Meeting Report: Interventions for Alcohol Dependence in Europe

9
The views represente Report launch: ‘Int A missed The event was held under Europe Brussels, 10 On 10 May MEP Glenis Willm launch the policy summary r opportunity to improve publi Presidency of the Council of t European Alcohol Policy Allian The objective of the event wa alcohol dependence and to d to tackle alcohol dependence MEP Glenis Willmott moderat o Astrid Krag, Danish M o MEP Elena Oana Anto o Jürgen Rehm, Dresde o Alastair Campbell, Co o Diane Goslar, alcoh Psychiatrists o Mariann Skar, Secreta o Lars Møller, Programm o Paola Testori Coggi, D European Commissio o MEP Antonyia Parvan From left to right: Jürgen Rehm, Lars Møller, ed here do not necessarily reflect those of the org terventions for alcohol dependence in opportunity to improve public health r the auspices of the Danish Presidency of the ean Union – the Danish Ministry of Health May 2012, European Parliament, Room A3G MEETING REPORT mott (S&D, UK), hosted an event in the Europe report ‘Interventions for alcohol dependence in ic health’. The event was held under the auspic the European Union (Danish Ministry of Health), nce (Eurocare) and sponsored by Lundbeck. as to present for the first time the results of exte discuss the different elements needed for an inte e that covers prevention to treatment. ted the event which included the following pane Minister for Health onescu (EPP, RO) en University and author of the research presente ommunicator and former spokesperson to Tony B hol dependent patient working with the R ary General of the European Alcohol Policy Allian me Manager Alcohol and Illicit Drugs, WHO Euro Director-General, Directorate-General for Health on nova (ALDE, BU) , Diane Goslar, Alastair Campbell, Glenis Willmott, Mariann Skar, Paola Testo 1 ganisers. n Europe: h’ e Council of the G-3 ean Parliament to Europe: A missed ces of the Danish supported by the ensive research on egrated approach el of speakers: ed Blair Royal College of nce (Eurocare) ope h and Consumers, ori Coggi, Antonyia Parvanova

description

This is the meeting report from the launch of 'Interventions for Alcohol Dependence in Europe: A missed opportunity for public health' in the European Parliament on 10 May.

Transcript of Meeting Report: Interventions for Alcohol Dependence in Europe

Page 1: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

Report launch: ‘Interventions for alcohol dependence in Europe:

A missed

The event was held under the auspices of the Danish Presidency of the Council of the

European Union

Brussels, 10 May 2012, European Parliament, Room A3G

On 10 May MEP Glenis Willmott (S&D, UK), hosted an event in the European Parliament to

launch the policy summary report ‘

opportunity to improve public health’

Presidency of the Council of the European Union

European Alcohol Policy Alliance (Eurocare) and sponsored by Lundbeck.

The objective of the event was to present for the first time the results of extensive research on

alcohol dependence and to discuss the different elements needed for an integrated approach

to tackle alcohol dependence that covers prevention to treatment.

MEP Glenis Willmott moderated the event which included the following

o Astrid Krag, Danish Minister for Health

o MEP Elena Oana Antonescu (EPP, RO)

o Jürgen Rehm, Dresden University and author of the research presented

o Alastair Campbell, Communicator and former spokesperson to Tony Blair

o Diane Goslar, alcohol dependent patient working with the Royal

Psychiatrists

o Mariann Skar, Secretary General of the European Alcohol Policy Alliance (Eurocare)

o Lars Møller, Programme Manager Alcohol and Illicit Drugs,

o Paola Testori Coggi, Director

European Commission

o MEP Antonyia Parvanova (ALDE, BU)

From left to right: Jürgen Rehm, Lars Møller, Diane Goslar, Alastair Campbell, Glenis Willmott, Mariann Skar, Paola Testori

The views represented here do not necessarily reflect those of the organisers.

Report launch: ‘Interventions for alcohol dependence in Europe:

A missed opportunity to improve public health’

The event was held under the auspices of the Danish Presidency of the Council of the

European Union – the Danish Ministry of Health

Brussels, 10 May 2012, European Parliament, Room A3G

MEETING REPORT On 10 May MEP Glenis Willmott (S&D, UK), hosted an event in the European Parliament to

launch the policy summary report ‘Interventions for alcohol dependence in Europe: A missed

opportunity to improve public health’. The event was held under the auspices of the Danish

Presidency of the Council of the European Union (Danish Ministry of Health), supported by the

European Alcohol Policy Alliance (Eurocare) and sponsored by Lundbeck.

The objective of the event was to present for the first time the results of extensive research on

ndence and to discuss the different elements needed for an integrated approach

to tackle alcohol dependence that covers prevention to treatment.

