- Five pitfalls to avoid in evaluating training
- Scotland publishes first UK guidelines for diagnosing fetal alcohol spectrum disorder (FASD)
- The Alcohol Framework 2018 Preventing Harm
- Scotlands new drug and alcohol strategy launched
- AFS welcome new alcohol strategy
- Recent reporting on alcohol sales data
- Cross-Party Group Improving Scotland's health: 2021 and beyond October 2018
- Diageo is failing to provide latest guidelines on their products
- Drinks companies keeping consumers in dark about risky drinking
- Reducing alcohol consumption can address health inequalities
- Alcohol-specific deaths remain at very high levels
- Oh Lila goes digital
- Global first alcohol policy set to save hundreds of Scots' lives
- AFS welcomes minimum unit pricing for alcohol
- Walker's crisp ad exposes children to alcohol marketing
- Truer picture of alcohol harm revealed
- Focus on link between alcohol and obesity
- Alcohol causes 3,700 deaths in Scotland every year
- Last Christmas for heavily discounted alcohol
- Scotland's licensing system needs clearer direction
- Minimum pricing blog
- Minimum pricing gets green light
- Reflections on GAPC 2017
- Alcohol brands and young people
- Time for honest conversations about alcohol
- Q&A on alcohol marketing
- UK children anxious about parents' drinking
- Quarter of Scots drink above guidelines
- Alcohol producers failing to inform public
- Concern over alcohol-related deaths
- We need to make it easier for people to drink less
- Worrying rise in alcohol-related deaths
- Minimum pricing will save lives
- Pocket money prices for alcohol continue
- Scotland's alcohol problem laid bare
- Cheap alcohol is costing Scotland dear
- One drink a day can increase breast cancer risk
- Poverty linked to increased harm from alcohol
- What next for reducing alcohol harm in Scotland?
- Scotland must do more to turn tide of alcohol harm
- Concern as funding for alcohol services cut
- Budget: No change in alcohol duty
- Scottish Government urged to curb alcohol marketing
- Consumers have the right to know health risks
- Chancellor urged to tackle cheap, strong cider in Budget
- Online help for families affected by alcohol
- Alcohol-free childhood is healthiest option
- SWA granted leave to appeal minimum pricing
- Drink drive warning
- Scottish Greens call for action on alcohol marketing
- Scottish Government receives European alcohol award
- SWA will appeal to UK Supreme Court
- Half of alcohol being sold under 50p per unit
- SWA urged to respect minimum pricing decision
- Alcohol and mental health are closely linked
- Minimum pricing can be implemented in Scotland
- Alcohol sold at pocket money prices
- Scotland has so much to gain from reducing how much we drink
- AFS welcomes revised alcohol consumption guidelines
- Emergency services face shocking levels of alcohol abuse
- Every child has the right to grow up safe from alcohol harm
- Public health must prevail over big business
- New toolkit to help children affected by family alcohol problems
- Price check reveals cheap cost of strong alcohol
- Sales increase underlines need for minimum pricing
- Time to kick alcohol out of sport
- Alcohol linked with stomach cancer
- AFS calls for compulsory health warnings on alcoholic drinks
- Are supermarkets 'responsible retailers' when it comes to alcohol?
- Scottish health charities call for excise duty rise to tackle cheap alcohol
- Alcohol campaigners unite to call for stronger protection from alcohol advertising to children
- New resource for people concerned about alcohol in their community
- Minimum pricing decision delayed until summer
- No completely 'safe' level of drinking
- New alcohol guidelines published
- Minimum pricing - European court ruling
- Alcohol fuels ambulance assaults
- 82% of Scots agree drink driving is unacceptable
- Scotland's alcohol strategy - what next?
- Scotland leads way in evidence-based alcohol policy
- New report reveals impact of alcohol on emergency services
- Alcohol: a global concern
Scotland has so much to gain from reducing how much we drink
I recall writing in my Chief Medical Officer’s annual report of 2005 that Scotland was seeing early signs of shedding its ‘Sick Man of Europe’ tag.
