GLOBAL SURVEY ON ALCOHOL AND HEALTH 2016 1 · GLOBAL SURVEY ON ALCOHOL AND HEALTH 2016 1 CONTACT...

GLOBAL SURVEY ON ALCOHOL AND HEALTH 2016

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CONTACT INFORMATION

Contact for questions or clarifications: [email protected] Address for sending attachments and documents: [email protected] Management of Substance Abuse team Department of Mental Health and Substance Abuse World Health Organization 20, avenue Appia CH-1211 Geneva 27 Switzerland

Date: _ _ / _ _ / _ _ _ _ (Day/Month/Year) WHO Region: __________________________ Country: ______________________________ Questionnaire completed by: Last name: _____________________________ First name: _______________________ Title/Position: _____________________________________________________________ Institute/Ministry/etc. _______________________________________________________ Address: _________________________________________________________________ Telephone: _____________________________ Fax: ___________________________________ E-mail: _________________________________

mailto:[email protected]

mailto:[email protected]


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EXPERTS CONSULTED For the completion of this survey, comprising the sections A. Alcohol Policy, B. Alcohol Consumption, and C. Surveillance System and Health Services Response on Alcohol and Drugs, you are encouraged to contact and consult additional experts. These experts could come from the following areas: A: Person in charge of or involved in alcohol/drug control in the Ministry of Health of your

country, or the most senior government official in charge of alcohol control or alcohol-related conditions;

B: The head of a prominent non-governmental organization dedicated to alcohol/drug control; C: A health professional (e.g. medical doctor, nurse, pharmacist, social worker, psychologist)

specialized in alcohol-related conditions; D: A faculty member of a public health university department; E: A police or other law enforcement officer; F: A person at the Ministry of Finance, tax agency or statistical office. For those whom you did consult, please enter the following information accordingly: Expert 1 - Name: _____________________________________________________

Position: _____________________________________________________

Organization: _____________________________________________________

Expert 2 - Name: _____________________________________________________

Position: _____________________________________________________

Organization: _____________________________________________________

Expert 3 - Name: _____________________________________________________

Position: _____________________________________________________

Organization: _____________________________________________________

Expert 4 - Name: _____________________________________________________

Position: _____________________________________________________

Organization: _____________________________________________________

Expert 5 - Name: _____________________________________________________

Position: _____________________________________________________

Organization: _____________________________________________________

Comments:

___________________________________________________________________________

_______________________________________________________________________


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INSTRUCTIONS This survey is a continuation of an ongoing periodic exercise with the latest previous survey carried out in 2012. Answers submitted at that time will be taken into consideration to see where changes have taken place.

This survey is intended to address national data and the perspective on a national level about alcohol issues. In some instances, space is provided to allow for comments related to sub-national/regional data. There is also the possibility to make comments on the last page of the questionnaire. Questions about specific restrictions will be asked. As necessary, please provide further information about the situation or specific bans at the relevant question in the space provided under the question or on the last page of the questionnaire. Because of interlinkages between alcohol and drugs, there are questions on both included in the surveillance section.


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A. ALCOHOL POLICY Written national policy on alcohol 1. a) Is there a written national policy on alcohol specific to your country?

[A written national policy on alcohol is an organized set of values, principles and objectives for reducing the burden attributable to alcohol in a population which is adopted at the national level.]

National PLEASE GO TO QUESTION 1b) No, but sub-national. PLEASE DESCRIBE BELOW AND THEN GO TO QUESTION 2. Description of sub-national policy / regional variations: _______________________________________________________ _______________________________________________________ No → PLEASE GO TO QUESTION 2.

b) In which year was the written national policy on alcohol formally adopted for the first time?

Year ________

c) In which year was the last revision of the written national policy on alcohol?

Year ________

d) What is the highest level of adoption of the written national policy on alcohol? Check () one only.

Adopted by the National Parliament

Adopted by the National Government

Adopted by Ministry of Health only Adopted by another specific Ministry; please specify: _____________________________

e) Is the written national policy on alcohol specifically on alcohol only and/or integrated with other areas? Check () all that apply.

Specifically written on alcohol policy only Integrated into a written substance abuse policy Integrated into a written mental health policy Integrated into a written non-communicable diseases policy

Integrated into a written general public health policy

Other, please specify: ________________________________________________


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f) Which of the following sectors are represented in the written national policy on alcohol? Check () all that apply.

Health Education

Social Affairs Employment/Labour

Criminal Justice Law enforcement/Public Security

Transport/Road Safety Trade/Industry

Finance/Taxation/Economy Agriculture

National Anti-Drug Committee Media/Information/Culture

Other, please specify: _______________________________________________

g) Which sector of the government has the main responsibility for implementation of the

written national policy on alcohol? Check () one only.

