Country re p o r t s Alicia Rodríguez-Martos A case study on alcohol policy and the alcohol industry in Spain Background Spain is a traditional wine producing country, being the third largest wine producer in the world and also the third largest beer producer in the EU (World Advertising Research Council 2005). Wine alone accounts for 0.73% of the GDP, and Spain has been considered the country where wine production contributes most to its wealth (Recasens 2003). The alcohol industry is one of the 10 main industrial sectors of Spain, with its well-known and highly appreciated production of wine, cava, sherry, brandy, and recently, beer. From an economic point of view, the alcohol industry accounts for 20% of the sales of the food industry, with a turnover of around €11 billion. The alcohol sector includes 4050 work centres throughout the country and 52 000 people are directly employed by the sector. (Federación Agroalimentaria 2004.) Spaniards spent €7.4 billion buying alcohol in 2003 (3.5% more than in the previous year). Beer accounted for 62.3% of sales, and 68.4% of the alcoholic beverages were sold by the hospitality sector (Observatorio Español sobre Drogas 2005). Since the 1980s, Spain has decreased its per capita alcohol consumption by 25%, mainly at the expense of wine. From almost 14 l/capita/year in the mid seventies, consumption dropped to around 9–10 l/capita/year in the mid nineties and has remained within these ranges (World Advertising Research Council 2005), with a parallel decrease in the mortality rate from liver cirrhosis. The most dramatic drop relates to daily consumption, which dropped from 57% in NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 427 Spain 1980 (Encuesta ICSA GALLUP 1984) to exhibit a drinking pattern of bingeing at 14% in 2003, though this drop was un- the weekends in public places or enter- evenly distributed depending on the age tainment centres. The so-called “botel- group (20.8% in the 35–64 group and 5.9% lón” – big bottle – phenomenon (crowds in the 15–34 group) (Observatorio Español of youths meeting in open scenes at the sobre Drogas 2004). weekend evenings and nights to drink self- Nevertheless, consumption is still far prepared mixed beverages, eat some crisps too high at 14.7l/drinker/year, discount- and chat) has mobilized municipalities, ing the 23.4% population of previous-year mainly because of the claims about noise abstainers (Anderson & Baumberg 2006). and nuisances by the neighbourhoods. Al- The health sector is alarmed mainly by though youths describe these gatherings consumption among young people and the as a way of being integrated into the peer contribution of alcohol to overall mortal- group, they also admit looking for some ity (around 6%), with over 36% of fatally level of intoxication. Full drunkenness injured drivers being under the effects is mostly considered accidental, unfortu- of alcohol. Moreover, from an economic nately a rather frequent one. Ethyl coma, point of view, alcohol-related costs add up violence, and traffic accidents are a major to over €3.6 billion (Portella et al. 1998), cause for concern. 60% as indirect cost. The traditional Mediterranean drinking Around two thirds of the general popu- pattern is slowly being complemented, if lation (15–64 year-olds) report having con- not substituted by a more harmful pattern, sumed alcoholic beverages in the previous with drinking (often bingeing) concentrat- year (76.6%, in 2003). Figures have been ed at the weekends, outside mealtimes and quite stable since the nineties. Among ado on public premises. Nevertheless, there is lescents, the percentage of previous-year still a significant social tolerance towards consumers is higher than among adults alcohol consumption (not to drunkenness) (81%) and their consumption, which had and a very low perception of risk. Citizens' altogether diminished during the nineties, concern about the botellón is more be- went up again within a 2-year period (the cause of the noise and dirt than because of percentage of those having got drunk in the health aspects of this practice. the previous month increased from 24.4%, For the producers, Spaniards drink too in 2002 to 34.8% in 2004, with a mean fre- little, while the wine sector, in particular, quency of 2.7 intoxication episodes in the is losing sales, mainly in the hospitality last 30 days). Thirteen per cent of boys and business, which the sector attributes to 11.5% of girls declared drinking above sen- both changes in drinking patterns and to sible limits, percentages which are above drink-driving campaigns. For the health those in the adult population (5.3%) and sector, alcohol poses too great a burden higher than in previous periods (Observa- to society, and consumption should be torio Español sobre Drogas 2005). reduced. So, too much or too little? It de- In spite of the reduction in per capita pends which side you are looking from. consumption, Spain does have an alcohol In both cases, stakeholders claim their problem, especially among youths, who right to influence alcohol policy. NGOs 428 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 Spain try to prevent alcohol-related harm, while Alcohol policy had been neglected be- industry stakeholders try to protect and fore the 1990s. The first National Plan on further develop their business, and there- Drugs (1985) focussed only on illegal drugs fore lobby for an alcohol policy that better and it was not till the mid-1990s that alco- fits their aims. The problem comes when hol was put on the agenda both by the Na- these stakeholders pretend to be moved by tional Plan on Drugs and the General Di- the objective of protecting health and try rectorate of Public Health, at the Ministry to influence alcohol policy obviating their of Health, although school-based preven- conflict of interests. tive programmes run since the 1980s had Alcohol policy always had a special focus on alcohol. In the National Plan on Drugs for the Spain's alcohol policy has been mostly period 2000–2008, alcohol deserved spe- quite weak, despite its noticeable improve- cial attention, although priority was given ment in recent years. A licence is needed to prevention based on education. Among to produce alcohol and a license is needed specific areas of intervention, control for the sector activities (hospitality sector), measures on advertising and on the pro- but no specific licence is necessary yet for motion of alcoholic drinks to protect un- selling alcohol. There are overall some der-age people were announced. (National sales restrictions concerning hours, days, Plan on Drugs 2000–2008) places, density