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IN THIS EDITION
Minimum Unit Pricing
Mental Health and Addictions Inquiry
Auckland Council's Local Alcohol Policy proceeds to High Court
Alcohol Industry breaches own advertising code with hero of the young
Public Forums on alcohol-related submission opportunities
Drinking during pregnancy: a comparison of rates in Canada versus NZ
Submission alert: Purpose of Local Government
Upcoming conferences
Research Update

MINIMUM UNIT PRICING

Headlines around the world heralded day one of the implementation of Minimum Unit Pricing (MUP) in Scotland. New Zealand media have also initiated local debate.

Other countries and jurisdictions are looking to follow suit; Northern Territory kicks off MUP on July 1 and on March 13, the Welsh Government's Public Health (Minimum Price for Alcohol) (Wales) Bill passed its first reading.

New Zealand research concurs with overseas studies showing heavy (as well as frequent) drinkers are significantly more likely to purchase cheap alcohol.

The Ministry of Justice estimated that under a Minimum Unit Price of $1.20, low-risk drinkers will pay an additional $21 per year, increased risk drinkers an additional $54, and harmful drinkers will pay the most at $122 per year. This additional cost for harmful drinkers needs to be weighed against the findings that they benefit the most from this policy in terms of reduced alcohol-related deaths and hospital admissions for acute and chronic health harms. In particular, MUP is most effective for low income heavy drinkers. Equity needs to remain a primary focus for alcohol harm reduction policies.

MUP is just one of a suite of evidence-based strategies to reduce harm in our country. It targets the cheap end of the alcohol market. It cannot address the increasing affordability of all alcohol in New Zealand. To address affordability and reduce consumption across the population of New Zealand drinkers, we need immediate and significant increases in alcohol excise tax. By having both approaches, we can reduce both the absolute and relative inequities in alcohol harm.

MENTAL HEALTH AND ADDICTIONS INQUIRY - 'ONCE IN A GENERATION OPPORTUNITY'

Alcohol Healthwatch strongly welcomes the commencement of the Mental Health and Addictions Inquiry, a ‘once in a generation’ opportunity to improve New Zealand’s approach to mental health and reduce our stubbornly high suicide rates.

Alcohol use is a major risk factor for poor mental health and suicide and is obviously linked strongly to the development of addiction/dependence. An approach to improving mental health in our country must address alcohol use. There is good evidence linking strong alcohol policies to reduced suicides, particularly among young males.

Regional meetings are being held around the country to have your say. The next meetings to take place are:
  • NELSON 3 May, 5pm to 6.30pm - Seminar Centre, Braemar Campus, Nelson Hospital
  • AUCKLAND 8 May, 5pm to 6.30pm - Clinical Education Centre Auditorium, Auckland City Hospital, 2 Park Road, Grafton.
  • AUCKAND 10 May, 5pm to 6.30pm - Ngā Kete Wānanga Marae, Manukau Institute of Technology, NC Block, Gate 12, Otara Road, Otara.
Click here for dates and locations near you.

There are multiple ways to have your say during the Inquiry. Submissions close Tuesday 5 June – Alcohol Healthwatch will be assisting communities with their submissions and preparing an evidence-based briefing paper.

Written submissions, and summaries of oral submissions, may be published at the discretion of the Inquiry, or provided to third parties to facilitate participation in the Inquiry or comply with principles of natural justice. Please note that you can request confidentiality for your submission - click here to read more.
AUCKLAND COUNCIL'S LOCAL ALCOHOL POLICY PROCEEDS TO HIGH COURT

Foodstuffs North Island, Progressive Enterprises and The Redwood Corporation (representing The Pelican Club brothel) had their first day in the High Court on April 12 in relation to the judicial reviews of Auckland Council’s Local Alcohol Policy. The judicial review appellants were seeking a stay in proceedings in relation to their ARLA appeals to the Amended Provisional LAP so that the judicial review be heard first.

If this stay is granted, it could be many years until Auckland Council’s LAP affords any protection to individuals and communities experiencing alcohol-related harm. Recent media has highlighted the problems associated with the LAP appeals process and Napier councillor Maxine Boag is to be congratulated for spearheading a remit with Local Government NZ (LGNZ) to tackle the challenges communities are facing in having their views and wishes upheld.
 
Beer advertising featuring double Olympic gold medallist Eric Murray has been found to be in breach of the Advertising Standards Authority (ASA) Code for Advertising and Promotion of Alcohol, following a successful complaint from Alcohol Healthwatch. 

“Prohibiting heroes of the young featuring in alcohol advertisements is intended to protect adolescents from the harmful effects of alcohol advertising.  This example is one of many illustrating the failure of the alcohol industry’s self-regulatory approach to alcohol advertising” said Alcohol Healthwatch Executive Director Dr Nicki Jackson.

There has also been some fantastic coverage of the alcohol sports sponsorship debate. To watch TV3's The Nation, click here.

