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Jürgen Rehm, Technical University of Dresden, Germany

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Jürgen Rehm, Technical University of Dresden, Germany

  1. 1. Alcohol in the European Union –consumption and attributable mortalityJ. Rehm (jtrehm@gmail.com)TU Dresden, GermanyCAMH Toronto
  2. 2. Part of continuousmonitoringAlcohol globally is oneof the most importantrisk factors.The global strategyand the Europeanaction plan to reducethe harmful use ofalcohol 2012–2020both ask for regularupdates on alcohol-attributable disease.
  3. 3. Status Report on Alcohol and Health2013• Co-sponsored by the European Commission andFinnish Ministry of Health• Using information collected in 2012• Include EU Member States +Croatia, Norway, Switzerland (CNAPA Members) andEU applicant countries (Iceland, FYRMacedonia, Montenegro, Serbia, Turkey)• No country profiles but will be attached to the GlobalStatus Report on Alcohol and Health 2013/14
  4. 4. Status Report on Alcohol and Health2013Three parts:1. Trends in alcohol consumption andalcohol-attributable mortality in theEuropean Union in 20102. Alcohol policy update3. Country timelines
  5. 5. Alcohol consumptionVolume Patterns QualityHealth outcomesIncidencechronicconditionsincluding AUDsIncidenceacuteconditionsMortality bycauseSocietal FactorsDrinking cultureAlcohol PolicyDrinkingenvironmentHealth caresystemPopulationgroupGenderAgePovertyMarginalization(individual)Currently used model for alcoholcomparative risk assessment 2010
  6. 6. Trends in recorded consumptionin the EU• Overall trends for EU or EU plusCroatia, Norway and Switzerland are down forthe past 20 years.• Actually, the EU would fulfill the NCD criteriaof – 10% for NCDs.• However, this is not true for all countries, norfor all regions
  7. 7. Regional categorisationCountries within each European regionCentral West and Western Europe:Austria, Belgium, France, Germany, Ireland, Luxembourg, Netherlands, Switzerland and the United KingdomCentral-East and Eastern Europe: Bulgaria, CzechRepublic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and SloveniaNordic countries: Denmark, Finland, Norway and SwedenSouthern Europe: Cyprus, Greece, Italy, Malta, Portugal and Spain
  8. 8. EU.plus.Switzerland.Norway.and.Croatia91011120 5 10 15 20Year_RC1990 1995 2000 2005 2010YearRecordedadultpercapitaconsumptionofalcohol(litresofpurealcohol)European Union &Switzerland, Norway and Croatia
  9. 9. Regional categorization
  10. 10. But differences in regions with respectto levels and trendsLevel TrendUnrecordedIn l pure pcPatternsScore lower=betterWest-Central WestVery high1.0 1.5East-Central EastVery high2.5 2.9NordiccountriesLowestwithin EU 1.9 2.8South high 2.0 1.1EU plusN, Croatia, CH high 1.6 1.9
  11. 11. And some country differences4.06.08.010.012.014.016.018.020.0ItalyGermanySpainUKPoland
  12. 12. ALCOHOL-ATTRIBUTABLE HEALTHHARMCancer, liver cirrhosis and injury cover 90% of all net alcohol-attributabledeaths
  13. 13. Alcohol-attributable liver cirrhosis, cancer andinjury deaths
  14. 14. Differences in alcohol-attributableSDR, 2010
  15. 15. Alcohol-attributable liver cirrhosis deaths
  16. 16. Alcohol-attributable injury deaths
  17. 17. Conclusions• Divergent trends in alcohol consumption inEurope: some good signs, and some bad signs• Overall Europe is still the region with the highestalcohol consumption in the world (EasternEurope higher than EU).• So overall, harm is still high (more than every10th death before age 65 is due to alcohol!) andcan and should be reduced.• Harm is not restricted to health or to the drinker

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