of outlets, but they are not In 2002, coinciding with Spain's hold- mandatory for the whole country, and de- ing of the European presidency, a large pend on the regions, and sometimes on international Conference on Youths, Night the municipalities. The age limit for sell- and Alcohol was celebrated in Madrid, ing and serving alcohol is still officially with extensive media coverage. Coincid- 16, although it has already increased to 18 ing with this Conference, a new law on in all but 4 of the 17 autonomous regions. the prevention of alcohol misuse was an- Taxes on beer and spirits are very low and nounced. The law foresaw interventions there are no taxes on wine. Alcohol public- in specific environments and areas of ity has some countrywide restrictions re- important relevance for prevention, such lated to the content (e.g. no links between as: the family, school, sports, leisure, the alcohol and sexual success, not aimed at work place, community, and in road safe- or portraying minors). and to the alcohol ty. The legal age for drinking should be 18 proof. The General Law on Publicity (Ley throughout Spain and restrictions on pub- 34/1988) prohibits advertisements of al- licity and other forms of marketing were coholic beverages over 20º on TV, but has going to become tougher than before. The no restrictions for advertisements on the draft law was discussed in the parliament, radio. Printed media and billboards are but never approved, despite the many and allowed, with partial restrictions, depend- successive amendments introduced. ing on the region. Sponsorship is allowed. Parallel to it, a Law on Vineyards and Publicity restrictions depend also on re- Wine (Ley 24/2003) was approved in 2003. gional laws. Self-regulation is carried out Starting with the sentence ”Wine and by the regulatory body Autocontrol. vineyard are inseparable from our culNORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 429 Spain ture”, the law defines (title I, art. 2) wine Prohibitions and limitations concerning as ”the natural food exclusively obtained the selling, serving and consumption of by partial or total alcoholic fermentation alcohol, in agreement with the evidence- of fresh grapes, pressed or not, or from the based strategies, are included (Chapter III). grape must”. No alcohol can be purchased by or served This specific point (wine considered to those aged under 18, and severe restric- as food) was meant to avoid it being in- tions are introduced concerning time and cluded in the draft law on the prevention places allowed to sell alcoholic beverages, of alcohol misuse, if it should ever appear. so that availability will be more difficult The criteria for promotional campaigns, fi- too. Outlets with off-premise sales of al- nanced by public funds, are to recommend cohol will need a special license. Chapter the moderate and responsible consump- IV of this Draft Bill is on publicity, promo- tion of wine, and to inform and spread the tion, and sponsorship. Youngsters under benefits of wine as a nutriment within the 18 will not be a direct target of any type Mediterranean diet. of marketing. Besides the usual limita- On September 25th 2006, the Draft tions on the content and messages of ad- Bill on Health Measures for the Protec- vertisements, no publicity, promotion or tion of Health and the Prevention of the sponsorship will be authorised in places Consumption of Alcoholic Beverages by where drinking is not allowed. No type of Minors (Borrador ... 2006), was issued by publicity (direct or indirect) of alcoholic the Ministry of Health, after having been beverages will be permitted between 6 am discussed by the Interterritorial Council and 10 pm on TV or radio. No printed pub- of Spain on October 11th 2006. The Draft licity will be allowed in the front or back Bill aims at the protection of minors from pages, sports section or sections aimed alcoholic beverages by promoting an in- at minors in any type of publication. An- ter-sectorial approach at national and re- other novelty is the regulation of publicity gional level, thus guaranteeing an effective in public places where minors can be ex- and sustainable policy. Although limited posed (e.g., bus stops) and billboards will to minors, it means an important break- have to be placed at a distance of at least through for the main alcohol policy. It fo- 500 m from schools. Offences and penal- cuses on the population under 18, because ties are regulated to enable the enforce- this is the most vulnerable and also the ment of the law. one which has deserved special attention In 1995, a road safety plan was approved from the European Council (Council of the including a number of measures aimed at European Union 2001a; 2001b; 2001c). reducing the incidence of driving under the Moreover, it is a good way of promoting influence of alcohol. In 1998, the legal BAC an alcohol policy in a country with so limit dropped from 0.8 to 0.5 for drivers in many vested interests, as the protection general, and to 0.3 for novice drivers and of minors generates more consensus. The professional drivers. Other measures and Draft Bill includes in addition to health more severe penalties for offenders have promotion, education measures and strat- been developed in recent years. A Spe- egies to reduce the availability of alcohol. cial Plan on Traffic Safety was approved 430 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 Spain in 2004, and there has been a steady in- Priority actions for the period 2005– crease in alcohol checkpoints. According 2008 are: to the reformed Penal Code (Ley Orgánica 1. Reinforcing actions within the frame- 15/2003), drink driving can be considered a crime deserving of a prison sentence. work of the family. 2. Promoting sensitisation activities and Penalty points and a modification of the the collaboration of the mass media. traffic law with tougher penalties for drink 3. Reinforcing Spanish participation in driving have been approved (Ley 17/2005) the European drug policy. and have been in force since July 1st 2006. An agreement between the Ministry In 2005, Spain had its lowest number of of Health (General Directorate of Public traffic fatalities for 30 years, 5.2% less Health and National Plan on Drugs) and than in 2004, and the highest prevalence the General Directorate of Traffic has been of breathalysing checkpoints (143,628 in launched with the main aim of preventing the week prior to Christmas, within the alcohol- and drug-related crashes through Operation AD2005, organised by Tispol). a series of preventive and health promo- BAC-positive fatalities, although still high, tion measures. At the beginning of 2006, a have sharply diminished (from 51.3%, in specific law on alcohol was announced by 1991 to 37.3%, in 2003), according to data the Minister of Health, especially aimed at from the National Institute of Toxicology preventing the consumption of alcohol by (Memoria ... 