS ostacola il raggiungimento degli obiettivi di salute sostenibile
Grazie a tutti e tutte per la opportunità di interazione e di crescita verso standard comuni e più elevati di benessere per tutti.
This document from the World Health Organization contains data on alcohol consumption and abstention rates across various European countries. It shows the proportion of former and lifetime abstainers from alcohol by country in Europe. It also includes data on average recorded adult alcohol consumption per capita in liters by country for Europe as well as the UK specifically from 1961-2006. Additionally, it presents age-standardized death rates related to alcohol for those aged 15+ in the UK.
This document contains multiple figures and charts related to alcohol and drug use in the UK. It shows that:
1) Between 2013-2014, 584 online drug shops were identified across multiple European countries, with 18% (106 shops) no longer active by May 2014.
2) Data from 26 UK police forces showed that 10% of sexual offenses were alcohol-related.
3) A study found reductions in criminal offending after treatment for alcohol use disorder, with less offending associated with completing treatment and pharmacological therapy.
4) The document presents statistics on drug prices, purity, seizures and other measures related to alcohol and drug use in the UK.
Eurocare recommendations for EU alcohol strategy, Mariann SkarIrish Cancer Society
The document outlines recommendations from Eurocare, a European alcohol policy alliance, for an EU alcohol strategy. Some key points include:
1. Eurocare has grown to 55 member organizations across 24 countries to advocate for alcohol policy reforms.
2. Countries take different approaches to regulating alcohol marketing, from total bans to "watershed" hours where advertising is prohibited.
3. Price increases on alcohol across the EU have not kept up with inflation since 1992, and wine has a zero excise duty in some places.
4. Stronger regulations are needed around alcohol availability, labelling, drink driving limits, and creating safer environments to reduce alcohol-related harms.
De las intervenciones breves a los farmacos. malaga 2015 Antoni Gual
Conferencia sobre los problemas derivados del alcoholismo y su tratamiento, impartida el 6 de marzo del 2015 en la reunión de la Red de Trastornos Adictivos, realizada el Hospital Universitario de Málaga
Alcohol is an organic compound containing a hydroxyl group that is bound to a carbon atom. Ethanol is the type of alcohol found in alcoholic beverages. While alcohol can provide warmth and short-term relief from problems, long-term use leads to negative health effects like alcoholism and cancer. Excessive alcohol consumption also harms societies through lost productivity, violence, and traffic accidents. Countries implement policies like taxation, marketing restrictions, and treatment programs to reduce the health and social costs of harmful alcohol use as part of the WHO global strategy. Quitting alcohol benefits individuals and communities.
The document discusses Italy's efforts over three decades to decrease alcohol consumption and related public health impacts. Key strategies included: 1) Improving alcohol use monitoring through annual surveys; 2) Updating nutritional guidelines and definitions of hazardous drinking; 3) Increasing public awareness through prevention campaigns; 4) Improving monitoring of alcohol-related hospital data and health plans; 5) Validating screening tools and implementing early intervention programs; and 6) Strengthening overall monitoring of alcohol services and policies. Regular reporting to assess progress has helped inform ongoing public health actions and policies related to alcohol in Italy.
What guidelines does the French health community use in practiceTHL
The document summarizes guidelines from the French health community on alcohol consumption. It finds that guidelines commonly recommend no more than 2 drinks per day and no more than 4 drinks on one occasion for men, and no more than 1-2 drinks per day and no more than 2 drinks on one occasion for women. The guidelines also recommend abstaining from alcohol for youth under 16, pregnant women, and when driving or operating machinery. While some studies suggest 1-2 drinks per day may reduce cardiovascular risk, the evidence is inconsistent and there is no consensus on protective effects for other diseases.
The document summarizes the history and key findings that informed the 2016 UK Chief Medical Officers' drinking guidelines. Previous guidelines dating back to 1984 recommended lower weekly limits. New guidelines in 2016 equalized recommendations for men and women based on evidence that even low levels of alcohol consumption can increase health risks. The guidelines define low-risk drinking as less than a 1% chance of alcohol-related death but note other everyday activities pose similar small risks.
Prof Peter Anderson: Substance Use, Policy and Practice, Institute of Health and Society at Newcastle University and Professor, Alcohol and Health, Faculty of Health, Medicine and Life Sciences at Maastricht University, Netherlands.