Health Education

Social Affairs Employment/Labour

Criminal Justice Law enforcement/Public Security

Transport/Road Safety Trade/Industry

Finance/Taxation/Economy Agriculture

National Anti-Drug Committee Media/Information/Culture

Other, please specify: _______________________________________________

h) Is there provision of governmental funding for implementation of the written national

policy on alcohol?

No Yes i) In the written national policy on alcohol, is there reference to WHO strategies,

recommendations, standards or guidelines? Check () all that apply.

No No, but in developing the written national policy on alcohol, the WHO Global strategy

to reduce the harmful use of alcohol was used. No, but in developing the written national policy on alcohol, other WHO strategies,

recommendations, standards or guidelines were used. Yes, there is written reference to the WHO Global strategy to reduce the harmful use

of alcohol. Yes, there is written reference to other WHO strategies, recommendations, standards

or guidelines.


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j) Which external stakeholders were involved in developing the written national policy on alcohol? Check () all that apply.

Civil society groups, including NGOs, Professional Associations; please specify:

____________________________________________________________________

Research institutions; please specify: ______________________________________

Private sector, including trade associations, social aspect organizations (i.e. nonprofit

organizations usually funded by the industry); please specify:

____________________________________________________________________

Other; please specify: __________________________________________________

No external stakeholders.

k) For the implementation of the written national policy on alcohol, is there a national

action plan?

No Yes 2. Is there currently a process of developing a written national policy on alcohol or of revising the adopted one? Check () one only.

No written national policy and not developing one No, have a written national policy Yes, developing a written national policy. Yes, revising a previously adopted national policy.


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3. Were there any major steps or milestones achieved since 1 January, 2015? [For example:

o new legislation/scheme for better enforcement of existing alcohol legislation; o revision/launch of a new alcohol strategy/action plan; o parliamentary commission/cross-government working group/national advisory group for

alcohol; o publication of a major report on alcohol; o major changes in the organization and coordination of alcohol policy systems, including

prevention and treatment systems, in your country; o increases or decreases in excise duties of alcohol; o major changes in marketing regulations; o major changes in licensing systems, age limits etc. pertaining to the availability of alcohol; o major changes in drink-driving laws and regulations; o issuing of national guidelines on community action, prevention, screening and brief

interventions treatment; o issuing or revision of health authorities' guidelines for lower-risk alcohol consumption; o revision of training on alcohol use (disorders) for health professionals; o public funding for major alcohol research project or nationwide action project on alcohol

harm prevention and reduction; o launch/evaluation of long-term nationwide information campaign to reduce alcohol-related

harm; o agreement with the industry to develop responsible business practice in the selling, serving

or marketing of alcoholic beverages; o major changes in the monitoring systems in your country.]

No Yes → If YES, please describe below and provide

internet link or official reference if available. ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Definition of an alcoholic beverage

4. a) In your country, is there a standard legal definition of an alcoholic beverage that is used by your government?

No Yes b) If YES, what is the standard legal definition of an alcoholic beverage in your country? (Please include the % alcohol by volume if applicable, e.g. "All types of beverages over 0.5% alcohol by volume".) ___________________________________________________________________

5. a) In your country, is there a definition of a standard drink used at the national level?

No Yes b) If YES, how much is a standard drink in grams of pure alcohol?

___________________________________________________________________


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c) If YES, is this definition of a standard drink used? Check () all that apply.

In consumer information In epidemiological research Other, please specify: ____________________________________

6. a) In your country, are there official drinking guidelines for the general population at the

national level published by the government?

No No, but such guidelines are published by non-state actors Yes

b) If YES, what are the officially recommended drinking guidelines? Please specify the

unit, e.g. grams, and time period (for example: 20g/day, 14 units/drinks a week, etc.)? For males: ____________________________________________________________ For females: __________________________________________________________ c) What are the caveats, if any, in the officially recommended drinking guidelines? ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Monopoly and licensing 7. a) If the control for production and sale of alcohol is at the national level, do you have a

government monopoly? Circle the appropriate answer(s). [Government monopoly means full or almost complete government control.]

Beer Wine Spirits Monopoly on import Yes No Yes No Yes No

Monopoly on production Yes No Yes No Yes No

Monopoly on wholesales/distribution Yes No Yes No Yes No

Monopoly on retail sales Yes No Yes No Yes No

Monopoly on export Yes No Yes No Yes No Comment: ____________________________________________________________

Please comment if there are sub-national/regional variations: _____________________________________________________________________


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b) If the control for production and sale of alcohol is at the national level, do you have licensing? Circle the appropriate answer(s). [Licensing means partial government control where a license is required.]

Beer Wine Spirits License for import Yes No Yes No Yes No License for production Yes No Yes No Yes No License on wholesales/distribution Yes No Yes No Yes No

License for retail sales Yes No Yes No Yes No License for export Yes No Yes No Yes No

Comment: __________________________________________________________

Please comment if there are sub-national/regional variations: ___________________________________________________________________

c) If YES to licensing, has the number of licensed issued changed since 2010? Circle the appropriate answer(s).

