The Four countries The Four countries project: project:

An International An International Sharing Experiences Sharing Experiences

and Build and Build up up NetworkingNetworking on  on

alcohol related harm alcohol related harm reductionreduction

Prapag Prapag NeramitpitagNeramitpitag

kulkulSawika Sawika

SreaiumsaarSreaiumsaardd

19 Dec,0919 Dec,09

An International An International Sharing Experiences Sharing Experiences

and Build and Build up up NetworkingNetworking  

on alcohol related on alcohol related harm reductionharm reduction

• Vietnam : 9 – 10 Nov, 09Vietnam : 9 – 10 Nov, 09• Laos:1-4 : 12-13 Nov, 09Laos:1-4 : 12-13 Nov, 09• Cambodia : 16-17 Nov, Cambodia : 16-17 Nov,

0909• Mongolia: 2- 4Dec,09Mongolia: 2- 4Dec,09

Report outlineReport outline

• OverviewOverview• Alcohol Situation in the Country Alcohol Situation in the Country

(demand)(demand)• Supply of Alcohol Product in the Supply of Alcohol Product in the

CountryCountry• Marketing and InvestmentMarketing and Investment• Impact of alcohol consumptionImpact of alcohol consumption• Alcohol Policy in the CountryAlcohol Policy in the Country• SuggestionsSuggestions

Hanoi, VietnamHanoi, Vietnam9 – 10 November 20099 – 10 November 2009 • 9 Nov 09 – Side visiting to Social Affair 9 Nov 09 – Side visiting to Social Affair

Committee, Health Policy and Committee, Health Policy and Strategy Institute, MOH (HPSI), Strategy Institute, MOH (HPSI),

Ministry of Culture and Social Affairs: Ministry of Culture and Social Affairs: MCS and Department of Light IndustryMCS and Department of Light Industry

• 10 Nov 09 – Workshop “Sharing 10 Nov 09 – Workshop “Sharing International Experiences on Alcohol International Experiences on Alcohol Related Harm Reduction”Related Harm Reduction” at Horison at Horison

Hotel, Hanoi, VietnamHotel, Hanoi, Vietnam

I. I. OverviewOverview• To exchange knowledge and experiences To exchange knowledge and experiences

between World Health Organization Western Pacific between World Health Organization Western Pacific Region Zone A (WPRO A) and Health Policy and Region Zone A (WPRO A) and Health Policy and

Strategy Institute, Ministry Of Health, Vietnam (HPSI) Strategy Institute, Ministry Of Health, Vietnam (HPSI) about alcohol in order to provide evidences to support about alcohol in order to provide evidences to support

alcohol policy making in Vietnamalcohol policy making in Vietnam• Speakers from ThailandSpeakers from Thailand

1. Mrs. Areekul Puangsuwan – “The Use of Earmarked 1. Mrs. Areekul Puangsuwan – “The Use of Earmarked Taxation for Health and Well-Being: Reduction Alcohol Taxation for Health and Well-Being: Reduction Alcohol

Consumption and its Related Harms”Consumption and its Related Harms”2. Ms. Prapag Neramitpitakul - “Illegal Alcohol 2. Ms. Prapag Neramitpitakul - “Illegal Alcohol

Consumption in Thailand” Consumption in Thailand” 3. Ms. Sawika Sreaiumsaard - “Stopdrink Network and 3. Ms. Sawika Sreaiumsaard - “Stopdrink Network and

Practical Alcohol Reducing Campaigns in Thailand”Practical Alcohol Reducing Campaigns in Thailand”

II. Alcohol Situation in II. Alcohol Situation in VietnamVietnam• People normally drink alcoholPeople normally drink alcohol

• Homemade alcohol is popular among Homemade alcohol is popular among Vietnamese peopleVietnamese people

• Drinking age started at 24 yearsDrinking age started at 24 years

• Beer drinking rate: 20/headBeer drinking rate: 20/head

• Vietnam is the fastest growing beer market Vietnam is the fastest growing beer market in the worldin the world

II. Alcohol II. Alcohol Situation (Cont.)Situation (Cont.)• Research in 7 provinces found 1/3 of Research in 7 provinces found 1/3 of

