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Helsinki , August 29, 2011, BSPC ESC Alcohol Policy International perspective Mr.Bernt Bull, Chairman ASA EG, NDPHS Main killers in the WHO European Region Deaths in EURO due to selected risk factors in 2004 Global High Level Ministerial Conference on NCD Per cent of global DALY Alcohol consumption Two main dimensions affect health: Average of volume Patterns of drinking especially binge drinking Estimated 618.000 deaths attributable to alcohol a year in Europe (2004). Estimated 17 mio years lost due to disability and death (DALY) a year in Europe (2004). In Europe, 6.5% of deaths and 11.4% of DALYs were attributed to alcohol use. Globally 3.8% of deaths and 4.6% of DALYs were attributed to alcohol use. Causal model of alcohol consumption, intermediate mechanisms, and long-term consequences Alcohol related disease and injury Chronic disease: Cancer: Mouth Strengthen and disseminate the knowledge base on the size and determinants of alcohol-related harm and on effective interventions to reduce and prevent such harm; Increase technical support to, and enhance the capacity of, Member States for reducing the harm done by alcohol, and managing and treating alcohol-use disorders and associated health conditions; Strengthen partnerships and better coordination among stakeholders and increase mobilization of resources required for concerted action to reduce the harmful use of alcohol; and Improve systems for monitoring and surveillance at sub-national, national and European levels, and to ensure more effective dissemination and application of information for advocacy, policy development and evaluation. Given the magnitude and the complexity of the problem, concerted efforts must be in place to support Countries in the challenges they face at the national level. International coordination and collaboration create the synergies that are needed and provide increased leverage for Countries to implement evidence-based Measures Raise Regional awareness of the magnitude and nature of the health, social and economic problems caused by harmful use of alcohol, and increased commitment by governments to act to address the harmful use of alcohol Sustainable action requires strong leadership and a solid base of awareness and political will and commitment To build p