Scotland’s Futures Forum

1. Scotland’s Futures Forum

2. Scotland’s Alcohol Problem Where Are We? How Did We Get Here? Where Do We Go Next? How Can We Reduce Damage By Half by 2025? Peter Rice, Consultant Psychiatrist, NHS Tayside Alcohol Problems Service, Sunnyside Royal Hospital, Montrose

3. A MODEL OF ALCOHOL RELATED HARM Kypri 2005

4. ISD 2005 ISD 2005

5. SCOTTISH CANCER TRENDS 1950-2003 Chief Medical Officer Report 2005

6. Coronary Heart Disease Trends In Scotland

8. UK ALCOHOL CONSUMPTION TRENDS

9. SCOTTISH ALCOHOL HARM or INTOXICATION ADMISSIONS

10. ISD 2005

11. ISD 2005 ISD 2005

13. ALCOHOL CONSUMPTION AND INCOME IN SCOTLAND Scottish Health Survey 2003

15. AUSTRALIAN MORTALITY AND MORBIDITY TRENDS Chikritzhs et al 2003

16. WORLD HEALTH ORGANISATION REPORT 2003 ALCOHOL: No Ordinary Commodity Effect High High Mid Mid Low Low MeasurePricingAvailability - Age limit- Outlet DensitySafer Drinking- Sever training- Safer glassesTreatment- Brief InterventionsRegulating Ads & PromotionsInformation- Schools- Product Labelling

18. Cost Effectiveness Recent studies suggest that alcohol treatment has both short and long-term economic benefits. The Review of the effectiveness of treatment for alcohol problems suggests that provision of alcohol treatment to 10 per cent of the dependent drinking population within the UK would reduce public sector resource costs by between £109 million and £156 million each year. Analysis from the United Kingdom Alcohol Treatment Trial suggests that for every £1 spent on alcohol treatment, the public sector saves £5.

20. Australian National Alcohol Strategy 2006

21. Beer Sales Type On Off 1991 80% 20% 2001 65% 35% 1997-2001 23% increase in Supermarket sales

24. INTERNATIONAL TRENDS IN ALCOHOL CONSUMPTION 1970 2002 % Change Consumption in pure litres of alcohol per head total population Brazil 0.7 4.2 500 China 1.03 3.8 170 Ireland 5.9 10.8 83 UK 5.3 9.6 81 United States 6.7 6.7 0 Switzerland 10.7 9.0 - 16 Spain 11.6 9.6 - 18 France 16.2 10.3 - 37 Italy 13.7 7.4 - 47 World Drink Trends 2004

25. INTERNATIONAL TRENDS IN ALCOHOL CONSUMPTION 1990 2002 Consumption in pure litres of alcohol per head total population Ireland 7.6 10.8 UK 7.7 9.6 Netherlands 8.1 8.0 Belgium 9.9 7.9 Austria 10.4 9.2 New Zealand 8.8 6.9 Australia 8.5 7.3 World Drink Trends 2004

26. US Prohibition 1919 to 33 – The Great Failure ?? • Alcohol consumption halved. • Cirrhosis deaths down by 1/3. • Violent crime fell by 90% in first two years. • 50% fall in domestic violence incidents.

27. “Prohibition’s good if it’s conducted right, There’s no sense in shooting a man ‘til he shows flight, Officers kill without a cause, then complain about about the funny laws, Tell me, how can a poor man stand such times and live ? West Virginia 1929

29. Taking the Pledge – Glasgow Green 1900

30. Glasgow City Council Theglasgowstory.com

31. Dundee - 1922 General Election Edwin Scrymgeour - Winston Churchill - Prohibition Party Liberal Party 32, 578 votes 20,466 votes

32. SCOTLAND AND PROHIBITION Scotch Whisky exports to Bahamas 1918 – 944 gallons 1922 – 386,000 gallons “Prohibition was the best thing that ever happened to Scotch” Maclean (2003) Scotch Whisky – A Liquid History.

35. Scottish Brewing Archive

36. Scottish Brewing Archive

37. French High Committee on Public Health 1992 • Alcohol is responsible for 20% of all deaths • 1,000 cases of foetal alcohol syndrome each year • 15-35% of hospital beds taken up by victims of alcohol abuse • More than a third of road deaths are thought to be due to alcohol, • The excess mortality before 65 years of age,particularly in men, is largely linked to alcohol consumption. • The current situation remains unacceptable and major efforts must be made.

38. French Alcohol Policy from 1991 • Raise duty rates • Train more specialists • Label warnings • Driving and workplace controls • “Promote image of non-drinkers.” • Loi Evin 1994 • Ban on TV advertising • Sports sponsorship

40. Paris 5th February 2005 Edinburgh 12th February 2005