Letter to Commissioner for Health and Food Safety, Dr. AndriukaitisAlcoholActionIreland
1) Several public health organizations resigned from the EU Alcohol and Health Forum due to the lack of an EU Alcohol Strategy and concerns about the efficacy of voluntary commitments from the alcohol industry.
2) The organizations called for a renewed EU Alcohol Strategy to adequately address alcohol harm, such as crime, violence, and traffic accidents.
3) As founding members of the Forum, the organizations had raised past concerns about the lack of evidence that industry commitments reduce harm and about insufficient discussions of effective policy absent vested interests.
The document discusses the harmful effects of alcohol misuse and provides information for pharmacists on how to address this issue. It notes that alcohol misuse costs Scotland over £3.5 billion per year. Pharmacists can help by providing advice on safe drinking, screening patients, delivering brief interventions, assisting with alcohol detoxes, and dispensing relapse prevention medication. A pilot study found it is possible for pharmacists to effectively screen and intervene with patients about their alcohol use in a community pharmacy setting.
The PPACTE survey on the economic aspects of smoking in EuropeUCT ICO
The document summarizes the results of a 2010 survey on smoking conducted in 18 European countries with over 18,000 participants. Some key findings include:
- Overall tobacco tax evasion based on invalid health warnings or tax stamps was less than 8%, highest in Latvia, Bulgaria, and Sweden.
- Around 80% of non-smokers and 50% of smokers supported a 5% price increase for cigarettes if funds support smoking cessation.
- Assuming a 20% price increase, 14% of current smokers would quit, 31% would reduce consumption, and 22% would switch to cheaper cigarettes.
Guidelines for reducing alcohol related harm for young peopleTHL
The Delphi process sought to develop guidelines on reducing alcohol-related harm for young people in Europe. Experts agreed children under 16 should not drink, and 16-17 year olds should ideally avoid drinking but may need harm reduction advice. For ages 18-25, binge drinking should be addressed. Guidelines should be jointly developed and involve youth. While opinions varied on gender-specific guidelines, most agreed short-term consequences like accidents have the highest impact. Parents play a key role by communicating, being good role models, and ensuring safety.
Alcohol is produced by fermenting yeast, sugars, and starches. It can be found in beer, wine, and liquor and is known as ethanol, which depresses the central nervous system. A standard drink is defined as containing 0.6 ounces of pure alcohol. Heavy drinking can damage organs and fetal development. Factors like gender and food intake influence individual reactions to alcohol. Over 16 million US adults and 697,000 youth have alcohol use disorders. Alcohol misuse results in substantial economic and health burdens globally and is the fifth leading cause of premature death and disability worldwide. Addiction is considered a disease, not a choice.
What does research tell us about alcohol related health risksTHL
This document discusses setting low-risk drinking guidelines in the EU. It describes work by the Joint Action on Reducing Alcohol Related Harm project to summarize scientific evidence on health risks of alcohol consumption for 7 EU countries. The project team calculated lifetime mortality risks for alcohol consumption levels to inform guideline discussions. Results showed differences between countries due to varying disease patterns. Guidelines balance drawing clear risk lines with accounting for disease and gender differences. Calculations provide data for individual countries to assess risks and derive guidelines.
European Alcohol and Health Forum: NGO Resignation Briefing DocumentAlcoholActionIreland
Several public health organizations and NGOs resigned from the European Alcohol and Health Forum in May 2015 due to concerns that the Forum was ineffective and that the European Commission had no plans to develop a new EU Alcohol Strategy to address alcohol-related harm in Europe. Specifically, the organizations were concerned that failing to adopt a new strategy ignored calls from the European Parliament and member states to tackle alcohol harm, and that incorporating alcohol policy into a broader health framework would not adequately address the drivers of alcohol-related issues like drunk driving and domestic violence. Europe remains the heaviest drinking region in the world and incurs over 120,000 premature deaths and 125 billion euros in costs related to alcohol each year, demonstrating the ongoing need for an EU Alcohol Strategy
Similar to "IS THERE A EUROPEAN STANDARD DRINK ? "Emanuele Scafato European Parliament EUROCARE meeting on "Alcohol labelling" sept 28 2017 (20)
E. SCAFATO Bere o affogare ? Alcol, giovani e l'ambiguità e inadeguatezza del...Emanuele Scafato
Bere o affogare: la dipendenza alcolica nei giovani e le strategie di intervento. E. SCAFATO. SIPAD Napoli 29 maggio 2022
Centocinque slides per sensibilizzare i giovani, i decisori , le istituzioni, le famiglie con un unico invito : USARLE.
