Recent Developments in Substance Contorl Policy in the Russian Federation (based on offcical medical statistics) Konstantin Vyshinsky Ph.D., Leading Researcher Epidemiology Department, National Research Center on Addictions, Russian Federation Ministry of Health 8 th ASA Expert Group Working Meeting Murmansk, 3-4 April 2014

2 Current Situation in Russia Recent Developments Minimal price for liquors has been increased and will be further increased (all for retail prices, 0.5 l. bottle, 40°) For vodka from 170 Rub. to 199 Rub. starting on 11 th of March and will be increased up to 220 Rub. starting on 1 st of August For cognac from 280 Rub. to 322 Rub. starting on 11 th of March For brandy (or any wine, grape, fruit, cognac, calvados or whiskey distillates) from 250 Rub. to 293 Rub. starting on 11 th of March

3 Photo: Izvestiya, V.Suvorov

4 Current Situation in Russia Recent Developments Minimal price for liquors has been increased and will be further increased (all for retail prices, 0.5 l. bottle) From 144 Rub. for 28° beverages Up to 341 Rub. for 61° or stronger beverages Price increase is related to increase of alcohol products above 9% excise duty from 400 to 500 Rub. for 1 litter of pure alcohol and prepared by RosAlcogolRegulirovanie (Federal Service for Alcohol Market Regulation)

State Concept  The Concept to implement state policy to decrease the scale of alcohol misuse and prevent alcohol dependency among the population of Russia for the period up to 2020 – has been adopted by the Decree of the Government N.2128-p of 30 th December,  The Concept determines aims, gals and mechanisms to implement the anti-alcohol policy. 5

Decreasing volumes of alcohol use by the population Improving country‘s demographic situation Increasing life expectancy Decreasing mortality level Promoting the healthy lifestyle Implementation of the State is aimed at: 6

2-nd: Two stages of concept implementation:  Decreasing severity of alcohol situation  Preparing legislative, institutional and financial basis to support positive tendencies  Implementing programs to support healthy lifestyle  Timely detecting of alcohol abuse- related diseases and condtition  Providing effective prevention of alcohol dependency 1-st:

Measures to Regulate the Alcohol Market Restricted hours of sales Detecting illegal alcohol Contorl of alcohol sales Alcohol sales only at strictly specified places Prohibition to use alcohol in public places Regulation of alcohol prices 8

Total Number of Patients Registered by the Addiction Treatment Service of Russia (2012) Alcohol dependency, including alcohol psychoses1,992,836 Harmful alcohol use435,617 Total related to ALCOHOL2,428,453 Illegal drug dependency332,659 Harmful use of illegal drugs200,758 Total related to ILLEGAL DRUGS533,417 Inhalant dependency11,606 Harmful use of inhalants16,531 Total related to INHALANTS28,137 Substance abuse-related disorders (TOTAL)2,990,007 9