Alcohol, Cancer and Public Health

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Presentation transcript:

Alcohol, Cancer and Public Health iStock_000027193645XLarge Possible purchase from Istockphoto.com Dr. Charles Gardner MD, CCFP, MHSc, FRCPC Medical Officer Of Health

Relationships with Commercial Interests: Grants/Research Support: none Speakers Bureau/Honoraria: provided to SMDHU Consulting Fees: none Clinical Trial: none Other: OMERS pension fund content

ALCOHOL: A LEADING CAUSE OF ILLNESS AND DEATH IN ONTARIO

ALCOHOL'S CONTRIBUTION TO CANCER

Ontario: the best province for alcohol control… Source: Reducing Alcohol-Related Harms and Costs in Ontario: A Provincial Summary Report. Norman Giesbrecht and Ashley Wettlaufer Centre for Addiction and Mental Health, June, 2013

… with the expected outcome (so far) Source: Reducing Alcohol-Related Harms and Costs in Ontario: A Provincial Summary Report. Norman Giesbrecht and Ashley Wettlaufer Centre for Addiction and Mental Health, June, 2013

… BUT THE INDUSTRY HAS BEEN ACTIVE

RECENT PROVINCIAL POLICY DIRECTION

So what is “low(er) Risk drinking”?

More Higher risk drinking in Simcoe Muskoka

Screening, Brief Intervention, Referral

“health benefit” of low volume drinking revisited Source: Stockwell et al. Do “Moderate” Drinkers Have Reduced Mortality Risk? A Systematic Review and Meta-Analysis of Alcohol Consumption and All-Cause Mortality. Journal Of Studies On Alcohol And Drugs / March 2016.

THE RECOMMENDATIONS FOR CANCER CONTROL ARE MORE STRINGENT One less drink per day than the LRADG (with none preferred) “If alcoholic beverages are consumed, limit consumption to no more than two drinks per day for men and one drink per day for women.” World Cancer Research Fund/American Institute for Cancer Research – used by Canadian Partnership Against Cancer and Cancer Care Ontario