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barcelona . spain - European Association for the Study of the Liver

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BARCELONA . SPAIN<br />

22 POSTGRADUATE COURSE SYLLABUS ALCOHOLIC LIVER DISEASE 23<br />

APRIL 18 - 19/2012 THE INTERNATIONAL LIVER CONGRESS TM 2012<br />

Trends in liver death rates in <strong>the</strong> four EU countries which have seen <strong>the</strong> largest changes since 1970<br />

Figure 2<br />

Trends in Finland, France Italy, UK and <strong>the</strong> EU (pre 2004) overall in standard liver death rates (under <strong>the</strong><br />

age <strong>of</strong> 65) over time between 1970 and 2008. Data is from <strong>the</strong> World Health Organisation, <strong>European</strong> Health<br />

<strong>for</strong> All database (HFA-DB):<br />

<strong>Liver</strong> death rates and <strong>the</strong> shift from table wine to higher quality wine consumption in France<br />

Figure 4<br />

<strong>Liver</strong> death rates in France have fallen as overall wine consumption has fallen. But <strong>the</strong> overall real value <strong>of</strong><br />

wine production has increased, as a result <strong>of</strong> <strong>the</strong> huge shift in wine production from table wines to higher<br />

quality wine produced in specific regions (PSR) toge<strong>the</strong>r with appropriate marketing by <strong>the</strong> French wine<br />

industry.<br />

Affect <strong>of</strong> duty changes on <strong>the</strong> af<strong>for</strong>dability <strong>of</strong> different types <strong>of</strong> alcoholic beverage in <strong>the</strong> UK, strong<br />

drink has become relatively cheaper.<br />

Wine consumption data and liver death rate are given in comparison with <strong>the</strong> year 2000. Wine value is<br />

<strong>the</strong> value <strong>of</strong> total wine production given in <strong>European</strong> Union Purchasing Power Standard (PPS) – exports<br />

increased from 12% to 31% over <strong>the</strong> same period. Data are from Eurostat (http://epp.eurostat.ec.europa.<br />

eu) and <strong>the</strong> WHO Statistical In<strong>for</strong>mation System (http://www.who.int/whosis).<br />

Figure 3<br />

The graph shows how income inflation has affected <strong>the</strong> levels <strong>of</strong> duty on various alcoholic beverages since<br />

1980. Trends in <strong>the</strong> duty on various alcoholic beverages were adjusted <strong>for</strong> changes in real disposable<br />

income – using a methodology developed by <strong>the</strong> NHS In<strong>for</strong>mation Centre (Statistics on Alcohol 2008, Appx<br />

A p95-96) to calculate an Alcohol Af<strong>for</strong>dability Index.<br />

The Beverage Duty Af<strong>for</strong>dability Index – is normalised to 100% in 1980.<br />

It was calculated as follows - using spirits as an example:<br />

Spirits Duty Index (SDI) = spirits duty normalised to 1980<br />

Relative Spirits Duty Index (RSDI) = SDI / Retail Price Index (RPI) x100<br />

Spirits Duty Af<strong>for</strong>dibility Index SDAI = Real Disposable Income (RDI) / RSDI x 100<br />

Beverage duty data were from <strong>the</strong> Beer and Pub Assocaition Handbook 2008, pages 50-52. RPI and RDI<br />

were from Statistcis on Alcohol 2008 Table 5.3

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