Table A1.

Outline of the core components of the Russian 2010–2020 alcohol concept.

I.  General Provisions II.  The current situation in the Russian Federation related to the abuse of alcohol III.  The three main objectives of the state policy (1) A significant decrease of alcohol consumption (2) Improving the effectiveness of the prevention system in relation to alcohol abuse (3) Improving the effectiveness of alcohol market regulation IV.  Guiding principles (1) Protecting the life and health of citizens in relation to the economic interests of the alcohol market (2) Intersectoral work of government authorities, public organizations and religious associations, business representatives, and citizens not associated with the alcohol industry (3) Transparency of assessment of measures aimed at reducing alcohol abuse in the population V.  Priority tasks in the implementation of the objectives (1) Creation of a monitoring system to analyze trends and levels of alcohol consumption (2) Changing the beverage-specific structure of alcohol consumption at the population level by reducing the proportion of spirits against the backdrop of significant reduction of total alcohol consumption (3) Reorientation of the population to a sober and healthy lifestyle (4) Formation of public disapproval of alcohol abuse (5) Development and implementation of programs for the prevention of alcohol abuse and alcohol-dependence (6) Informing the public about the negative consequences of alcohol abuse (7) Creating incentives for public initiatives aimed at improving public health, and mechanisms for state support (8) Improving the organization and provision of narcological medical care to persons abusing alcohol and patients with alcohol-dependence (9) Promoting physical activity, tourism and sports among children and youth as well as formation of a healthy lifestyle (10) Organization of new types of recreational and leisure activities outside of the tradition of alcohol drinking (11) Increasing employment and motivation to work, providing opportunities for cultural leisure activities for rural populations (12) Countering illegal production and turnover of alcoholic products, increasing the efficiency of alcohol market regulations (13) Implementing pricing and taxation measures to reduce affordability of alcoholic beverages, especially for young people (14) Creating mechanisms for applying corporate responsibility for producers of alcoholic beverages VI.  Information support for the implementation of the concept (1) Use of state statistics, census results, data from sociological and medical studies, information from law enforcement agencies on alcohol-related crimes (2) Creation of a unified system of state statistical monitoring of alcohol consumption by the country’s population, including young people, based on modern information technologies, and considering international experience (3) Providing information support for the implementation of the state concept, expand social advertising in the media and inform the population on possible health harms related to alcohol abuse (4) Developing a regulatory framework for a governmental awareness-raising campaign aimed at promoting a healthy lifestyle in the population, including the development and implementation of special media projects for various population groups VII.  Measures to implement the concept (1) Organizing media campaigns aimed at strengthening public support for existing or new strategies to combat alcohol abuse (2) Development and establishment of a mechanism for coordinating information and training programs and conducting campaigns to promote a healthy lifestyle among different segments of the population and age groups (3) Strengthening morality and self-awareness among children and youth to develop their ability to effectively resist the use of alcoholic beverages (4) Including prevention of alcohol consumption among students of educational institutions into educational programs and curricula (5) Ensuring widespread access to family-friendly treatment and prevention programs, improvement and developing narcological care provided to persons with alcohol abuse and patients with alcohol-dependence (6) Creation of rehabilitation and psychological centers for the prevention of alcohol-dependence, capacity building, and training of specialized psychologists (7) Workplace-based action in the form of education, prevention, early detection, and treatment of alcohol-dependence (8) Implementation of pricing policies, including beverage-specific pricing based on alcohol content (9) Development and adoption of technical regulations on safety requirements of alcoholic beverages and alcohol-containing products (10) Decreasing the availability of alcoholic beverages by restricting hours and places of retail sale. Restrictions of hidden advertising of alcoholic beverages, attracting public attention, especially of children and youth (up to a complete ban) (11) Ban on advertising content that suggests that alcoholic beverages have medicinal and other healing properties, such as presence of biologically active substances, including vitamins. Restriction of events aimed at promoting the consumption of alcoholic beverages, including wine and beer festivals and competitions (12) To create a drinking culture by creating conditions for the development of Russian winemaking and increasing the production of Russian high-quality wine (13) Strengthening of administrative responsibility for violations in the field of production and turnover of alcoholic beverages, including the minimum age for off-premises sellers, as well as establishing criminal liability for the repeated violations (14) Development and implementation of measures against illegally produced alcohol, strengthening state control over the production and circulation of alcoholic beverages, supporting public and religious organizations in the promotion and implementation of initiatives against alcohol abuse, improving systems for monitoring alcohol consumption and evaluating the effectiveness of the implementation of state policies to reduce alcohol abuse (15) Development and implementation of regional programs (pilot projects) to facilitate the implementation of the current concept VIII.  Implementation mechanisms (1) Development of departmental programs regulating production and turnover of alcoholic beverages, healthcare and social development, development of physical activity and sports programs (2) Ensuring quality and safety of alcoholic beverages and implementing measures against the sale of illegally produced alcoholic products, strengthening law enforcement in detecting violations and crimes within the existing legal framework for alcohol market regulation (3) Intersectoral work and coordination of the activities of federal executive bodies in ensuring the effectiveness of state regulation of the alcohol market is entrusted to the Federal Service for Alcohol Market Regulation (Rosalkogolregulirovanie). IX.  The main stages and expected results of the implementation (1)  First stage (2010–2012): creating the conditions to change, formation of a legal, organizational, and financial base for building up further efforts to support and consolidate positive trends. Planned activities: - Toughening the requirements for the retail sale of alcoholic beverages - Strengthening responsibility for violations in production and turnover of ethyl alcohol, alcoholic and alcohol-containing products, including the sale of alcoholic products to minors - Increasing excise taxes on ethyl alcohol and alcoholic products to reduce their affordability - Setting minimum retail prices for alcoholic beverages - Implementing special measures for the prevention of alcohol abuse and programs and projects aimed at promoting a healthy lifestyle An anticipated result of the implementation of the activities of the first stage: a reduction in the mortality rate due to alcohol abuse. (2)  Second stage (2013–2020): continuation of implementing measures to reduce the level of alcohol consumption, further implementation of programs forming the tradition of a healthy lifestyle, development of sports and physical activity, implementation of special measures for screening and early detection of diseases associated with alcohol abuse, effective prevention of alcohol-dependence in individuals who consume alcoholic beverages in hazardous ways. Anticipated outcomes: - Reduction of the share of illegal production and sale of alcohol - Significant reduction of alcohol consumption in the population, especially among children and youth, also a significant reduction of mortality associated with alcohol abuse - Formation of a steady trend and development of further evidence-based programs aimed at reducing alcohol consumption X.  Indicators of achieving implementation results First stage (2010–2012): - A 15% reduction of alcohol per capita consumption - Reduction of the share of spirits in total alcohol consumption alongside a significant decrease of the total level of alcohol consumption - Increasing the level of involvement of children and youth in sports Second stage (2013–2020): - Liquidation of the illegal alcohol market - A 55% reduction of alcohol per capita consumption, as well as the creation of conditions for further downward trends in alcoholic consumption - Reduction of the incidence of morbidity and mortality from alcohol-dependence, including alcoholic psychosis - Reduction of acute alcohol-poisoning mortality