Is the drinks industry damaging democracy as well as health? Dr Nick Sheron, FRCP Royal College of Physicians Representative to the EU Alcohol and Health.

Slides:

Advertisements

Similar presentations

What is the capital of the UK? London What is the capital of France? Paris.

Advertisements

European rental association SAMOTER 2008 ERA the European Rental Association The rental industry in Europe Consolidation !

UNIVERSITY OF JYVÄSKYLÄ INTERNATIONAL COOPERATION.

Eastern Europe: Poland, Lithuania, Latvia, Estonia, Russia, Ukraine, Romania, Bulgaria, Macedonia, Albania, Belarus, Bosnia and Herzegovina, Croatia, Slovenia,

Political Map of Europe. 1. British Isles 2. Nordic Nations 3. Central Western Europe 4. Mediterranean Europe 5. Eastern Europe.

The European Union (EU)

Regional Tourism in Europe Geography of Tourism. The British Isles.

Knowledge Management LXV International Council Meeting Qawra, Malta 16 th - 23 rd of March 2014.

ELSA Law Schools ICM Cluj-Napoca, 21st April 2015.

EUROPEAN UNION. WHAT Coalition of 30 countries united in ECONOMY World’s largest trading bloc. World’s largest exporter to the world 16 TRILLION *Biggest.

Grant case study LXVII International Council Meeting 19th – 25th April, Cluj-Napoca Romania.

Countries of Europe France Spain Italy Germany Which country is this?

THE EUROPEAN UNION. HISTORY 28 European states after the second world war in 1951 head office: Brussels 24 different languages Austria joined 1995.

Capitalist. Main Points In a capitalist or free-market country, people can own their own businesses and property. People can also buy services for private.

THE EUROPEAN UNION. EU  1993 European Union  Main Aims  All states in the EU = a single market  One currency throughout the EU = the Euro  To have.

What is a hematologist? Results from the EHA inquiry Final update May 2003 Eva Hellström Lindberg EHA Education.

ELSA as the Franchise? LXV International Council Meeting Qawra, Malta 16 th - 23 rd of March 2014.

Natural gas, and oil sectors in Europe Vaidotas Levickis Fort Worth, Texas 2015.

Model European Union. What is Model EU? Simulation of the EU.

The European Union 1 THE EUROPEAN UNION Lesson 2 Where in the world is the European Union?

Map - Region 3 Europe.

Time line By: Shirley Lin. The story of European Union

E u r o g u i d a n c e A Network of National Resource and Information Centres for Guidance Established in 1992.

Computer Class – Summer 20092/21/2016 3:45 AM European Countries Albania Andorra Austria Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Czech.

The United States of Europe

Geography Review On Map 1, please identify: -Spain -France -England -Russia -Ottoman empire -Persia -China -Mughal India -Songhai Empire.

The European Union. Important Events in EU History May 9, 1950 – French Leader Robert Schuman proposes the idea of working together in coal and steel.

The European Law Students’ Association Albania ˙ Austria ˙ Azerbaijan ˙ Belgium ˙ Bosnia and Herzegovina ˙ Bulgaria ˙ Croatia ˙ Cyprus ˙ Czech Republic.

Scotland – Minimum Unit Pricing, the story so far 2007: SNP Government 2009: New Alcohol Strategy, following WHO guidelines, including MUP 2012: MUP entered.

Table 1. Numbers and rates of TB cases per population by country and year, EU/EEA, 2010–2014 ASR: age-standardised rate, C: case-based Source:

European Innovation Scoreboard European Commission Enterprise and Industry DG EPG DGs meeting, May 2008.

Public Health Needs and Priorities of the new EU Strategy on Alcohol “Alcohol in all policies - Roadmap for action at the EU level” workshop 6th European.

Table 1. Number and rate of reported confirmed syphilis cases per population by country and year, EU/EEA, 2010–2014 ASR: age-standardised rate,

Table 1. Number and rate of Legionnaires’ disease cases per population by country and year, EU/EEA, 2010–2014 ASR: age-standardised rate, C: case-based.

CONFIDENTIAL 1 EPC, European Union and unitary patent/UPC EPC: yes EEA: no EU: no (*) (*) Also means no unitary patent Albania, Macedonia, Monaco, San.

France Ireland Norway Sweden Finland Estonia Latvia Spain Portugal Belgium Netherlands Germany Switzerland Italy Czech Rep Slovakia Austria Poland Ukraine.

INTERNATIONAL BUSINESS Unit 2 Business Development GCSE Business Studies.

Best Sustainable Development Practices for Food Security UV-B radiation: A Specific Regulator of Plant Growth and Food Quality in a Changing Climate The.