Beer Wine Spirits Licenses issued for production Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Licenses issued for wholesales/distribution

Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Licenses issued for retail sales Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Increased

Decreased

Unchanged

Not applicable

Price and tax measures 8. a) In your country, is the production of ethanol taxed?

No Yes

b) If YES, is it deductible from excise tax on alcoholic beverages?

No Yes


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9. a) In your country, how are alcoholic beverages taxed at the national level? Check (✓) all that apply.

With respect to the “Other” alcoholic beverage category, please always give the same alcoholic beverage in the questions below.

A tax on alcoholic beverages paid by

either the consumer, retailer,

distributor, wholesaler and/or producer

that is not applied to other goods, or

a tax that when applied to alcohol is

applied at a higher rate than when the

tax is applied to other products (i.e.

Excise tax).

Beer

Wine

Spirits

Other (most sold alcoholic

beverages that are not classified as

beer, wine or spirit); please specify %

alcohol by volume _ _ % and name:

____________________________

_____________________________

_____________________________

_____________________________

No alcohol specific tax (i.e. no Excise tax)

A value added tax (VAT) or another sales

tax (such as goods and services tax, or a

government sales tax), that is applied to a

wide range of goods and services which

includes alcoholic beverages.

→ Please specify: _ _ %

No value-added tax or sales tax.

Alcoholic beverages are not taxed at all.



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b) If any alcohol Excise tax, is it based on (check all that apply): i. Alcohol volume or weight (specific rate)? No Yes

ii. The total volume of the alcoholic beverage (unitary)? No Yes

iii. The value of the product (ad valorem)? No Yes

c) If YES to 9b) i. or ii., is the applicable alcohol Excise tax rate linked to inflation?

i. Beer: No Yes ii. Wine: No Yes iii. Spirits: No Yes iv. Other: No Yes If Yes, please specify: % alcohol by volume: _ _ %

and name: ___________________________

d) If any tax on alcoholic beverages, is it used for specific earmarked purposes?

No Yes, from general excise tax system Yes, from specific levy for such purposes

e) If YES to 9d), is a portion earmarked for treatment of alcohol use disorders?

No Yes f) Is excise tax on denatured alcohol relieved?

No Yes

10. Do you use duty-paid, excise or tax stamps or labels on alcoholic beverage containers/bottles in your country?

i. Beer: No Yes

ii. Wine: No Yes

iii. Spirits: No Yes

11. a) Do you have any price measures other than taxation in your country?

[Price measures other than taxation means e.g. by regulation of the price of non-alcoholic and alcoholic beverages, such as having a non-alcoholic beverage cheaper than an alcoholic beverage.]

No Yes If Yes: Check () all that apply:

Minimum price policy

Ban on below-cost selling

Ban on volume discounts

Requirement to offer non-alcoholic beverages at a lower price

Additional levy on specific products (e.g., on alcopops), please specify:

_________________________________________________________

Price measures to discourage underage or high-volume drinking, please

specify: ___________________________________________________

Other, please specify: ________________________________________


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b) If YES to minimum price policy, what is the minimum price for the following alcoholic beverages?

[Minimum price policy for alcoholic beverages means a policy where a minimum price is set for a unit of alcohol, below which it cannot be sold.]

Minimum price per litre of pure alcohol (in local currency)

Beer (5% alcohol by volume) ________________________ per litre of pure alcohol Wine (12% alcohol by volume) ________________________ per litre of pure alcohol Spirits (40% alcohol by volume) ________________________ per litre of pure alcohol Other (most popular country-specific alcoholic beverage); please specify % alcohol by volume: _ _ % and name: _______________________

________________________ per litre of pure alcohol

c) Are there any tax incentives/rebates for production of low or no alcohol content beer in

your country?

No Yes If Yes, please specify: ______________________________________ d) Are there any tax incentives/rebates for production of other alcoholic beverages in your

country (e.g. locally produced beer like craft beer, wine or spirits)?

No Yes If Yes, please specify: ______________________________________


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Prevention 12. a) In the last three years, did you have any nation-wide awareness-raising activities

targeting the following? Check () all that apply.

Youth/student drinking No Yes

Parent awareness No Yes

Drink-driving/Road safety No Yes

Alcohol’s impact on health No Yes

Binge drinking No Yes

Illegal/surrogate alcohol No Yes

Alcohol and pregnancy No Yes

FAS/FASD specifically No Yes

Alcohol at work No Yes

Alcohol and sports No Yes

Alcohol and HIV No Yes

Domestic violence No Yes

Indigenous peoples No Yes

Elderly people No Yes

Harms to others (other than the drinker) No Yes

Other, please specify:_________________ No Yes

b) If YES, were any of these activities done in collaboration with, co-sponsored or funded

by nongovernmental organizations (NGOs) or by the alcohol industry? Check () all that apply.

