bringing the Global Alcohol Strategy to those who need it most Dr Joanne Corrigall Richard Matzopoulos Injury prevention workgroup: current activities Vision: To reduce injuries in the Western Cape All injuries Largest contributors to injury BoD Largest contributing risk factor to injury BoD Interpersonal violence & Road Traffic injuries Alcohol-related Interpersonal violence and road injuries Groundwork for broader interventions Who is dying from homicide? Number of cases 1800 1672 1681 1600 1430 1400 1200 1038 1000 800 535 600 400 200 Men aged 20-39 763 686 334 220 78 45 54 0 236 241 138 >50% are alcohol positive Age group Sour ce: Medical Research Council of South Africa. 2009. A profile of fatal Injuries in South Africa 2008: Annual Report for South Africa based on th e National Injury Mortality Surveillance System (NIMSS). Domestic violence? Inconsistency? More than 95% of studies show a positive association between alcohol and violence The only real inconsistency is the SIZE of the effect i.e. how big an influence does alcohol have on aggressive behaviour? Largest effects in populations with -high binge-drinking -high public drinking -violent societies -easy access to alcohol SOUTH AFRICA Foran & O’Leary 2008 Clinical Psychological Review 28(7) 1222-1234 Health burden from Alcohol (South Africa) Violence Road Injuries Violence Road Mental illness HIV, TB South Africans are big drinkers South Africa 2nd highest rate of substance abuse & dependence in the world Alcohol consumed per drinker per year +/- 18 litres : comparable to UK, Ukraine & Russia : top 4 heaviest drinkers in the world Western Cape province- more drinkers, more binge drinkers Trends: increase in alcohol consumption amongst youth Alcohol related violence 10 times the global average of violence (men) Western Cape: Highest homicide per capita in SA Within Western Cape: 50% of alcohol-related injury deaths occur in 5 suburbs!! The “High 5” approach Violence is CONCENTRATED Suburbs Zero Positive Unknown Total Khayelitsha 313 (15%) 527 (21%) 303 (8%) 1143 (13%) Gugulethu 97 (5%) 169 (7%) 143 (4%) 409 (5%) Nyanga 121 (6%) 161 (7%) 149 (4%) 431 (5%) Kraaifontein 73 (3%) 124 (5) 92 (2%) 289 (3%) Philippi 110 (5%) 125 (5%) 143 (4%) 378 (4%) . . Total 2135 (100%) . . 2460 (100%) . 3902 (100%) 8497 (100%) Approx. 50% of alcohol-related violence occurs in 5 areas Source: PIMMS (DoP analysis) The High 5 project High 5 A focus on 5 high risk areas to deliver intersectoral alcohol-related violence reduction interventions VPUU with Alcohol included Alcohol abuse prevention model a good fit with VPUU model Examples: Financial Models, Action Plans Governance, Capacity Building M&E Alcohol: Policy Expand include alcohol Examples: Alcohol: Brief Interventions ECD Counter-messaging Conflict management Education Social cohesion Business development Recreation Skills development ECD Mental Health Social Cohesion Urban upgrading Alcohol: Implementation of Liquor Act Examples: Safer drinking environments Street lights Traffic calming Creating local trading places Infrastructural improvements Use of Public Buildings/Spaces Urban upgrading MEETS bringing the Global Alcohol Strategy to those who need it most Need for campaign GENERAL PUBLIC, DRINKERS & INTERVENTION AGENTS Scewed normative views of drinking Bombardment of alcohol advertising & misinformation campaign Poor knowledge of risks & how to avoid them Poor knowledge of what the problem is & how to fix it Need to gain support for policies/legislation/interventions : need community involvement PUBLIC MESSENGERS: Wrong messages being spread! BOOZA MYTHS Drugs cause more violence than alcohol Advertising has no effect on drinking Alcoholics are the main problem Educating people about the harms of alcohol is the answer Restricting access to alcohol will make no difference BUSTED to the rescue!! Booza TV EPISODE 1: THE CULTURE OF DRINKING EPISODE 2: WHY WE DRINK ALCOHOL AND WHY WE ABUSE IT EPISODE 3: ALCOHOL, THE MEDIA & ROAD INJURIES EPISODE 4: ALCOHOL AND VIOLENCE EPISODE 5: THE LIQUOR ACT EPISODE 6: SOLUTIONS PLAY CLIP OF BOOZA TV Elsies River Pilot Project Pilots Booza TV as a tool for social mobilisation for actions to reduce alcohol-related violence 2 groups: Stakeholders & Binge Drinking Youth Pilot study results: Booza TV is effective in challenging normative views about drinking; and Establishing links between violence & drinking successfully mobilised support for evidence-based interventions including the Liquor Act MOST notable effects amongst DRINKING YOUTH (opinion changes, fact uptake, possibility of changing current culture) Campaign 1. AIMS Stimulate and inform public debate about alcohol what should be done about alcohol abuse Increase knowledge about and promote action for safer drinking practices Promote adoption of evidence-based alcohol abuse prevention interventions by government, non-governmental and community-based organizations Maximize viewing/usage of Booza TV Thank You The Boozalution will be televised!