ALCOHOL POLICY IN LATVIA Alise Krūmiņa Senior Expert Ministry of Health alise.krumina@vm.gov.lv 2013 Ministry of Health 1
ABSOLUTE ALCOHOL CONSUMPTION IN LITTERS PER CAPITA (2005-2013) 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 www.spkc.gov.lv / State Revenue Service www.vid.gov.lv 2013 Ministry of Health 2
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 www.spkc.gov.lv / State Revenue Service www.vid.gov.lv 3
MAIN CAUSES OF DEATH RELATED TO ALCOHOL (PER 100 000 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 1,4 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Liver cirrhosis Alcohol cardiomyopathy Alcohol- related liver cirrhosis Alcohol addiction 2013 Ministry of Health Data: Center for Disease Prevention and Control 4
160 140 120 NUMBER OF PATIENTS DIAGNOSED WITH ALCOHOL PSYCHOSIS AND ALCOHOL ADDICTION PER 100 000 INHABITANTS, 2006-2013 135,7 127,7 119 100 80 82,3 79,2 87,4 81,5 82,6 60 40 20 42,5 43,1 30,8 20,4 27 24,6 24,3 25,7 0 2006 2007 2008 2009 2010 2011 2012 2013 Alcohol psychosis Alcohol addiction 2013 Ministry of Health * Data: Center for Disease Prevention and Control, www.spkc.gov.lv 5
EXTERNAL CAUSES OF DEATH PER 100 000 INHABITANTS 140,6 144,1 146,1 129,6 112,8 100,8 100,5 89,3 92,9 89,5 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2013 Ministry of Health 6
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 100 000 inhabitants 2013 Ministry of Health Data: European Detailed Mortality Data 7
AT LEAST 60 GRAMS OR MORE OF PURE ALCOHOL ON AT LEAST ONE OCCASION AT LEAST ONCE A WEEK (15-64 14,1 Y.O.) 10 0,7 2010 2012 Men Women 2013 Ministry of Health Data: Center for Disease Prevention and Control 8 3
AT LEAST 60 GRAMS OR MORE OF PURE ALCOHOL ON AT LEAST ONE OCCASION IN THE PAST 30 DAYS (15-16 Y.O.) 54 49 42 41 41 39 36 2003 2007 2011 2013 LV ESPAD 2013 Ministry of Health 9
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 15-64 y.o.: 12,5%. 2013 Ministry of Health 10
POTENTIAL YEARS OF LIFE LOST DUE TO ALCOHOL 20.8% (18 977) of all PYLL in 2011 (1371 per 100 000 inhabitants15-64 y.o) 17% 3136 PYLL 437/ 100 000 83% 15 841 PYLL 2373/ 100 000-79.6 million EURO Data: J.Skrule, Center for Disease Prevention and Control 2013 Ministry of Health 11
AN EXAMPLE: HEALTH CARE EXPENDITURE DIAGNOSIS F10 (ALCOHOL ADDICTION) (2013) TOTAL Outpatient service 2 257 012 EURO 254 065 EURO Inpatient service Emergency service for persons under influence of alcohol 1 591 246 EURO 411 701 EURO Data: Center for Disease Prevention and Control 2013 Ministry of Health 12
National Development Plan of Latvia for 2014-2020 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 2014-2020 to decrease morbidity and mortality from NCDs and to decrease the negative impact of risk factors 13
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 22.00 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
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
ALCOHOL ACTION PLAN 2012-2014 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
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
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 2017-2019; 18
PEOPLE KILLED IN ALCOHOL- IMPAIRED DRIVING CRASHES (WITH ALCOHOL-IMPAIRED DRIVER) (ABS.NO.) 188 157 169 169 148 129 116 103 110 113 96 91 84 58 36 22 26 25 `95 `96 `97 `98 `99 `00 `01 `02 `03 `04 `05 `06 `07 `08 `09 `10 `11 `12 `13 2013 Ministry of Health *Data: Road Traffic Safety Directorate www.csdd.lv 19 10
TRAFFIC ACCIDENTS WITH INJURED PERSONS CAUSED BY ALCOHOL-IMPAIRED DRIVER (% OF ALL TRAFFIC ACCIDENTS)* (1995-2013) 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 `13 2013 Ministry of Health *Data: Road Traffic Safety Directorate www.csdd.lv 20
THANK YOU! Alise Krūmiņa Senior Expert Ministry of Health alise.krumina@vm.gov.lv 2013 Ministry of Health 21