Youth/student drinking NGO Alcohol industry

Parent awareness NGO Alcohol industry

Drink-driving/Road safety NGO Alcohol industry

Alcohol’s impact on health NGO Alcohol industry

Binge drinking NGO Alcohol industry

Illegal/surrogate alcohol NGO Alcohol industry

Alcohol and pregnancy NGO Alcohol industry

FAS/FASD specifically NGO Alcohol industry

Alcohol at work NGO Alcohol industry

Alcohol and sports NGO Alcohol industry

Alcohol and HIV NGO Alcohol industry

Domestic violence NGO Alcohol industry

Indigenous peoples NGO Alcohol industry

Elderly people NGO Alcohol industry

Harms to others (other than the drinker) NGO Alcohol industry

Other, please specify:_________________ NGO Alcohol industry


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c) If YES, please provide examples of such collaboration, co-sponsorship or funding: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

13. a) In your country, is there any systematic alcohol server training (for servers of pubs,

bars, restaurants) on a regular basis? Check () all that apply.

[Server training means a form of occupational training provided to people serving alcohol such as bar and restaurant staff, waiting staff or people serving at catered events. Alcohol server training promotes the safe service of alcoholic beverages to customers (e.g. not serving to intoxication, not serving to those already intoxicated or to minors). Alcohol server training can be regulated and mandated by state or local laws.]

No Yes, organized by enforcement agencies Yes, organized by the private sector Yes, organized by Other, please specify: __________________________________

b) If YES, is it regulated and mandated by state or local laws?

No Yes 14. Do you have national guidelines for the prevention and reduction of alcohol-related harm in school settings?

No Yes

15. Are there any national guidelines for alcohol problem prevention and counselling at workplaces?

No Yes

16. Is there national legislation on alcohol testing at workplaces? No Yes

Community action 17. In which ways does the national government support community action? Check () all that apply.

[Community action means that communities can be supported and empowered to use their local knowledge and expertise in adopting effective approaches to prevent and reduce the harmful use of alcohol by changing collective rather than individual behavior.]

Earmarked funds for community action

Provisions of technical tools tailored to communities (e.g., assessment tools)

Training programmes in the community (e.g., adult and youth leadership)

Community programmes and policies (e.g., after-school programmes)

Community programmes for subgroups at particular risk (e.g., indigenous peoples, special

needs groups)

Provision of information to support community action

Data dissemination in the community

Research studies in the community

Other, please specify:________________________________________________________

Not supported


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Age limits 18. What are the legal age limits at the national level, for the following? Enter Age limit (in

years) or "None" if there is no age limit.

[Legal age limit means that alcoholic beverages cannot be served/sold to a person under this age]

On-premise sales (serving) (e.g., cafe, pub, bar, restaurant)

Off-premise sales (selling) (take-away in e.g., store, shop, supermarket)

Beer years years Wine years years Spirits years years


Restrictions

19. Please provide information on the extent to which different public environments are alcohol-free in your country. Check () the appropriate column.

["Partial statutory restriction" means that certain alcoholic beverages are forbidden or some offices/ buildings/places are alcohol-free. "Voluntary agreement/self-regulation" means that local governments and municipalities have their own regulations or the alcoholic beverage industry follows its internal voluntary rules.]

Restrictions on alcohol consumption in different public domains Ban Partial

statutory restriction

Voluntary / self-regulated

No restriction

Health care establishments

Educational buildings

Government offices

Public transport

Parks, streets etc

Sporting events

Leisure events (concerts etc.)

Workplaces Places of worship


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20. a) Please provide information on existing restrictions for the on-premise sales of beer, wine and spirits at the national level. Circle the appropriate answers.

[On-premise sales means serving in e.g., cafe, pub, bar, restaurant]

On-premise sales restrictions on alcoholic beverages Beer Wine Spirits Hours of sales Yes No Yes No Yes No

Days of sales Yes No Yes No Yes No

Locations of sales Yes No Yes No Yes No

Density of outlets Yes No Yes No Yes No

Sales at specific events (e.g., football games) Yes No Yes No Yes No

Sales to intoxicated persons Yes No Yes No Yes No b) Please provide information on existing restrictions for the off-premise sales of beer,

wine and spirits at the national level. Circle the appropriate answers.

[Off-premise sales means selling as take-away in e.g., store, shop, supermarket]

Off-premise sales restrictions on alcoholic beverages Beer Wine Spirits Hours of sales Yes No Yes No Yes No

Days of sales Yes No Yes No Yes No

Locations of sales Yes No Yes No Yes No

Density of outlets Yes No Yes No Yes No

Sales at specific events (e.g., football games) Yes No Yes No Yes No

Sales at petrol stations Yes No Yes No Yes No

c) In which ways are infringements on alcohol sales restrictions detected? Check () all that apply.

