The economic burden of alcohol abuse costs each Canadian $463 per year. In fact, the direct health care costs for alcohol abuse in Canada exceed those of cancer. Released today by the Centre for Addiction and Mental Health (CAMH), the Avoidable Cost of Alcohol Abuse in Canada 2002 report estimates that, even under very conservative assumptions, implementing six reviewed interventions would result in cost savings of about $1 billion per year and a savings of about 800 lives, close to 26,000 years of life lost to premature death and more than 88,000 acute care hospital days in Canada per year. This pioneering study is Canada's first systematic estimate of the avoidable costs of alcohol abuse, and the first study of its kind worldwide.
To calculate the avoidable burden and avoidable costs of alcohol abuse in Canada for 2002, CAMH Senior Scientist Dr. Jrgen Rehm and his team estimated the potential economic impact of increasing alcohol taxation, lowering the blood alcohol concentration (BAC) legal limit from 0.08 per cent to 0.05 percent, zero tolerance BAC for all drivers under age 21, increasing the legal minimum drinking age from 19 to 21 years of age, a Safer Bars intervention, and brief interventions (routine screening with concise advice for problematic alcohol users by primary care physicians or other health professionals).
The data revealed that:
"It's clear that the largest impact would come from interventions affecting the level of drinking in general such as brief interventions and increasing alcohol taxation," says Dr. Rehm. "However, the greatest overall cost avoidance would be achieved when multiple rather than single effective and cost-effective alcohol interventions are implemented as part of a comprehensive alcohol policy."
The scientists also estimated the potential impact of privatizing alcohol sales in those provinces that sell alcohol through a government monopoly. The analysis showed that substantial increases in direct and indirect costs would occur if Canadian provinces were to privatize alcohol sales. Productivity losses would increase by more than $468 million (7 per cent), health care costs would increase by more than $258 million (8 per cent), and costs related to criminality would increase by about $102 million (3 per cent).
While studies that investigate the cost of illness are a valuable indicator of the overall economic burden due to substance abuse in Canada, they do not offer potential solutions to reduce the burden. As Dr. Rehm explains, "this study shows the benefits potentially available to the community as a whole by directing public resources to specific policies, strategies and programs. It also helps identify information gaps, target problems, and identify potential solutions."
|Contact: Michael Torres|
Centre for Addiction and Mental Health