MEP Glenis Willmott moderated the event which included the following panel of speakers:

Minister for Health

MEP Elena Oana Antonescu (EPP, RO)

Jürgen Rehm, Dresden University and author of the research presented

Alastair Campbell, Communicator and former spokesperson to Tony Blair

alcohol dependent patient working with the Royal

Mariann Skar, Secretary General of the European Alcohol Policy Alliance (Eurocare)

Programme Manager Alcohol and Illicit Drugs, WHO Europe

Paola Testori Coggi, Director-General, Directorate-General for Health and

European Commission

MEP Antonyia Parvanova (ALDE, BU)

Jürgen Rehm, Lars Møller, Diane Goslar, Alastair Campbell, Glenis Willmott, Mariann Skar, Paola Testori

1

do not necessarily reflect those of the organisers.

Report launch: ‘Interventions for alcohol dependence in Europe:

opportunity to improve public health’

The event was held under the auspices of the Danish Presidency of the Council of the

Brussels, 10 May 2012, European Parliament, Room A3G-3

On 10 May MEP Glenis Willmott (S&D, UK), hosted an event in the European Parliament to

Interventions for alcohol dependence in Europe: A missed

he auspices of the Danish

, supported by the

The objective of the event was to present for the first time the results of extensive research on

ndence and to discuss the different elements needed for an integrated approach

panel of speakers:

Jürgen Rehm, Dresden University and author of the research presented

Alastair Campbell, Communicator and former spokesperson to Tony Blair

alcohol dependent patient working with the Royal College of

Mariann Skar, Secretary General of the European Alcohol Policy Alliance (Eurocare)

WHO Europe

General for Health and Consumers,

Jürgen Rehm, Lars Møller, Diane Goslar, Alastair Campbell, Glenis Willmott, Mariann Skar, Paola Testori Coggi, Antonyia Parvanova

Page 2: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

INTRODUCTION

Alcohol dependence is a common medical and behavioural disorder and a recognised chronic

brain disease1 characterised by structural and neurochemical changes in the brain and

disturbances in behaviour2. Alcohol dependence is common in Europe, yet little has been d

to adequately address the issue. In addition, excessive consumption of alcohol is recognised as

one of the key risk factors for ill

harm is also recognised in the current EU Alcohol Strategy

suffering from alcohol dependence but also their families and as having a considerable

negative impact on society and

PANEL

Member of the European Parliament Glenis

opened the meeting highlighting a few figures on alcohol

dependence: Europe has the highest alcohol consumption in the

world; there are 12 million alcohol dependent people in Europe,

putting a

estimated

and national alcohol policies to address the problem by having an

integrated approach to alcohol dependence. This would include

prevention (

Willmott concluded by stressing the need for complete and

accurate data on all issues related to alcohol consumption in order

to better inform policy makers as they consider future action

plans.

Astrid Krag, Danish Minister for Health

Presidency of the Council of the EU

the audience via a video link. She quoted facts and figures on the

scale of alcohol dependence while highlighting the impact on the

most vulnerable populations. She also provided an overview of the

international policies and strategies in place in the EU and at the

WHO level. Ms Krag concluded that increased knowledge

and a more comprehensive and in

would contribute constructively to the discussions on national initiatives and policies.

1 Alcohol dependence is well recognised as a chronic brain disease

dependence: Provisional description of a clinical syndrome.

(2008). Overview: neurobiology of alcohol dependence with a focus on motivational mechanisms.

185-95. 2 The European Medicine’s Agency (EMA) guidelines

dependence also underscores the genetic factors of alcohol dependence (available

strategy ’A Global Strategy to reduce harmful use of alcohol’ recognises the neurological affects of alcohol (availa3 As stated in the WHO factsheet on alcohol

4 The Commission Communication ’An EU strategy to support Member States in reducing alcohol related harm’ is available

MEP Glenis Willmott

The views represented here do not necessarily reflect those of the organisers.

dependence is a common medical and behavioural disorder and a recognised chronic

characterised by structural and neurochemical changes in the brain and

Alcohol dependence is common in Europe, yet little has been d

to adequately address the issue. In addition, excessive consumption of alcohol is recognised as

one of the key risk factors for ill-health in Europe3. The burden of alcohol and alcohol related

harm is also recognised in the current EU Alcohol Strategy4 as affecting not only the individuals

suffering from alcohol dependence but also their families and as having a considerable

negative impact on society and the economy overall.