Active surveillance by government, NGO, independent body Complaint system Case by case reporting Police Liquor licensing authority Other, please specify: ______________________________________________________ None

d) What are the penalties for infringements on alcohol sales restrictions?

Fines

Other, please specify:_______________________________________________________

None


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21. a) Do you have any national legislation in your country to prevent illegal production and/or sale of home- or informally produced alcoholic beverages?

Beer Wine Spirits To prevent illegal production

Yes No Yes No Yes No

To prevent illegal distribution and sale


b) In which ways is illegal production and/or sale of home- or informally produced alcoholic beverages detected? Check () all that apply.

Active surveillance by government, NGO, independent body Complaint system Case by case reporting Police Liquor licensing authority Other, please specify: ______________________________________________________ None

c) What are the penalties for illegal production and/or sale of home- or informally produced alcoholic beverages?

Beer Wine Spirits Fines Yes No Yes No Yes No Criminal prosecution Yes No Yes No Yes No Other, please specify: ___________________ ___________________


None Yes No Yes No Yes No d) Do you have any national legislation in your country to prevent smuggling?

No Yes

Drink driving legislation 22. At the national level, what is the drink-driving legislation based on? Check () one only.

Based on Blood Alcohol Concentration (BAC) Based on Breath Alcohol Concentration (BrAC),values converted to BAC No national drink-driving legislation. GO TO Question 24.

23. At the national level, what is the maximum legal Blood Alcohol Concentration (BAC)

when driving a vehicle, for each of the following groups? (e.g., 0.05%; usually, from 0% to 0.10%) Enter the BAC in % or "None" if there is no maximum legal BAC.

i. General population: ........................................................................... 0._ _ % ii. Young/novice drivers: ........................................................................... 0._ _ % iii. Professional/commercial drivers: ............................................................... 0._ _ % Please comment if there are sub-national/regional variations: _____________________________________________________________________


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24. a) Please indicate on a scale of 0-10, how well the existing maximum legal blood

alcohol concentration (BAC) when driving a vehicle is enforced at the national level. [Well enforced means that ALL of the following points apply: • Enforcers are equipped with the necessary tools, such as breathalyzer; and • Enforcement is done both on a regular basis and during high risk periods, e.g. holiday seasons; and • Enforcement is done in both rural and urban areas; and • Penalties or fines are applied.

Poorly enforced means that only some or none of the following points apply: • Equipment is available; • Enforcement is not done on a regular basis; • Enforcement is done either in rural or urban areas; • Penalties or fines are not applied.]

0 1 2 3 4 5 6 7 8 9 10 poorly enforced well enforced

b) What is the basis of this judgement? Empirical information Expert opinion Other, please specify: _______________________________

25. What are the penalties for drink-driving in your country? Check () all that apply.

First offense Repeated offense Fines (flat rate) Yes No Yes No Fines (progressive according to income) Yes No Yes No Penalty points Yes No Yes No Short-term detention Yes No Yes No Vehicle impounded Yes No Yes No Mandatory treatment Yes No Yes No Mandatory education and counselling Yes No Yes No Driving license suspension Yes No Yes No Driving license revoked Yes No Yes No Imprisonment Yes No Yes No Community/public service Yes No Yes No Ignition interlock Yes No Yes No


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26. What are the strategies used to prevent drink-driving in your country? Check () all that apply.

[Sobriety checkpoints means checkpoints or roadblocks established by the police on public

roadways to control for drink-driving.

Random breath testing means that any driver can be stopped by the police at any time to test the breath for alcohol consumption.

Graduated licensing means once the initial eye and written tests are passed, a new driver gets a restricted licence. These restrictions mainly pertain to zero tolerance around alcohol and drug use and limit the time of day one can drive as well as the class of roads where one can drive. This process is designed to give new drivers time to practice and gain driving experience over time, and must be completed within five years.]

i. Sobriety checkpoints No Yes

ii. Random breath testing No Yes iii. Graduated licensing No Yes

Health warning labels and consumer information 27. a) Are health warning labels legally required on alcohol advertisements, in your

country at the national level?

No Yes b) Are health warning labels legally required on the containers/bottles of alcoholic

beverages, in your country at the national level?

No Yes c) Is there a national legal requirement for the size of the health warning labels?

No Yes If Yes, please specify the size of the health warning label: ______________________________________________________________________

d) Is there a national legal requirement for health warning labels regarding pregnancy,

underage drinking, or drink-driving?

i. Pregnancy No Yes

ii. Underage drinking No Yes iii. Drink-driving No Yes

e) What is the text(s) of the legally required health warning labels? ________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

f) If several text options exist, is there a mandatory rotation of the text on a given product?