Cambiamento, cultura, condivisione sono gli elementi di base per proteggere i minori, i giovani e gli adolescenti dai modelli inadeguati e a loro nocivi del "bere responsabile" privi di qualunque efficacia ed evidenza scientiifca e da evitare nelle scuole.
La prevenzione sull'alcol è prerogativa esclusiva del settore di salute pubblica, e di competenze proprie di chi ha mandato e vocazione sanitaria essendone legittimato nel ruolo che non può essere di settori che hanno interessi diversi e inconciliabili con quello di tutela della salute, primo tra tutti il settore della produzione che secondo l'OMS ostacola il raggiungimento degli obiettivi di salute sostenibile
Grazie a tutti e tutte per la opportunità di interazione e di crescita verso standard comuni e più elevati di benessere per tutti.
E. Scafato. ACOHOL POLICY CASE STUDIES: ITALY. 8 European Conference on Alcoh...Emanuele Scafato
Presentation of Emanuele SCAFATO, Istituto Superiore di Sanità, Roma, Italia. Which State intervention can reduce harm ?How can policy balance economic benefits and health and social harm ?
Emanuele SCAFATO. Case stories on implementation of screening and brief inter...Emanuele Scafato
This document summarizes three case stories on the implementation of screening and brief intervention for alcohol use disorders in Italy. It describes how the National Observatory on Alcohol played a pivotal role in developing training programs and strategies to promote early identification and brief intervention. Over 30 years, with support from WHO and EC projects, training courses were developed and hundreds of healthcare professionals were educated. However, barriers like the lack of training and professional networks in some areas have hindered full implementation. The case story of the "IPIB NETWORK" experimental local project shows how one region created a network of over 600 trained professionals across multiple healthcare settings to identify risky alcohol use and provide brief interventions.
A L C O L : l’impatto, i gap da colmare, la prevenzione possibile per ...Emanuele Scafato
OMAGGIO A VLADIMIR HUDOLIN (1996 - 2016)
L’APPROCCIO ECOLOGICO SOCIALE AI PROBLEMI ALCOLCORRELATI E COMPLESSI UN MODELLO EFFICACE DI ALCOLOGIA
E. Scafato. ISTITUTO SUPERIORE DI SANITA’
Direttore, WHO Collaborating Centre for Research & Health Promotion on Alcohol
Direttore, Osservatorio Nazionale Alcol
Centro Nazionale Dipendenze e Doping
Presidente Società Italiana di Alcologia- SIA
Vice Presidente EUFAS – Federazione Europea Società Scientifiche sulle DIPENDENZE
ALCOL E CANCRO DEL SENO Emanuele Scafato Core slides set alcol e cancro genov...Emanuele Scafato
IN SINTESI
è fondamentale garantire un informazione valida e completa sulle relazioni tra consumo di alcol e cancro della mammella particolare per la donna che ha vulnerabilità accentuata rispetto all'uomo all'esposizione all'etanolo. Alcune slides usate per la formazione del personale sanitario del San Martino di Genova, Istituto nazionale Tumori, possono essere utili . Il messaggio chiave da riportare per la prevenzione nella popolazione generale, in particolare nelle giovani donne e nelle adolescenti è ben supportato dalle evidenze scientifiche che non lasciano dubbi in merito (considerando anche la monografia della IARC e il CODICE EURPEO CONTRO IL CANCRO ).
Per ogni 10 grammi di alcol consumati al giorno (meno di un bicchiere) il rischio di CANCRO della MAMMELLA aumenta del 7 % (del 27 % nelle donne con recettori CYP2E1 positivi per gli estrogeni).
Superati due bicchieri il rischio sale al 25 %.; dopo 3 al 40-50 %.
Hamajima N et al. British Journal of Cancer 2002;87(11):1234-1245.
