Prevalence of Alcoholism and Anti-Alcohol Policy in the Russian Federation Eugenia Koshkina Director National Research Center on Addictions Ministry of Health and Social Development of the Russian Federation Saint Petersburg, 24 th November 2011

Attitude to alcohol Alcohol addicts Moderate drinkers Abstainers 9,7 % 20,2 % 32 % Alcohol abusers Occasional drinkers 38,1 %

Risk factors Social Biological Psychological Proportion of these risks varies from individual to individual

Number of registered patients for the year in the Russian Federation Alcohol dependence Dependence on inhalants Drug addiction statistics

Alcoholism prevalence, including alcohol psychoses per population High – 2,000 and more Middle - (1,000 -1,999) Low - (less than 1,000)

Number of psychoses per population in Prevalence of Alcohol Psychoses

Prevalence of Alcoholism, Including Alcoholic Psychoses (Per 100,000 population)

Alcohol-Related Disability Rate Among Different Categories of Patients

SCENE Alcohol-Related Mortality in Russia (per 100,000 population)

Alcohol-Related Mortality in (in 1000, E. Andreev & I. Zbarskaya)

Distribution of Alcohol Dependency Patients by Age Group (%) in 2010 (according to statistics data) years

Alcohol Incidence among Teenagers (per population)

Alcohol Dependency by Area Type Urban Rural 74,3% 26,7%

Concept  Concept on development of state policy to reduce alcohol abuse and alcohol prevention among the population of the Russian Federation for the period up to 2020 was adopted by the Russian Government on December 30, 2009 (order №2128-р)  The Concept defines aims, objectives and implementation mechanisms for anti-alcohol policy

Reduction of alcohol consumption Improvements in demographic situation Life expectancy increase Mortality reduction Promotion of healthy lifestyle State policy aims at:

2 nd stage: Stages of Concept Implementation  Reduction of negative situation acuity  Formation of the legal, organizational and financial basis for positive trends  Programs promoting healthy lifestyle  Timely detection of alcohol-related diseases  Effective prevention of alcohol addiction 1 st stage:

Improvement and Prevention Efficiency Increase Strategic goal of prevention is to reduce consumption and form negative attitudes to psychoactive substances use  Preventive measures against the use of psychoactive substances (PAS) are aimed at all population categories, in the first place at children, youth and high-risk groups. Testing.  Introducing prevention issues in school education  Increasing awareness of negative effects of PAS among population  Early detection of individuals abusing PAS  Development of help-seeking motivation and prevention activities among high-risk groups  Prevention measures at work place  Improvement and further development of medical assistance to people with alcohol dependency  Establishment of rehabilitation centers  Establishment of health centers for population

Measures to Regulate Alcohol Market Limitation of sale hours Detection of illegal alcohol Control of alcohol sale rules Sale of alcohol products in fixed outlets only Prohibition of alcohol consumption in public places Alcohol beverages pricing regulation

Interdepartmental Approach to Address Problems of Alcohol Consumption Reducing Creating of interdepartmental bodies (commissions, councils, etc) to coordinate alcohol prevention Including alcohol prevention components in activities of drug- control bodies Including alcohol prevention components in different social programs, leisure, sports, mortality decrease and crime reduction, etc

Thank you!