Contact for questions or clarifications: GLOBAL SURVEY ON ALCOHOL AND HEALTH CONTACT INFORMATION. Date: / / (Day/Month/Year)

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1 CONTACT INFORMATION GLOBAL SURVEY ON ALCOHOL AND HEALTH Date: / / (Day/Month/Year) Country: Questionnaire completed by: Last name: First name: Title/Position: Institute/Ministry/etc. Address: Telephone: Fax: Contact for questions or clarifications: gisah@who.int Address for sending attachments and documents: gisah@who.int Management of Substance Abuse team Department of Mental Health and Substance Abuse World Health Organization 20, avenue Appia CH-1211 Geneva 27 Switzerland

2 EXPERTS CONSULTED GLOBAL SURVEY ON ALCOHOL AND HEALTH For the completion of this survey, comprising the sections A. Alcohol Policy, B. Alcohol Supply and Consumption, and C. Alcohol and Health Indicators, you are encouraged to contact and consult additional experts. Additional experts that you might contact or consult in order to complete this survey could come from the following areas: A: Person in charge of or involved in alcohol control in the Ministry of Health of your country, or the most senior government official in charge of alcohol control or alcoholrelated conditions; B: The head of a prominent Non-governmental organization dedicated to alcohol control; C: A health professional (e.g. medical doctor, nurse, pharmacist, social worker, psychologist) specialized in alcohol-related conditions; D: A faculty member of a public health university department; E: A police or other law enforcement officer; F: A person at the Ministry of Finance, tax agency or statistical office. For those whom you did consult, please enter the following information accordingly: Expert 1 - Name: Position: Organization: Expert 2 - Name: Position: Organization: Expert 3 - Name: Position: Organization: Expert 4 - Name: Position: Organization: Expert 5 - Name: Position: Organization: Comments:

3 INSTRUCTIONS GLOBAL SURVEY ON ALCOHOL AND HEALTH This survey is intended to address national data and the perspective on a national level about alcohol issues. In some instances, space is provided to allow for comments related to sub-national/regional data. There is also the possibility to make comments on the last page of the questionnaire. Questions about specific restrictions will be asked. As necessary, please provide further information about the situation or specific bans at the relevant question in the space provided under the question or on the last page of the questionnaire.

4 GLOBAL SURVEY ON ALCOHOL AND HEALTH A. ALCOHOL POLICY Written national policy on alcohol 1. a) Is there a written national policy on alcohol specific to your country? [A written national policy on alcohol is an organized set of values, principles and objectives for reducing the burden attributable to alcohol in a population which is adopted at the national level.] National PLEASE GO TO QUESTION 1.b), but sub-national PLEASE DESCRIBE BELOW AND THEN GO TO QUESTION 2. Description of sub-national policy / regional variations: PLEASE GO TO QUESTION 2. b) In which year was the written national policy on alcohol formally adopted for the first time? Year c) In which year was the last revision of the written national policy on alcohol? Year d) What is the highest level of adoption of the written national policy on alcohol? Check () one only. Adopted by the National Parliament Adopted by the National Government Adopted by a specific Ministry; please specify: Adopted by another national body; please specify: e) Is the written national policy on alcohol specifically on alcohol only and/or integrated with other areas? Check () all that apply. Specifically written on alcohol policy only Integrated into a written substance abuse policy Integrated into a written mental health policy Integrated into a written noncommunicable diseases policy Integrated into a written general public health policy Other, please specify: f) Is the written national policy on alcohol multisectoral? Yes

