Anu Kasmel International Union for Health Promotion and Education Enforcing nighttime alcohol sale ban in Estonia

HEALTH PROMOTION HEALTH CARE REHABILITATSIOON HEALTH PROTECTION Health systems

WHO Health For All database, 2009

Life expextancy prognosis for Estonian women to be EU average in year 2030

Life expextancy prognosis for Estonian men to be EU average requires miracle or responsible alcohol policy

 … is 3 times higher in Estonia than European average  2000 deaths in a year connected with alcohol (population 1,3 million)  50% of the car accidents,  50% of the drownings,  74% of the violence related crime and  80% of the violent crime commited by the juveniles are connected with alcohol  Average lifetime of Estonian men - 12 years shorter than in EU countrie s

Nordic Alcohol Statistics,

10 Changes: drunk before 13 years of age Hibell B. The ESPAD Report 2003; % %

Alcohol related harm

Alcohol related harm Behavioral riskfactors Home Family Friends Neighbours School Workplace Leisuretime Infrastructure Economy Education Culture Politics and policies

Alcohol related harm Behavioral riskfactors Home Family Friends Neighbours School Workplace Leisuretime Infrastructure Economy Education Culture Politics and policies INDIVID COMMUNITY MUNICIPALITY GOVERNMENT

Alcohol related harm Behavioral riskfactors Home Family Friends Neighbours School Workplace Leisuretime Infrastructure Economy Education Culture Politics and policies INDIVID COMMUNITY MUNICIPALITY GOVERNMENT SOCIAL ENVIRONMENT PHYSICAL ENVIRONMENT

 Estonian research supports the international findings (Lai, 2005).  Most cost-effective political strategies to prevent alcohol harm are: ◦ Raising taxes ◦ Restriction availability ◦ Banning alcohol advertising

 No existing National Alcoholism Prevention Program - t here was a National Alcoholism and Drug Prevention Program , which was closed in  In January 2010 MSA forwarded to the Government the principles of alcohol policy – these are not taken under the discussion.  No alcohol specialists in governmental structures  Alcohol not mentioned in Estonian Governments Coalition Agreement.

 Alcohol excise duty was raised by 10% from January 2010, and yet the price of alcoholic beverages has increased less than standard of living  Estonian Parliament accepted ( ) the law that makes the second time alcohol selling to the minor a criminal act. Punishment for that crime is up to one-year imprisonment  Alcohol advertising Beer ads from Strong alcohol from 21.00

 Suggestions to elaborate alcohol policy 1993, (also availability of alcohol and restrictions connected with it has been important object for discussion;  Followed by the intense capacity building process in the communities and municipalities;  In 2004 first municipalities restricted nighttime alcohol sale; In 2006 MSA forwarded proposition to the Parliament - not accepted; more municipalities joined;  In 2007 Tallinn City Government accepted the ban to nighttime alcohol sale from ;  In the Parliament in June 2008 accepted from ; (barter: subsoil plots act for mining more oil-shale was an objective).

Coordinating Centre County Municipality STRUCTURE CAPACITY  to critically analyse  to have a vision  set priorities  to keep the mission  to mobilize stakeholders  to be able to reach consensus  To get social support Government Community

Nordic Alcohol Statistics,

 About 2 mio for health services 11% (Tikk, 2006)  Medicaments  Mortality  Disability  Workplace costs  Criminality  Harm to families  According to different calculation milliard per year Nordic Alcohol Statistics, About 2 mil liard from excice taxes

Selection of approaches Easy access and availability

Selection of approaches

 Ministry of Justice, Economy and Internal Affairs opposed the governmental law that prohibits alcohol sale during night hours.  Ministry of Justice proposed to accept alcohol consumption in public places.  Ministry of Justice supported the raising of BAC of drivers to 0,49%.  Prime Minister comments: “We do not need restriction of the nighttime alcohol sale”; “In alcohol policy we are in right track”.