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[Consultation draft subject to amendment and correction.] Did the introduction of minimum unit pricing have an immediate impact in Scotland, and did any evidence emerge to support fears that minimum unit pricing would unfairly target moderate drinkers and people in lower income groups?
MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell E1: Treatment systems; Screening and brief intervention
Key studies and reviews on local, regional and national systems for effectively and cost-effectively implementing alcohol screening and brief intervention. See the rest of row 1 of the matrix for more on screening and brief interventions.
Simulation study calculated health care cost savings and benefits for patients in England which make routine GP-based screening and brief advice for excessive drinking look an unmissable bargain, but the key assumptions derived from studies divorced from how interventions would routinely be implemented.
In these UK national prevention guidelines, experts prioritised population-wide changes like price rises and outlet restrictions which affect everyone, independent of the choices they make. But in England government prefers to target what they see as the troublesome minority, not the responsible majority.
What would happen to rates of infection with hepatitis C if we closed down all the needle exchanges? In three UK municipalities, the answers were predicted to be more infections, lost low-cost opportunities to improve and save lives, and in two of the areas, greater health-related costs overall. Conclusion was that these services are among the best investments UK health services can make. town
STUDY 2018 HTM file
Impact of current and scaled-up levels of hepatitis C prevention and treatment interventions for people who inject drugs in three UK settings – what is required to achieve the WHO’s HCV elimination targets?
What would it take for the UK to meet the World Health Organization’s target of a 90% reduction in hepatitis C by 2030? According to projections in three diverse areas, current levels of harm reduction services are averting a great deal of transmission, and adding only moderate rates of treatment for hepatitis C would put Britain on course to achieve the elimination target.
HOT TOPIC 2018 HTM file
Measuring alcohol-related harm; politics and science
One of our selection of hot topics – important issues which sometimes generate heated debate. At a national level, alcohol-related harm and especially the net cost of harm versus benefits are slippery concepts. Malleability and policy salience combine to make the estimates contested territory.
Taking a public health and human rights-based approach, the 2018 strategy from Scotland strives to improve citizens’ lives by preventing and reducing the harms of drinking and drug use.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell E5: Treatment systems; Safeguarding the community
Seminal and key studies on how local treatment systems can protect the community. The task is to meld enforcement pressure and surveillance focused on crime with the patient-centred ethos of treatment. Asks whether coercion and/or collaboration with enforcement undermine treatment’s community protection impacts, and whether to maximally reduce crime, treatment systems should focus on coercion or on voluntary engagement.
Minimum price increases of alcoholic beverages in a Canadian province between 2002 and 2013 set the stage for a real-word study of minimum unit pricing. Reductions in alcohol-related hospital admissions, particularly in lower income areas, tentatively suggest that low income regions may experience the greatest health benefits of such a policy.
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