Author: Science Group of the European Alcohol and Health Forum

Globally, alcohol is the world’s number one risk factor for ill-health and premature death amongst the 25-59 year old age group, the core of the working age population. It is unsurprising, therefore that lost productivity costs feature as the dominant element in social costs studies arising from the harm done by alcohol (contributing to one half or more of the total social costs). There are positive opportunities afforded through work to address problems due to harmful drinking even if they may not obviously impact on productivity. Those in full-time employment – usually about two-thirds of the population of working age - spend about one-third to one half of their waking lives at work and are open to health and wellbeing influences far more frequently than in, for example, conventional healthcare settings.

Authors: Peter Anderson, Lars Møller and Gauden Galea (WHO Regional Office for Europe)

Alcohol is one of the world’s top three priority areas in public health. Even though only half the global population drinks alcohol, it is the world’s third leading cause of ill health and premature death, after low birth weight and unsafe sex, and greater than tobacco. In Europe, alcohol is also the third leading risk factor for disease and mortality after tobacco and high blood pressure. This report presents the latest literature overview of effective alcohol policies, and includes data from the European Union, Norway and Switzerland in the areas of alcohol consumption, harm and policy approaches. The data presented were collected from a survey in 2011.

Authors: Jürgen Rehm, Kevin D. Shield, Maximilien X. Rehm, Gerrit Gmel and Ulrich Frick

This report provides a timely and comprehensive review of the relationship between alcohol consumption and harm in Europe. While European alcohol strategies have typically focused on reducing alcohol misuse through controls on availability, marketing and price, and drunk‐driving countermeasures, this report highlights the considerable potential to reduce alcohol‐related harm through wider implementation of individually directed interventions for people with alcohol dependence. There is now a considerable evidence base which supports the effectiveness and cost effectiveness of brief interventions, and a range of specialist treatment for people with alcohol use disorders. However, this report highlights the current gap between evidence and practice. Less than 10% of people with alcohol dependence receive treatment in Europe; and yet alcohol dependence accounts for a substantial proportion of all harm associated with alcohol.

Author: Irmgard Eisenbach-Stangl (European Centre for Social Welfare Policy and Research)

On the search for factors explaining the changes of alcohol consumption in European countries one quickly comes across preventive activities to reduce alcohol-related problems and/or alcohol consumption mostly taken by the state and occasionally also by other stakeholders such as e.g. the economy or social movements. Looking at them it becomes as quickly clear that the impact of prevention measures on consumption is everything else but simple.

The great diversity of preventive measures offers inspiration and orientation as well as an excellent occasion to evaluate, reconsider and improve interventions. Unfortunately the interesting research field is underdeveloped and until today misses a common reference frame that allows and facilitates comparisons. The Policy Brief intends to contribute to the development of such a frame.

Author: Lila Rabinovich, Priscillia Hunt, Laura Staetsky, Simo Goshev, Ellen Nolte, Janice Pedersen, Christine Tiefensee (RAND Europe)

In spite of extensive evidence that raising alcohol prices reduces alcohol consumption and harms, the real price of alcoholic beverages is decreasing across the EU. This trend has fuelled debate among policymakers, public health practitioners and other stakeholders across the EU about the opportunities, and challenges, of alcohol pricing policies. This study, produced by RAND Europe for the European Comission, DG SANCO and the Executive Agency for Health and Consumers, aims to contribute a robust evidence base to inform pricing policy in the region. Towards this aim, the study examines in greater detail a number of issues such as tax changes to consumer prices, trends in on- and off-trade alcohol consumption, and the nature and scale of price promotion and discount activity in the EU.