5 GLOBAL SURVEY ON ALCOHOL AND HEALTH g) If it is multisectoral, which of the following sectors are represented in the written national policy on alcohol? Check () all that apply. Health Education Social Affairs Employment Criminal Justice Law enforcement Transport / Road Safety Trade / Industry Finance / Taxation Agriculture Other, please specify: h) Which sector of the government has the main coordinating responsibility for the written national policy on alcohol? Check () one only. Health Education Social Affairs Employment Criminal Justice Law enforcement Transport / Road Safety Trade / Industry Finance / Taxation Agriculture Other, please specify: i) In the written national policy on alcohol, is there reference to WHO? Check () all that apply., but in developing the written national policy on alcohol, the WHO Global strategy to reduce the harmful use of alcohol was used., but in developing the written national policy on alcohol, other WHO strategies, recommendations, standards or guidelines were used. Yes, there is written reference to the WHO Global strategy to reduce the harmful use of alcohol. Yes, there is written reference to other WHO strategies, recommendations, standards or guidelines. j) Which external stakeholders were involved in developing the written national policy on alcohol? Check () all that apply. Civil society groups, including NGOs, Professional Associations; please specify: Research institutions; please specify: Private sector, including trade associations, social aspect organizations (i.e. nonprofit organizations usually funded by the industry); please specify: Other; please specify: k) For the implementation of the written national policy on alcohol, is there a national action plan? Yes

6 GLOBAL SURVEY ON ALCOHOL AND HEALTH Is there currently a process of developing a written national policy on alcohol or of revising the adopted one? Check () one only. Yes, revising the adopted one Yes, developing a written national policy on alcohol 3. Please assess on a scale of 0-10, the development of alcohol policy since the adoption of the Global strategy to reduce the harmful use of alcohol in May [Strong development means: Alcohol policy responses are integrated into at least five (5) different governmental sectors and there is increased activity in policy formulation, implementation, and enforcement. Poor development means: Alcohol policy responses are integrated into only two (2) different governmental sectors and there is no increased activity or no activity at all in policy formulation, implementation, and enforcement.] poor development strong development Definition of an alcoholic beverage 4. a) In your country, is there a standard legal definition of an alcoholic beverage that is used by your government? Yes b) If YES, what is the standard legal definition of an alcoholic beverage in your country? (Please include the % alcohol by volume if applicable, e.g. "All types of beverages over 0.5% alcohol by volume".) 5. a) In your country, is there a definition of a standard drink used at the national level? Yes b) If YES, how much is a standard drink in grams of pure alcohol? c) If YES, is this definition of a standard drink used? Check () all that apply. In consumer information In epidemiological research Other, please specify:

7 Monopoly and licensing GLOBAL SURVEY ON ALCOHOL AND HEALTH a) If the control for production and sale of alcohol is at the national level, do you have a government monopoly? Circle the appropriate answer(s). [Government monopoly means full or almost complete government control.] Beer Wine Spirits Monopoly on production Yes No Yes No Yes No Monopoly on retail sales Yes No Yes No Yes No Comment: b) If the control for production and sale of alcohol is at the national level, do you have licensing? Circle the appropriate answer(s). [Licensing means partial government control where a license is required.] Beer Wine Spirits License for production Yes No Yes No Yes No License for retail sales Yes No Yes No Yes No Comment: Price and tax measures 7. a) In your country, how are alcoholic beverages taxed at the national level? Check () all that apply. For the "Other" category, please always give the same alcoholic beverage in the tables below. Excise tax, on: Excise tax Beer Wine Spirits Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: Special tax on alcohol other than excise tax; please specify its name: Please specify how it is calculated and how much it is: Value Added Tax (VAT); please specify: % Alcoholic beverages are not taxed at all.

8 GLOBAL SURVEY ON ALCOHOL AND HEALTH PLEASE SEE EXAMPLE IN Annex 1 OF FILLING IN THE ANSWERS TO 7 b), c), and d). b) If you have Excise tax, please specify whether it is calculated: by beverage type as a percentage of the price: Retail price Producer price (ex-factory price) Other price; please specify: Please go to c) by alcohol volume / weight: Unit of alcohol Unit of beverage Please go to d) using a combination of the two: Tax both methods combined on each alcoholic beverage Calculate both methods, but tax with the higher calculated tax value Please fill in c) and d) accordingly c) Please specify the Excise tax for alcoholic beverages calculated as a percentage of the price: (Note: cl = centilitres) Beer (5% alcohol by volume) Wine (12% alcohol by volume) Spirits (40% alcohol by volume) Quantity in cl per container Excise tax rate as % of price Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: *entering the calculated values using excise tax rate as % of price Excise tax as amount (value) (in local currency) per container* d) Please specify the Excise tax for alcoholic beverages calculated as amount per alcohol volume / weight: (Note: cl = centilitres) Quantity in cl per container Excise tax rate as monetary value per litre of pure alcohol (in local currency) Excise tax as amount (value) (in local currency) per container** Beer (5% alcohol by volume) Wine (12% alcohol by volume) Spirits (40% alcohol by volume) Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: **entering the calculated values using excise tax rate as monetary value per litre of pure alcohol