No Yes


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28. a) Is there a national legal requirement to display consumer information about calories, additives, vitamins, micro elements on the labels of alcohol containers?

Beer Wine Spirits Consumer information Yes No Yes No Yes No

b) Is there a national legal requirement to display the number of standard alcoholic

drinks on the labels of alcohol containers?

Beer Wine Spirits Standard alcoholic drinks Yes No Yes No Yes No

c) Is there a national legal requirement to display alcohol content on the labels of

alcohol containers?

Beer Wine Spirits Alcohol content Yes No Yes No Yes No

Please comment if there are sub-national/regional variations:

___________________________________________________________________


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Marketing 29. a) Please specify the restrictions on alcohol advertising/product placement for BEER.

Check () all that apply. ["Partial statutory restriction" means that the restriction applies during a certain time of day or

for a certain place, or to the content of events, programmes, magazines, films, etc. "Voluntary agreement" means that the alcoholic beverage industry follows its internal voluntary rules].

If the same restrictions apply to beer, wine, and spirits, please use Table 29a) below. If there are variations, then please use Table 29a) for beer, Table 29b) for wine, and Table 29c) for spirits.

Ban

Partial statutory restriction

Voluntary/ self-regulated

No restriction

Time Place Content

Advertising:

Public service/national TV

Commercial/private TV

National radio

Local radio

Print media (newspapers etc.)

Billboards

Points of sale

Cinema

Internet

Social media (facebook etc.)

Product placement:



Films/movies


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b) Please specify the restrictions on alcohol advertising/product placement for WINE. Check () all that apply.

["Partial statutory restriction" means that the restriction applies during a certain time of day or for a certain place, or to the content of events, programmes, magazines, films, etc. "Voluntary agreement" means that the alcoholic beverage industry follows its internal voluntary rules].

Ban

Partial statutory restriction: Voluntary/ self-

regulated No

restriction

Time Place Content

Advertising:



National radio

Local radio


Billboards

Points of sale

Cinema

Internet


Product placement:



Films/movies


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c) Please specify the restrictions on alcohol advertising/product placement for SPIRITS. Check () all that apply.

["Partial statutory restriction" means that the restriction applies during a certain time of day or for a certain place, or to the content of events, programmes, magazines, films, etc. "Voluntary agreement" means that the alcoholic beverage industry follows its internal voluntary rules].

Ban

Partial statutory restriction Voluntary/ self-

regulated No

restriction

Time Place Content

Advertising:



National radio

Local radio


Billboards

Points of sale

Cinema

Internet


Product placement:



Films/movies 30. a) Please specify the restrictions on industry sponsorship/sales promotion for BEER. Check () all that apply. ["Partial statutory restriction" means that the restriction applies during a certain time of day or to some events, programmes, magazines, films, etc. "Voluntary agreement/self-regulation" means that the alcoholic beverage industry follows its internal voluntary rules.]

If the same restrictions apply to beer, wine, and spirits, please use Table 30a) below. If there are variations, then please use Table 30a) for beer, Table 30b) for wine, and Table 30c) for spirits.

Ban

Partial statutory

restriction

Voluntary / self-

regulated No

restriction Industry sponsorship of sporting events

Industry sponsorship of youth events, e.g. concerts

Sales promotion from producers (e.g. parties and events)

Below costs sales promotions from retailers (including supermarkets)

Free drinks sales promotions from owners of pubs and bars


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b) Please specify the restrictions on industry sponsorship/sales promotion for WINE. Check () all that apply.

["Partial statutory restriction" means that the restriction applies during a certain time of day or to some events, programmes, magazines, films, etc. "Voluntary agreement/self-regulation" means that the alcoholic beverage industry follows its internal voluntary rules.]

Ban

Partial statutory

restriction

Voluntary / self-

regulated No






c) Please specify the restrictions on industry sponsorship/sales promotion for SPIRITS.

Check () all that apply.

["Partial statutory restriction" means that the restriction applies during a certain time of day or to some events, programmes, magazines, films, etc. "Voluntary agreement/self-regulation" means that the alcoholic beverage industry follows its internal voluntary rules.]

Ban

Partial statutory

restriction

Voluntary / self-

regulated No







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31. a) In which ways are infringements on alcohol marketing restrictions detected? Check () all that apply.

[Marketing includes advertising, product placement, industry sponsorship, sales promotion (see previous questions) and other marketing communications.]

Active surveillance by government, NGO, independent body

Complaint system

Case by case reporting

Police

Self-regulation by industry

Liquor licensing authority

Other, please specify: _______________________________________________________

None

b) What are the penalties for infringements on marketing restrictions?

Fines Other, please specify: ________________________________________________ None


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B. ALCOHOL CONSUMPTION 32. a) Do you have data specifically for recorded adult (15+ years) per capita

consumption of alcohol or recorded all ages per capita consumption of alcohol in your country at the national level (i.e., for beer, wine, spirits and other types of alcoholic beverages separately)?

