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!