Full title: How a minimum unit price for alcohol was scuppered.

Paper by Ian Gilmore and Mike Daube. Published in BMJ in January 2014.

Written by: Francesco Zambon, Belinda Loring

This policy guidance aims to support national, regional and local policy-makers in Europe to prepare, implement and follow up policy actions and interventions to reduce inequities in unintentional injuries. Unintentional injuries, including road traffic injuries, falls, burns, drownings and poisonings still constitute a major public health problem, killing almost half a million people in the WHO European Region each year and causing many more cases of disability. The burden of unintentional injuries is unevenly distributed in the WHO European Region. Steep social gradients for death and morbidity exist across and within countries. Reducing health inequities is a key strategic objective of Health 2020 – the European policy framework for health and well-being endorsed by the 53 Member States of the WHO European Region in 2012. This guide seeks to assist European policy-makers in contributing to achieving the objectives of Health 2020 in a practical way. It draws on key evidence, including from the WHO Regional Office for Europe’s Review of social determinants and the health divide in the WHO European Region. It sets out options and practical methods to reduce the level and unequal distribution of unintentional injuries in Europe, through approaches that address the social determinants of unintended injuries and the related health, social and economic consequences.

Editeb by: David V. McQueen (IUHPE), Matthias Wismar (European Observatory on Health Systems and Policies), Vivian Lin (La Trobe University), Catherine M. Jones (International Union for Health Promotion and Education), Maggie Davies (Health Action Partnership International)

The recent Rio Political Declaration on Social Determinants of Health (WHO, 2011), adopted during the World Conference on Social Determinants of Health in October 2011, continues to highlight the importance of the work of global institutions to address HiAP, social determinants of health and governance. This book, produced by the WHO - Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, in particular echoes and supports themes of the upcoming WHO health policy for Europe, the European Health 2020 policy framework, underscoring the importance of SDoH, HiAP and intersectoral governance (WHO Regional Office for Europe, 2012). These policy developments set the background for the issues to be addressed in this book.

Authors: Irmgard Eisenbach-Stangl (European Centre for Social Welfare Policy and Research) and Betsy Thom (Middlesex University)

Over recent years, media and policy attention has highlightened ‘binge’ drinking as a social problem which had spread across Europe. Viewed predominantly as a youth problem, the focus of concern has been on young people’s drinking and on the behaviours and harms associated with it in relation to public health, public safety and public order.
This emphasis has neglected examination of the wider issue of ‘intoxication’ and ‘intoxicated behaviours’. But to understand youthful binge drinking and associated behaviours, and to find ways of intervening to prevent or reduce harm, it is necessary to understand the prevailing concept(s) of acceptable and unacceptable forms of intoxication and intoxicated behaviours and its/their wider social and cultural determinants.

Authors: Sunita Bava, Joanna Jacobus, Rachel E. Thayer (San Diego Healthcare System) and Susan F. Tapert (University of Colorado Boulder)

The influence of repeated substance use during adolescent neurodevelopment remains unclear as there have been few prospective investigations. The aims of this study were to identify longitudinal changes in fiber tract integrity associated with alcohol- and marijuana-use severity over the course of 1.5 years.