Yes No → If NO, do you have data for sales, production, imports, exports or taxation of alcohol by volume?

No Yes. Please provide contact information: _____________________________________

b) If YES, what is the source of these data? Check () all that apply.

Government Customs and Excise Research institute Alcohol industry

Other, please specify: ____________________

c) If YES, what are the data based on? Check () all that apply. Sales Production Import Export Taxation

Other, please specify: ____________________

d) If YES, please enter a website link address where recorded adult (15+ years) per

capita consumption of alcohol or recorded all ages per capita consumption data can be accessed.

_______________________________________________________________

e) If no website exists, please complete Question 33; otherwise, GO to Question 34.


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33. Recorded adult (15+ years) per capita consumption: Note: if the recorded adult (15+ years) per capita consumption is NOT available, but the recorded all ages per capita consumption of alcohol is available, enter these data in column 2 (all ages per capita).

1. Total:

Year Recorded adult (15+) per capita consumption in litres of pure alcohol

Recorded all ages per capita consumption in litres of pure alcohol

2010 2011 2012 2013 2014 2015

2. Beer: Alcohol content: _ _ % Type: __________________ (e.g. barley, sorghum, etc.)



2010 2011 2012 2013 2014 2015

3. Wine: Alcohol content: _ _ % Type: __________________ (e.g. grape, vermouth, etc.)



2010 2011 2012 2013 2014 2015

4. Spirits: Alcohol content: _ _ % Type: ____________ (e.g. whisky, rum, gin, vodka, etc.)



2010 2011 2012 2013 2014 2015

5. Other alcoholic beverages, please specify: _____________________________

Alcohol content: _ _ % Type: ___________________ (e.g. cider, alcopops, etc.)



2010 2011 2012 2013 2014 2015


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34. a) Are there estimates available on consumption of unrecorded alcohol in your country

at the national level, based on empirical survey data?

[Unrecorded alcohol means alcohol which is not taxed and is outside the usual system of governmental control, such as home or informally produced alcohol (legal or illegal), smuggled alcohol, surrogate alcohol (which is alcohol not intended for human consumption), or alcohol obtained through cross-border shopping (which is recorded in a different jurisdiction).]

No Yes b) If YES, please provide the website link or the complete source reference where the

empirical survey data are displayed:

______________________________________________________________ c) If YES, please provide, if available, an estimated unrecorded alcohol per capita

consumption: i. Estimated per capita (15+ years) consumption of unrecorded alcohol: _ _ litres of pure alcohol ii. Estimated per capita (15+ years) consumption of unrecorded alcohol as a percentage of recorded alcohol per capita (15+ years) consumption: _ _ % iii. Estimated per capita (all ages) consumption of unrecorded alcohol as a percentage of

recorded alcohol per capita (all ages) consumption: _ _ % iv. Other, please specify: ___________________________________________________


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C. SURVEILLANCE SYSTEM AND HEALTH SERVICES RESPONSE ON ALCOHOL AND DRUGS 35. a) Have you had any adult national surveys on alcohol consumption since 2010? (This can be a survey where alcohol is addressed specifically or where it is part of a

larger or international survey.)

No Yes, please specify the year of the most recent one: ______ b) If YES, please indicate the age group(s) for which there are survey results available:

________________________________

c) If YES, please specify the source by entering the complete source reference: (Please provide a website link, if available) _______________________________________________________________

36. a) Have you had any youth national surveys on alcohol consumption since 2010? (This can be a survey where alcohol is addressed specifically or where it is part of a

larger or international survey.)

No Yes, please specify the year of the most recent one: ______ b) If YES, please indicate the age group(s) for which there are survey results available:

________________________________

c) If YES, please specify the source by entering the complete source reference:

(Please provide a website link, if available)

_______________________________________________________________

37. In your country, do you have a national system for monitoring alcohol consumption, its

health and social consequences? Check () all that apply. [A national system for monitoring alcohol consumption, its health and social consequences refers to a data repository including a range of population-based and health facility data. The main population-based sources of health information are census, household surveys and (sample) vital registration systems. The main health facility related data sources are public health surveillance, health services data and health system monitoring data.]

Yes, with data collected on alcohol consumption

Yes, with data collected on health consequences of alcohol consumption

Yes, with data collected on social consequences of alcohol consumption

Yes, with data collected on alcohol policy responses

No → If No, GO TO Question 39.


