1. The World Health Organization’s Global Alcohol Database Presentation to Canadian Collaborating Workshop, Ottawa, Ontario October 23-24, 2009 Louis Gliksman, Ph.D. Margaret Rylett, M.A. Centre for Addiction & Mental Health

2. The Team  Louis GliksmanCAMH  Vladimir PoznyakWHO  Jürgen RehmCAMH  Gerhard GmelSwiss Institute  Dag RevkeWHO  Alexandra FleischmannWHO  Margaret Rylett CAMH

3. Sources of Data  Government statistics  Industry statistics  Published literature  Grey literature  Country questionnaires  Population surveys  WHO studies

4. The Design The Website is divided into 7 broad categories:  Alcohol Production and Availability;  Levels of Consumption;  Patterns of Consumption;  Harms and Consequences;  Economic Aspects;  Alcohol Control Policies; and  Resources for Prevention and Treatment.

5. 1. Production and Availability  a. Supply  Beer production  Wine production  Spirits production  Alcoholic beverages production  Alcohol imports  Traditional beverages  b. Distribution  Wine sales  Beer sales  Spirit sales  Alcoholic beverage sales  Alcohol exports Topics:

6. 2. Levels of Consumption: Topics:  About levels of consumption  Data sources for numeric data  Recorded adult (15+) per capita consumption  Unrecorded adult (15+) per capita consumption

7. 3. Patterns of Consumption Topics:  About patterns of consumption  Data sources for numeric data  Past year abstainers  Lifetime abstainers  Heavy episodic drinkers  About patterns of drinking score  Patterns of drinking score  Drinking contexts

8. 4. Harms and Consequences  a.Mortality  b. Mental and behavioural disorders  c.Other disorders related to alcohol use  d. Injuries  e. Traffic  f. Violence  g. Legal aspects  h. Workplace  i. Psycho-social problems Topics:

9. 4a. Mortality  About mortality data  Data sources for numeric data  SDRs (age standardized death rates)  DALYs (age standardized disability adjusted life years) rate  Alcohol-related pancreas diseases mortality rate  Alcohol-related injury mortality rate  Other alcohol-related mortality rates  Unintentional injury deaths  Years of potential life lost  Alcohol-attributable deaths  Suicide and alcohol use  Homicide and alcohol use

10. 4b. Mental and behavioural disorders  Data sources for numeric data  Treatment admissions for alcoholic psychosis rate  Treatment admissions for alcohol dependence rate  Hospital discharges – alcohol psychosis rate  Hospital discharges – alcohol dependence rate  Alcoholic psychosis and dependence  Alcohol withdrawal syndrome  Alcohol co-morbidity  Foetal Alcohol Spectrum Disorders  Depression

11. 4c. Other disorders related to alcohol use  Alcohol-related pancreatic diseases  Alcohol-related gastric disorders  Alcohol-related cardiovascular disorders  Alcohol-related hospital discharges  Alcohol-related Cancers (to be developed)

12. 4d. Injuries  Data sources for numeric data  Hospital discharges for injuries & poisoning rate  Emergency department and trauma studies  Alcohol poisoning  Methyl alcohol poisoning  Unintentional injuries

13. 4e. Traffic  Data sources for numeric data  Road traffic accidents involving alcohol rate  Road traffic accidents with alcohol involvement  Other types of vehicle accidents involving alcohol  Drunk driving and BAC levels

14. 4f. Violence  Violence and aggression  Family violence  Child abuse  Sexual assault and alcohol use

15. 4g. Legal aspects  Data sources for numeric data  Number of persons committing crimes while intoxicated rate  Crime and alcohol  Cautions and arrests for public drunkenness  Cautions and arrests for drunk driving

16. 4h. Workplace  Data sources for numeric data  Work absences due to illness, days/employee/year  Persons injured in work accidents rate  Alcohol-related work accidents  Effects on work performance

17. 4i. Psycho-social problems  Sexual risk behaviours  Other social-psychosocial problems  Youth and adolescent problems

18. 5. Economic Aspects  Data sources for numeric data  Consumer per capita expenditure on alcohol as % of household expenditure  Annual household expenditure on alcohol as % of total expenditure  Alcoholic beverage taxes as % of government revenue  Revenues from excise, customs, taxes  Economic cost of alcohol problems in the workplace  Economic cost of alcohol consumption  Economic cost of providing alcohol programmes

19. 6. Alcohol Control Policies (1)  Data sources for numeric data  National alcohol policy status and priorities  Definition of alcoholic beverage  Minimum legal drinking age  Legal limit for BAC in mgs%  Use of Random Breath Testing (RBT)  Health warning labels on alcohol containers  Product labelling of alcohol content  Restrictions on alcohol advertising to 1997

20. 6. Alcohol Control Policies (2)  Beer advertising restrictions  Wine advertising restrictions  Spirits advertising restrictions  Restrictions on alcohol industry sponsorship & sales promotions  Restrictions on alcohol consumption in public places  Restrictions on off-licence hours, days, places, density for alcohol sales  Alcohol taxation  State monopolies and licensing requirements  Age limit for on- and off premise purchase of alcohol

21. 7. Resources for Prevention and Treatment  Treatment and prevention agencies  Social programmes  Public education and prevention activities  Treatment services  Support for families  Drinking guidelines

24. How to find the GAD  Website is at http://apps.who.int/globalatlas/default.asp  Select Global Alcohol Database from the menu on the right  Use the pull-down menus to select the category, topic and subtopics  Choose the indicator of interest  Select the country or WHO region or all countries  Select the year(s) of interest

25. Note:  Both formats can be downloaded easily to EXCEL files. Some data can be mapped.  The data are available in numeric and text formats.  For numeric data, data source files have been provided.  Data sources are contained within the text files.  Some topics/sub-topics have “about files” with information about a specific indicator or topic.

26.  http://apps.who.int/globalatlas/default.asp http://apps.who.int/globalatlas/default.asp