K. Seitz, Carlo La Vecchia et al Alcohol and Alcoholism (May/June 2012) 47 (3): 204-212.
ESISTE una relazione diretta tra QUANTITA’ consumate di ALCOL e RISCHIO di CANCRO rilevato a partire da quantità minime .
In termini di impatto le stime estrapolabili non sono indifferenti (basate sul 10 % circa di nuovi casi di cancro al seno in cui l'alcol gioca un ruolo prevalente) anche considerato che l'abitudine al binge drinking delle giovani adolescenti sta facendo esplodere la rilevazione casuale di lesioni al seno in questo target vulnerabile con conseguente incremento della platea di future donne con aumentato rischio di trasformazione in neoplasia (lo vedremo nei prossimi anni considerando il lag time rispetto all'esposizione al gattore di rischio). Valuti lei ciò che è integrabile.
In Italia, prima di compiere 84 anni, una donna su 8 riceve una diagnosi di tumore al seno e una su 33 ne muore
Ogni anno in Italia muoiono per CANCRO al SENO circa 12.000 donne
Ogni anno vengono diagnosticati in ITALIA 47.000 nuovi casi di CANCRO al SENO
Oltre 500.000 donne in Italia vivono con una diagnosi di CANCRO al SENO
Per 50.000 l’ALCOL ha rappresentato la causa prevenibile del loro CANCRO al SENO
Ogni anno 4700 nuovi casi di CANCRO al SENO sono EVITABILI
Ogni anno almeno 1200 decessi per CANCRO sono EVITABILI
a condizione che si imponga una prevenzione
specifica e di genere
Presentazione svolta a San Giorgio della Richinvelda in provincia di Pordenone il Convegno "Le bevande alcoliche:
evidenze, esperienze, criticità e prospettive per programmare un futuro in salute.
Le Radici del Vino si interrogano su alcol e salute"
ALCOL E GIOVANI Emanuele SCAFATO Lancio Campagna Ministero della Salute Elio ...Emanuele Scafato
La presentazione powerpoint di Emanuele SCAFATO, Direttore dell'Osservatorio Nazionale Alcol dell'Istituto Superiore di Sanità per il lancio della Campagna del Ministero della Salute di contrasto all'uso di alcol tra i giovani. Di supporto alla pagina web http://www.unaserataspeciale.it ALCOL SNATURATO, UNA SERATA SPECIALE
"WALT DISNEY" TESINA TERZA MEDIA LIVIA SCAFATO "IF YOU CAN DREAM IT, YOU CAN...Emanuele Scafato
La presentazione della tesina su Walt Disney di Livia Scafato preparate e discussa per l'esame di terza media all'Istituto Comprensivo Piazza Minucciano di Roma, "mitica" classe TERZA A , Roma 25 giugno 2014.
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"IS THERE A EUROPEAN STANDARD DRINK ? "Emanuele Scafato European Parliament EUROCARE meeting on "Alcohol labelling" sept 28 2017
1. Is there a European standard drink ?
Emanuele Scafato
Istituto Superiore di Sanità , Rome, ITALY
Osservatorio Nazionale Alcol – WHO CC Research on Alcohol
President SIA, Società Italiana Alcologia
Vice President EUFAS , European Federation Societies on Addictions
2. Standard drink is a notional drink that contains
a specific, fixed amount of pure alcohol usually
expressed as a certain measure of beer, wine,
spirits or any alcoholic beverage.
One SD ( or unit of alcohol) always contains the
same amount of pure alcohol regardless of
container size.
SD may not reflect customary serving sizes.
What is a Standard Drink?
3. Health and
Consumers
BE 10 g
CZ 10 g
DK 12 g
DE 10 g
EE 10 g
ES 10 g
FR 10 g
IE 10 g
IT 12 g
LU 12,8 g
HU 17 g
NL 10 g
AT 20 g
PL 10 g
PT 14 g
SI 10 g
SK 10 g
FI 12 g
SE 12 g
UK 8 g (“unit”)
Definitions in
grams pure alcohol
Based on various sources,
including ICAP, PHEPA &
Wikipedia.
No info available: BG, EL, CY,
LT, LV,MT,RO
Standard Drinks in 2012
4. What are WHO definitions of a "standard
drink"?