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38. a) What are the main components of the national system of monitoring alcohol consumption? Check () all that apply. Sales data of alcoholic beverages

Production data of alcoholic beverages

Export/import data of alcoholic beverages

Regular estimation of consumption of unrecorded (informally/illegally produced) alcohol

based on expert opinion


based on research focused on unrecorded alcohol consumption


based on indirect estimates using government data on confiscated/seized alcohol


based on indirect estimates using survey data


based on indirect estimates using other data; please specify other data for estimation of

unrecorded: ___________________________________________________________

National population-based surveys on alcohol consumption

National youth surveys including questions on alcohol consumption

Other alcohol consumption indicators, please specify:

_____________________________________________________________________

b) What are the main components of the national system of monitoring health consequences of alcohol consumption? Check () all that apply.

Prevalence of alcohol dependence

Prevalence of alcohol use disorders (both alcohol dependence and harmful use of alcohol)

Prevalence of alcohol psychosis

Prevalence of alcohol-related liver disease including liver cirrhosis

Number of deaths due to alcohol and methanol poisoning

Number of deaths due to alcohol-related road traffic crashes

Number of deaths due to suicide with alcohol involvement

Number of deaths due to homicide with alcohol involvement

Other health consequences indicators, please specify:

____________________________________________________________________

c) What are the main components of the national system of monitoring social consequences of alcohol consumption? Check () all that apply.

Number of injuries due to alcohol-related traffic crashes

Number of violence-related crimes with alcohol involvement

Number of cases of public drunkenness

Other social consequences indicators; please specify:

________________________________________________________________


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d) If you have data at the national level for Deaths from Alcohol poisoning (ICD-X45), please enter for the most recent year available. Please specify the year.

Year: __________________

Number of cases: _________________________

Other measure (if available): __________________________________

Source of data: _____________________________________________________

39. In your country, is there a national system of epidemiological data collection for alcohol use and the use of other psychoactive substances such as illicit drugs and tobacco? Check () all that apply.

[A national system of epidemiological data collection refers to an organized surveillance system, which usually incorporates results of regular studies/surveys on prevalence of alcohol use and the use of other psychoactive substances, patterns of use and similar.]

Alcohol Illicit drugs Tobacco National system of epidemiological data collection


40. In your country, is there a national system of data collection based on health service

delivery that collects data on the number of people with alcohol use disorders and other substance use disorders? Check () all that apply.

[A national system of data collection based on health service delivery refers to an organized system of collecting data which usually incorporates admission and discharge data, the number of outpatient contacts and similar data.]

Alcohol use disorders

Drug use disorders

Tobacco dependence

National system of data collection based on health service delivery


41. a) Are there any national reports with data on alcohol use, alcohol use disorders, other substance use and other substance use disorders available? Check () all that apply.

Alcohol use and alcohol use disorders

Drug use and drug use disorders

Tobacco use and tobacco dependence

Report with epidemiological data on prevalence and patterns of alcohol and other substance use


Report with data from health services on alcohol use disorders and other substance use disorders



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b) If YES to any in 41.a), please specify the year and web link or reference of the most recent report(s):

Year: _ _ _ _

Web link or reference: ___________________________________________________

42. a) Is there an organization/institution that has the mandated function of a national monitoring centre for alcohol?

No Yes; please provide the name and web link of the organization/institution:

_________________________________________________________

b) Is there an organization/institution that has the mandated function of a national monitoring centre for drugs?

No Yes; please provide the name and web link of the organization/institution:

__________________________________________________________

43. In your country, what is the estimated treatment coverage of people with alcohol dependence (i.e. the proportion of people with alcohol dependence, including those who are not seeking treatment, that are in contact with treatment services), in comparison with the estimated treatment coverage of people with drug dependence? Check () only one per dependence category.

[In contact with treatment services means currently receiving treatment or in remission or relapse, but still in contact with treatment services.]

Alcohol dependence

Opioid dependence

Cocaine dependence

Amphetamine-type stimulants

dependence

Cannabis dependence

Close to None (around 0%)

Very limited (about 1 - 10%)

Limited (11- 20%)

Substantial (21-40%)

High (more than 40%)

Unknown


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44. In your country, what estimated proportion of people who seek treatment for alcohol dependence receive such treatment, in comparison with the proportion of people who seek treatment for drug dependence and receive such treatment? Check () only one per dependence category.

[Receiving treatment means commencing treatment. If the person leaves treatment on their own

account, they are not considered as demanding.]

Alcohol dependence

Opioid dependence

Cocaine dependence

Amphetamine-type

stimulants dependence

Cannabis dependence

1 - 10%

11 - 20%

21 - 50%

51 - 90%

91 - 98%

99 - 100%

Unknown


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COMMENTS Section A: Alcohol Policy:

_________________________________________________________________________

_________________________________________________________________________ _______________________________________________________________________ Section B: Alcohol Consumption:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Section C: Surveillance System and Health Services Response on Alcohol and Drugs:

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

THANK YOU FOR YOUR PARTICIPATION

GLOBAL SURVEY ON ALCOHOL AND HEALTH 2016 1 · GLOBAL SURVEY ON ALCOHOL AND HEALTH 2016 1 CONTACT...

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