1. Peculiarities of alcoholism prevalence in Russia and measures to reduce alcohol abuse Eugenia A. Koshkina Director, National Research Center on Addictions, M.D., Prof. ASA EG NDPHS meeting Moscow, March 14-15, 2011

2. 2 Number of persons, applied for treatment to narcological service in 2009 Number of patients with alcohol dependence 2 163 148 Number of drug addicted patients 555 272 Number of patients with toxicomania 37 090 Total number of patients with addiction disturbances 3 250 664

3. 3 STRUCTURE OF DRUG ADDICTION DISEASES IN 2009 Number of patients applied for narcological service in 2009 - 3 250 664 81,8% - alcoholism, alcohol psychosis and alcohol abuse 17,1% - Drug addiction and drug abuse 1,1% - Toxicomania and nonnarcotic PAS abuse

4. 4 Distribution of alcohol addicted patients according to age groups in 2009 ( %)

5. 5 Portion of urban and rural population among registered alcohol addicted patients in 2009 (%) 74.3% - urban 26.7% - rural

6. 6 Alcoholism prevalence, including alcohol psychosis, in Russian Federation in dynamics of 2004-2009 (per 100,000 corresponding population)

7. 7

8. 8 Russian territories rating on indicators of total alcoholism prevalence in 2009 (per 100,000 population) 1 Nenets Autonmus Area5687,4 2 Magadan Region4721,7 3 Chukchi Autonomous District4172,0 4 Ivanovo Region3489,0 5 Sakhalin Region3175,0 6 Kamchatka Territory2860,2 7 Novgorod Region2793,7 8 Republic of Karelia2635,6 9 Lipetsk Region2558,4 10 Kostroma region2514,8 Russian Federation1524,4

9. 9 Incidence of alcohol dependence, including alcohol psychosis, in Russian Federation in dynamics of 2004-2009 (per 100,000 population)

10. 10 CONCEPT on development of state policy to reduce alcohol abuse and alcohol prevention among population of Russian Federation for the period up to 2020 was adopted by the Russian Government on December 30, 2009 (Order №2128-р) Concept defines aims, tasks and mechanisms of state anti-alcohol policy development.

11. 11 Implementation of state policy is aimed at: Reduction of alcohol consumption volume among population Improvement of demographic situation in the country Increase of lifetime duration of the population Death level reduction Forming of healthy lifestyle

12. 12 CONCEPT will be implemented in 2 stages 1 st stage: 2010 - 2012 Reduction of negative situation acuity Formation of legal, organizational and financial basis to maintain positive tendencies 2 nd stage: 2013 - 2020 Implementation of programs to form healthy lifestyle Timely detection of diseases related to alcohol abuse Efficient prevention of alcohol dependence

13. 13 Improvement and efficiency increase of prevention Strategic aim of prevention is consumption reduction and formation of negative attitude to PAS use PAS use prevention measures are directed at all population categories, first of all to children and young people, as well as risk group persons. Testing. Including alcohol use prevention aspects into educational programs. Increase of population awareness about negative consequences of PAS use. Early detection of PAS users. Motivation for treatment request for aid and carrying out prevention work with risk groups. Prevention work among employees of the enterprises. Improvement and development of rendering medical narcological aid to alcohol abuse and alcohol addicted patients. Creation of rehabilitation centers. Creation of health centers for population.

14. 14 Control of alcohol sale rules. Detection of illegal alcohol. Limitation of sale hours. Ban to alcohol consumption in public places. Sale of alcohol products in strictly fixed places. Price regulation on alcohol beverages. Measures to regulate alcohol production market

15. 15 Interdepartmental approach to solve problem on reduction of alcohol consumption Creation of interdepartmental bodies (Councils, commissions and so on) for coordination of anti- alcohol prevention. Inclusion of anti-alcohol prevention into work of organizations dealing with combat against PAS consumption. Inclusion of alcohol use prevention aspects into different social programs: leisure, sport, mortality and crime decrease and others.