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SIHLWA-9/ NDPHS WHO-EURO/ CPH 24-26 March 2010 ALC (+ADO) SUBGROUP MEETING REPORT SIHLWA-9/ ALC-subgroup report WHO-EURO/ CPH 26/3/2010 ALC-sub-group participants (19) Chair Bernt BULL Rapporteur Mikko VIENONEN Co-Chair Lars MØLLER Co-Rapporteur Anna SKVORTSOVA BAKONINA Yulia LIEDBERGIUS Anna PIETRUSZKA Magdalena CAUNITIS Janis LIEPINA Inga SON Irina HELLMAN Matilda LITVINOVA Olga TSECHKOVSKI Mark JENSEN Johan Damgaard MACIEJOWSKI Marek TÄHT Triinu KRIVELIENE Gelena PARKKUNEN Heini WARPENIUS Katarina NDPHS Task Group on ALCOHOL AND DRUG PREVENTION AMONG YOUTH IN NDPHS AREA for implementing fast-track flagship project (ADPY) TERMS OF REFERENCE Project Preparation Task Group • • • • • Lead partner:Sweden (”STAD”) Co-lead partner: open Coordinator nominated: Anna Liedbergius Preparation starts at once (started already/ “OPEN SPACE” Countries and organizations invited to ”register” their interest soonest • October 2010 PAC-side event target for presenting a mature project proposal at “donor-meeting” • To be submitted to CSR-17 (Moscow 19/3) Alcohol: a simplified systems model Alcohol Indicators Determinants Price, physical availability, marketing, enforcement, attitudes, risk perception, risk and protective factors Norms, attitudes and treatment Medical, social, econ. consequences Consumption Legislation and enforcement Consumption Sales data, survey data, other data Harm Serving, Retail sales legal and illegal Economic interest Production, marketing distribution Health: morbidity & mortality Crime: assaults, drink-drive, crimes against the alcohol act, etc. Prevention Structure for prevention Preventive activity/measures Tour de table: a very useful excercise • Participants asked to provide their input electronically to [email protected] • Important information on countries/ organizations developments and plans Tour de table: “Degustations” • Russia: St conception of alcohol policy 20092020. ”Healthy Russia Projects. Ongoing tightening restrictions of alc. availability. www. … • Latvia and Lithuania: presently the pendulum is shifting towards INCREASING access. Considered good for tourism! • Sweden: State alc monopoly being squeezed on alcohol sales on wine-farms • all mornig was spent on lively and useful exchange of views and experience, Disability adjusted life years lost due to risk factors in EURO in 2004 High Income European Countries 1 2 3 4 5 6 7 8 9 10 Tobacco use Blood pressure Alcohol use Overweight/obesity High blood glucose Physical inactivity High cholesterol Illicit drug use Low fruit/vegetable Unsafe sex Low Income European Countries Alcohol use Blood pressure Tobacco Overweight/obesity High cholesterol Physical inactivity High blood glucose Illicit drug use Suboptimal breastfeed. Unsafe sex Total European Countries Tobacco Alcohol use High blood pressure Overweight/obesity High cholesterol Physical inactivity High blood glucose Low fruit/vegetables Illicit drug use Unsafe sex Source: Global Health Risks, WHO 2009 Male deaths age 15-29 in EURO due to selected risk factors in 2004 Unsafe water/sanitation Unsafe health care injections Child sexual abuse High blood glucose Low fruit/vegetables Physical inactivity Unsafe sex Illicit drug use Occupational risks Alcohol use 0 20000 40000 60000 80000 Female deaths age 15-29 in EURO due to selected risk factors in 2004 Unmet contraceptive needs Child sexual abuse Low fruit/vegetables Iron deficiency Occupational risks Physical inactivity High blood glucose Illicit drug use Unsafe sex Alcohol use 0 20000 40000 60000 80000 NDPHS Task Group on AVAILABILITY TO AND ADVERTISING OF ALCOHOLIC BEVERAGES IN NDPHS AREA (APO) TERMS OF REFERENCE • Lead partner: OPEN (WHO-EURO will be approached urgently in writing). The problem is lack of human resources to meet the demand. Secondment would be a solution. • Co-Lead Partner: OPEN (Russia has been asked to seriously consider the position • Terminology: access -> availability • Text finalized and ready for submission to CSR-17 if Lead Partner is identifies.