The WHO Global Strategy to Reduce the Harmful Use of Alcohol The ...

WHA63.13 resolution "Global strategy toreduce the harmful use of alcohol"1. ENDORSES the global strategy to reduce theharmful use of alcohol;2. AFFIRMS that the global strategy to reducethe harmful use of alcohol aims to giveguidance for action at all levels and to setpriority areas for global action, and that it is aportfolio of policy options and measures…WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

World Health Assembly resolutions and WHO ECReports addressing alcohol-related problemsDevelopment ofWHO Programmeon Alcoholrelatedprogrammes1979Prevention and controlof drug and alcoholabuseWHA61.4resolution"Strategies toreduce the harmfuluse of alcohol"Report to WHA691989 2008 20131980 19832005 20072010First Report ofthe WHO ExpertCommittee onProblems Relatedto AlcoholConsumptionAlcoholconsumption andrelated problemsPublic health problemscaused by harmful use ofalcoholSecond Report ofthe WHO ExpertCommittee onProblems Relatedto AlcoholConsumptionGlobalstrategy toreduce theharmful useof alcoholWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHA resolutions preceding development of WHOglobal strategy to reduce the harmful use of alcohol 2004: Health promotion and healthy lifestyles(WHA57.16)– Requested a report on the Organization’s future work on alcoholconsumption 2005 (58 th WHA): Public health problems caused byharmful use of alcohol (WHA58.26)– Requested:• to report to the Sixtieth World Health Assembly on evidencebasedstrategies and interventions to reduce alcohol-relatedharm…;• to draw up recommendations for effective policies andinterventions to reduce alcohol-related harm… .WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

60 th WHA: no consensus among MS on a globalstrategy to reduce harmful use of alcohol April 2007: Report by the Secretariat "Evidence-based andinterventions to reduced alcohol-related harm" with addendum"Global assessment of public health problems caused by harmfuluse of alcohol" submitted to the 60 th WHA through the EB. May 2007: 60 th WHA considered the report of the Secretariat and thedrafts of a resolution proposed by Member States. Without aconsensus on the texts it was decided that an item entitled“Strategies to reduce the harmful use of alcohol” and relateddocuments discussed at the Health Assembly should be included inthe agenda of the Executive Board at its 122nd session to be held inJanuary 2008, and requested the Director-General, in the interim, tocontinue her work on this matter. May 2007: 121 st Executive Board considered and noted the SecondReport of the WHO Expert Committee on Problems Related toAlcohol ConsumptionWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Process for implementing the WHA 61.4resolution and preparing a draft global strategyStage I. Broad consultation process (October – December 2008)Web-based consultation (WHO public hearings) with MemberStates and other stakeholders on ways of reducing harmful use ofalcohol (3 October 2008 till 15 November 2008)Round table meeting with economic operators on ways they couldcontribute to reducing harmful use of alcohol (6 November 2008)Round table meeting with NGOs and health professionals on waysthey could contribute to reducing harmful use of alcohol (24-25November 2008)Consultation with intergovernmental organizations (8 September2009)WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Stage II. Draft strategy developmentDiscussion paper "Towards a global strategy to reduce the harmfuluse of alcohol" (December 2008) Regional technical consultations with Member States (February –April 2009) in 6 WHO regionsWorking document for developing a draft global strategy to reduceharmful use of alcohol (August 2009, in 6 languages) Feedback on the working document from MS (September 2009)and informal consultation with Member States (8 October 2009) Development of a draft global strategy (October-November 2009)and its submission to the Sixty-third World Health Assemblythrough the EB (December 2009, in 6 languages)WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

