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Madureira-Lima and Galea developped an Alcohol Control Policy Index (ACPI) and claimed higher scores with their index were associated with lower consumption.(1) This deserved comment.
First, why looking for a complex and time consuming surrogate when the relevant endpoint, consumption, is so easy to assess? Moreover, if reliable data about consumption were not accessible, this would be the best indicator for lack of alcohol control policy.
Second, how France can rank in the top, 6th among 48 developed countries, for alcohol control? Indeed: a) France is among the barrels, the male population drank an average of 43g/day (female 13g) and, male regular drinkers drank 64g (women 45g).(2) b) serial laws in 2009 and 2016 were used to almost nullify the 1991 Évin law protecting people from alcohol advertising.(3,4) c) for the devastating flawed Responsibility Lansley only copied/pasted a 2006 decree (#159) issued by Bussereau, a French minister for agriculture;(5) d) France even lobbied against the Act about minimum alcohol pricing in Scotland, claiming it “would be disastrous on the balance of European trade”(6) e) the new president hired the CEO of the wine professional organization as his special advisor for agriculture (7) because alcohol is France's second biggest export sector after the aerospace industry.
Last, in my opinion no country has implemented alcohol control yet as alcohol control must be comprehensive with robust measures. Minimum alc...
Last, in my opinion no country has implemented alcohol control yet as alcohol control must be comprehensive with robust measures. Minimum alcohol pricing and health warnings indicating alcohol is a carcinogen are pre-requisites. Alcohol is a human carcinogen (Class 1) with dose-related increases in prevalence of cancers beginning, at the 1-2 drinks/day (10-20g). Happily, Yukon, a small territory in Canada, implemented this November mandatory labels warning of an elevated risk of cancer on alcoholic beverages.(8)
Coincidentally, reducing nicotine content and banning menthol, the most effective measures for tobacco control are not implemented even in countries targeting the tobacco endgame. However, as a skeptic I do not believe in coincidence. Could the fox be the one in charge of the henhouse?
1 Madureira-Lima J, Galea S. Alcohol control policies and alcohol consumption: an international comparison of 167 countries. J Epidemiol Community Health. 2017. Online Oct 23. doi: 10.1136/jech-2017-209350.
2 Guérin S, Laplanche A, Dunant A, Hill C. Alcohol-attributable mortality in France. Eur J Public Health. 2013;23(4):588-93.
3 Braillon A, Dubois G. Alcohol control policy: evidence-based medicine versus evidence-based marketing. Addiction 2011;106(4):852-3.
4 Gallopel-Morvan K, Spilka S, Mutatayi C, Rigaud A, Lecas F, Beck F. France's Évin Law on the control of alcohol advertising: content, effectiveness and limitations. Addiction 2017;112 (Suppl 1):86-93.
5 Braillon A. Pinnochio awards: Public Health Responsibility Deal among the nominees! Health Policy. 2017;121(1):92-93.
6 Minimum alcohol pricing: Position of France. BBC news. 25 July 2013 available at http://www.bbc.com/news/uk-scotland-scotland-politics-22188373
7 Anson J. President Macron appoints wine lobbyist as adviser. Decanter 2017 May 24 available at http://www.decanter.com/wine-news/president-macron-wine-adviser-bourolle...
8 Canadian Institute for Substance Use Research. Alcohol warning labels about cancer risk a Canadian first. University of Victoria. 2017 Nov 28 available at https://www.uvic.ca/research/centres/cisur/about/news/current/alcohol-wa...