• CAMH leads the global monitoring effort for harmful alcohol use and alcohol-attributable harms (SDG goal: 3.5.2)

• CAMH has lead numerous PAHO training events for the assessment of fetal alcohol spectrum disorder, the measurement of alcohol use and alcohol-attributable harms, and the implementation of alcohol policies

• CAMH has evaluated the cost effectiveness of alcohol policies for numerous countries globally and in the Americas

• CAMH has produced numerous peer-reviewed publications, reports, book chapters, factsheets, webinars and other resources on trends in alcohol use and alcohol-attributable harms, and how to effectively reduce alcohol-attributable harms

1. Promote the improvement and expansion of country level surveillance systems for alcohol use and resulting harms

2. Strengthen alcohol policies by promoting the implementing effective interventions – SAFER

3. Investigate new interventions (e.g., labelling) which may reduce harmful alcohol use

CAN-29PAHO/WHO Collaborating Centre for Addiction and Mental HealthAuthors: Kevin Shield PhD, Lana Popova PhD MD, Ivneet Sohi MPH, Bethany Chrystoja MPH, Ari Franklen BSc, Ashley Wettlaufer MSc, Paul Shuper PhD, Jürgen Rehm PhD, Maristela Monteiro PhDDepartament/Divison, Institution: Centre for Addiction and Mental Health (CAMH)

1. Support in maintaining, updating and developing of the Global InformationSystem on Alcohol and Health (GISAH) and other surveillance activities

2. Collaborate with the WHO and the PAHO on the epidemiology of substanceuse and substance use disorders, including estimates of the alcohol-attributable disease burden

3. Collaborate with the WHO and the PAHO on implementation strategies onalcohol and substance abuse

4. Collaborate with the WHO and the PAHO to strengthen policy and healthsystem responses for mental and substance use disorders

Regional Status Report on Alcohol and Health in the Americas

Herramienta sobre políticas tributarias y de precios del alcohol

EditoresBundit Sornpaisarn, Kevin D. Shield,

Esa Österberg, Jürgen Rehm

Los consumidores, en particular los grandes bebedores y los jóvenes, son sensibles a las variaciones del precio de las bebidas. Se pueden emplear políticas de fijación de precios para reducir el consumo de bebidas al-cohólicas por menores de edad, detener la progresión hacia la ingestión de grandes cantidades de alcohol y/o episodios de borrachera, y ejercer influ-encia en las preferencias de los consumidores. El aumento del precio de las bebidas alcohólicas es una de las intervenciones más eficaces para reducir el uso nocivo del alcohol. Un factor clave para el éxito de las políticas de precios orientadas a reducir el uso nocivo de alcohol es un régimen eficaz y eficiente de imposición tributaria, con los mecanismos requeridos para recaudar impuestos y exigir el cumplimiento de la fiscalidad (Estrategia mundial para reducir el uso nocivo del alcohol).

Para más información, sírvase contactar:

Departamento de Salud Mental y Abuso de SustanciasOrganización Mundial de la SaludAvenue Appia 20CH-1211 Geneva 27SwitzerlandTel: +41 22 791 21 11Correo electrónico: msb@who.int www.who.int/substance_abuse

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2018

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RESEARCH HIGHLIGHT: Mortality in the Americas from 2013-2015 resulting from diseases, conditions, and injuries which are 100% alcohol-attributable

Title

Liver disease64%

Neuropsychiatric disorders

27%

Poisoning6%

Other diseases 3%

ALCOHOL-ATTRIBUTABLE DEATHS BY CAUSE OF DEATH

• The Majority 100% alcohol-attributable deaths occurred among those under 60 years of age (64.9%) and were due to liver disease (63.9%)

• Age-adjusted 100% alcohol-attributable mortality rates were highest in Nicaragua (23.2 per 100,000) and Guatemala (19.0 per 100,000)

CONCLUSION

• 100% alcohol-attributable mortality creates substantial health harms in the Americas.

• To prevent and reduce in the future further harms from alcohol, countries should not only improve the quality of their alcohol-related data and should implement effective interventions and policies strategies outlined in the World Health Organization’s new technical package called “SAFER,” to reduce alcohol availability and consumption.9

AGE-STANDARDIZED DEATHS 100% ATTRIBUTABLE TO ALCOHOL PER 100 000 PEOPLE, 2013 to 2015

> 13.4> 10.1 to 13.4> 7.7 to 10.1> 5.0 to 7.7> 3.0 to 5.0> 1.6 to 3.0< 1.6

No data

Not applicable

No data (not estimated)

Not applicable

255,096 alcohol-attributable deaths

1.4% of all-cause mortality

Mortality in the Americas from 2013-2015 resulting from diseases, conditions, and injuries which are 100% alcohol-attributable

Liver disease64%

Neuropsychiatric disorders

27%

Poisoning6%

Other diseases 3%

100% ALCOHOL-ATTRIBUTABLE DEATHS

• The majority of 100% alcohol-attributable deaths occurred among those <60 years of age (64.9%) and were due to liver disease (63.9%)

CONCLUSION• 100% alcohol-attributable mortality

creates substantial health harms in the Americas• To prevent and reduce harms countries

should implement the cost-effective WHO “SAFER” initiative

How this Collaborating Centre is contributing to the achievement of the SDGs

Deliverables

Terms of Reference Recommendations