The most significant measure in a generation to improve the nation’s health - the ban on smoking in public places – had just been passed and I sensed the start of a wider cultural change that good health was something to be enjoyed. However, I also cautioned that there were serious and growing health challenges facing us and in particular, alcohol and health inequalities.
In 2005, more than 1,500 Scottish men and women lost their lives because of alcohol – that’s 29 people on average every week that year. Now the figure is 22 alcohol-related deaths per week - think of all the players in a football match dying of alcoholic liver disease and other conditions every single week. While we have made some progress, every one of these is a tragic, premature and most importantly, preventable death. What’s more, people living in the poorest communities of Scotland are six times more likely to die because of alcohol than those in more affluent areas.
Whether we’re talking about alcohol, gambling, obesity or physical activity, we need to consider how all of our high streets and neighbourhoods can support good health rather than contributing to ill-health. For example, we know that deprived areas have 40% more places to buy alcohol than more affluent areas. The more widely available and easily accessible alcohol is, the more we drink and the more harm will be caused.
Global Alcohol Policy Conference
As Chair of Alcohol Focus Scotland, one of my proudest moments was welcoming alcohol campaigners, researchers and health professionals from all over the world to Edinburgh last October. Scotland was chosen to host the Global Alcohol Policy Conference (GAPC) because of the progressive approach that we have been taking to addressing alcohol harm, particularly in pursuing minimum unit pricing.
It was evident at GAPC that while drinking levels and patterns vary considerably around the world – in fact almost half of adults in the world have never consumed alcohol – rising consumption is a growing threat in most regions. This is being driven by a powerful global alcohol industry which is recruiting drinkers in new markets with products backed by big budget marketing campaigns. The global industry acts quickly to block or at least delay effective alcohol control policies because they are so concerned about losing any of their substantial profits. They copy the tactics of Big Tobacco, and do not hesitate to put their profits and the interests of their shareholders above the good of public health.
Beyond minimum pricing
Here in Scotland, global corporations fronted by the Scotch Whisky Association, have taken the Scottish Government to court over minimum unit pricing, delaying the implementation of the bold legislation passed by the Scottish Parliament on this issue by more than three years now. Setting a floor price below which alcohol cannot be sold will prevent an estimated 1,600 hospital admissions, 3,500 crimes and save 60 lives in the first year alone. I am so disappointed that this policy has still not been put in place; the Scotch Whisky Association’s challenge is absolutely inexcusable.
Beyond minimum pricing, there are other things we can do to reduce the impact of alcohol in Scotland and especially to protect the next generation. For example, it is deplorable that our children are exposed to so much alcohol marketing as they go about their daily lives.
There is strong evidence that the more advertising messages they see, the more likely they will be to start drinking and to drink more if they are already drinking. Despite the efforts of the alcohol industry to portray it as just part of the weekly shop, alcohol is an addictive, toxic, age-restricted product. Why, then, do we allow alcohol brands to reach under 18s through sophisticated advertising campaigns, sports and festivals sponsorship and celebrity endorsements? Scotland could and should take steps to protect our children from exposure to alcohol marketing.
Scotland has made great strides in reducing tobacco use. The health benefits to all of making public places smoke-free are priceless and Scotland’s action on tobacco control shows we can be bold when it comes to protecting and improving public health. But we must remember that alcohol too is an addictive, carcinogenic product which causes thousands of premature deaths and which impacts on innocent bystanders.
If we want to reduce cancer, liver disease, cardiovascular disease, injuries, and mental health problems, we need to step up our alcohol control efforts. Scotland has so much to gain from reducing how much we drink.
As I step down as Chair of Alcohol Focus Scotland, I know that I am leaving a well-led organisation with a wonderful staff supported by a committed Board. They will continue to work with the whole public health community in Scotland to change Scotland’s relationship with alcohol and improve the nation’s health.
Dr Mac Armstrong CB
Chair, Alcohol Focus Scotland