10 grams of ethanol equivalent to approximately 12.5 ml of
pure alcohol (International guide to monitoring alcohol-
related harm, WHO, 2000; AUDIT: The Alcohol Use
Disorders Identification Test. Guidelines for Use in Primary
Care. Second edition, WHO, 2001; STEPS survey, 2012-
2014…). H
12 grams of ethanol ("A standard drink is a measure of the
amount of pure alcohol consumed, usually between 8 g and
12 g. If the amount of alcohol contained in a standard drink
in that country is outside these limits, the number of
standard drinks may need to be adjusted"). (mhGAP
Intervention Guide. WHO, 2010).
V. Poznyak, RARHA European expert meeting
"Low risk drinking guidelines and standard drink definitions"
Rome, 4th November 2014
5. Standard Drinks Vary Across Countries...
Grams of Pure Alcohol Contained in a Standard Drink
6
8
10
12
14
16
18
gramsofpurealcoholinastandarddrink
Note: Belgium, Mexico, Norway, Slovak Rep, Turkey, USA do not have national standard drinks
Source: OECD, Drinking Lives Away, forthcoming
6. Standard drink differs across Countries
Low risk drinking guidelines in Europe: results of the JA RARHA survey
7. Low risk drinking guidelines in Europe: results of the JA RARHA survey
The “standard drink” - or “unit of alcohol” is an important
concept for
• conveying information about alcohol intake for drinkers,
• measuring alcohol intake in research studies and
• estimating and communicating risks or benefits of drinking
based on these measures.
The main use of standard drink concept :
a) as a means of communicating levels of consumption in low
risk drinking guidelines and
b) as a means of asking respondents to some drinking surveys
to estimate the amount of alcohol they drink.
Understanding standard drinks
8. JA RARHA: 3 executive core Work Packages
http://www.rarha.eu
WP4: Monitoring
WP6:Tool kits
WP5: Guidelines
9. Good practice principles for the use of low risk drinking guidelines
a public health tool summarizing good practices on how addressing alcohol as risk factor
•to inform «at risk» drinkers about how much
alcohol is harmful and to draw all alcohol
consumers’ attention to the risks that may be
involved in their drinking habits
•to be used as part of brief interventions
targeted to at risk drinkers or disseminated to
the general public as advice to alcohol
consumers to help reducing it
•to provide guidance for policy makers on the
scientific basis and policy implications of LRDG
for future actions and policy developments;
•for professionals to share common ground in
communication on alcohol related harm ... for all
settings
10. 10
Low risk drinking guidelines in Europe: results from RARHA survey
Averagealcoholintakeinadaynottobeexceeded
(gramsofpurealcohol)
Low risk drinking guidelines in Europe: results from RARHA survey
0
5
10
15
20
25
30
35
40
45
50
AUSTRIA(24)
BELGIUM
BULGARIA
CROATIA(40)
CYPRUS
CZECHREPUBLIC(40)
DENMARK(24)
ESTONIA(40)
FINLAND(20)
FRANCE(30)
GERMANY(24)
GREECE(30-48)
HUNGARY(24-48)
ICELAND
IRELAND
ITALY(24)
LATVIA
LITHUANIA(30-40)
LUXEMBOURG(24)
MALTA(36)
NETHERLANDS(THE)(20)
NORWAY
POLAND(40)
PORTUGAL(20)
ROMANIA
SLOVAKIA
SLOVENIA(20)
SPAIN(40)
SWEDEN
SWITZERLAND(20-36)
UNITEDKINGDOM(24-32)
Men
0
5
10
15
20
25
30
35
40
45
50
AUSTRIA(16)
BELGIUM
BULGARIA
CROATIA(20)
CYPRUS
CZECHREPUBLIC(20)
DENMARK(12)
ESTONIA(20)
FINLAND(10)
FRANCE(20)
GERMANY(12)
GREECE(20-32)
HUNGARY(18-21)
ICELAND
IRELAND
ITALY(12)
LATVIA
LITHUANIA(20-30)
LUXEMBOURG(12)
MALTA(27)
NETHERLANDS(THE)(10)
NORWAY
POLAND(20)
PORTUGAL(10)
ROMANIA
SLOVAKIA
SLOVENIA(10)
SPAIN(20-25)
SWEDEN
SWITZERLAND(10-24)
UNITEDKINGDOM(16-24)
Women
E. SCAFATO 2014
Public Health use of Standard Drink
11. Rarha European average : 11 grams
Low risk drinking guidelines in Europe: results of the JA RARHA survey
8
10
12
14
16
18
20
AUSTRIA(20)
CROATIA(10;14)
CZECHREPUBLIC(16)
