The World Health Organizations Global Alcohol Database Louis

The World Health Organization’s Global Alcohol Database Louis Gliksman, Ph. D. Margaret Rylett, M. A. Centre for Addiction & Mental Health Presentation to Canadian Collaborating Workshop, Ottawa, Ontario October 23 -24, 2009

The Team Ø Louis Gliksman CAMH Ø Vladimir Poznyak WHO Ø Jürgen Rehm CAMH Ø Gerhard Gmel Swiss Institute Ø Dag Revke WHO Ø Alexandra Fleischmann WHO Ø Margaret Rylett CAMH

Sources of Data Ø Government statistics Ø Industry statistics Ø Published literature Ø Grey literature Ø Country questionnaires Ø Population surveys Ø WHO studies

The Design The Website is divided into 7 broad categories: Ø Alcohol Production and Availability; Ø Levels of Consumption; Ø Patterns of Consumption; Ø Harms and Consequences; Ø Economic Aspects; Ø Alcohol Control Policies; and Ø Resources for Prevention and Treatment.

1. Production and Availability Topics: Ø a. Supply § Beer production § Wine production § Spirits production § Alcoholic beverages production § Alcohol imports § Traditional beverages Ø b. Distribution § § § Wine sales Beer sales Spirit sales Alcoholic beverage sales Alcohol exports

2. Levels of Consumption: Topics: Ø About levels of consumption Ø Data sources for numeric data Ø Recorded adult (15+) per capita consumption Ø Unrecorded adult (15+) per capita consumption

3. Patterns of Consumption Topics: Ø About patterns of consumption Ø Data sources for numeric data Ø Past year abstainers Ø Lifetime abstainers Ø Heavy episodic drinkers Ø About patterns of drinking score Ø Patterns of drinking score Ø Drinking contexts

4. Harms and Consequences Topics: Ø a. Mortality Ø b. Mental and behavioural disorders Ø c. Other disorders related to alcohol use Ø d. Injuries Ø e. Traffic Ø f. Violence Ø g. Legal aspects Ø h. Workplace Ø i. Psycho-social problems

4 a. Mortality Ø Ø Ø About mortality data Data sources for numeric data SDRs (age standardized death rates) DALYs (age standardized disability adjusted life years) rate Alcohol-related pancreas diseases mortality rate Alcohol-related injury mortality rate Other alcohol-related mortality rates Unintentional injury deaths Years of potential life lost Alcohol-attributable deaths Suicide and alcohol use Homicide and alcohol use

4 b. Mental and behavioural disorders Ø Ø Ø Ø Ø Data sources for numeric data Treatment admissions for alcoholic psychosis rate Treatment admissions for alcohol dependence rate Hospital discharges – alcohol psychosis rate Hospital discharges – alcohol dependence rate Alcoholic psychosis and dependence Alcohol withdrawal syndrome Alcohol co-morbidity Foetal Alcohol Spectrum Disorders Depression

4 c. Other disorders related to alcohol use Ø Alcohol-related pancreatic diseases Ø Alcohol-related gastric disorders Ø Alcohol-related cardiovascular disorders Ø Alcohol-related hospital discharges Ø Alcohol-related Cancers (to be developed)

4 d. Injuries Ø Data sources for numeric data Ø Hospital discharges for injuries & poisoning rate Ø Emergency department and trauma studies Ø Alcohol poisoning Ø Methyl alcohol poisoning Ø Unintentional injuries

4 e. Traffic Ø Data sources for numeric data Ø Road traffic accidents involving alcohol rate Ø Road traffic accidents with alcohol involvement Ø Other types of vehicle accidents involving alcohol Ø Drunk driving and BAC levels

4 f. Violence Ø Violence and aggression Ø Family violence Ø Child abuse Ø Sexual assault and alcohol use

4 g. Legal aspects Ø Data sources for numeric data Ø Number of persons committing crimes while intoxicated rate Ø Crime and alcohol Ø Cautions and arrests for public drunkenness Ø Cautions and arrests for drunk driving

4 h. Workplace Ø Data sources for numeric data Ø Work absences due to illness, days/employee/year Ø Persons injured in work accidents rate Ø Alcohol-related work accidents Ø Effects on work performance

4 i. Psycho-social problems Ø Sexual risk behaviours Ø Other social-psychosocial problems Ø Youth and adolescent problems

5. Economic Aspects Ø Data sources for numeric data Ø Consumer per capita expenditure on alcohol as % of household expenditure Ø Annual household expenditure on alcohol as % of total expenditure Ø Alcoholic beverage taxes as % of government revenue Ø Revenues from excise, customs, taxes Ø Economic cost of alcohol problems in the workplace Ø Economic cost of alcohol consumption Ø Economic cost of providing alcohol programmes

6. Alcohol Control Policies (1) Ø Data sources for numeric data Ø National alcohol policy status and priorities Ø Definition of alcoholic beverage Ø Minimum legal drinking age Ø Legal limit for BAC in mgs% Ø Use of Random Breath Testing (RBT) Ø Health warning labels on alcohol containers Ø Product labelling of alcohol content Ø Restrictions on alcohol advertising to 1997

6. Alcohol Control Policies (2) Ø Beer advertising restrictions Ø Wine advertising restrictions Ø Spirits advertising restrictions Ø Restrictions on alcohol industry sponsorship & sales promotions Ø Restrictions on alcohol consumption in public places Ø Restrictions on off-licence hours, days, places, density for alcohol sales Ø Alcohol taxation Ø State monopolies and licensing requirements Ø Age limit for on- and off premise purchase of alcohol

7. Resources for Prevention and Treatment Ø Treatment and prevention agencies Ø Social programmes Ø Public education and prevention activities Ø Treatment services Ø Support for families Ø Drinking guidelines

How to find the GAD Ø Website is at http: //apps. who. int/globalatlas/default. asp § Select Global Alcohol Database from the menu on the right § Use the pull-down menus to select the category, topic and subtopics § Choose the indicator of interest § Select the country or WHO region or all countries § Select the year(s) of interest

Note: Ø Both formats can be downloaded easily to EXCEL files. Some data can be mapped. Ø The data are available in numeric and text formats. Ø For numeric data, data source files have been provided. Ø Data sources are contained within the text files. Ø Some topics/sub-topics have “about files” with information about a specific indicator or topic.

Ø http: //apps. who. int/globalatlas/default. asp