Vietnamese normally drink beerVietnamese normally drink beer• 77.7% = higher education level that 77.7% = higher education level that

drink beer and wine every day drink beer and wine every day • 46% = bachelor level.46% = bachelor level.• Wine and alcohol product are available Wine and alcohol product are available

and easy to buy in Vietnam and easy to buy in Vietnam • Ministry of Culture and Social Affairs Ministry of Culture and Social Affairs

and IOGT have been emphasizing on and IOGT have been emphasizing on controlling alcohol related problems for controlling alcohol related problems for 20 years and also have supported 20 years and also have supported alcohol free celebrations but have no alcohol free celebrations but have no real activities to penetrate teenagers real activities to penetrate teenagers group.group.

III. Supply of Alcohol III. Supply of Alcohol Product Product • 10 large size of local alcohol 10 large size of local alcohol

factoriesfactories• 30-40 small to medium size local 30-40 small to medium size local

alcohol factoriesalcohol factories• Statistics from the Vietnam Food Statistics from the Vietnam Food

Safety Agency showed that there Safety Agency showed that there are more than 2,000 kinds of are more than 2,000 kinds of home-made alcohol available on home-made alcohol available on the market including snake wine the market including snake wine

– – an alcoholic beverage that an alcoholic beverage that includes a whole venomous snake includes a whole venomous snake in the bottlein the bottle

III. Supply of III. Supply of Alcohol Product (Cont.) Alcohol Product (Cont.) • Producing beer can be done without Producing beer can be done without

permission (except produce more permission (except produce more than 1 M littres)than 1 M littres)

• Have alcohol stamp law but no policy Have alcohol stamp law but no policy to collect tax from homemade to collect tax from homemade alcohol alcohol

• Alcohol industry grows less than Alcohol industry grows less than homemade 4-500 m. liter and having homemade 4-500 m. liter and having high toxic levelhigh toxic level

• Interference of the industry is Interference of the industry is considerably high but there’s no law considerably high but there’s no law to regulate their involvementto regulate their involvement

IV. Marketing and IV. Marketing and Investment Investment • Annual growth rate Annual growth rate 9- 11% 9- 11% and is and is

witnessing a strong competition among witnessing a strong competition among many well-known brandsmany well-known brands

including Saigon, Hanoi, Tiger and including Saigon, Hanoi, Tiger and HeinekenHeineken

• > 300 beer and alcohol production > 300 beer and alcohol production facilities,facilities,

with key producers including Saigon with key producers including Saigon Beer, Alcohol and Beverage Corporation Beer, Alcohol and Beverage Corporation (Sabeco), & Vietnam Brewery Limited Co. (Sabeco), & Vietnam Brewery Limited Co.

• Some foreign beer brands like Some foreign beer brands like Budweiser, Kronenbourg 1664, SABMiller Budweiser, Kronenbourg 1664, SABMiller also have entered the local market. also have entered the local market.

IV. Marketing and IV. Marketing and Investment (Cont.)Investment (Cont.)• The plan to develop Vietnam’s alcohol, The plan to develop Vietnam’s alcohol,

beer and beverage sector by 2010beer and beverage sector by 2010• The country aims to supply an output of The country aims to supply an output of

1.2 billion litres in 2005 and 1.5 billion 1.2 billion litres in 2005 and 1.5 billion litres in 2010. litres in 2010.

• Of the output, Of the output, over 50 over 50 %% is to be supplied is to be supplied by the Vietnam Alcohol, Beer and by the Vietnam Alcohol, Beer and Beverage Corporation, Beverage Corporation,

• More than 20More than 20%% by foreign-invested by foreign-invested enterprises (FIEs)enterprises (FIEs)

• Nearly 30Nearly 30%% by businesses in other by businesses in other economic sectors and small-scale economic sectors and small-scale production basesproduction bases

IV. Marketing and IV. Marketing and Investment (Cont.)Investment (Cont.)• Vietnam is to Vietnam is to only license new joint ventures only license new joint ventures or or

increase production capacity of existing breweriesincrease production capacity of existing breweries• Vietnam’s annual beer consumption per head will Vietnam’s annual beer consumption per head will

increase from 10 litres in 2000 to 13 litres in increase from 10 litres in 2000 to 13 litres in 2005, 2005,

16 litres in 2010 and 25 litres in 202016 litres in 2010 and 25 litres in 2020• Hanoi and Ho Chi Minh City. Among its beer Hanoi and Ho Chi Minh City. Among its beer

products, around 70 products, around 70 %% comes in the form of comes in the form of draught beer, 20 % bottled beer and 10 % canned draught beer, 20 % bottled beer and 10 % canned beer.beer.

