12
"Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr Lars Møller Programme Manager a.i. WHO Regional Office for Europe Dr Vladimir Poznyak Coordinator WHO Headquarter

"Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

Embed Size (px)

Citation preview

Page 1: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Measuring the problem of alcohol and the unborn child

Measuring the problem of alcohol and the unborn child

Dr Lars Møller

Programme Manager a.i.

WHO Regional Office for Europe

Dr Vladimir Poznyak

Coordinator

WHO Headquarter

Page 2: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Global strategy to reduce the harmful use of alcohol Global strategy to reduce the harmful use of alcohol

Endorsed by the 63rd World Health Assembly in May 2010.

Represents a unique consensus among WHO 193 Member States on ways to tackle harmful use of alcohol at all levels.

Page 3: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

European Action Plan to reduce the harmful use of alcohol 2012-2020

European Action Plan to reduce the harmful use of alcohol 2012-2020

European Region has Alcohol Action Plan back in 1992

European action Plan to reduce the harmful use of alcohol 2012- 2020 - for discussion on 14 September 2011

A plan to implement the Global Alcohol Strategy

10 Action areas

Page 4: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Global Strategy and European Action Plan. Area 2: Health services’ response

Global Strategy and European Action Plan. Area 2: Health services’ response

supporting initiatives for screening and brief interventions for hazardous and harmful drinking at primary health care and other settings; such initiatives should include early identification and management of harmful drinking among pregnant women and women of child-bearing age;

improving capacity for prevention of, identification of, and interventions for individuals and families living with fetal alcohol syndrome and a spectrum of associated disorders;

Regular reports on alcohol can be prepared and cover drinking among adults, including trends in alcohol consumption, types of alcohol consumed, socioeconomic variables, demographic characteristics, drinking and pregnancy, adults’ drinking behaviour and knowledge of alcohol, and geographical patterns of alcohol consumption;

Page 5: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Global and European actions: key role and components

Global and European actions: key role and components

Public health advocacy and partnership

Technical support and capacity building

Production and dissemination of knowledge – continuing its collaboration with international networks

of scientists and health experts to promote research on various aspects of harmful use of alcohol;

Resource mobilization

Page 6: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

The UN High-level Meeting on Noncommunicable Diseases

The UN High-level Meeting on Noncommunicable Diseases

Page 7: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Harmful use of alcohol as preventable risk factor of NCDs

Harmful use of alcohol as preventable risk factor of NCDs

Four main risk factors and the influences on the global epidemic:

Tobacco: 6 million deaths per year

Harmful use of alcohol: 2.3 million deaths per year

Insufficient physical activity: 3.2 million deaths per year

Unhealthy diet: partially reflected in the 2.8 million overweight and obesity deaths per year; raised cholesterol causing 2.6 million deaths

Page 8: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

WHO International Collaborative Research Project on Fetal Alcohol Spectrum Disorder: Background

WHO International Collaborative Research Project on Fetal Alcohol Spectrum Disorder: Background

Intensive consultation process on developing global strategy to reduce harmful use of alcohol (started in May 2008) where FAS-related issues were raised by MS representatives. FAS also raised in European Consultations (February and May 2011)

The continuing work on alcohol-attributable global burden of disease (GBD) and comparative risk assessment (CRA)

Global Expert Meeting on Alcohol, Health and Social Development. 23 September 2009, Stockholm, Sweden

WHO meeting "Alcohol, Health and Development:agenda for international research". Stockholm, 24-25 September 2009. Identified and discussed priority research projects on alcohol, health and development.

Page 9: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

WHO Project on Alcohol, Health and Development: priority areas for WHO-supported international research

WHO Project on Alcohol, Health and Development: priority areas for WHO-supported international research

Fetal Alcohol Syndrome/Fetal Alcohol Spectrum Disorders

Harm to others from drinking ("collateral damage")

Implementation of effective alcohol policies in the context of development

Alcohol and Infectious Diseases– TB– HIV

Page 10: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Prevalence of Fetal Alcohol ExposurePrevalence of Fetal Alcohol Exposure

Self-reported drinking among mothers:

– UK1: 33% report drinking during pregnancy– France2,3: 23-52% report drinking during pregnancy

3.4-7.3% report at least one binge drinking episode

– Sweden4: 30% report regular alcohol consumption during pregnancy

9% report drinking >5 drinks more than 1x/month

1% report drinking >5 drinks at least 1x/week

1Dex & Joshi, 2005; 2Kaminski et al., 1995; 3De Chazeron et al., 2008; 4Goransson et al., 2003

Page 11: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

Prevalence of FASDPrevalence of FASD

Data available in only 21 countries, often outdated and methodologically unreliable

Prevalence estimates:– USA1: FAS: 2-7 per 1000

FASD: estimated 2-5% in young school children

– Italy2: FAS: 3.4 - 7.4 per 1000 primary school children FASD: 35 per 1000 primary school children

– France3,4: FAS: 1.3 – 4.8 per 1000 birthsFASD: 5.6 per 1000 births

– Norway5: FAS: 1.2 per 1000 FASD: 1.5 per 1000

1 May et al., 2009; 2 May et al., 2006; 3 Sampson et al., 1997; 4 De Chazeron et al., 2008; 5 Elgen et al., 2007

Page 12: "Protecting the Unborn Child" European Parliament Policy Debate 7 th September 2011, Brussels Measuring the problem of alcohol and the unborn child Dr

"Protecting the Unborn Child"European Parliament Policy Debate7th September 2011, Brussels

WHO collaborative research study to determine the prevalence and incidence of FASD

WHO collaborative research study to determine the prevalence and incidence of FASD

Main objectives:1. to determine the prevalence of FAS and FASD in selected countries

2. to determine the prevalence of fetal alcohol exposure in selected countries and to indirectly estimate the incidence of FASD

Methods: 1. active case ascertainment among school children (7-9 years)

2. maternal drinking data and biomarkers of fetal alcohol exposure

Countries envisaged to participate in study:Confirmed participation: Ukraine, Belarus, Rep. of Moldova, Russia, Canada

Under consideration: Poland, Kazakhstan, Mongolia, Ghana, Kenya, Chile