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• W2092247060 abstract "Your Editorial (June 27, p 2171)1The LancetAlcohol and harm reduction in Russia.Lancet. 2009; 373: 2171Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar accompanying The Lancet Series on alcohol and global health2Rehm J Mathers C Popova S Thavorncharoensap M Teerawattananon Y Patra J Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders.Lancet. 2009; 373: 2223-2233Summary Full Text Full Text PDF PubMed Scopus (2444) Google Scholar, 3Anderson P Chisholm D Fuhr DC Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol.Lancet. 2009; 373: 2234-2246Summary Full Text Full Text PDF PubMed Scopus (751) Google Scholar, 4Casswell S Thamarangsi T Reducing harm from alcohol: call to action.Lancet. 2009; 373: 2247-2257Summary Full Text Full Text PDF PubMed Scopus (225) Google Scholar correctly points out that a major part of global alcohol consumption is unrecorded. Global strategies to reduce harm from alcohol must therefore consider this important part of alcohol consumption. However, the strategies mentioned sound rather naive.The demand for “stronger enforcement of legal sales—eg, tax stamps on legal products”5Beaglehole R Bonita R Alcohol: a global health priority.Lancet. 2009; 373: 2173-2174Summary Full Text Full Text PDF PubMed Scopus (53) Google Scholar does not seem to be an effective measure, considering that home production of alcohol (eg, samogon in Russia or local brews in Asia or Africa) constitutes a major part of unrecorded consumption. The implementation of policies on unrecorded consumption, therefore, not only means confrontation with organised criminals and corrupt officials1The LancetAlcohol and harm reduction in Russia.Lancet. 2009; 373: 2171Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar but also reaching out to every alcohol-producing household—a very complex issue. Alcohol policy should consider the balance between recorded and unrecorded consumption, since the possibility that certain policy measures might lead to the substitution of recorded with unrecorded alcohol, which could be good for the statistics but not for public health, cannot be excluded.Alcohol research must not only gather better knowledge on exposure (rather than estimation2Rehm J Mathers C Popova S Thavorncharoensap M Teerawattananon Y Patra J Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders.Lancet. 2009; 373: 2223-2233Summary Full Text Full Text PDF PubMed Scopus (2444) Google Scholar), including the different subgroups of unrecorded alcohol, but also information on chemical composition. Finally it seems that research and policy alike have treated unrecorded alcohol a bit like a “rotten apple” in the past, perhaps from fear of “supporting” the alcohol industry. Hopefully this will change in the future, since it is clear that the holistic view of global alcohol-related problems must include the unrecorded market.I declare that I have no conflicts of interest. Your Editorial (June 27, p 2171)1The LancetAlcohol and harm reduction in Russia.Lancet. 2009; 373: 2171Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar accompanying The Lancet Series on alcohol and global health2Rehm J Mathers C Popova S Thavorncharoensap M Teerawattananon Y Patra J Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders.Lancet. 2009; 373: 2223-2233Summary Full Text Full Text PDF PubMed Scopus (2444) Google Scholar, 3Anderson P Chisholm D Fuhr DC Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol.Lancet. 2009; 373: 2234-2246Summary Full Text Full Text PDF PubMed Scopus (751) Google Scholar, 4Casswell S Thamarangsi T Reducing harm from alcohol: call to action.Lancet. 2009; 373: 2247-2257Summary Full Text Full Text PDF PubMed Scopus (225) Google Scholar correctly points out that a major part of global alcohol consumption is unrecorded. Global strategies to reduce harm from alcohol must therefore consider this important part of alcohol consumption. However, the strategies mentioned sound rather naive. The demand for “stronger enforcement of legal sales—eg, tax stamps on legal products”5Beaglehole R Bonita R Alcohol: a global health priority.Lancet. 2009; 373: 2173-2174Summary Full Text Full Text PDF PubMed Scopus (53) Google Scholar does not seem to be an effective measure, considering that home production of alcohol (eg, samogon in Russia or local brews in Asia or Africa) constitutes a major part of unrecorded consumption. The implementation of policies on unrecorded consumption, therefore, not only means confrontation with organised criminals and corrupt officials1The LancetAlcohol and harm reduction in Russia.Lancet. 2009; 373: 2171Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar but also reaching out to every alcohol-producing household—a very complex issue. Alcohol policy should consider the balance between recorded and unrecorded consumption, since the possibility that certain policy measures might lead to the substitution of recorded with unrecorded alcohol, which could be good for the statistics but not for public health, cannot be excluded. Alcohol research must not only gather better knowledge on exposure (rather than estimation2Rehm J Mathers C Popova S Thavorncharoensap M Teerawattananon Y Patra J Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders.Lancet. 2009; 373: 2223-2233Summary Full Text Full Text PDF PubMed Scopus (2444) Google Scholar), including the different subgroups of unrecorded alcohol, but also information on chemical composition. Finally it seems that research and policy alike have treated unrecorded alcohol a bit like a “rotten apple” in the past, perhaps from fear of “supporting” the alcohol industry. Hopefully this will change in the future, since it is clear that the holistic view of global alcohol-related problems must include the unrecorded market. I declare that I have no conflicts of interest." @default.
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• W2092247060 title "Reducing harm from alcohol: what about unrecorded products?" @default.
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