Member of the European Parliament Glenis Willmott

opened the meeting highlighting a few figures on alcohol

dependence: Europe has the highest alcohol consumption in the

world; there are 12 million alcohol dependent people in Europe,

putting a heavy burden on families and friends and leading to an

estimated €155 billion in social costs. Ms Willmott called

and national alcohol policies to address the problem by having an

integrated approach to alcohol dependence. This would include

prevention (pricing, labelling, marketing), treatment and care. Ms

Willmott concluded by stressing the need for complete and

accurate data on all issues related to alcohol consumption in order

to better inform policy makers as they consider future action

plans.

Krag, Danish Minister for Health and currently leading the

of the EU in health matters, addressed

the audience via a video link. She quoted facts and figures on the

scale of alcohol dependence while highlighting the impact on the

most vulnerable populations. She also provided an overview of the

international policies and strategies in place in the EU and at the

WHO level. Ms Krag concluded that increased knowledge-sharing

and a more comprehensive and in-depth knowledge of the issue

would contribute constructively to the discussions on national initiatives and policies.

Alcohol dependence is well recognised as a chronic brain disease - most notably in Edwards, G., & Gross, M. M. (1976). Alcohol

dependence: Provisional description of a clinical syndrome. British Medical Journal, 1, 1058–1061 and

(2008). Overview: neurobiology of alcohol dependence with a focus on motivational mechanisms. Alcohol Research & Health, 31,

The European Medicine’s Agency (EMA) guidelines on the development of medicinal products for the treatment of alcohol

also underscores the genetic factors of alcohol dependence (available here).The World Health Organisation (WHO)

strategy ’A Global Strategy to reduce harmful use of alcohol’ recognises the neurological affects of alcohol (availa

As stated in the WHO factsheet on alcohol (available here).

An EU strategy to support Member States in reducing alcohol related harm’ is available

2

do not necessarily reflect those of the organisers.

dependence is a common medical and behavioural disorder and a recognised chronic

characterised by structural and neurochemical changes in the brain and

Alcohol dependence is common in Europe, yet little has been done

to adequately address the issue. In addition, excessive consumption of alcohol is recognised as

. The burden of alcohol and alcohol related

as affecting not only the individuals

suffering from alcohol dependence but also their families and as having a considerable

Willmott (S&D, UK)

opened the meeting highlighting a few figures on alcohol

dependence: Europe has the highest alcohol consumption in the

world; there are 12 million alcohol dependent people in Europe,

burden on families and friends and leading to an

€155 billion in social costs. Ms Willmott called for EU

and national alcohol policies to address the problem by having an

integrated approach to alcohol dependence. This would include

pricing, labelling, marketing), treatment and care. Ms

Willmott concluded by stressing the need for complete and

accurate data on all issues related to alcohol consumption in order

to better inform policy makers as they consider future action

would contribute constructively to the discussions on national initiatives and policies.

Gross, M. M. (1976). Alcohol

1061 and Gilpin, N.W., Koob, G.F.

Alcohol Research & Health, 31,

on the development of medicinal products for the treatment of alcohol

).The World Health Organisation (WHO)

strategy ’A Global Strategy to reduce harmful use of alcohol’ recognises the neurological affects of alcohol (available here).

An EU strategy to support Member States in reducing alcohol related harm’ is available here.

Page 3: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

Member of the European Parliament

(EPP, RO) underlined that alcohol dependence is one of the

most important modern health challenges that the European

society will have to face in the 21st century and, as such, it

requires a concerted solution from EU and national policy

makers. She recalled that excessive drinking leads to diseases

such as liver failure and brain damage which are costly for

both the affected person and for the national healthcare

systems. Ms Antonescu emp

this EU wide disease, there is a need for stepping up the EU

funded community programmes on alcohol (linked to

promotion, training and awareness) together with improved

coordination between healthcare professionals and natio

authorities as well as enforcement of the minimum drinking

age.

Prof Jürgen Rehm, Dresden University

Moreover, Prof Rehm pointed out that the most successful

include pharmacological treatment

alcohol policy which would supplement provisions on prevention with improved patient access

to treatment.

Alastair Campbell, journalist and former Director

of Communications to Tony Blair

account of what it is like to be alcohol dependent.

Mr Campbell stressed the gradual nature of this

disease and pointed out that currently, it is the

“middle classes” that are suffering from alcohol

dependence, an issue that our society

recognise. This lack of reco

explained by the general acceptance of our

drinking culture (e.g. daily

wine at home). Mr Campbell stressed that in light

of this, it is important that society as a whole faces

Prof Jürgen Rehm

The views represented here do not necessarily reflect those of the organisers.

