1. 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

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

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

4. 547 081 Number of registered patients for the year in the Russian Federation Alcohol dependence Dependence on inhalants Drug addiction 2 573 230 547 081 33 607 2010 statistics

5. Alcoholism prevalence, including alcohol psychoses per 100 000 population High – 2,000 and more Middle - (1,000 -1,999) Low - (less than 1,000)

6. 547 081 Number of psychoses per 100 000 population in 2004-2010 2 573 230 Prevalence of Alcohol Psychoses

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

8. Alcohol-Related Disability Rate Among Different Categories of Patients

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

10. Alcohol-Related Mortality in 1999-2007 (in 1000, E. Andreev & I. Zbarskaya)

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

12. Alcohol Incidence among Teenagers (per 100 000 population)

13. 547 081 Alcohol Dependency by Area Type Urban Rural 74,3% 26,7%

14. 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

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

16. 2 nd stage: 2013-2020 2 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: 2010-2012

17. 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

18. 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

19. 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

20. Thank you!