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Alcohol Control: Policy Options in South-East Asia Region

SEA/PR/1432

23 August 2006

Dhaka/New Delhi 23, August, 2006:  South-East Asian societies are in transition amidst changing states of growth and development due to macro and micro level influences. The shift from agrarian to modern societies has led to people changing emotionally, culturally and socially and this influences every sphere of their lives. People are embracing new lifestyles, cultures and practices, giving rise to new problems such as increasing use and abuse of alcohol.

The adult per capita consumption in the South-East Asia Region has almost doubled in the last decade. This is in contrast to the declining patterns in the Americas and Europe.

It is well established that an increase in alcohol consumption by a community or a nation leads to a higher proportion of persons with what can be considered problem use (abuse/harmful use) and addiction (dependence). Harm from alcohol use has a significantly adverse impact on the lives and most notably, on the health of affected persons and their families. Simultaneously, there is a substantial socio-economic impact on the communities. Thus, policy makers in nations facing increasing alcohol consumption should pay urgent attention to alcohol control policies.

There is an urgent need to focus on prevention of harm from alcohol use and abuse in countries of the Region, both from the perspectives of health promotion as well as social development. There is considerable international evidence which identifies components of successful programmes.

There are a wide range of alcohol control policy options, such as; taxation and other price control measures, regulating the physical availability of alcohol, measures against drink-driving, regulating alcohol production and distribution, advertising restrictions, promoting community action, education and persuasion, modifying the drinking context, early intervention and treatment services and cost-effectiveness of interventions.

It is more effective to incorporate a range of measures in a comprehensive alcohol control strategy. It is the policy ‘mix’ or finding the right balance that is the key in reducing the overall public health burden caused by alcohol consumption.

The goal of a comprehensive, effective and sustainable alcohol control policy can only be attained by ensuring the active and committed involvement of all relevant stakeholders. Alcohol control strategies need a high degree of public awareness and support in order to be implemented successfully. Without sufficient popular support, enforcement of any restriction is jeopardized, leading to possible resistance and circumvention.

Multiple agencies, for example, ministries of law, revenue, agriculture, the customs department, law enforcement departments, medical associations and NGOs should all work together for a clear formulation and effective implementation of a rational, integrated and comprehensive alcohol control policy.

A research study commissioned by WHO SEARO conducted in Bangalore, India has estimated that while gains in terms of revenue from alcohol sales are INR 216 billion every year, losses from the adverse effects of alcohol are estimated to be INR 244 billion, apart from immeasurable losses due to multiple and rollover effects of alcohol consumption. Needless to say, the available estimates are merely the tip of the iceberg. The seeming gain from the existing alcohol control policies i.e. the revenue from excise taxes ends up being spent to counter the effects of alcohol use in the medium- and long-term. Similarly short-term gains of economic development such as establishing new breweries end up with social mal-development; which is compounded with inefficient enforcement of rules and regulations.

Countries and communities should search for policies that protect and promote health, prevent harm and address the many social problems associated with alcohol use.

For further information please contact: Mrs Harsaran Pandey-Regional Information Officer, local mobile : 0171-5999-869 email : pandeyh@searo.who.int   and Mr Iqbal Kabir, Mobile : 0171-1-419232

 

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