Member of the European Parliament Elena Oana Antonescu

underlined that alcohol dependence is one of the

most important modern health challenges that the European

society will have to face in the 21st century and, as such, it

concerted solution from EU and national policy

makers. She recalled that excessive drinking leads to diseases

such as liver failure and brain damage which are costly for

both the affected person and for the national healthcare

systems. Ms Antonescu emphasised that in order to combat

there is a need for stepping up the EU

funded community programmes on alcohol (linked to

promotion, training and awareness) together with improved

coordination between healthcare professionals and national

authorities as well as enforcement of the minimum drinking

Dresden University, presented the key findings of his research

which is available in the policy summary

‘Interventions for alcohol dependence in Europe: A

missed opportunity to improve public health’

focused on alcohol consumption and alcohol

dependence in Europe. Amongst others, the

research concludes that:

• Alcohol dependence accounts for 71% of

the net burden and 62% of the total alcohol

attributable burden.

• More diseases are caused by alcohol than

by cigarettes.

• Less than 9% of all people diagnosed with

alcohol dependence receive treatment

disease.

pointed out that the most successful interventions have

treatment. In light of the above, Prof Rehm called for an integrated

alcohol policy which would supplement provisions on prevention with improved patient access

journalist and former Director

of Communications to Tony Blair, gave his personal

is like to be alcohol dependent.

Mr Campbell stressed the gradual nature of this

disease and pointed out that currently, it is the

” that are suffering from alcohol

dependence, an issue that our society fails to

recognise. This lack of recognition can be partly

explained by the general acceptance of our

overconsumption of

). Mr Campbell stressed that in light

of this, it is important that society as a whole faces

MEP Elena

Antonescu

Prof Jürgen Rehm

Alastair Campbell

“It is the “middle classes” that are

suffering from alcohol dependence”

3

do not necessarily reflect those of the organisers.

presented the key findings of his research

which is available in the policy summary

‘Interventions for alcohol dependence in Europe: A

opportunity to improve public health’ and

on alcohol consumption and alcohol

dependence in Europe. Amongst others, the

Alcohol dependence accounts for 71% of

the net burden and 62% of the total alcohol-

More diseases are caused by alcohol than

Less than 9% of all people diagnosed with

treatment for the

ve been proven to

called for an integrated

alcohol policy which would supplement provisions on prevention with improved patient access

Elena Oana

Antonescu

Campbell

“It is the “middle classes” that are

suffering from alcohol dependence”

Page 4: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

up to the problem of alcohol

and ensures that health communication, marketing and education are conducted in a

matches alcohol producers’ communication. Mr Campbell concluded by calling for the renewal

of an EU Alcohol Strategy that includes treatment.

Mariann Skar, from the European

(Eurocare), which represents 50 national organisations from

Europe working on the prevention and reduction of alcohol

related harm, reiterated the need to renew the EU Alcohol

Strategy. According to Eurocare, from a prevention

perspective, a successful strategy should focus on: labelling,

commercial communication, marketing, taxation,

inclusion, monitoring, data,

professionals (guidelines of prevention, diagnosis and

treatment), as well as care for

have a particular focus on young people

that more needs to be done in the area of commercial

communication to protect the young,

marketing ban on alcohol and a ban on alcohol related

sports events) similar to the one

effects

Dr Lars Møller

Diane Goslar

“A dealer on every corner”

The views represented here do not necessarily reflect those of the organisers.

up to the problem of alcohol dependence, improves the training of healthcare professionals,

and ensures that health communication, marketing and education are conducted in a

matches alcohol producers’ communication. Mr Campbell concluded by calling for the renewal

trategy that includes treatment.

Diane Goslar, an alcohol dependent patient working with the

Royal College of Psychiatrists, gave a very personal account o

life as an alcohol dependant. Ms Goslar also presented

challenges for coping with alcohol dependence when alcohol is

omnipresent in our society and it is “like having

corner”. Ms Goslar also accounted for the physical and social

impact of her drinking and described her recovery journey. For

Ms Goslar, one of the most devastating consequences of her

dependence is the damage it has caused to her brain.

concluded that early interventions and treatment of alcohol

dependence is very important to successfully

disease and that earlier interventions will allow outreach to

people at a stage of their dependence where reduction and

drinking management can still be part of the solution.

, from the European Alcohol Policy Alliance

which represents 50 national organisations from

Europe working on the prevention and reduction of alcohol

related harm, reiterated the need to renew the EU Alcohol

Strategy. According to Eurocare, from a prevention

pective, a successful strategy should focus on: labelling,

commercial communication, marketing, taxation, social

inclusion, monitoring, data, and training of healthcare

professionals (guidelines of prevention, diagnosis and

as well as care for the unborn child and it should

have a particular focus on young people. Ms Skar concluded

that more needs to be done in the area of commercial

communication to protect the young, such as establishing a

marketing ban on alcohol and a ban on alcohol related sponsorship (e.g. music festivals and

sports events) similar to the one already in place in France.