UMR polling in February, commissioned by Alcohol Healthwatch, showed 62% of New Zealanders supported the Government restricting alcohol advertising and sponsorship in the same way it restricts tobacco advertising and sponsorship. Higher levels of support were found among Pacific peoples (85% support), Green Party voters (74 % support), and NZ First voters (70% support).
Last month, Public Health and community stakeholders were invited to attend one of three public forums (Wellington, Auckland and Christchurch) on alcohol-related submission opportunities:
The forums were organised by Alcohol Healthwatch in collaboration with Hāpai te Hauora (Auckland), New Zealand Medical Association and New Zealand Nurses Organisation (Wellington), and the National Addiction Centre (University of Otago, Christchurch).  We thank everyone for their attendance and participation (especially all of you who put submissions in!). Please contact us should you wish to receive the slides from the forums. (Photo: Dr Nicki Jackson, Executive Director)
In the recently-published FASD World Health Organisation prevalence study in Toronto, Canada, 74.6% of biological mothers interviewed reported consuming alcohol prior to pregnancy recognition. This is similar to the 71% of pregnancies reported by biological mothers in the Growing up in NZ (GUINZ) study carried out in the Auckland and Waikato regions. 

However, where the two countries diverge significantly is in the percentage of hazardous drinking prior to pregnancy recognition and the rate of continued drinking following pregnancy recognition.  In the Canadian study, 11% of women were drinking at levels considered ‘high risk’ for FASD prior to pregnancy recognition, compared to the GUINZ prevalence of 29% drinking at hazardous levels (4 or more units per week).  

Following pregnancy recognition, 23% of the GUINZ mothers drank alcohol in the first trimester and 13% thereafter, compared with 6.4% of mothers in the Canadian study drinking after pregnancy recognition.  

Based on the rates of prenatal alcohol exposure, and all other factors being equal, New Zealand might expect a doubling or trebling in the 2-3% FASD prevalence found in the Canadian population-based study. 

Submissions are open on the Local Government (Community Well-being) Amendment Bill which aims to restore the purpose of local government to be "to promote the social, economic, environmental, and cultural well-being of communities."

Submissions close May 25, 2018

Alcohol Action Conference
"Who should pay for all the harm from alcohol?"
August 15 2018, Te Papa, Wellington (save the date, more information to follow)

Australasian Professional Society on Alcohol and other Drugs
Auckland 4 - 7 November 2018, Pullman Auckland Hotel, New Zealand

2nd Australasian Fetal Alcohol Spectrum Disorder Conference (FASD2018)
Perth, November 21– 22 2018

DAPAANZ Cutting Edge 2018 - It's all about connection
12-15 September, Energy Event Centre, Rotorua
 
Hot off the press is a wealth of high-quality alcohol research. Of particular note is the large study of 599912 current drinkers in 83 prospective studies finding that the threshold for the lowest risk for death and cardiovascular disease outcomes (other than heart attacks/myocardial infarctions) was approximately 10 standard drinks per week. Currently, the Health Promotion Agency low-risk drinking advice to reduce long-term health risks is to consume no more than 10 standard drinks per week for females and 15 standard drinks per week for males. These are to be reviewed in the near future, in light of growing evidence of the chronic harms from low levels of alcohol consumption.

Email Alcohol Healthwatch if you are unable to access any of the full-text versions below.

Harm to others
The untold story: Harms experienced in the Irish population due to others’ drinking
Alcohol’s Harm to Others: Opportunities and Challenges in a Public Health Framework
 
Price
The economic impact of changes in alcohol consumption in the UK
Taxes for health: evidence clears the air
Equity impacts of price policies to promote healthy behaviours
Action on minimum unit pricing of alcohol: a broader need
Trends in affordability of alcohol in New Zealand: Report

Thresholds for drinking
Risk thresholds for alcohol consumption
Thresholds for safer alcohol use might need lowering

Advertising and marketing
Youth perceptions of alcohol advertising: are current advertising regulations working?
Industry self-regulation of alcohol marketing: a systematic review of content and exposure research
Do marketing and alcohol treatment/public health experts think televised alcohol advertisements abide by regulatory guidelines?

Alcohol industry
Alcohol industry corporate social responsibility initiatives and harmful drinking: a systematic review
Social lobbying: a call to arms for public health

Mental health
Contribution of alcohol use disorders to the burden of dementia in France
Poor mental health, peer drinking norms, and alcohol risk in a social network of first-year college students

Availability
Post-earthquake analysis of crime and alcohol outlets in Christchurch
New Zealand Alcohol Supply and Demand Structures: Research Report
Space-time Analyses of Alcohol Outlets and Related Motor Vehicle Crashes
Proximity to Liquor Stores and Adolescent Alcohol Intake: A Prospective Study

Mass media and education
Effectiveness of Mass Media Campaigns to Reduce Alcohol Consumption and Harm: A Systematic Review
Evaluation of a public education campaign to support parents to reduce adolescent alcohol use

Licensing and Local Alcohol Policies
Sale and Supply of Alcohol Act 2012: Community Experience Survey
Effectiveness of lockouts in reducing alcohol‐related harm: Systematic review

Young people
Adolescents drink less: How, who and why? A review of the recent research literature

Moderation
New Zealanders cutting back on alcohol consumption
Strategies associated with low‐risk drinking: a population‐based study

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