9 GLOBAL SURVEY ON ALCOHOL AND HEALTH e) Please specify the average retail price for alcoholic beverages: (Note: cl = centilitres) Beer: most popular brand of beer Wine: table wine / ordinary wine Spirits: most popular local brand Spirits: most popular imported brand Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: Quantity in cl Reference brand (market leader) Average retail price (in local currency) 8. Is the level of taxation (excise tax or special tax on alcohol other than excise tax) for alcoholic beverages adjusted for inflation in your country? i. Beer: Yes every months / every years ii. Wine: Yes every months / every years iii. Spirits: Yes every months / every years iv. Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: : Yes every months / every years 9. Do you use duty-paid, excise or tax stamps or labels on alcoholic beverage containers/bottles in your country? i. Beer: Yes ii. Wine: Yes iii. Spirits: Yes

10 GLOBAL SURVEY ON ALCOHOL AND HEALTH a) Do you have any price measures other than taxation in your country? [Price measures other than taxation means e.g. by regulation of the price of non-alcoholic and alcoholic beverages, such as having a non-alcoholic beverage cheaper than an alcoholic beverage.] Yes, please specify: Check () all that apply. Minimum price policy Requirement to offer non-alcoholic beverages at a lower price Ban on below-cost selling Ban on volume discounts Additional levy on specific products (e.g. on alcopops), please specify: Price measures to discourage underage drinking or high-volume drinking, please specify: Other, please specify b) If YES to minimum price policy, what is the minimum price for the following alcoholic beverages? [Minimum price policy for alcoholic beverages means a policy where a minimum price is set for a unit of alcohol, below which it cannot be sold.] Beer (5% alcohol by volume) Wine (12% alcohol by volume) Spirits (40% alcohol by volume) Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: % and name: Minimum price per litre of pure alcohol (in local currency) per litre of pure alcohol per litre of pure alcohol per litre of pure alcohol per litre of pure alcohol

11 GLOBAL SURVEY ON ALCOHOL AND HEALTH Awareness raising activities 11. In the last three years, did you have any nation-wide awareness-raising activities? Yes, please specify: Check () all that apply. Young people's drinking Drink-driving Indigenous peoples Illegal / surrogate alcohol Alcohol and pregnancy Alcohol at work Alcohol's impact on health Social harms (i.e. harms to others than the drinker) Other, please specify 12. In your country, is there any systematic alcohol server training (for servers of pubs, bars, restaurants) on a regular basis? Check () all that apply. [Server training means a form of occupational training provided to people serving alcohol such as bar and restaurant staff, waiting staff or people serving at catered events. Alcohol server training promotes the safe service of alcoholic beverages to customers (e.g. not serving to intoxication, not serving to those already intoxicated or to minors). Alcohol server training can be regulated and mandated by state or local laws.] Yes, organized by enforcement agencies Yes, organized by the private sector Yes, organized by Other, please specify: Community action 13. In which ways does the national government support community action? Check () all that apply Earmarked funds for community action Provision of technical tools tailored to communities Training programmes Community programmes and policies for subgroups at particular risk Other; please specify:

