ALCOHOL POLICY IN LATVIA
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1 ALCOHOL POLICY IN LATVIA Alise Krūmiņa Senior Expert Ministry of Health 2013 Ministry of Health 1
2 ABSOLUTE ALCOHOL CONSUMPTION IN LITTERS PER CAPITA ( ) 12,1 11,9 9,8 10,4 10,5 10,2 9,9 9,8 10,1 10,3 10,4 8,4 8,9 8,5 8,5 8,7 8,8 8,9 `05 `06 `07 `08 `09 `10 `11 `12 `13 Per capita Per capita 15 y.o and older Data: Center for Disease Prevention and Control / State Revenue Service Ministry of Health 2
3 REGISTERED ALCOHOL CONSUMPTION IN LITTERS PER CAPITA 15 Y.O. AND OLDER 5,92 5,82 3,76 5,07 4,51 4,46 4,16 4,13 4,38 3,96 4,61 4,86 3,64 3,57 4,67 4,7 3,77 3,99 0,93 1,05 1,11 1,14 1,04 1,05 1,13 1,16 1,1 0,6 0,77 0,88 0,79 0,54 0,53 0,55 0,6 0,64 `05 `06 `07 `08 `09 `10 `11 `12 `13 Beer Spirits Wine Other Data: Center for Disease Prevention and Control 2013 Ministry of Health / State Revenue Service 3
4 MAIN CAUSES OF DEATH RELATED TO ALCOHOL (PER INHABITANTS) 17,3 13,7 13,3 14,5 13,2 6 2,3 10,6 9,7 6,5 4,3 3,8 3,9 9,1 10,8 5,2 5,3 1, Liver cirrhosis Alcohol cardiomyopathy Alcohol- related liver cirrhosis Alcohol addiction 2013 Ministry of Health Data: Center for Disease Prevention and Control 4
5 NUMBER OF PATIENTS DIAGNOSED WITH ALCOHOL PSYCHOSIS AND ALCOHOL ADDICTION PER INHABITANTS, ,7 127, ,3 79,2 87,4 81,5 82, ,5 43,1 30,8 20, ,6 24,3 25, Alcohol psychosis Alcohol addiction 2013 Ministry of Health * Data: Center for Disease Prevention and Control, 5
6 EXTERNAL CAUSES OF DEATH PER INHABITANTS 140,6 144,1 146,1 129,6 112,8 100,8 100,5 89,3 92,9 89, Ministry of Health 6
7 EXTERNAL CAUSES OF DEATH STANDARTIZED MORTALITY 113,12 81,9 80,5 57,2 9,6 6,5 7,62 7,65 LT (2010) LV (2012) EE (2012) FI (2011) % from all deaths Per inhabitants 2013 Ministry of Health Data: European Detailed Mortality Data 7
8 AT LEAST 60 GRAMS OR MORE OF PURE ALCOHOL ON AT LEAST ONE OCCASION AT LEAST ONCE A WEEK ( ,1 Y.O.) 10 0, Men Women 2013 Ministry of Health Data: Center for Disease Prevention and Control 8 3
9 AT LEAST 60 GRAMS OR MORE OF PURE ALCOHOL ON AT LEAST ONE OCCASION IN THE PAST 30 DAYS (15-16 Y.O.) LV ESPAD 2013 Ministry of Health 9
10 FEW MORE FACTS Alcohol consumption during pregnancy (2013): 17,3% of pregnant women have consumed alcohol at least once during the pregnancy; Alcohol dependece risk (CIDI (Composite International Diagnostic Interview)- based diagnosis among y.o.: 12,5% Ministry of Health 10
11 POTENTIAL YEARS OF LIFE LOST DUE TO ALCOHOL 20.8% (18 977) of all PYLL in 2011 (1371 per inhabitants15-64 y.o) 17% 3136 PYLL 437/ % PYLL 2373/ million EURO Data: J.Skrule, Center for Disease Prevention and Control 2013 Ministry of Health 11
12 AN EXAMPLE: HEALTH CARE EXPENDITURE DIAGNOSIS F10 (ALCOHOL ADDICTION) (2013) TOTAL Outpatient service EURO EURO Inpatient service Emergency service for persons under influence of alcohol EURO EURO Data: Center for Disease Prevention and Control 2013 Ministry of Health 12
13 National Development Plan of Latvia for Healthy and Fit for Work (restricting the prevalence of addictive processes and substances, including treatment to integrate individuals into the labour market, reducing the availability of addictive substances Public Health Strategy for to decrease morbidity and mortality from NCDs and to decrease the negative impact of risk factors 13
14 Banned in: SALES RESTRICTIONS premises and territory of educational (also dormatory (2013)), treatment, social care institutions; premises of state and local authorities, (except in cultural and sports facilities (2013)); in kiosks; from to 8.00, except of places where alcohol is sold on tap and the consumption is ensured at place; vending machines; distance sales (2013); 2013 Ministry of Health 14
15 ADVERTISING RESTRICTIONS It is prohibited to advertise alcohol: in educational and medical treatment institutions and on the walls of such buildings and constructions; on letter correspondence and postal parcel items; on the external pages (cover) of books, magazines, newspapers and annexes thereof; on public means of transport and therein; It is prohibited to advertise spirits on TV and radio; General health warning must be displayed in alcohol adverts; Alcohol advertising outdoors are prohibited since 01/07/2014; Restrictions of the content of alcohol adverts accordingly to AVMSD. Handling of alcoholic beverages law (2004) 2013 Ministry of Health 15
