World Health Organization Regional Office for Europe Alcohol and harm Lars Moller Programme Manager World Health Organization Regional Office for Europe

New publications Alcohol Policy Scoring

Trends in adult per capita consumption in the WHO European Region and selected subregions, 1990 - 2014 Alcohol and harm

Trends in per drinker per capita consumption for adult men in the WHO European Region and selected subregions, 1990 - 2014 Alcohol and harm

Trends in per drinker per capita consumption for adult women in the WHO European Region and selected subregions, 1990 - 2014 Alcohol and harm

Total average alcohol per capita consumption, recorded and unrecorded, 2014, men and women

Trends in alcohol-attributable fractions of mortality in the WHO European Region and selected subregions, 1990 - 2014 Alcohol and harm

Age standardized alcohol-attributable mortality, 2014 (rate per million) Eastern Europe: Russia, Belarus, Moldova and Ukraine Central-eastern EU: Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lithuania,, Poland, Romania, Slovakia and Slovenia Mediterranean: Cyprus, France, Greece, Israel, Malta, Portugal, Spain and Turkey South-eastern Europe: Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkey, Turkmenistan and Uzbekistan

Alcohol attributable liver cirrhosis mortality. Rates per million From lowest to highest country mortality – we have a 60-fold difference. Data only for age-adjusted premature mortality (<70 years)

Alcohol attributable CVD mortality. Rates per million A few countries have a negative mortality due to alcohol

Alcohol attributable cancer mortality. Rates per million A few countries have a negative mortality due to alcohol

Alcohol attributable injury mortality. Rates per million From lowest to highest country mortality – we have almost a 30-fold difference. Data only for age-adjusted premature mortality (<70 years)

Leadership, awareness and commitment (n=47) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Health services’ response (n=34) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Community and workplace action (n=47) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Drinkdriving policies and countermeasures (n=53) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Lowest age limit for on-premise alcohol service and off-premise alcohol sale

Availability of alcohol (n=53) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Marketing of alcoholic beverages (n=53) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Pricing policies (n=45) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Reducing the negative consequences of drinking and alcohol intoxication (n=52) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Reducing the public health impact of illicit alcohol and informally produced alcohol (n=53) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Monitoring and surveillance (n=52) Alcohol policy scoring – level of implementation of effective policies on alcohol (alcohol action plan indicators). 0 = no implementation 100 = full implementation

Ongoing activities Database work: European Information System on Alcohol and Health Survey during 2016 Including specific EURO/EC indicators including those to monitor the Action Plan on Youth Drinking and Heavy Episodic Drinking Timeline database Live during end October 2016 2016 Updated will be included during spring 2017.

Ongoing activities Screening and brief intervention (SBI) train-the-trainer toolkit Develop a toolkit which can be used by all countries when introducing SBI Power point presentations Manuals Videos Material to be printed Expert meeting June 2016 and Moscow, October 2016 Pilot testing in Russia, December 2016 and May 2017

Ongoing activities Report on alcohol-attributable deaths Published in late September Based on data from GISAH and the Health For All database. Show trends in mortality from 1990 – 2015.

Ongoing activities Alcohol and pregnancy A report on the prevention of FASD published in September, which includes a literature review and good practice examples in EU and WHO European Region MS

Up-coming reports Alcohol attributable mortality in the EU. The report will include profiles for all EU MS with trends in alcohol-attributable mortality and policies – also with guidance by country. Special focus on young people. Expected to be published during June 2017. Alcohol policy scoring Analyze implementation of the European action plan Expected to be published in April 2017.

More information on the WHO website mollerl@who.int scholinlis@who.int http://www.euro.who.int/alcohol Alcohol and harm