DENMARK(12)
ESTONIA(10)
FINLAND(12)
FRANCE(10)
GERMANY(10;12)
GREECE(10;16)
HUNGARY(12;14)
ICELAND(8;12)
IRELAND(10)
ITALY(12)
LATVIA(12)
LITHUANIA(10)
LUXEMBOURG(12)
MALTA(8;10)
NETHERLANDS(THE)(10)
NORWAY(12;15)
POLAND(10)
PORTUGAL(10)
ROMANIA(12)
SLOVENIA(10)
SPAIN(10)
SWEDEN(12)
SWITZERLAND(10;12)
UNITEDKINGDOM(8)
Mean=
Median=
11
13. Levels of drinking and associated risks
of acute problems
Criteria for risk of consumption on a single drinking day – for
comparative research purposes only (International Guide for
Monitoring Alcohol Consumption and Related Harm, WHO, 2000)
Males Females
Low Risk 1 to 40g 1 to 20g
Elevated Risk 41 to 60g 21 to 40g
High Risk 61 to 100g 41 to 60g
Very High Risk 101+g 61+g
V. Poznyak, RARHA European expert meeting
"Low risk drinking guidelines and standard drink definitions"
Rome, 4th November 2014
14. Levels of drinking and associated long-term risks
of chronic illnesses (WHO, 2000)
GENDER LEVEL OF RISK
LOW ELEVATED HIGH
Male 1-40g 41-60g 61+g
Female 1-20g 21-40g 41+g
V. Poznyak, RARHA European expert meeting
"Low risk drinking guidelines and standard drink definitions"
Rome, 4th November 2014
15. www.rarha.eu
Why explore the concept of a standard drink
The standard drink is appropriately a notional concept
because drink pours and beverage choices vary
considerably across countries.
“Grams of ethanol” is the most basic and comparable
measure and is relevant to consumers in comparison to
other ingredients on nutritional labels in relation to
calories.
However, grams or other weight-based measures are
unlikely to be useful in helping drinkers to understand
alcohol content.
Kerr and Stockwell Drug Alcohol Rev . 2012 March ; 31(2): 200–205.
16. Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
WHY EU RARHA SURVEYS
ON STANDARD DRINK/ UNIT?
There is the need to enable consumers to
make informed choices about their alcohol
consumption supporting a main Public
Health need to ensure their rights to
comprehensive information and increase
people awareness :
• on how to deal with alcoholic beverages
consumption
• on health risks associated with drinking
alcoholic beverages.
17. Consumers needs
Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
Consumers need to track their ethanol
consumption to
• limit their risk of negative consequences
• follow drinking guidelines
Kerr and Stockwell Drug Alcohol Rev . 2012 March ; 31(2): 200–205.
18. ITALY. STANDARD UNIT
Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
19. 19
Low risk drinking guidelines in Europe: results from RARHA survey
Standard Drink concept currently used
RARHA
RARHA survey
SD in grams of pure alcohol:
19
2 9
1
19
2 10
1
30
21
2 1 7
0
31
Yes
No
missingdata
Countrynot
investigated
Yes
No
missingdata
Countrynot
investigated
Yes
No
missingdata
Countrynot
investigated
Yes
No
missingdata
Countrynot
investigated
Review WHO 2012 WHO 2013 OECD2014
no.ofCountries
Low risk drinking guidelines in Europe: results from RARHA survey
8
10
12
14
16
18
20
AUSTRIA(20)
CROATIA(10;14)
CZECHREPUBLIC(16)
DENMARK(12)
ESTONIA(10)
FINLAND(12)
FRANCE(10)
GERMANY(10;12)
GREECE(10;16)
HUNGARY(12;14)
ICELAND(8;12)
IRELAND(10)
ITALY(12)
LATVIA(12)
LITHUANIA(10)
LUXEMBOURG(12)
MALTA(8;10)
NETHERLANDS(THE)(10)
NORWAY(12;15)
POLAND(10)
PORTUGAL(10)
ROMANIA(12)
SLOVENIA(10)
SPAIN(10)
SWEDEN(12)
SWITZERLAND(10;12)
UNITEDKINGDOM(8)
Mean=
Median=
11
20. 20
Low risk drinking guidelines in Europe: results from RARHA survey
Standard Drink concept currently used in
a) clinical advice b) education messages c) alc. beverages
Low risk drinking guidelines in Europe: results from RARHA survey
21. Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
• Drinkers have difficulty defining and pouring standard drinks with over-
pouring being the norm that intake volume is typically underestimated.