16 ALCOHOL ACTION PLAN Restriction and control of supply of alcoholic beverages (control, advertising, ensure good practice). Reduction of demand for alcoholic beverages (educate primary health care staff, improve Parents diary, ensure physical activity, availability of Motivation and Minesot Programme, ensure leisure time activities). Reduction of risky and harmful use of alcoholic beverages (control of driving, analyze medicine and alcohol combination and consequences, solve sobering issue). Monitoring of indicators of alcohol consumption and its effects, and public information (annual study The prevalence and consequences of dependency inducing substances, monitoring and informing society). 16
17 BASED ON PLAN Amendments in legislative acts: prohibition on displaying persons in alcohol adverts, prohibition to advertise special offerings of alcoholic beverages (except of if placed in the point of sale and are not take-away); restrictions of alcohol advertising on TV and radio from 6 am to 10 pm; Working group on alcohol excise (Ministry of Finance) 17
18 ALCOHOL: NEXT STEPS Report on implementation of the Plan; Report on possible changes of alcohol excise in next years (2014); Amendments regarding alcohol advertising for approval; Report on possible regulation of alcohol advertising on Internet (2016); Development of Plan for ; 18
19 PEOPLE KILLED IN ALCOHOL- IMPAIRED DRIVING CRASHES (WITH ALCOHOL-IMPAIRED DRIVER) (ABS.NO.) `95 `96 `97 `98 `99 `00 `01 `02 `03 `04 `05 `06 `07 `08 `09 `10 `11 `12 ` Ministry of Health *Data: Road Traffic Safety Directorate
20 TRAFFIC ACCIDENTS WITH INJURED PERSONS CAUSED BY ALCOHOL-IMPAIRED DRIVER (% OF ALL TRAFFIC ACCIDENTS)* ( ) 23,3 21,7 20,6 14,7 12,8 12,2 10,9 8,2 8,0 6,0 `95 `96 `97 `98 `99 `00 `01 `02 `03 `04 `05 `06 `07 `08 `09 `10 `11 `12 ` Ministry of Health *Data: Road Traffic Safety Directorate 20
21 THANK YOU! Alise Krūmiņa Senior Expert Ministry of Health 2013 Ministry of Health 21
ALCOHOL CONTROL POLICY IN LITHUANIA
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KAZAKHSTAN SOCIOECOMIC CONTEXT Total population 15,314,000 Annual population growth rate -0.3% Population 15+ years 76% Adult literacy rate 99.5% Population in urban areas 58% Income group (World bank)
ARMENIA. Lower-middle Income Data source: United Nations, data range
ARMENIA SOCIOECOMIC CONTEXT Total population 3,010,000 Annual population growth rate -0.5% Population 15+ years 80% Adult literacy rate 99.4% Population in urban areas 64% Income group (World bank) Lower-middle
LITHUANIA. Upper-middle Income Data source: United Nations, data range
LITHUANIA SOCIOECOMIC CONTEXT Total population 3,408,000 Annual population growth rate -0.6% Population 15+ years 84% Adult literacy rate 99.6% Population in urban areas 66% Income group (World bank) Upper-middle
GERMANY. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), Spirits 20%
GERMANY SOCIOECOMIC CONTEXT Total population 82,641,000 Annual population growth rate 0.1% Population 15+ years 86% Adult literacy rate - - Population in urban areas 75% Income group (World bank) High
ROMANIA. Upper-middle Income Data source: United Nations, data range
ROMANIA SOCIOECOMIC CONTEXT Total population 21,532,000 Annual population growth rate -0.5% Population 15+ years 85% Adult literacy rate 97.3% Population in urban areas 54% Income group (World bank) Upper-middle
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LATVIA Recorded adult per capita consumption (age 15+) 14 12 Litres of pure alcohol 1 8 6 4 Beer Spirits Wine 2 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Year Sources: FAO (Food and Agriculture
SLOVENIA. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), Spirits 13%
SLOVENIA SOCIOECONOMIC CONTEXT Total population 2,001,000 Annual population growth rate 0.2% Population 15+ years 86% Adult literacy rate 99.7% Population in urban areas 51% Income group (World bank) High
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