Dr Lars Møller, Programme Manager Alcohol and Illicit Drugs

WHO Europe, provided an overview of how alcohol has been

addressed by the WHO through data collection and analysis

reports on alcohol, the Global Strategy to Reduce the Harmful

use of Alcohol (World Health Assembly resolution WHA63.13)

and the European action plan to reduce the harmful use of

alcohol 2012-2020. Dr Møller also provided an analysis of the

effectiveness of different policy options to address alcohol

dependence. For example, both treatment and a decrease in

marketing pressure are effective ways to reduce

effects alcohol can have on human health and the society.

Mariann Skar, Eurocare

Figure 1 - What works in alcohol policy: evidence4

do not necessarily reflect those of the organisers.

the training of healthcare professionals,

and ensures that health communication, marketing and education are conducted in a way that

matches alcohol producers’ communication. Mr Campbell concluded by calling for the renewal

alcohol dependent patient working with the

gave a very personal account of

Ms Goslar also presented the

challenges for coping with alcohol dependence when alcohol is

like having a dealer on every

also accounted for the physical and social

her recovery journey. For

Ms Goslar, one of the most devastating consequences of her

the damage it has caused to her brain. Ms Goslar

concluded that early interventions and treatment of alcohol

successfully addressing the

and that earlier interventions will allow outreach to

stage of their dependence where reduction and

drinking management can still be part of the solution.

sponsorship (e.g. music festivals and

, Programme Manager Alcohol and Illicit Drugs

provided an overview of how alcohol has been

addressed by the WHO through data collection and analysis

Global Strategy to Reduce the Harmful

use of Alcohol (World Health Assembly resolution WHA63.13)

reduce the harmful use of

2020. Dr Møller also provided an analysis of the

effectiveness of different policy options to address alcohol

dependence. For example, both treatment and a decrease in

ways to reduce the harmful

alcohol can have on human health and the society.

Mariann Skar, Eurocare

What works in alcohol policy: evidence

Page 5: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

According to Dr Møller, there are still four countries without a national action plan

two of these countries are currently in the process of developing

WHO Strategy and European Alcohol Action Plan will inspire countries to adopt national plans

on alcohol or make the necessary revisions to enhance the

goals.

identification by healthcare professionals of harmful drinking

the EU-funded projects dealing with this challen

Research Alliance (AMPHORA) and

Ms Testori Coggi concluded, that although no decision on the renewal of the EU Alcohol

Strategy will be taken until th

Commission welcomes the call from the Members of the European Parliament to renew the

Strategy and encourages the European Parliament to voice

Paola Testori Coggi

Slide by Lars Møller, WHO Europe

The views represented here do not necessarily reflect those of the organisers.

, there are still four countries without a national action plan

are currently in the process of developing such plans

WHO Strategy and European Alcohol Action Plan will inspire countries to adopt national plans

on alcohol or make the necessary revisions to enhance their effectiveness in achieving their

Paola Testori Coggi, Director-

Directorate-General for Health and Consumers,

European Commission, started her speech by

acknowledging the importance of treatment

added that an integrated approach to alcohol

dependence should also be inclusive of preventive

measures (from preconception to adulthood and

with a focus on the young). Ms Testori Coggi

highlighted the importance of interven

the brain is damaged and the person in question

becomes dependent on alcohol. The Director

General also emphasised the importance of early

identification by healthcare professionals of harmful drinking behaviour and described some of

funded projects dealing with this challenge, e.g. the Alcohol Measures for Public Health

(AMPHORA) and Primary Health Care European Project on Alcohol

Ms Testori Coggi concluded, that although no decision on the renewal of the EU Alcohol

Strategy will be taken until the current review is completed (i.e., autumn 2012), the

Commission welcomes the call from the Members of the European Parliament to renew the

Strategy and encourages the European Parliament to voice its support.

Slide by Lars Møller, WHO Europe

5

do not necessarily reflect those of the organisers.

, there are still four countries without a national action plan in place and

such plans. Hopefully, the

WHO Strategy and European Alcohol Action Plan will inspire countries to adopt national plans

ir effectiveness in achieving their

-General of the

General for Health and Consumers,

started her speech by

acknowledging the importance of treatment and

that an integrated approach to alcohol

dependence should also be inclusive of preventive

measures (from preconception to adulthood and

with a focus on the young). Ms Testori Coggi

intervening before

he person in question

becomes dependent on alcohol. The Director-

emphasised the importance of early

and described some of

Alcohol Measures for Public Health

Primary Health Care European Project on Alcohol (PHEPA).