2003). adolescents. With this aim, a critical analysis of the already existing regulations, e.g. National Plan on Drugs: Strategy for the period 2005–2008 After reviewing the epidemiological data and the state-of-the-art in the consumption of alcohol and other drugs, the government has evaluated the National Plan on Drugs 2000–2008, and redrafted the strategy for the period 2005–2008. This redraft reflects an increase in the consumption of alcohol and other drugs, a reduction of the perception of risk, an increased perception of the availability and an increase in harm related to the use of alcohol and other drugs, while the starting age has remained stable. From the identified concerns derive the bases for the new strategy for the years ahead. A Sector Conference took place on March 7th 2005, including proposals from NGOs and public institutions. From this Conference, an Action Plan was derived, made up of 6 working axes, embodied by 68 actions. on publicity and legal age limits, had to be discussed. To begin with, the legal age for selling and drinking alcohol would be 18, statewide. The role of the alcoholic beverages industry The drop in per capita consumption (-26.7% for 1980–2003) and wine consumption (-52.7% for 1980–2003) (World drink trends 2005), has meant and still means a major cause of concern for the alcohol industry. Another cause for concern is the approval of regulations that could jeopardise the sales. The industry needs to preserve and, if possible, increase its business. Parallel to this, the many compensation claims to the tobacco industry together with a more critical view on the alcohol industry itself have also meant another type NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 431 Spain of threat to the sector. The alcoholic bever- claims made on foods for “it could remove ages industry has seen the need to engage the scarce possibilities of the sector con- in the field of prevention, its focus being cerning communication and promotion” on the promotion of “responsible” drink- and counteract their efforts of 12 years ing. The industry is desperately looking to promote and disseminate studies on for a friendly and trustworthy image. health benefits linked to the consumption This duality explains the industry stakeholders' frontal opposition to new of wine (Fundación para la investigación del vino y nutrición). regulations, controls, and to any increase The results of their sponsored studies on in taxes, and in general to every measure the benefits of wine are presented at their that could reduce the per capita consump- own meetings (a recent medical study on tion. While they are nevertheless engaged the benefits of alcohol was done in collab- in prevention aimed at the risky patterns oration with FIVIN, and presented to the shown by vulnerable or deviant individu- media at the Agricultural Ministry). als, as well as sponsoring research studies (on the benefits) on alcohol. In 2002, they were opposing the draft law on the prevention of alcohol misuse The following information illustrates claiming a natural and agricultural origin their attitudes and behaviours, and is taken for wine. In 2003, they successfully lob- mainly from the industry websites them- bied for wine to be considered as a food selves, the media and qualified sources of (Law on Vineyards and Wine). information. At the Food Fair of 2004, stickers were distributed with the slogan: “No to zero Wine producers The wine producers are convinced that they sell the “good” alcohol (Mediterranean diet) and consider themselves “pure” for not being involved in claims about their advertisements. The Foundation for the Investigation of Wine and Nutrition (Fundación para la investigación del vino y nutrición, FIVIN) is a non-profit, private entity that was established 10 years ago with the aim of fighting for recognition of the health benefits of wine and cava1 (Fundación para la investigación del vino y nutrición). FIVIN, together with the Spanish Wine Federation (Federación Española del Vino, FEV), report that they have insisted on the exclusion of wine from the Regulation of the European Parliament and of the Council of 16 July 2003 on nutrition and health 432 NORDIC STUDIES ON ALCOHOL AND DRUGS tolerance. Wine is culture”. FIVIN, together with the hospitality sector, have questioned the government policy on drink driving (Francàs 2004). The “zero tolerance policy”, promoted by the autonomous government of Catalonia, and the intensification of checkpoints, for example, have allegedly become a major concern for the wine sector. The Hospitality Corporation of Catalonia has claimed a sales reduction of 50% and a cava producer regretted that “nobody speaks about driving under the influence of drugs, while they attack wine, which is food”. Among other opinions of the sector, “a responsible drinking of 2–3 glasses of wine per meal doesn't cause any problem” and “it's absurd to modify a moderate wine consumption…for it doesn't mean any risk for driving”. (Francàs 2004) V O L . 2 3. 2 0 0 6 . 6 Spain The president of the Hospitality Cor- launched in 1998 as a scientific body poration of Catalonia considers that the aimed at producing studies on the virtues tough controls in Catalonia have caused a of beer. The reports are meant to be dis- psychosis among sensible consumers, and tributed to governmental bodies, health announced in the spring of 2005 the pro- professionals, and consumers. With this duction of smaller bottles (370 ml instead aim in mind, they present their studies of 750 ml), so that the customer does not at Medical Colleges, scientific meetings need to pay for the whole bottle he cannot and distribute them generously to the me- drink. The small format is also claimed dia. Based on their own website (www. to allow consumers to change the type of cerveceros.org), we can highlight some of wine for the second course and thereby their studies' conclusions: helping “to clarify any fear of responsible “Beer contains functional ingredients consumers to give a positive result at the …”, that is “foods rich in some component police check-points.” (Francàs 2004) A that has important positive health proper- study paid for by the wine sector around ties with more than mere nutritional val- this period showed that 3 glasses of wine ue, such as for example