1. Alcohol, Cancer and Public Health
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Dr. Charles Gardner MD, CCFP, MHSc, FRCPC Medical Officer Of Health

2. Relationships with Commercial Interests:
Grants/Research Support: none
Speakers Bureau/Honoraria: provided to SMDHU
Consulting Fees: none
Clinical Trial: none
Other: OMERS pension fund content

3. ALCOHOL: A LEADING CAUSE OF ILLNESS AND DEATH IN ONTARIO

4. ALCOHOL'S CONTRIBUTION TO CANCER

5. Ontario: the best province for alcohol control…
Source: Reducing Alcohol-Related Harms and Costs in Ontario: A Provincial Summary Report. Norman Giesbrecht and Ashley Wettlaufer Centre for Addiction and Mental Health, June, 2013

6. … with the expected outcome (so far)
Source: Reducing Alcohol-Related Harms and Costs in Ontario: A Provincial Summary Report. Norman Giesbrecht and Ashley Wettlaufer Centre for Addiction and Mental Health, June, 2013

7. … BUT THE INDUSTRY HAS BEEN ACTIVE

8. RECENT PROVINCIAL POLICY DIRECTION

9. So what is “low(er) Risk drinking”?

12. More Higher risk drinking in Simcoe Muskoka

13. Screening, Brief Intervention, Referral

14. “health benefit” of low volume drinking revisited
Source: Stockwell et al. Do “Moderate” Drinkers Have Reduced Mortality Risk? A Systematic Review and Meta-Analysis of Alcohol Consumption and All-Cause Mortality. Journal Of Studies On Alcohol And Drugs / March 2016.

15. THE RECOMMENDATIONS FOR CANCER CONTROL ARE MORE STRINGENT
One less drink per day than the LRADG (with none preferred)
“If alcoholic beverages are consumed, limit consumption to no more than two drinks per day for men and one drink per day for women.”
World Cancer Research Fund/American Institute for Cancer Research – used by Canadian Partnership Against Cancer and Cancer Care Ontario