12 GLOBAL SURVEY ON ALCOHOL AND HEALTH Age limits 14. What are the legal age limits at the national level, for the following? Enter Age limit (in years) or "None" if there is no age limit. [Legal age limit means that alcoholic beverages cannot be served/sold to a person under this age] On-premise sales (serving) (e.g., cafe, pub, bar, restaurant) Off-premise sales (selling) (take-away in e.g., store, shop, supermarket) Beer years years Wine years years Spirits years years Restrictions 15. Please provide information on the extent to which different public environments are alcohol-free in your country. Check () the appropriate column. ["Partial statutory restriction" means that certain alcoholic beverages are forbidden or some offices/ buildings/places are alcohol-free. "Voluntary agreement/self-regulation" means that local governments and municipalities have their own regulations or the alcoholic beverage industry follows its internal voluntary rules.] Restrictions on alcohol consumption in different public domains Ban Partial Voluntary / No statutory self-regulated restriction restriction Health care establishments Educational buildings Government offices Public transport Parks, streets etc Sporting events Leisure events (concerts etc.) Workplaces Places of worship

13 GLOBAL SURVEY ON ALCOHOL AND HEALTH a) Please provide information on existing restrictions for the on-premise sales of beer, wine and spirits at the national level. Circle the appropriate answers. [On-premise sales means serving in e.g., cafe, pub, bar, restaurant] On-premise sales restrictions on alcoholic beverages Beer Wine Spirits Hours of sales Yes No Yes No Yes No Days of sales Yes No Yes No Yes No Locations of sales Yes No Yes No Yes No Density of outlets Yes No Yes No Yes No Sales at specific events (e.g., football games) Yes No Yes No Yes No Sales to intoxicated persons Yes No Yes No Yes No b) Please provide information on existing restrictions for the off-premise sales of beer, wine and spirits at the national level. Circle the appropriate answers. [Off-premise sales means selling as take-away in e.g., store, shop, supermarket] Off-premise sales restrictions on alcoholic beverages Beer Wine Spirits Hours of sales Yes No Yes No Yes No Days of sales Yes No Yes No Yes No Locations of sales Yes No Yes No Yes No Density of outlets Yes No Yes No Yes No Sales at specific events (e.g., football games) Yes No Yes No Yes No Sales at petrol stations Yes No Yes No Yes No 17. Do you have any national legislation in your country to prevent illegal production and/or sale of home- or informally produced alcoholic beverages? Yes, to prevent illegal production Yes, to prevent illegal sale

14 GLOBAL SURVEY ON ALCOHOL AND HEALTH Please indicate on a scale of 0-10, how well the existing on-premise sales restrictions of beer, wine and spirits are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring where there are control visits on a frequent and regular basis to the premises) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way and no control visits are taking place or no system at all and penalties or fines are not applied.] poorly enforced well enforced 19. Please indicate on a scale of 0-10, how well the off-premise sales restrictions of beer, wine and spirits are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring where there are control visits on a frequent and regular basis to the premises) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way and no control visits are taking place or no system at all and penalties or fines are not applied.] poorly enforced well enforced

15 Drink driving legislation GLOBAL SURVEY ON ALCOHOL AND HEALTH At the national level, what is the maximum legal blood alcohol concentration (BAC) when driving a vehicle, for each of the following groups? (e.g., 0.05%; usually, from 0% to 0.10%) Enter the BAC in % or "None" if there is no maximum legal BAC. i. General population: % ii. Young/novice drivers: % iii. Professional/commercial drivers: % 21. In your country, what are the usual methods for measuring the blood alcohol concentration (BAC)? Check () all that apply. Blood or urine analysis Breath testing Observational assessment Other; please specify: 22. Do you have sobriety checkpoints and/or random breath testing? [Sobriety checkpoints means checkpoints or roadblocks established by the police on public roadways to control for drink-driving. Random breath testing means that any driver can be stopped by the police at any time to test the breath for alcohol consumption.] i. Sobriety checkpoints: Yes No ii. Random breath testing: Yes No 23. What are the penalties for drink driving in your country? Check () all that apply. Fines Driving licence suspension Penalty points Driving licence revoked Short-term detention Imprisonment Vehicle impounded Community/public service Mandatory treatment Ignition interlock Mandatory education and counselling ne