reducing the risk didn't give a positive BAC, even for wom- of cancer, of circulatory problems, or of en, and, consequently, didn't mean any congenital malformations in the foetus.” risk of being caught by the police (Francàs 2005). The brewers insist that beer is part of the praised Mediterranean diet: “Wine and The wine producers asked the Spanish beer in moderation may form a part of a General Directorate of Traffic to erase any healthy diet like the Mediterranean diet… reference to wine from the last Road Safe- always in moderate amounts and without ty Campaign, because they've stated that substituting wine consumption.” it does not cause any car accidents. Paral- When it comes to youths, the beer sec- lel to this, a market study on “Youths and tor puts the blame on spirits and even Wine in Spain” was presented (February on wine, which should be the preferred 2006) at a sector fair. Among its conclu- drinks for those attending “big bottle” sions: wine is little consumed by those gatherings, as opposed to “the family na- under 35, because its use is considered to ture that beer may have”. According to the need some expertise and an effort is re- Brewers of Spain, for young people, beer quired to recover the wine's vanguard im- is a “popular summer drink to quench the age among youths and to encourage con- thirst”… perceived as “refreshing … and sumption. To this last aim, even the public not as an alcoholic beverage for going out institutions should make an effort. (Youths at night…” and Wine in Spain 2006.) In 2002, the brewers of Spain presented, in partnership with the General Directo- The brewers The brewers2 have long been associated in an alliance, the Brewers of Spain (Cerveceros de España), founded in 1922. They sponsor a Beer and Health Centre, rate of Nourishment (Ministry of Agriculture), the main conclusions of their studies in the form of a White Paper on Beer, with the acknowledged aim of promoting the responsible consumption of beer. The NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 433 Spain brewers consider themselves a responsible consumption. The main guideline is “not sector committed to society (Fundación to worry about it but to deal with it”; “par- Alcohol y Sociedad 2002). With this aim, ents must inform their children from an they have developed some educational early age (6) about how to take responsible and preventive activities, mainly aimed at decisions regarding alcohol consumption” youths. They also claim to guarantee the (Pérez 2004). protection of minors in their sales commu- • Young people, Alcohol and Driving nications. (Jóvenes, alcohol y conducción) In 1997, the Brewers of Spain, with the Here are some examples of their self-re- collaboration of ADIGRAM4 and the Royal ported activities: Automobile Club of Spain (RACE), reached • Campaign “The Road Demands you to be an agreement for the joint production of an Alcohol Free (La carretera te pide sin)” informative video on alcohol and driving, This media campaign was first launched responding to a European initiative pro- in 2001 and is still ongoing in partnership moted by The Amsterdam Group and the with the main organizations committed ERSF (European Road Safety Federation). to traffic safety.3 With the aim of raising This video was specifically aimed at and awareness on the incompatibility of drink- distributed to 5000 driving schools. The ing and driving, drivers are recommended campaign is ongoing. to drink non-alcoholic beer. • Code of Advertising Self-Regulation While the spirits producers promote The brewers have their own code of designated driver alternatives, the brew- conduct, the declared aim of which is to ers support alternative beer: “If you have avoid advertising to minors, advertising in to drive, you'd better drink non-alcoholic hours propitious to them, and to not asso- beer”. According to the Brewers of Spain ciate beverages with driving (sponsorship General Management, the best prevention and product placement seem to get around tools are messages aimed at responsible these limitations). driving, because prohibition measures mostly provoke a response opposite to the In 2005, the first roundtable on Beer, desired one. This Spanish brewers' cam- Nourishment and Sports was held in Ma- paign was selected by the EC to be includ- drid, where the positive relationship be- ed in the European Road Safety Charter tween sports and beer was established. and will be running for another 3 years. The president of Brewers of Spain com- • Parents have the last word (Los padres mented on the brewers' support of sport tienen la palabra) via sponsorship, always respecting the In 2004, the Brewers of Spain devel- law and their self-regulation, so that they oped, in co-operation with the University don't participate in events related to driv- of Valencia and with the support of the ing or where minors are attending. The is- Ministry of Agriculture, Fishing and Food, sue of the magazine Cerveza y Salud (Beer a parental guide with the aim of informing and Health), where the event is reported parents of 6–13-year-olds on the best way also shows the picture of a football player of establishing a dialogue about alcohol drinking beer and stating that their doctors 434 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 Spain recommend them to include beer in their diet (Cerveza y Salud 2005). Altogether, the brewers promote beer among youths. A study carried out by professionals of the Chemist's Faculty in Madrid and sponsored by the Beer and Health Centre (Requejo & Ortega 1998), comparing 18–35 youths drinking beer versus drinking alcoholic beverages with higher proof, showed that beer drinking is associated with low alcohol consumption, healthy nourishment and having altogether better nutrition and more energy. The The spirits producers In 1977, the spirits industry created the Spanish Federation of Producers (FEFBE), which, in 1998, merged with distributors (ADIGRAM) to build the Spanish Federation of Spirits (FEBE)5. The latter has organised itself around research and prevention activities as a typical 'social aspect organization': the “Fundación Alcohol y Sociedad” (FAS) (Foundation Alcohol and Society), although some actions are still directly taken by the industry (FEBE or DIAGEO). brewers' statements and marketing messages promote altogether the idea, common among youths, that beer is a non- or almost non-alcoholic beverage you just can drink when thirsty. Their contribution to the prevention of impaired driving is, as a matter of fact, a beer promotion campaign. They refuse statutory regulations, having opposed the generic measures