Liver cirrhosis mortality in European countries II Working Meeting on Adult Premature Mortality in European Union Warsaw, October 2006.

Joint Action on Reducing Alcohol Related Harm RARHA NDPHS ASA EG Murmansk, 3-4 April 2014.

Young People in Europe.

The European Union (EU)

EUROPEAN UNION – MAKING OFF European Economic Community

NGOs: Essential partners in Alcohol Policy Eric Carlin, Director, Scottish Health Action on Alcohol Problems 7th European Alcohol Policy Conference, Ljubljana,

Achieving WHO Recommendations for HCV in the European Union

European Union Duy Trinh.

Table 1. Reported confirmed hepatitis A cases: number and rate per population, EU/EEA, 2010–2014 Source: Country reports. Legend: Y = yes, N =

What is the EU? A group of 25 European countries whose governments work together. Aims to change and improve the way people live and do business in Europe.

DISTRIBUTION AUTOMATIC - GENERATION

Table 1. Number and rate of reported confirmed syphilis cases per 100 000 population by country and year, EU/EEA, 2010–2014 Country

Table 1. Reported confirmed brucellosis cases: number and rate per population, EU/EEA, 2010–2014 Source: Country reports. Legend: Y = yes, N =

The European Parliament – voice of the people

The European Parliament – voice of the people

Намалување на загадувањето на воздухот со електромобилност

European survey respondents by region.

EU: First- & Second-Generation Immigrants

Table 1. Table 1. Reported confirmed salmonellosis cases: number and rate per population, EU/EEA, 2010–2014 Source: Country reports. Legend: Y.

Table 1. Reported confirmed cholera cases, EU/EEA, 2010–2014

Adriatic Persian Gulf Map Test #1 Answers.

Table 1. Reported confirmed leptospirosis cases: number and rate per population, EU/EEA, 2010–2014 Source: Country reports. Legend: Y = yes, N.

European Union Membership

COUNTRIES TO LABEL MAP OF EUROPE Austria Belarus Belgium Bulgaria

Adriatic Persian Gulf Map Test #1 Answers.

European representation of respiratory critical care HERMES participants. European representation of respiratory critical care HERMES participants. Countries.

Update on reporting status

Strand 3 Exploring democracy PPT 16: The European Union (EU)

EU commission Rose, So Eun.

Where in the world is the European Union?

Marine regions - Art. 4 Progress on review and GIS data

Prodcom Statistics in Focus

Presentation transcript:

Is the drinks industry damaging democracy as well as health? Dr Nick Sheron, FRCP Royal College of Physicians Representative to the EU Alcohol and Health Forum Calling Time on Europe's Alcohol Problem, European Parliament, Brussels, 24 April 2013

Liver deaths in my unit in Southampton, most of the increase is alcohol related Nick Sheron, unpublished data

Bulgaria Finland Hungary Romania UnitedKingdom Austria France Italy Portugal Spain Greece Ireland Netherlands Norway Sweden Belgium Croatia CzechRepublic Denmark Germany Poland WHO – HFA data Changes in liver death rates in Europe

Linear regression of open source data, WHO-HFA 64% of the variation in EU liver mortality can be explained by differences in population level consumption of alcohol. R 2 = 0.64

Brandish & Sheron 2010

ONS data, N Sheron Clinical Medicine 2010 Beer Vodka

1992 Increasing wealth, Decreasing relative price Different retailers

ONS data, decennial supplements , N Sheron

Taxation v Minimum Unit Price (MUP) TaxationMUP Impact on all drinksImpact only cheapest drinks Impacts on pubs / bars No Impact on pubs / bars Impact proportional to consumptionImpact targeted to heavy drinkers

Taxation v Minimum Unit Price (MUP) TaxationMUP Revenue to governmentRevenue to industry Impact on all drinksImpact only cheapest drinks Impacts on pubs / bars No Impact on pubs / bars Scotland introduced MUP because they were unable to increase taxation The Scottish Nationalist Party did so AS A MANIFESTO POLICY COMMITMENT and subsequently won a landslide election victory

Weekly alcohol consumption in 381 liver patients in Southampton Median consumption in patients with alcohol related liver disease is equivalent of 4 bottles of vodka / week Half drink more…

Univ of Southampton data, N Sheron The actual impact of MUP on patients with liver disease (n= 143)

Univ of Southampton data, N Sheron Minimum unit price is an exquisitely targeted measure

One third of profitability comes from harmful drinkers Three quarters of profitability comes from hazardous and harmful drinkers UK Dept of Health data The Pareto principle 1/5 of consumers consume 4/5 of any product

X Minimum unit price targeted at heavy consumers who buy the cheapest alcohols