Page last updated: Tuesday, March 29, 2005
WHO conference on Alcohol and Young People
The World Health Organisations European Conference on Alcohol and Young People took place this February in Stockholm.The tenor of the conference was predictable, reflecting WHO Europes pro-regulatory anti-alcohol stance, but the publicity generated, particularly by statistics relating to alcohol-related deaths among young people cited (55,000 deaths per annum among 15-19 year olds within the WHO EU region it is claimed) hints at a subtle shift in the alcohol policy agenda. Although WHOs views represent the extreme of public health thinking on alcohol, its capacity to generate hostile media coverage was demonstrated. Media attention focuses increasingly on the social damage of alcohol abuse; in the UK we have been bombarded with reports on womens ladette behaviour and Britains yob culture for example.

Dr Gro Brundtland spoke of her fury and feeling of manipulation over the marketing techniques that are being used to introduce alcohol to very young people.Many would argue that it is the misuse of alcohol and not the product itself which is the problem and the industry, through associations such as the Portman Group and the BLRA in the UK, does play an active role in combating abuse. Further more the ineffectiveness of the restrictive French Loi Envin (introduced in 1991 and recently reviewed) in reducing alcohol consumption enhances the research that there is no convincing evidence that advertising leads to an increase in overall consumption or abuse.

As well as advertising, the conference highlighted the regulation/self-regulation debate as David Byrne, European Commissioner for Health and Consumer Protection,while endorsing the WHOs tough stance on abuse, fell well short of advocating more legislation. He pointed out that much could be achieved by enforcing current laws and he challenged the industry to prove that it could regulate itself. "I have signalled to the industry that they have an opportunity to demonstrate their credentials by acting to enforce their codes." The conference made clear that any self-regulatory measures will be closely scrutinised - launching and publicising codes of practice is no longer the prime challenge, making them work is what really counts.

Self-regulation in all areas of alcohol policy can be effective and offers many advantages over legislation. The European Advertising Standards Alliance (EASA) has argued that properly designed and well administered self-regulatory systems provide a swift, flexible, inexpensive and effective means

of enabling the responsible majority of the industry to restrain the irresponsible minority. It can also be argued that legislation is more cumbersome , bureau-cratic and expensive for government than self regulation, which is respected more by those working in the industry who abide by the spirit of the code rather than the letter of the law as self-regulation is formed in partnership.However, if self-regulation is only there to stave off government regulation it is not a very good reason for it. The industry must embrace regulatory principles genuinely and whole heartedly and has to show that self-regulation, when fully supported and acted up, actually does work. If it does not, legislation will become irresistible.

While WHOs figures may be questionable, no one denies that problems such as under-age and binge-drinking are there. Arguing over exactly how many young people die as a result of alcohol abuse is not a politically wise move for the industry, but if through effective and imaginative programmes and self-regulation it can point to genuine reductions in the damage misuse does, its position is legitimised and strengthened

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