included in the draft law on the prevention of alcohol misuse and asked for a different treatment for beer as a low-proof beverage and the only one with a non-alcoholic type. Brewers are in favour of self-regulation, which clearly fails to control their communication policy. Beer advertisements are extremely appealing to youths, repeatedly associating the golden drink with sexual success, modernity, and even sports. The promotional message within a ski pro- FEBE The federation declares its commitment to an active responsibility in fighting alcohol abuse via warning against consumption in at-risk groups such as minors, drivers and pregnant women, promoting sensible and responsible drinking, and working for an effective marketing self-regulation. FEBE supports education, information, and sensitisation as the main tools in developing responsible attitudes and behaviours. Its main declared commitment is, therefore, embodied by: 1) the “reinforcement of ethical self-regulation of the publicity of spirits, with a strict control through an independent body (Autocontrol)6”, and 2) the creation of the Alcohol and Society Foundation (FAS). gramme sponsored by brewers was “San Miguel, the beer which skis best”. In Catalonia, a special beer which is the first sponsor of all main cultural events, seems to have the monopoly on sponsorship and product placement, and regularly appears at the foreground. The main characters in soap operas drink it generously (6–8 bottles on a two-person table). Control of Advertising, Self-regulation In 1998, and as part of a “cleaning image” operation, spirits producers invested 100 million pesetas (some 60 000 euros) in a publicity campaign to call for responsible drinking in order to stop the drop in sales. Since then, every advertisement of alcoholic beverages has this warning message: NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 435 Spain Drink moderately, it's your responsibility. on TV with the excuse that the mixture FEBE claims that this message has been contains less alcohol (mostly around 5º), recognised as an alternative to official when they clearly promote the contained warning messages introduced by regional spirit. laws. with AUTOCONTROL for the reinforce- FAS (Fundación Alcohol y Sociedad – Alcohol and Society Foundation) According to its website description (www. ment of the sector's self-regulation. Ac- alcoholysociedad.org), the foundation was cording to them, there shouldn't be any created in 2000 with the aim of liaising concern about self-regulation taking into with society in the search for comprehen- account its double (pre-launch and after- sive solutions… FEBE has a code of conduct (1999) and, since 2003, also a collaboration agreement launch) control. The so-called voluntary The commitment stems from the need “copy advice” (pre-launch control) should to address this matter on an objective ba- be the reason for just 3 out of 180 claims sis. Actually its first objective is “to dis- received by AUTOCONTROL being relat- close… the truth about the effects of alco- ed to the spirits sector. holic beverages… furthering realistic and Worth highlighting is the fact that FEBE viable solutions that are far removed from has presented claims about illegal public- demagogic approaches”. The foundation ity (TV covert advertising of a brandy) by states to be a rigorous and reliable centre a producer who does not belong to their of research and reflection. Its purpose is to group of trustees. Another interesting par- “provide support and guidance”… It un- adox is that Bacardí, which belongs to the dertakes specific campaigns “to mitigate FEBE group and is a trustee of the Alcohol the effects of the irresponsible consump- and Society Foundation, circumvents the tion of alcohol, fostering non-consumption prohibition of publicity of >20º alcoholic among high-risk groups (minors, motorists, beverages on TV by publicizing already and pregnant women) and expounding the mixed drinks such as Cuba Libre, which is need for a moderate, responsible, and sen- a ready-to-drink mix of rum (40–50º proof) sible use of alcoholic beverages amongst and coke. Although its strength is 5º, eve- the population as a whole, through educa- rybody recognises the ingredients, because tion and information”. (Fundación Alco- this combination has been very popular for hol y Sociedad) decades and it is the mix drunk most by The key to success will be the “trustwor- people going out at the weekends, even for thy” collaboration of all parties involved youths engaged in outdoors drinking (bo- (Administration, NGOs, parents, trade tellón), where participants prepare them- unions, political representatives, the sci- selves combined drinks from big bottles entific community, and the industry), and of spirits and soft drinks. Other ready-to- according to this view, those alliances are drink cocktails (also known as alcopops), actively sought. Bacardi Breezer, J&B Twist, Ice Smirnoff, etc., have also been advertised on TV de- The board of Trustees is made up of the main spirits companies.7 spite the prohibition of advertising spirits 436 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 The FAS mission is overall the preven- Spain tion through education and “informa- FEBE has attributed the recent state- tion…free of demagogy, bias or manipula- wide reduction in auto accidents among tion”, and includes the statement of alco- youths to this campaign, in which 671 holic beverages being closely linked to our people took an active part. habits and to the cultural history of Spain (Fundación Alcohol y Sociedad). • “Alba Project” (Youth and alcohol) FAS's other main topic is the prevention FAS main topics: of underage consumption of alcoholic bev- • “One Driver per Night” erages, as quoted in its website; the project The designated driver campaigns, which Alba (2001–2004) was set up to tackle this costs over 1 million euros each, are wel- issue. It includes a research project (via comed by the same hospitality sector that surveys) to study the relationships be- has strongly criticized the alcohol check- tween minors and alcohol, and an educa- points for ruining their business. Appar- tional programme for schoolchildren. The ently, a drop in wine consumption with rationale for the programme was the belief meals by drivers who decide not to drink that education is the most effective way of or drink less is a disaster (there is no com- combating alcohol consumption among pensation) and should be removed, but adolescents. disco-goers who play the designated driver The goal was to provide youths with role are apparently no menace to business “objective, concise and realistic informa- (the passengers drink to compensate for tion; doing away with certain myths…”, the driver's abstinence) and should be pro- to provide them with “specific answers moted. The designated driver campaign is to their doubts, thereby enabling them to exclusively concentrated on youths, the reach their own reasoned conclusions on same target to which sales are aimed. The their own accord.” (Fundación Alcohol y designated drivers “sacrifice” themselves Sociedad) that night and are compensated with a As a result of the survey, the Foundation prize. Allegedly drink driving by youths is published a White Paper on the Relation- the problem; not older drink drivers, not ships between Alcohol and Adolescence bingeing passengers. in Spain (Fundación Alcohol y Sociedad Designated driver campaigns have not 2002, with data of 2001) and a 2nd White proven to be effective (Babor et al. 2003). Paper was due to appear in 2005 with Actually none of the published studies has the results of the 4-year survey on 22 000 evaluated the reduction of alcohol-related 12–18 year olds (it was presented to the injuries associated with them; passengers media on May 30th 2006, but hasn't been can indulge in drinking and even disturb included in the FAS website yet). Worth the driver, and the designated driver him- mentioning is the information obtained self does not modify his drinking behav- by the first survey about the values which iour outside the campaign (Ditter et al. drive youth. Among them: the value of be- 2005). Nevertheless, sponsoring them is ing “authentic” (“Be authentic”…, is this mostly perceived by the society as a good not the slogan of a gin brand?). The study contribution to prevention. report, which is aimed at teachers and NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 437 Spain parents, promotes adolescents being intro- • Responsible Hospitality (Responsible duced to alcohol by their parents: actually, Serving of Alcoholic Beverages – RSA) the report says that adolescent problem In July 2005, while the media were drinkers come from families who don't spreading the development of the RSA consume alcohol and lack a model and programme launched by the Health Agen- information, “discovering the alcohol via cy of Barcelona in 2001 and offering train- their peer group in a problematic and even ing trainers workshops open to all Spain, traumatic way.” As a contrast, another way the FAS claimed to be the first in offering a of initiating alcohol consumption by ado- programme to train the waiters in respon- lescents is “associating their consumption sible serving of alcoholic beverages within behaviour with that of one of the adults its new programme “Responsible Hospi- who serves them as mirror and model… tality” (Giralt 2005). The Hospitality Cor- the normalisation of consumption is in- poration of Catalonia, which had refused duced by the family and transmitted to the any back-up for the RSA of the Health minors as a praxis associated with adult Agency of Barcelona, as well as a Federa- life”. (Fundación Alcohol y Sociedad tion of Night Leisure are happy to collabo- 2002, pages 16, 18) rate with the industry RSA programme for The school programme Educational Programme on Adolescents and Alcohol: “business doesn't imply excessive consumption”. Educating in Responsibility (Fundación para la investigación del vino y nutrición) has a clear informative and harm reduction approach, and is full of dubious concepts like “abuse”, “responsible consumption”, “intelligent decisions”, etc. Pupils, teachers, and family are offered a guide. Teachers are not obliged to be trained and, in any case the didactic unit on alcohol (with plenty of information about metabolism, intoxication, hangover, and withdrawal syndrome) is delivered to the pupils via the 2-hour workshop run by an FAS trainer. There is no education on lifestyle or values. Moreover the teachers' DIAGEO DIAGEO (www.diageo.es), another trustee of FAS, is also launching 'prevention' campaigns in partnership with companies of the leisure sector. These expensive campaigns aimed at preserving alcohol as part of a lifestyle but avoiding irresponsible drinking are meant to reach the 18 to 25 year-old youths via the J&B promotional channels. Diageo also organizes whisky cruises within the promotional campaign Nightology, reinvent the night (www. nightology.com). ments), with no mention of alcohol. Pupils Relationships between the alcohol industry and the governmental organizations are told that it's better not to consume al- As with the god Janus, the industry has two cohol if they are under 18 or have to drive. faces when it comes to prevention. Actu- The programme was first introduced in the ally, the industry is 'winking to' some gov- course of 2001/2002 and has been run in a ernmental departments (industry, trade) few regions. while 'scowling' to others (health, treas- guide has a whole unit devoted to publicity (from analysing to creating advertise- 438 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 Spain ury) and even alternatively opposing or doba (February 2005), Málaga (June 2005), supporting measures within the same gov- and Jaén (July 2005). ernmental department. Organised as social The content of the agreements, common aspects organizations or not, the whole al- to there municipal agreements, embraces cohol beverage industry claims a role in four action areas: defending the public good. This defence 1. education in responsible drinking is understood as combating irresponsible drinking patterns while maintaining and • development of education pro- grammes for adolescents even increasing the level of consumption • development of the designated driv- among the population. Put the blame on er programme “A driver each night” the drinker not on the drink. • development of different dissemination and training programmes The “good” face It is clear that the industry is doing its best to liaise with the local, regional and state governments, offering its resources and strategies for the prevention of the harm related to the “bad use” of the goods they produce and sell. The brewers – mainly the Spirits Federation – are committed to a dialogue with the public powers and have decided to act on their role of social responsibility, investing every possible effort and resource to fight the harm derived from the “improper” and “abusive” use of alcohol. They invest a lot of effort in meeting governmental organizations and key professionals trying to get them on board. Their contribution to preventive and research activities is often welcomed by politicians, especially