126 th Executive Board MeetingDiscussions on the draft global strategy werepursued in an open-ended informal working group(co-chaired by Cuba and Sweden) during theBoard session, and consensus was reached on arevised text. The Board adopted resolutionEB126.R11 where it recommends the WorldHealth Assembly to endorse the draft globalstrategy.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Global strategy to reduce the harmful use ofalcohol: content Setting the scene Challenges and opportunities Aims and objectives Guiding principles National policies and measures Policy options and interventions Global action: key roles and components Implementing the strategyWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Global strategy: vision and aims Vision: improved health and social outcomes forindividuals, families and communities, with considerablyreduced morbidity and mortality due to harmful use ofalcohol and their ensuing social consequences. The global strategy aims to give guidance for action at alllevels; to set priority areas for global action; and torecommend a portfolio of policy options and measures thatcould be considered for implementation and adjusted asappropriate at the national level, taking into accountnational circumstances, such as religious and culturalcontexts, national public health priorities, as well asresources, capacities and capabilities.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Global strategy: objectives(a) raised global awareness of the magnitude and nature of the health, social andeconomic problems caused by harmful use of alcohol, and increased commitmentby governments to act to address the harmful use of alcohol;(b) strengthened knowledge base on the magnitude and determinants of alcoholrelatedharm and on effective interventions to reduce and prevent such harm;(c) increased technical support to, and enhanced capacity of, Member States forpreventing the harmful use of alcohol and managing alcohol-use disorders andassociated health conditions;(d) strengthened partnerships and better coordination among stakeholders andincreased mobilization of resources required for appropriate and concerted actionto prevent the harmful use of alcohol;(e) improved systems for monitoring and surveillance at different levels, and moreeffective dissemination and application of information for advocacy, policydevelopment and evaluation purposes.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Guiding principles (1)(a)Public policies and interventions to prevent and reduce alcoholrelatedharm should be guided and formulated by public healthinterests and based on clear public health goals and the bestavailable evidence.(b)Policies should be equitable and sensitive to national, religious andcultural contexts.(c)All involved parties have the responsibility to act in ways that do notundermine the implementation of public policies and interventions toprevent and reduce harmful use of alcohol.(d)Public health should be given proper deference in relation tocompeting interests and approaches that support that directionshould be promoted.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Guiding principles (2)(e)Protection of populations at high risk of alcohol-attributable harm andthose exposed to the effects of harmful drinking by others should bean integral part of policies addressing the harmful use of alcohol.(f) Individuals and families affected by the harmful use of alcohol shouldhave access to affordable and effective prevention and careservices.(g)Children, teenagers and adults who choose not to drink alcoholbeverages have the right to be supported in their non-drinkingbehaviour and protected from pressures to drink.(h)Public policies and interventions to prevent and reduce alcoholrelated harm should encompass all alcoholic beverages andsurrogate alcohol.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Global action: key components Public health advocacy and partnership Technical support and capacity building Production and dissemination ofknowledge Resource mobilizationWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Recommended target areas for policymeasures and interventions1. Leadership, awareness and commitment2. Health services' response3. Community action4. Drink-driving policies and countermeasures5. Availability of alcohol6. Marketing of alcoholic beverages7. Pricing policies8. Reducing the negative consequences of drinking and alcohol intoxication9. Reducing the public health impact of illicit alcohol and informally producedalcohol10. Monitoring and surveillanceWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Implementing the strategy Concerted action by Member States Effective global governance Appropriate engagement of all relevantstakeholdersWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Links and interfaces with other strategies, plansand programmesFramework for alcohol policy in the WHO European Region and other regionalalcohol policy frameworksGlobal strategy for the prevention and control of noncommunicable diseasesGlobal strategy on diet, physical activity and healthTobacco controlHealth promotion and healthy lifestyleCancer prevention and controlMental Health Gap Action Programme…WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Monitoring progress and reportingmechanismsAppropriate mechanisms at different levels for assessment,reporting and re-programmingImpact-focused perspectiveGlobal Information System on Alcohol and Health (GISAH) andWHO’s Global Survey on Alcohol and Health as important partsRegular meetings of global and regional networks of nationalcounterpartsRegular reports to WHO regional committees and the HealthAssembly. Information about implementation and progress shouldalso be presented at regional or international forums andappropriate intergovernmental meetings.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHA63.13 URGES Member States*:(1) to adopt and implement the global strategy to reduce theharmful use of alcohol as appropriate in order tocomplement and support public health policies in MemberStates to reduce the harmful use of alcohol, and to mobilizepolitical will and financial resources for that purpose;(2) to continue implementation of the resolutions WHA61.4 onthe strategies to reduce the harmful use of alcohol andWHA58.26 on public-health problems caused by harmfuluse of alcohol;---------------------------------------------------------------------------------* And regional economic integration organizations, where applicable.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHA63.13 URGES Member States(continued):(3) to ensure that implementation of the global strategy toreduce the harmful use of alcohol strengthens the nationalefforts to protect at-risk populations, young people and thoseaffected by harmful drinking of others;(4) to ensure that implementation of the global strategy toreduce the harmful use of alcohol is reflected in the nationalmonitoring systems and reported regularly to WHO’sinformation system on alcohol and health;WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHA63.13 REQUESTS the Director-General:(1) to give sufficiently high organizational priority, andto assure adequate financial and humanresources at all levels, to the prevention andreduction of harmful use of alcohol andimplementation of the global strategy to reduce theharmful use of alcohol;WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHA63.13 REQUESTS the Director-General(continued):(2) to collaborate with and provide support to MemberStates, as appropriate, in implementing the globalstrategy to reduce the harmful use of alcohol andstrengthening national responses to public healthproblems caused by the harmful use of alcohol;(3) to monitor progress in implementing the globalstrategy to reduce the harmful use of alcohol andto report progress, through the Executive Board, tothe Sixty-sixth World Health Assembly.WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Do we have a quick and universal way ofreducing the harmful use of alcohol globally?"For every complex problem, there isa solution that is simple, neat…"WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Do we have a quick and universal way ofreducing the harmful use of alcohol globally?"For every complex problem, there isa solution that is simple, neat andwrong."(H.L. Menchen)WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

Will the strategy solve the global problem ofthe harmful use of alcohol?"All the greatest and most importantproblems of life are fundamentallyinsolvable. They can never be solved,but only outgrown."Carl JungWHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010

WHO Department of Mental Health and Substance AbuseManagement of Substance AbuseThank you!http://www.who.int/substance_abuse/WHO National Counterparts for Alcohol Policy and AMPHORAExpert joint meeting, Madrid, 16 June 2010