Ms Testori Coggi concluded, that although no decision on the renewal of the EU Alcohol

review is completed (i.e., autumn 2012), the

Commission welcomes the call from the Members of the European Parliament to renew the

Page 6: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

information society, etc.) to renew the EU Alcohol Str

stakeholders should create an environment where it becomes impossible to deny that alcohol

is a problem in our society and that a Strategy to address

DEBATE AND CONCLUSIONS

The following debate focused on the role the European Union

and national Member States should have in the fight to combat

alcohol related harm and the different policy options available.

Some of the issues outlined in the debate are

Jacqueline Lacroix from the German Road Safety Council

the Commission to push for zero tolerance on drink driving and

drink cycling. In response, Dr Parvanova

should be put on taxation policies and a ban o

certain places, e.g. workplace.

Both Alastair Campbell and

professionals, in particular GPs, for

effective communication to these risk groups about

MEP Antonyia Parvanova

“Alcohol kills more people

than cigarettes do”

The views represented here do not necessarily reflect those of the organisers.

Member of the European Parliament Antonyia Parvanova

(ALDE, BG) stated that alcohol is more harmful to society than

tobacco: “every year more people die due to alcohol than to

cigarettes; a smoker will not cause a car accident but a drinker

may. Smoking does not contribute to destroying a family but

alcohol does and it is easier to quit smoking than to stop

drinking”. She stressed that both tobacco and alcohol were

powerful voices in decision-making and appealed to the

healthcare community to voice - loudly and continuously

rationale for putting in place effective policies on alcohol

based on published evidence. Dr Parvanova added that support

from other policy areas besides public health is required and

therefore asked the Commission, whether the Directorate

General for Health had the support from other

European Commission (e.g. from the internal market, taxation,

) to renew the EU Alcohol Strategy. Dr Parvanova concluded that

stakeholders should create an environment where it becomes impossible to deny that alcohol

is a problem in our society and that a Strategy to address it is key.

DEBATE AND CONCLUSIONS

debate focused on the role the European Union

and national Member States should have in the fight to combat

alcohol related harm and the different policy options available.

Some of the issues outlined in the debate are set out below.

rom the German Road Safety Council urged

the Commission to push for zero tolerance on drink driving and

Dr Parvanova added that a focus

should be put on taxation policies and a ban on selling alcohol in

place.

Johan Jensen from the Alcohol Policy Network

mentioned that a total ban on alcohol

would be the most effective and cheap

diminish alcohol consumption. As far as introducing a

ban on alcohol advertisement, Ms Testori

the EU does not have the power to intervene and is

therefore pushing for voluntary action

advertising aimed at young people.

Alastair Campbell made the point that the alcohol

industry’s job is to sell alcohol and

actions are unlikely to work.

and Diane Goslar underlined the importance of trained healthcare

professionals, in particular GPs, for the early identification of people at risk,

to these risk groups about the different options available to

6

do not necessarily reflect those of the organisers.

Antonyia Parvanova

stated that alcohol is more harmful to society than

ue to alcohol than to

a smoker will not cause a car accident but a drinker

may. Smoking does not contribute to destroying a family but

alcohol does and it is easier to quit smoking than to stop

She stressed that both tobacco and alcohol were

making and appealed to the

loudly and continuously - the

rationale for putting in place effective policies on alcohol,

evidence. Dr Parvanova added that support

health is required and

therefore asked the Commission, whether the Directorate-

General for Health had the support from other DGs within the

European Commission (e.g. from the internal market, taxation,

ategy. Dr Parvanova concluded that

stakeholders should create an environment where it becomes impossible to deny that alcohol

from the Alcohol Policy Network

alcohol advertisement

would be the most effective and cheapest policy to

far as introducing a

Ms Testori Coggi said

the EU does not have the power to intervene and is

pushing for voluntary actions to reduce

In relation to this,

made the point that the alcohol

industry’s job is to sell alcohol and thus, voluntary

underlined the importance of trained healthcare

at risk, as well as for the

the different options available to them.

Page 7: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

Both added that at a time where alcohol dependence is an increasing problem, it is

that treatment centres are being closed.

Liver Patients Association (ELPA)

identify alcohol dependent patients (as well as other diseases) and should therefore be

reimbursed.

The debate came to an end with a vivid discussion

dangerous substance.