by those who are less aware of the biases derived from the industry's vested interests or by departments related to the business or the alcohol sector. Between 2004 and 2005, general collaboration agreements were signed between FEBE and important municipalities such as Barcelona (January 2004), Tarragona (February 2004), Palma de Mallorca (May 2004), Granada (September 2004), Cór- for improving the knowledge of the consumption habits and treatment, if needed, aimed at the sectors concerned 2. research studies on alcohol and society • studies and research on alcohol and its effects on health and society in general • the opinion of the FAS will be taken into account in regard to research studies on the effects of alcohol, 3. persecution and control of fraud to the consumer • monitoring, persecution, complaint and penalty in any case of fraud or deceit 4. monitoring and control of publicity messages • control of publicity messages prior to their broadcasting or introduction to the customer with the aim of guaranteeing, at any time, their adequacy to the regulations in force The industry is selling convenient prevention: one that does not jeopardise the business nor challenge public opinion. A “wet culture” is compatible with accepting the philosophy of “responsible drinking”, and the prevention offered by the NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 439 Spain industry is therefore easily accepted with Chamber (in the Parliament), whose presi- the best intention. Moreover, taking into dent considers this strategy as the key axis account the major cost of any campaign or for traffic safety. The critical voices of the prevention programme and the permanent health sector are mistrusted and do not shortage of public funds, the sponsored find their way through to the relevant au- activities are something to consider. thorities. The alcohol industry and its alter ego In summary, some governmental and FAS have been successful in collaborat- private organizations believe that some ing with several municipalities, autono- public benefits can be expected from pre- mous governments, with transport and vention provided by the industry, although traffic safety authorities, driving schools the types of chosen interventions belong to and private traffic organizations. Worth the least effective approaches according to mentioning is the fact that these collabo- the international scientific evidence base rations do not usually involve the health (Babor et al. 2003). sector, and have been a source of conflict between departments. This also explains the unequal implementation of the industry programmes even in municipalities with signed-up agreements. The FAS designated-driver campaign and the school prevention programme are The “bad” face When it comes to taxes, controls and every strategy aimed at reducing the per capita consumption, the industry systematically shows its “bad” face to those concerned with prevention. probably the most widespread activities, although they don't cover all the national territory. The school programme has to compete with governmental non-mandatory prevention programmes. Both being free, the main difference is that the latter has to be run by the teachers in several sessions and the industry programme is run by a FAS trainer in just two 1-hour workshops. The designated driver campaign is the most supported initiative. In a country where traffic accidents kill 4000–5000 people each year (almost 40% of fatalities related to alcohol) this support is not surprising, even if the offer comes from the industry. In the desperate need to curb this bloodshed, the expected possibility of saving a single life is welcomed by the main traffic authorities as well as the Commission on Traffic Safety of the Deputies 440 NORDIC STUDIES ON ALCOHOL AND DRUGS The industry and taxes The industry is firmly fighting against any increase in taxes. Wine producers and the Ministry of Agriculture are against wine taxes. The brewers feel it is unfair to be charged for their low alcoholic products, and the spirits producers have the feeling that they already pay too much. In 2005, there was a major discussion on measures to compensate the health care deficit. FEBE claimed that increasing the VAT on alcohol would mean an improper and non-justified discrimination which would penalise the majority of responsible drinkers and would not help in preventing the harm related to alcohol abuse. According to FEBE, taxes are not a useful tool to address health policies and would represent a very low amount of revenue that would not compensate for the health system deficit. V O L . 2 3. 2 0 0 6 . 6 Spain Moreover, it would mean a dramatic loss duct, of claims not being upheld by the of jobs. Their reasons seem to have been self-regulatory body or advertisements be- convincing, because a special increase in ing removed too late, in the case of upheld the petrol taxes has been earmarked to pay claims. for the health system. In 2001, 6,692,436 alcohol advertise- Financial authorities are more prone to ments were shown, mainly (2,050,131) in seeing the benefits of the market, the many open scenarios (billboards, etc) and on TV jobs related to the sector and the contribution (1,994,346) (Nelson-Sofres 2001). Beer is of the increased alcohol taxes to the RPI. the most advertised beverage on TV and Altogether, the alcohol industry rep- in cinemas, while spirits prevail in open resents an important part of the Spanish settings. Spirits cannot be advertised on economy, creating employment and eco- TV but they have no limitations on the ra- nomic benefits, including revenues from dio, which has a lot of youth programmes taxes. The government itself is therefore sponsored by spirits brands. DJs mix pro- interested in protecting and promoting the motional messages with their comments sector, mainly the wine and cava produc- on music and leisure, creating a complic- tion and marketing. The Agricultural Min- ite atmosphere. istry has succeeded in having wine defined The industry sponsors lots of youth as food, and public funds can be devoted events (rock concerts, sports competitions, to its promotional campaigns. The agricul- etc), bombarding with media advertise- ture authorities and corporations mistrust ments and altogether promoting a lifestyle most initiatives aimed at the prevention of where alcohol has a central role. Diageo, alcohol-related harm, easily understood which claims to be committed to preven- by them as a shift towards intolerance and tion (“…use your head”), is organizing 'dry' laws. The trade and financial authori- boat cruises (Nightology