• Drinkers have difficulty using percentage alcohol by volume and pour
size information in calculating intake but can effectively utilise standard
drink labeling to track intake.
Consumers perceptions
22. Which is people’s understanding
of standard drinks ?
A review of the evidence indicates that while there
seems to be awareness of the term ‘standard drink’,
understanding of what it actually means is limited.
Drinkers are not able to define standard drinks
accurately.
They tend to overstate the appropriate
volumes, leading them to overpour
drinks and underreport levels of
consumption.
23. Survey- Responses
This confusion over standard drinks can have serious
consequences.
In terms of low risk drinking guidelines drinkers may
interpret them in terms of numbers of drinks that
correspond to levels of intake that are smaller or larger
than those intended by the standard drink definitions
included in the guidelines.
Regarding the challenging issue of drinkers’ inability to
accurately gauge their consumption in standard
drinks, one potential way to deal with this issue is to
place serving size information on alcoholic beverage
containers.
24. LOOKING HOW TO REDUCE ALCOHOL RELATED HARM
SHARING THE RESULTS
RARHA - FINAL CONFERENCE
Support measures at European and national level
Legislating for health relevant information on alcoholic beverage labels.
Ingredients and nutrition values
The amount of calories in the bottle or can
The amount of pure alcohol in the bottle or can, in grams of ethanol
Message/s on the health and safety risks related to alcohol consumption
Requiring information on health and safety risks on alcoholic beverage
packages and alcohol advertisements.
Alcohol consumption during pregnancy;Vulnerability of minors
Drink driving; Mixing alcohol with medications
Effects on the brain; Addictive nature of alcohol
Loss of self-control;Violence; Decreased perception of risk
For effectiveness, health and safety messages should be:
Rotating – designed to fill in gaps in information
Clear and powerful
Highly visible, of sufficient size, placed on the front of containers
Accurate, clear, neutral
25. www.rarha.eu
Delphi results: Standard drink
0
5
10
15
20
25
30
35
Totally in favour Somewhat in favour Undecided Somewhat against Totally against
Would you be for or against agreeing on a common definition of standard drink
Round 1 (N=38) Round 2 (N=39)
• A common definition would
widen the reach of consumer
information campaigns while
decreasing the possibility of
misunderstanding
27. Would an agreed EU SD definition be helpful
to the population in your country to measure
their personal alcohol consumption?
To support health and social care practitioners
to assess patient / client alcohol consumption
To be better informed of the alcoholic content
of drinks
To measure personal alcohol consumption
28. WHY an agreed SD definition
would NOT be helpful:
There are existing national definitions and comprehensive
information packages in place
Due to variations it would be difficult to agree a standardised
measure and would cause confusion
Variation in classic beverage sizes across countries and even
regions would require comprehensive consumer information
and cultural acceptance may take a long time
30. STANDARD DRINK
Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
Standard drink labeling is an effective but little used
strategy for enabling drinkers to track alcohol intake
and potentially conform to safe or low risk drinking
guidelines.
Kerr and Stockwell Drug Alcohol Rev . 2012 March ; 31(2): 200–205.
32. THE DOSE MAKE THE POISON …
but a common language to quantify alcohol consumption and an accurate and neutral
information is what EU consumers needs to better understand how to risk less and
prevent an avoidable harm.
Drinking guidelines used in the context of early identification and brief interventions: results from EU RARHA survey
33. E-mail: emanuele.scafato@iss.it Website: www.iss.it
Is there a European standard drink ?
THANK YOU FOR YOUR ATTENTION
Emanuele Scafato
Istituto Superiore di Sanità , Rome, ITALY