The debate was concluded with a call from all panellists to renew the EU Alcohol Strategy.

PRESENTATIONS, PICTURES AND ADDITIONAL INFORMATION

1. The summary policy report ‘

opportunity to improve public health’

http://www.interventionsforalcoholdependenceineuropepolicy

2. PowerPoint Presentations from the panel and video address by the Danish Minister

Health, Ms Astrid Krag are available here:

dependence in Europe: A missed opportunity to improve public health

3. Pictures of the event are available here:

dependence in Europe: A missed opportunity to improve public health

4. EU Alcohol Strategy (currently being

lex.europa.eu/LexUriServ/site/en/com/2006/com2006_0625en01.pdf

The views represented here do not necessarily reflect those of the organisers.

Both added that at a time where alcohol dependence is an increasing problem, it is

treatment centres are being closed. Katerina Ossenberg, consultant to the

(ELPA) commented that liver enzyme tests could be used by GPs to

identify alcohol dependent patients (as well as other diseases) and should therefore be

The debate came to an end with a vivid discussion of whether alcohol should be regarded as a

concluded with a call from all panellists to renew the EU Alcohol Strategy.

PRESENTATIONS, PICTURES AND ADDITIONAL INFORMATION

The summary policy report ‘Interventions for alcohol dependence in Europe: A missed

opportunity to improve public health’ is available here:

http://www.interventionsforalcoholdependenceineuropepolicysummary.eu/

Presentations from the panel and video address by the Danish Minister

Health, Ms Astrid Krag are available here: Report launch: ‘Interventions for alcohol

dependence in Europe: A missed opportunity to improve public health’ - presentations

Pictures of the event are available here: Report launch: ‘Interventions for alcohol

Europe: A missed opportunity to improve public health’ - pictures

EU Alcohol Strategy (currently being evaluated) is available here: http://eur

lex.europa.eu/LexUriServ/site/en/com/2006/com2006_0625en01.pdf

7

do not necessarily reflect those of the organisers.

Both added that at a time where alcohol dependence is an increasing problem, it is regrettable

, consultant to the European

commented that liver enzyme tests could be used by GPs to

identify alcohol dependent patients (as well as other diseases) and should therefore be

whether alcohol should be regarded as a

concluded with a call from all panellists to renew the EU Alcohol Strategy.

PRESENTATIONS, PICTURES AND ADDITIONAL INFORMATION

Interventions for alcohol dependence in Europe: A missed

summary.eu/

Presentations from the panel and video address by the Danish Minister for

Interventions for alcohol

presentations

Interventions for alcohol

pictures

http://eur-

Page 8: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

ANNEX – LIST OF PARTICIPANTS

Accard Pauline

Allvin Thomas

Amberg Ariane

Ancans Peteris

Antonescu Elena Oana

Appelby Eric

Black Diane

Blædel Lassen Anders

Brandao Maria

Bredsgaard-Lund Bo

Bro Nina

Campbell Alastair

Capouet Mathieu

Chomille Dalida

Clarke Frazer

Covaci Elisabeta

Custódio José

Damgaard Jensen Johan

Das Sarada

Defraigne Guy

Fridberg Susanne

Fuchs Doriane

Garnes Nils

Goslar Diane

Goulão João

Hagan Paul

Hasseriis Iversen Jan

Hentgen Paul

Hockey Andy

Jesse Maris

Joao Podgorny Maria

Kohlke Gunda

Künstler Franziska

Lalevska Vasilka

Langford Andrew

The views represented here do not necessarily reflect those of the organisers.

LIST OF PARTICIPANTS

Pauline European Parliament, Assistant To Philippe Juvin MEP

Thomas Permanent Representation of Sweden to the EU

Ariane Swiss Mission to the EU

Peteris Permanent Representation of Latvia to the EU

Elena Oana Member of the European Parliament

Alcohol Concern

European FASD Alliance

Anders Lundbeck

Lundbeck

JKL Group

Alcohol Policy Network

Alastair Communicator, Former spokesperson to Tony Blair

Mathieu Belgian Federal public service: Health, Food Chain Safety

and Environment - Belgium

NBV Bryssel

S&D Group – Citizens' Europe Unit (Head of Unit)

Elisabeta European Parliament, Assistant to Elena Oana Antonescu

MEP

Lundbeck

Johan Alcohol Policy Network

Sarada Standing Committee of European Doctors (CPME)

Lundbeck

Susanne Lundbeck

Doriane European Public Health Alliance (EPHA)

European Alcohol Policy Alliance (Eurocare)

Working with the Royal College of Psychiatrists

Chairman EMCDDA Management Board, IDT

European Parliament, Assistant to Paul Skinner MEP

Lundbeck

Centre Hospitalier Neuro-Psychiatrique Ettelbruck

Luxembourg

Lundbeck

National Institute of Health Development of Estonia

Assistant to Vital Moreira MEP (Chairman of INTA

Committee)

Gunda Lundbeck

Franziska Assistant to Karin Maag MP Bundestag -

Vasilka Active - Sobriety, Friendship and Peace

Andrew British Liver Trust

8

do not necessarily reflect those of the organisers.