Boat) that an- ties see more benefits than risks in alcohol, nounce endless nights of surprises, sensa- and they are opposed to effective preven- tions, and pleasure, including innovative tion strategies that would reduce the per whisky cocktails. capita consumption. Some soap operas are colonized by brew- The industry's “bad face” for the health ers via sponsorship, product placement, sector is not seen as ugly by the business and script-dialogues, including negative and trade sector. images of sobriety. (A joke within a series “he is as useless as a non-alcoholic beer.”) The industry and marketing strategies Both brewers and spirits producers are convinced of the effectiveness of self-regulation and do their best to block regulatory initiatives, as they did during the discussion process of the draft law on the misuse of alcohol. Nevertheless, the daily reality provides overwhelming evidence of a too frequent breaking of their codes of con- Publicity and sponsorship are of course welcomed by the media and the organisers of sponsored events. Claims presented to the Court or other governmental departments, mostly by consumers' organizations, have more chance than those presented to Autocontrol, although advertisements are cleverly designed or placed at the edge of legality. NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 23. 2006 . 6 441 Spain In conclusion department, and even some health pro- In conclusion, the industry is trying to fessionals). The Mediterranean diet is have its voice heard in the Spanish alcohol praised, also in medical congresses, in policy and to some extent is succeeding in terms of food and nutrition. The contribu- doing so, in spite of its clearly contradic- tion of the wine sector to the alcohol policy tory behaviour and the intended counter- operates clearly in the sense of educating balance of NGOs. about the healthy properties of moderate In the government, although all the de- wine consumption. Therefore, their main partments want to curb alcohol problems, investment is in the research related to there is no full consensus about the best those benefits, and they have a clear inter- strategies for reaching this goal. The Min- est in wine being considered as food. istry of Health has clear ideas about how to The beer sector has tried to jump on the proceed. The General Directorate of Public Mediterranean diet wagon, and also in- Health is involved in the group Alcohol vests in research into the health benefits and Health of the European DG Sanco and of beer, besides being engaged in some it is working for an effective reduction of educational programmes and in defending the risks related to alcohol consumption. their own self-regulation code. The most recent example of its work has The spirits sector is mainly interested in been the Draft Bill on health protection having a role in alcohol policy that con- and prevention of the consumption of al- tributes to prevention through educational coholic beverages by minors, with clear and visible campaigns, most of them run measures to reduce alcohol availability. by its social aspect organization, FAS. One The Home Office is also in favour of ef- of the sector's aims is the reinforcement of fective measures, and was involved in the self-regulation and ethical codes as an al- previous draft law, when the National Plan ternative to statutory regulation. on Drugs belonged to this ministry (nowa- All in all, the alcohol beverages industry days it belongs to the Ministry of Health). intensively tries to demonstrate its capabil- Other ministries have other views (mainly ity to contribute to a better alcohol policy the Ministry of Agriculture, but also the with responsible marketing and educating Ministry of Industry, Tourism and Trade) responsible consumers. Availability, taxes that reflect a conflict of interests. For them or curbing per capita consumption are be- the problem is not about availability, but yond its prevention strategies. Concerning the role of the alcohol in- about individual behaviour; therefore the emphasis on the need to promote respon- dustry, “Spain is not different”. sible drinking. The wine sector, in particular, has the strength of a broad support (agricultural industry, hospitality sector, the treasury 442 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 3. 2 0 0 6 . 6 Alicia Rodríguez-Martos, MD, PHD Public Health Agency of Barcelona Spain E-mail: [email protected] Spain Notes REFERENCES 1) Cava: is a type of wine produced according to the “champenoise” method, with a second fermentation in the bottle after adding sugar and yeast. Cava is the Spanish name of this type of renowned French wine, which took its name from the region (Champagne) where it was developed. The cava is mostly (95%) produced in the autonomous region of Catalonia, where this industry flourished in the XIX century. 2) The Spanish beer business is nowadays mainly in the hands of four companies, one of them being Heineken, who bought 2 Spanish beer brands. One of these brands was previously owned mainly by Diageo. 3) General Traffic Directorate (DGT) and the backing of the Royal Automobile Club of Spain (RACE), the Spanish Highway Association (AEC), Motorist Assistance Association (ADA), RACC Automobile Club, the Car Safety Technology Institute Foundation (FITSA), the European Automobile Commissioner (CEA), the Rotary International National Confederation of Driving Schools (CNAE), the Spanish Association of Petrol Product Operators (AOP). 4) Asociación de Distribuidores de Grandes Marcas (Association of distributors of big brands) developed in 1992. 5) FEBE (Spanish Federation of Spirits) comprises 150 companies (almost 100% of the sector of producers and distributors of spirits) and is part of the CEPS (European Confederation of Spirits producers), engaged in a very active social responsibility policy. Website: www.febe.es 6) AUTOCONTROL, created in 1995 for the self-control of commercial communications. Member of the European Advertising Standards Alliance. 7) Allied Domecq España S.A., Asociación Española del Brandy, Bacardí España, S.A., Diageo España, S.A., Larios Pernod Ricard, S.A. and Spanish Federation of Spirits (FEBE). Anderson, P. & Baumberg, B. (2006): Alcohol in Europe. London: Institute of Alcohol Studies (chapter 4, pp: 75–130) Babor T.F. & Caetano, R. & Casswell, S. & Edwards, G. & Giesbrecht, N. & Graham, K. & Grube, J. & Grenewald, P. & Hill, L. & Holder, H. & Homel, R. & Österberg, E. & Rehm, J. & Room, R. & Rossow, I. (2003): Alcohol: No ordinary commodity – Research and public policy. 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