16 GLOBAL SURVEY ON ALCOHOL AND HEALTH a)please indicate on a scale of 0-10, how well the existing maximum legal blood alcohol concentration (BAC) when driving a vehicle is enforced at the national level. [Well enforced means that ALL of the following points apply: Enforcers are equipped with the necessary tools, such as breathalizers; and Enforcement is done both on a regular basis and during high risk periods, e.g. holiday seasons; and Enforcement is done in both rural and urban areas; and Penalties or fines are applied. Poorly enforced means that only some or none of the following points apply: Equipment is available; Enforcement is not done on a regular basis; Enforcement is done either in rural or urban areas; Penalties or fines are not applied.] poorly enforced well enforced b) What is the basis of this judgement? empirical information expert opinion other; please specify: Health warning labels and consumer information 25. a) Are health warning labels legally required on alcohol advertisements, in your country at the national level? Yes b) Are health warning labels legally required on the containers/bottles of alcoholic beverages, in your country at the national level? Yes 26. a) Is there a national legal requirement to display consumer information about calories, additives, vitamins, micro elements on the labels of alcohol containers? Yes b) Is there a national legal requirement to display the number of standard alcoholic drinks in the container on the labels of alcohol containers? Yes c) Is there a national legal requirement to display alcohol content on the labels of alcohol containers? Yes 27. What is the text/picture of the legally required health warning labels? Advertisements: Containers/bottles:

17 GLOBAL SURVEY ON ALCOHOL AND HEALTH Advertising and product placement 28. a) Are there legally binding restrictions on alcohol advertising at the national level? Yes b) Are there legally binding restrictions on alcohol product placement at the national level? [Product placement means that economic operators sponsor TV or film productions if their product is shown in these productions.] Yes c) If YES, please specify the restrictions on alcohol advertising/product placement. Use letters to indicate the type of beverage (B=BEER), (W=WINE) and (S=SPIRITS) for which there are restrictions. ["Partial statutory restriction" means that the restriction applies during a certain time of day or for a certain place, or to the content of events, programmes, magazines, films, etc. "Voluntary agreement" means that the alcoholic beverage industry follows its internal voluntary rules]. Ban Partial statutory restriction: Time/Place Partial statutory restriction: Content Voluntary / selfregulated No restriction Advertising: Public service/national TV Commercial/private TV National radio Local radio Print media (newspapers etc.) Billboards Points of sale Cinema Internet Social media (facebook etc.) Product placement: Public service/national TV Commercial/private TV Films/movies d) Are there time restrictions for TV commercials at the national level? Yes; please specify the time restriction:

18 GLOBAL SURVEY ON ALCOHOL AND HEALTH Please indicate on a scale of 0-10, how well existing advertising restrictions are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way or no system at all and penalties or fines are not applied.] poorly enforced well enforced 30. Please indicate on a scale of 0-10, how well existing product placement restrictions are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way or no system at all and penalties or fines are not applied.] poorly enforced well enforced

19 GLOBAL SURVEY ON ALCOHOL AND HEALTH Alcohol sponsorship and sales promotion 31. a) Are there legally binding restrictions on alcoholic beverage industry sponsorship at the national level? Yes b) Are there legally binding restrictions on sales promotion from producers, retailers (including supermarkets) and owners of pubs and bars at the national level? Yes c) If YES, please specify the restrictions on industry sponsorship/sales promotion. Use letters to indicate the type of beverage (B=BEER), (W=WINE) and (S=SPIRITS) for which there are restrictions. ["Partial statutory restriction" means that the restriction applies during a certain time of day or to some events, programmes, magazines, films, etc. "Voluntary agreement/self-regulation" means that the alcoholic beverage industry follows its internal voluntary rules.] Industry sponsorship of sporting events Industry sponsorship of youth events, e.g. concerts Sales promotion from producers (e.g. parties and events) Below costs sales promotions from retailers (including supermarkets) Free drinks sales promotions from owners of pubs and bars Ban Partial statutory restriction Voluntary / selfregulated No restriction