European Parliament, Assistant To Philippe Juvin MEP

Permanent Representation of Sweden to the EU

Permanent Representation of Latvia to the EU

Communicator, Former spokesperson to Tony Blair

Belgian Federal public service: Health, Food Chain Safety

Citizens' Europe Unit (Head of Unit)

European Parliament, Assistant to Elena Oana Antonescu

of European Doctors (CPME)

European Alcohol Policy Alliance (Eurocare)

Working with the Royal College of Psychiatrists (UK)

Chairman EMCDDA Management Board, IDT

European Parliament, Assistant to Paul Skinner MEP

Psychiatrique Ettelbruck -

National Institute of Health Development of Estonia

Assistant to Vital Moreira MEP (Chairman of INTA

- Germany

Page 9: Meeting Report: Interventions for Alcohol Dependence in Europe

The views represented

Lacroix Jacqueline

Manczuk Marta

Møller Lars

Mulcock Neil

O’Sullivan Aiden

Ossenberg Katharina

Parvanova Antonyia

Pedersen Maria

Peuskens Hendrik

Pires Ribeiro Gomes Cristina

Maria

Pops Kadri

Pukeleviciene Vilma

Rankauskas Leopoldas

Rehm Juergen

Renzelmann Johan David

Sassi Franco

Schöner Ulrike

Scott Sam

Skar Mariann

Stihler Catherine

Storm Pernille

Tato Marinho Rui

Testori Coggi Paola

Theisen Caroline

Vajer Peter

van Eimeren Mischa

Veryga Aurelijus

Voordeckers Michael

Walker Margaret

Willmott Glenis

Woodford Emma

Wymenga Bibiche

The views represented here do not necessarily reflect those of the organisers.

Jacqueline German Road Safety Council

The Maria Sklodowska-Curie Memorial, Cancer Center

and Institute of Oncology

WHO Regional Office for Europe

Lundbeck

European Parliament, Assistant to Nessa Childers MEP

Katharina Consultant to European Liver Patients Association (ELPA)

Antonyia Member of the European Parliament

Permanent Representation of Denmark to the EU

Hendrik UC St Jozef Kortenberg

Cristina

Advisor to the Secretary of State Assistant to the Minister

of Health – Portugal

Lundbeck Estonia

Center for Addictive Diseases

Leopoldas Lundbeck

Juergen Dresden University

Johan David United European Gastroenterology (UEG)

Franco Health Division, Directorate for Employment, Labour and

Social Affairs, Organisation for Economic Co

and Development (OECD)

S&D ENVI Secretariat

Permanent Representation of the United Kingdom to the

EU

Mariann European Alcohol Policy Alliance (Eurocare)

Catherine Member of the European Parliament

Pernille Lundbeck

Directorate General of Health - Portugal

European Commission, DG Health and Consumers

Caroline Organisation des Etablissements de Soins/Organisatie

Gezondheidszorgvoorzieningen

Semmelweis University

Mischa United European Gastroenterology (UEG)

Aurelijus Lithuanian University of Health Sciences

Michael Hill & Knowlton

Margaret European Association for the study of the Liver (EASL)

Member of the European Parliament

Emma Association of European Cancer Leagues

Bibiche Dutch Ministry of Health, Welfare and Sport

Netherlands

-ENDS-

9

do not necessarily reflect those of the organisers.

Curie Memorial, Cancer Center

European Parliament, Assistant to Nessa Childers MEP

Consultant to European Liver Patients Association (ELPA)

Permanent Representation of Denmark to the EU

Advisor to the Secretary of State Assistant to the Minister

United European Gastroenterology (UEG)

Health Division, Directorate for Employment, Labour and

for Economic Co-operation

Permanent Representation of the United Kingdom to the

European Alcohol Policy Alliance (Eurocare)

Portugal

European Commission, DG Health and Consumers

Organisation des Etablissements de Soins/Organisatie

United European Gastroenterology (UEG)

Lithuanian University of Health Sciences

Association for the study of the Liver (EASL)

Association of European Cancer Leagues

Dutch Ministry of Health, Welfare and Sport – The