• Many local and foreign brands have appeared Many local and foreign brands have appeared nationwide, and other kinds of draught beer have nationwide, and other kinds of draught beer have become become more and more commonmore and more common

V. Impact of alcohol V. Impact of alcohol consumptionconsumption• Drink-driving was involved in Drink-driving was involved in 12,000 12,000

deaths.deaths.• A General Department of Preventive A General Department of Preventive

Medicine and Environmental Health Medicine and Environmental Health study found the rate of road traffic study found the rate of road traffic crashes in Viet Nam in 2008 was crashes in Viet Nam in 2008 was 3.3 3.3 times higher than 2002. times higher than 2002.

• The rate of road traffic crashes The rate of road traffic crashes liked liked to an increase in alcohol production, to an increase in alcohol production, which is forecast to reach 1.5 billion which is forecast to reach 1.5 billion litres 2010.litres 2010.

• A survey (Yen Bai, Da Nang & Binh A survey (Yen Bai, Da Nang & Binh Duong 2007 ) showed up to Duong 2007 ) showed up to 9393%% of of people drove after drinking.people drove after drinking.

V. Impact of alcohol V. Impact of alcohol consumption (Cont.)consumption (Cont.)• The domestic consumers must pay more than The domestic consumers must pay more than 

VND 14 trillion (US$823.5 million) VND 14 trillion (US$823.5 million) for their for their alcohol alcohol

before covering the costs of hospital before covering the costs of hospital treatment. treatment.

• The State budget could get The State budget could get about 30 about 30 %% of of this amount from alcohol production and this amount from alcohol production and

trading tax.trading tax.• The average treatment costs for a crash The average treatment costs for a crash

victim were victim were VND2.3 million ($135).VND2.3 million ($135).• Drink featured in Drink featured in 60 60 %% of domestic violence of domestic violence

cases & 10 cases & 10 % % traffic accidentstraffic accidents.

VI. Alcohol Policy VI. Alcohol Policy • Drinking culture in Viet Nam, wine and Drinking culture in Viet Nam, wine and

beer could not be banned but there should beer could not be banned but there should be a ban on advertising, be a ban on advertising,

as well as stricter regulations on trading. as well as stricter regulations on trading. • The alcohol level of 80mg/100ml blood The alcohol level of 80mg/100ml blood

drops to 50mg/100ml for motorcyclists drops to 50mg/100ml for motorcyclists and zero for car driversand zero for car drivers

• Dec 2009, Not allow to sale 14 degree Dec 2009, Not allow to sale 14 degree alcohol product or higher including alcohol product or higher including homemade alcohol to people age under 25 homemade alcohol to people age under 25 year oldyear old

• The law still have gap for allowing people The law still have gap for allowing people over 18 to buy beer and rumover 18 to buy beer and rum

VI. Alcohol Policy (Cont.)VI. Alcohol Policy (Cont.)

• the Government is preparing a the Government is preparing a decree guiding in detail some decree guiding in detail some articles of the Law against articles of the Law against Domestic Violence and another Domestic Violence and another on administrative sanctions in on administrative sanctions in this domain. this domain.

VII. Suggestions

• Standard >StopStandard >Stop• International framework will International framework will

contribute a lot to national policy.contribute a lot to national policy.• Should work with women union Should work with women union

which has concerns and is working which has concerns and is working very actively. Having campaigns to very actively. Having campaigns to reduce consumption.reduce consumption.

• Evidence baseEvidence base

GDP -20002007

Statistic of the Secondary students in Vietnam from

1976 - 2008

Beer product in Supermarket

Beer and Beverage product

Side Walk in morning at Hanoi

Cha Ca

Thank you