20 GLOBAL SURVEY ON ALCOHOL AND HEALTH Please indicate on a scale of 0-10, how well existing sponsorship restrictions are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way or no system at all and penalties or fines are not applied.] poorly enforced well enforced 33. Please indicate on a scale of 0-10, how well existing sales promotion restrictions are enforced at the national level. [Well enforced means: There is a dedicated government institution (or one requested by the government) handling a monitoring system (i.e. active controlling and monitoring) or a complaint system (i.e. individuals or institutions can complain through a defined channel) and penalties or fines are applied. Poorly enforced means: There is a monitoring or a complaint system without a dedicated institution handling it in a systematic way or no system at all and penalties or fines are not applied.] poorly enforced well enforced Marketing 34. In which ways are infringements on marketing restrictions detected? Check () all that apply. [Marketing includes advertising, product placement, industry sponsorship, sales promotion (see previous questions) and other marketing communications.] Active surveillance by government, NGO, independent body Complaint system Case by case reporting Other; please specify: None 35. What are penalties for infringements on marketing restrictions? i. Typical penalty: ii. Least severe penalty: iii. Most severe penalty: 36. How many infringements on marketing restrictions occurred in the last calendar year? Year: Number of infringements:

21 GLOBAL SURVEY ON ALCOHOL AND HEALTH B. ALCOHOL CONSUMPTION 37. a) Do you have data specifically for recorded adult (15+ years) per capita consumption of alcohol or recorded all ages per capita consumption of alcohol in your country at the national level (i.e., for beer, wine, spirits and other types of alcoholic beverages separately)? Yes b) If YES to 37.a), please enter a website link address where recorded adult (15+ years) per capita consumption of alcohol or recorded all ages per capita consumption data can be accessed. If no website exists, please complete the table below (37.d). c) If NO to 37.a), do you have data for sales, production, imports, exports, or taxation of alcohol by volume? Yes; please specify the contact details of the person who can be contacted directly to access these data: address:, Telephone number:. d) Recorded adult (15+ years) per capita consumption: Note: If the recorded adult (15+ years) per capita consumption is NOT available, but the recorded all ages per capita consumption of alcohol is available, enter these data in column 2 (all ages per capita). 1. Total: Year Recorded adult (15+) per capita consumption in litres of pure alcohol Recorded all ages per capita consumption in litres of pure alcohol 2. Beer: Alcohol content: % Type: (e.g. barley, sorghum, etc.) Year Recorded adult (15+) per capita consumption in litres of pure alcohol Recorded all ages per capita consumption in litres of pure alcohol

22 GLOBAL SURVEY ON ALCOHOL AND HEALTH Wine: Alcohol content: % Type: (e.g. grape, vermouth, etc.) Year Recorded adult (15+) per capita consumption in litres of pure alcohol Recorded all ages per capita consumption in litres of pure alcohol 4. Spirits: Alcohol content: % Type: (e.g. whisky, rum, gin, vodka, etc.) Year Recorded adult (15+) per capita consumption in litres of pure alcohol Recorded all ages per capita consumption in litres of pure alcohol 5. Other alcoholic beverages, please specify: Alcohol content: % Year Recorded adult (15+) per capita consumption in litres of pure alcohol Type: (e.g. cider, alcopops, etc.) Recorded all ages per capita consumption in litres of pure alcohol Please comment in case you have knowledge of revisions to the data of the year 2005 and before: e) What source did you use to complete the table above? Check () all that apply. Government statistics Customs and Excise Research institute Alcohol industry Other; specify: f) What are the data based on? Check () all that apply. Sales Production Import Export Taxation Other; specify: g) Please specify the source by entering the website or the complete source reference:

23 GLOBAL SURVEY ON ALCOHOL AND HEALTH a) Are there estimates available on consumption of unrecorded alcohol in your country at the national level, based on empirical survey data? [Unrecorded alcohol means alcohol which is not taxed and is outside the usual system of governmental control, such as home or informally produced alcohol (legal or illegal), smuggled alcohol, surrogate alcohol (which is alcohol not intended for human consumption), or alcohol obtained through cross-border shopping (which is recorded in a different jurisdiction).] Yes b) If YES, please provide the website link or the complete source reference where the empirical survey data are displayed: 39. Please assess the trend over the past five (5) years for the level of consumption of unrecorded alcohol in your country. [Increase means that consumption of unrecorded alcohol has increased by more than 10%; Decrease means that consumption of unrecorded alcohol has decreased by more than 10%; Stable means that changes were not by more than 10%; Inconclusive means that changes were too erratic to make a decision; Don't know means that there was too little information to come to a conclusion.] Increase decrease stable inconclusive don t know

24 GLOBAL SURVEY ON ALCOHOL AND HEALTH C. NATIONAL MONITORING AND SURVEILLANCE SYSTEM ON ALCOHOL AND HEALTH 40. a) Have you had any adult national surveys on alcohol consumption since 2000? (This can be a survey where alcohol is addressed specifically or where it is part of a larger or international survey.) Yes, please specify the year of the most recent one: b) If Yes, please indicate the age group(s) for which there are survey results available: c) If Yes, please specify the source by entering the complete source reference: (Please provide a website link, if available) 41. a) Have you had any youth national surveys on alcohol consumption since 2000? (This can be a survey where alcohol is addressed specifically or where it is part of a larger or international survey.) Yes, please specify the year of the most recent one: b) If Yes, please indicate the age group(s) for which there are survey results available: c) If Yes, please specify the source by entering the complete source reference: (Please provide a website link, if available) 42. a) In your country, do you have a national system for monitoring alcohol consumption, its health and social consequences? Check () all that apply. [A national system for monitoring alcohol consumption, its health and social consequences refers to a data repository including a range of population-based and health facility data. The main population-based sources of health information are census, household surveys and (sample) vital registration systems. The main health facility related data sources are public health surveillance, health services data and health system monitoring data.] Yes, with data collected on alcohol consumption Yes, with data collected on health consequences of alcohol consumption Yes, with data collected on social consequences of alcohol consumption Yes, with data collected on alcohol policy responses b) If NO, do you have a sub-national system (i.e. available in some jurisdictions at sub-national level) for monitoring alcohol consumption, its health and social consequences? Check () all that apply. Yes, with data collected on alcohol consumption Yes, with data collected on health consequences of alcohol consumption Yes, with data collected on social consequences of alcohol consumption Yes, with data collected on alcohol policy responses

25 GLOBAL SURVEY ON ALCOHOL AND HEALTH c) If YES to 42. b), please specify the percentage of the national population covered in the sub-national system: _ % d) If YES to 42. a) or b), are there regular reports available? Yes; please specify the year of last publication/release and web link or reference Year: Web link or reference: e) If YES to 42. a), what resources are secured for the national monitoring system? Institution/organization/department with the mandated function of a national monitoring centre. Please provide the name and location of the institution/organization/department with such a monitoring function: How many staff Full Time Equivalents (FTE) were funded (from different sources) during the last year to work on the national monitoring system on alcohol and health: _ (FTE) A person with the mandated function of monitoring the situation on alcohol and health. What is the estimated proportion per year of his/her time dedicated to this function: _ % The person is located at: Ministry of Health or similar responsible for health At a drug control directorate/department or similar responsible for illicit drugs and other substances At an other part of the government, please specify: At an other institution or organization, please specify: 43. a) What are the main components of the national system of monitoring alcohol consumption? Check () all that apply. Sales data of alcoholic beverages Production data of alcoholic beverages Export/import data of alcoholic beverages National population-based surveys including questions on alcohol consumption; please specify how often these types of surveys are implemented (e.g. every 3 years): every years; and the last year of survey implementation (e.g. year 2011): Sub-national population-based surveys including questions on alcohol consumption National youth (including school-based) surveys including questions on alcohol consumption; please specify how often these types of surveys are implemented (e.g. every 3 years): every years; and the last year of survey implementation (e.g. year 2011): Sub-national youth (including school-based) surveys including questions on alcohol consumption Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol based on expert opinion Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol based on research focused on unrecorded alcohol consumption Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol based on indirect estimates using government data on confiscated/seized alcohol Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol based on indirect estimates using survey data Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol based on indirect estimates using other data; please specify other data for estimation of unrecorded:

26 GLOBAL SURVEY ON ALCOHOL AND HEALTH b) What are the main components of the national system of monitoring health consequences of alcohol consumption? Please indicate the code in the classification system that you normally use. Prevalence of alcohol dependence (Classification code: ) Prevalence of alcohol use disorders (both alcohol dependence and harmful use of alcohol) (Classification code: ) Prevalence of alcohol psychosis (Classification code: ) Prevalence of alcohol-related liver disease including liver cirrhosis (Classification code: ) Number of deaths due to alcohol and methanol poisoning (Classification code: ) Number of deaths due to road traffic accidents with alcohol involvement (Classification code: ) Number of deaths due to suicide with alcohol involvement (Classification code: ) Other health consequences indicators, please specify: Other health consequences indicators, please specify: Monitoring health consequences Included Yes Yes Yes Yes Yes Yes Yes Yes Yes Disaggregation Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country

27 GLOBAL SURVEY ON ALCOHOL AND HEALTH c) What are the main components of the national system of monitoring social consequences of alcohol consumption? Number of homicides with alcohol involvement Number of violence-related crimes with alcohol involvement Number of cases of public drunkenness Other social consequences indicators, please specify: Other social consequences indicators, please specify: Monitoring social consequences Included Yes Yes Yes Yes Yes Disaggregation Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country Sex Age Regions of the country 44. If you have data at the national level for Deaths from Alcohol-related road traffic injuries, please enter in the table below the actual number of cases for the most recent year available. If possible, by sex and age group. Please specify the year. Deaths from Alcohol-related road traffic injuries What is the defined time of death for recording as a Death from road traffic injury? Time of death: (e.g. died at the scene of the accident, died within 7 days of the accident) What is the defined BAC level for recording as an alcohol-related road traffic injury death? BAC level: _ Year Males Females Total All ages 15+ years Please enter other available age groups here: Please specify the source by entering the complete source reference: (Please provide a website link, if available)

28 Annex 1 GLOBAL SURVEY ON ALCOHOL AND HEALTH EXAMPLE OF FILLING IN THE ANSWERS ABOUT HOW EXCISE TAX IS CALCULATED: 7. b) If you have Excise tax, please specify whether it is calculated: by beverage type as a percentage of the price: Retail price Producer price (ex-factory price) Other price; please specify: Please go to c) by alcohol volume / weight: Unit of alcohol Unit of beverage Please go to d) using a combination of the two: Tax both methods combined on each alcoholic beverage Calculate both methods, but tax with the higher calculated tax value Please fill in c) and d) accordingly c) Please specify the Excise tax for alcoholic beverages calculated as a percentage of the price: (Note: cl = centilitres) Quantity in cl per container Excise tax rate as % of price Excise tax as amount (value) (in local currency) per container* Beer (5% alcohol by volume) % Wine (12% alcohol by volume) % Spirits (40% alcohol by volume) % Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: 40 % and name: xxxxxx_ % *entering the calculated values using excise tax rate as % of price d) Please specify the Excise tax for alcoholic beverages calculated as amount per alcohol volume / weight: (Note: cl = centilitres) Quantity in cl per container Excise tax rate as monetary value per litre of pure alcohol (in local currency) Excise tax as amount (value) (in local currency) per container** Beer (5% alcohol by volume) Wine (12% alcohol by volume) Spirits (40% alcohol by volume) Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: 40 % and name: xxxxxx_ **entering the calculated values using excise tax rate as monetary value per litre of pure alcohol

29 GLOBAL SURVEY ON ALCOHOL AND HEALTH COMMENTS Section A: Alcohol Policy: Section B: Alcohol Consumption: Section C: National Monitoring and Surveillance System on Alcohol and Health: THANK YOU FOR YOUR PARTICIPATION