This book examines trends and social disparities in alcohol consumption. It assesses the health, social and economic impacts of key policy options for tackling alcohol-related harms in Canada, the Czech Republic and Germany, extracting policy messages for a broader set of countries.
One in three adults has engaged in binge drinking at least once in the previous month, and one in five teenagers has experienced drunkenness by age 15. Harmful patterns of alcohol consumption have far-reaching consequences for individuals, society and the economy.
From a public health perspective, alcohol is a major contributor to morbidity and mortality, and impacts on many aspects of social life. This text describes advances in alcohol research with direct relevance to the development of effective policies at local, national and international level.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.
Research on alcohol-related consequences has traditionally focused mainly on health aspects of alcohol consumption or effects which can be more easily quantified or measured. It is evident that alcohol has many consequences which can be characterised as `social' in nature and which are not, or not only, medical and are directly health-related. Such consequences include violence, crime, and psychosocial factors. The increasing relevance of consequences of alcohol consumption other than medical is also reflected in the second European Action Plan 2000-2004 of WHO, aiming at the prevention and reduction of harm done by alcohol to the health and wellbeing of individuals, families, and communities. This book attempts to provide a comprehensive overview of social consequences of alcohol consumption on the individual, group, organisational, and societal level. It is a result of a two-year collaborative study under the leadership of WHO-Euro with the participation of alcohol researchers from Finland, Germany, Norway, Scotland, and Switzerland. Although the book was written by experts in the field, it is targeted not only at scientists, but at all people dealing with alcohol-related problems in practice.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
This book is a practical guide for nurses and doctors in primary care about preventing and managing alcohol problems. It provides information on how to determine how much patients drink, how to assess the social, psychological and physical harm the alcohol may be causing, and what practical and effective advice to offer on how to stop drinking.