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Cristina Ribeiro, MD Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels, 21- 22 June 2010

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Page 1: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

Cristina Ribeiro, MDCristina Ribeiro, MD

IDT,IP

National Plan to Reduce Alcohol Related Problems

A Call for Action4

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Brussels, 21- 22 June 2010

Page 2: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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•Pillars• Background

• International

• National

• Intervention areas

• Goals and targets

• Some measures

MC

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 3: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Pil

lars

A Coordination

Clear Targets

A national network for treatment

An Alcohol Forum

MC

National Plan to Reduce Alcohol Related Problems

Brussels, 21- 22 June 2010

Page 4: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 5: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

Coordination

National CouncilInterministerial

CouncilNational

Coordinator

Technical Comission

Comissão TécnicaSub Comissions

CentralAdministrationMunicipalitiesCivil SocietyNGO’sOther organizations

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Brussels, 21- 22 June 2010

Page 6: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 7: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Go

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To reduce the:

• Prevalence of drunkenness from 20,7% to 18 % (2007-2011), on the population;

• Prevalence of drunkenness from 34,6% to 30 % (2007-2011), on the young people between 15-24;

• Mortality rate from 18.8%000 to 14%000.

National Plan to Reduce Alcohol Related Problems

Brussels, 21- 22 June 2010

Page 8: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

National Plan to Reduce Alcohol Related Problems

Ref

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Brussels, 21- 22 June 2010

Page 9: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

Nat

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National Plan to Reduce Alcohol Related Problems

Data BaseR

efer

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Coo

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Brussels, 21- 22 June 2010

Page 10: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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• Methodology

• Pillars

• Background• International

• National

• Intervention areas

• Goals and targets

• Some measures

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 11: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Background - International

EU strategy on reducing alcohol related harm

. European Alcohol and Health Forum

. Committee on National Alcohol Policy and Action

“Global Strategy to reduce the harmful use of alcohol“ (WHO)

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Brussels, 21- 22 June 2010

Page 12: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Background - National

Increase in consumption prevalence ( 2001–2007)

During live time (75,6% - 79,1%)

In the last year (65,9% - 70,6%)

In the last month (59,1% - 59,6%)

For all age groups

Souce:The consumption of psychoactive substances in general population - CEOS/IDT 2007Souce:The consumption of psychoactive substances in general population - CEOS/IDT 2007

Brussels, 21- 22 June 2010

Page 13: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Background - National

Souce:The consumption of psychoactive substances in general population - CEOS/IDT 2007Souce:The consumption of psychoactive substances in general population - CEOS/IDT 2007

20,7% of the population got drunk in the last

year

7,8% of the population got drunk in the last month

The binge drinking consumption occurs in 41, 6% of the population during life time

Brussels, 21- 22 June 2010

Page 14: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Souce: ACS, 2008Souce: ACS, 2008

1 880 people, under age of 65, died because of

alcohol related diseases

305 people died in car accidents with more than 0,5 g/l

Brussels, 21- 22 June 2010

Page 15: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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•Pillars

• Background• International

• National

• Intervention areas• Goals and targets

• Some measures

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 16: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Inte

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• Young people, children and the unborn child• Drink and driving• Adults and Workplace • Prevention, education and communication • Information Systems and data base • Treatment • Rehabilitation

National Plan to Reduce Alcohol Related Problems

Brussels, 21- 22 June 2010

Page 17: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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• Pillars

• Background• International

• National

• Intervention areas

• Goals and targets• Some measures

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 18: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Lower harmful consumption patterns

Promote abstinence during pregnancy

Higher level of protection for underaged

Reduce alcohol consumption among the youth

Reduce availability of alcohol

Better regulation of alcohol advertising

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 19: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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•Pillars

• Background• National

• International

• Goals and targets

• Intervention areas

• Some measures

National Plan to Reduce Alcohol Related Problems

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Brussels, 21- 22 June 2010

Page 20: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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So

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• Increase from 16 to 18 the serving/sales age limit;

• Reduction of BAC for young and novice drivers usually more involved in alcohol-related road accidents;

• Significant Increase in number of controls/ breath testing on the roads;

• Tightening of fines and penalties for drunk-drivers causing accidents;

National Plan to Reduce Alcohol Related Problems

Brussels, 21- 22 June 2010

Page 21: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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So

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• Introduction of educational school-family programmes involving young people and parents;

• Introduction of training programs for health care professionals to increase ability to treat hazardous, harmful and alcohol dependence.

National Plan to Reduce Alcohol Related Problems

Brussels, 21- 22 June 2010

Page 22: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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• The main goals of the referral network are:

• To develop and maintain a continuum of care• To deliver services in the most effective and

appropriate manner• To provide a system of mutual case information

exchange

National Alcohol Referral Network4

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Page 23: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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Involving different actors:

• Institute on drugs and drug adiction

• Primary Health Care

• Mental Health Services

• Non Governmental Organizations

• Private health Sector

National Alcohol Referral Network4

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Brussels, 21- 22 June 2010

Page 24: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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So:• If you are going to drive, please don’t drink;• If you are pregnant, please don’t drink;• If you are under 18 years old, don’t drink.

And you all:• Help us to keep the alcohol issue high on the

Portuguese political agenda in the next years period – 2009-2012

National Plan to Reduce Alcohol Related Problems

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Page 25: Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels,

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INSTITUTO DA DROGA E DA TOXICODEPENDÊNCIA, I.P.INSTITUTO DA DROGA E DA TOXICODEPENDÊNCIA, I.P.

SERVIÇOS CENTRAIS

Praça de Alvalade, nº 7 - 5º ao 13º1700-036 Lisboa

Telef. 21 111 91 00 / 21 111 90 99Fax: 21 111 27 95

[email protected]

[email protected]

www.idt.pt

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