I thank the Chairman and members of the committee for inviting us to make a presentation. The last time I appeared before the committee was when I worked for the children's charity Barnardos. I am delighted to be back in the capacity of director of Alcohol Action Ireland, the national charity for alcohol related issues. We campaign to raise awareness of alcohol related issues and the harm associated with alcohol misuse and the policy solutions needed to remedy that harm. One of the categories we focus on is children and young people. We are particularly interested in the welfare and protection of children and young people at risk of harm through their own drinking or the drinking of others.
I am accompanied by Dr. Bobby Smith, who is a consultant child and adolescent psychiatrist, and a member of our board. He will speak on marketing. He is the lead author of the College of Psychiatry of Ireland's position paper calling for the ban on alcohol advertising and sponsorship. It is fair to say that Dr. Smith's position is unequivocal.
We have been invited here to discuss the issues of alcohol marketing and pricing. It is important for the committee to realise that while both issues might seem separate, for the drinks industry they are one and the same. When devising strategies to market an alcohol product, it involves a mix of what are termed the four Ps - product, price, place and promotion. When we talk about advertising and marketing, this is the promotion of alcohol products. We will also discuss the pricing of alcohol. Mr. Cribben in his presentation referred to the widespread availability of alcohol, which in the boom years increased by over 200%.
There is a wealth of scientific evidence to support the fact that alcohol marketing influences young people's behaviour and attitude to drink. The scientific group of the European Alcohol and Health Forum, which is effectively under the auspices of the European Commission's department of health, found that alcohol marketing increased the likelihood of young people who are not drinking starting to drink and those that are drinking, drinking more. That science group conducted a survey of systematic reviews of 13 longitudinal studies, which involved 38,000 young people between the ages of ten and 21 years. They were only able to examine a small proportion of the marketing promotion mix, which means that if they had more time and opportunity, they would have had a chance to look at other aspects of commercial advertising. It is safe to say they found a distinct likelihood of increasing alcohol consumption.
Last year, Alcohol Action Ireland commissioned a leading market research company to gauge young people's awareness of alcohol branding and marketing. The young people in question ranged in age from 16 to 21 years and the research found that five out of their ten favourite advertisements were alcohol advertisements indicating a high memory recall. That is not surprising because we know from other studies, not least from the National Youth Council of Ireland, that the alcohol industry employs tactics in advertising to appeal to young people, such as music, humour and so consequently when there is a high incidence of memory recall, one is talking about brand and the product being kept in mind.
The research also found that 39% of the people questioned owned an item of alcohol branded clothing - yet only 1% of them when asked thought this was a source of advertising. In spite of the fact that every time they look in the mirror wearing the clothing or turn up with their friends wearing it, they are effectively marketing a product. This is what we call to a certain extent - stealth marketing. In actual fact the marketing has become so ubiquitous that they fail to realise that it is going on around them. However, they are still being marketed it.
A statistic we would like to highlight is that of the 83% of 16 and 17 year olds who had a social networking page such as Bebo or Facebook, 30% of them had received an alcohol pop-up or quiz on that page. For those of us who are not the digital native generation, we are visitors, but for anyone with younger children or relatives, we know they live out a lot of their lives via Facebook or Bebo. This private space which they share with family or friends is being penetrated by commercial marketing activities on behalf of alcohol when they are 16 and 17 years old in the pre-legal drinking age. The minimum age to be on Facebook is 13 years. We could not survey under 16 year olds for legal reasons, we do not know what the penetration rate is there. We can, however, say what the penetration rate for those in the 16 to 17 year group is, 30% of this age cohort receive alcohol advertisements or pop-ups. Alcohol sponsorship of sports events in this country is worth around €75 million, actual paid for advertising is somewhere around €65 million to €69 million but these are the localised versions of globalised brands. I will give members some of the global figures because they are relevant in an Irish context. Effectively we get an edition of what happens globally. The alcohol marketing spend in the UK, which is our nearest neighbour, is closer to £800 million. It is estimated that a global giant like Heineken spends over €2 billion on marketing. Those of us who are concerned about public health have to ask ourselves what the purpose of such multi-million expenditure is. I suggest alcohol companies fundamentally want to sell more alcohol, increase shareholder profit and ensure new consumers develop a brand loyalty. The new consumers in question are generally young people. I remind the committee that although one has to be 18 before one is legally allowed to drink in Ireland, the equivalent age in other parts of Europe is 16. The adherence to the age limit of 18 depends on the country one is in. All marketers know it is easier to recruit new consumers than to get existing consumers to switch from one brand to another.
I would like to point out to those who believe the alcohol industry is not deliberately targeting young people of pre-legal drinking age that Professor Gerard Hastings of the University of Stirling, who has testified before a UK parliamentary committee like this one, found when he examined British advertising agencies that such an assumption is not always true. The reality is that marketing aimed at 18 year olds will spill over to 16 and 17 year olds. We do not put buckets on teenagers' heads before suddenly taking them off when they reach the age of 18. Marketing aimed at 18 year olds will have an impact on 16 and 17 year olds. Indeed, we should question whether it is acceptable for 18 year olds, even if they are of legal drinking age, to be exposed to and surrounded by the sound and vision of alcohol marketing 24 hours a day, seven days a week.
The stated aim of our current codes, which were mentioned earlier, is to reduce the exposure of young people to alcohol marketing. We support this noble aim. However, no one has a baseline understanding of young people's awareness of or exposure to alcohol marketing. When one hears about compliance - I do not doubt that the terms of the codes are being complied with - the reference is to compliance with codes that cannot support their own stated aims. We have no idea what young people's awareness of, or exposure to, alcohol marketing is. When we talk about compliance, we have to consider what is being complied with.
The current codes allow alcohol to be advertised during programmes if not more than 25% of the viewership is under the age of 18. Children comprise a quarter of the population. Although I did pass maths for the leaving certificate, I can say that as 25% of the population are children, alcohol advertising can be broadcast at any time, with the exception of a defined breakfast period, as long as the 25% rule is followed. My colleague, Dr. Smith, will clarify later that errors in audience profiling mean the figure can be closer to 20%. Basically, there is a massive amount of leeway in terms of marketing to children. As Dr. Smith is more of an expert in this area - he must have done honours maths for his leaving certificate - he will talk about it.
The codes are woefully inadequate when it comes to dealing with digital marketing. We are keen to emphasise this area because the alcohol industry is pumping substantial marketing resources into it. It is a sort of wild west frontier when it comes to alcohol marketing and regulation. In order to show I am not inventing some kind of conspiracy theory, I would like to refer to a report in the Financial Times on the deal that Facebook recently announced with Diageo. I remind the committee that one can have a Facebook page when one is 13 years of age. The report stated that “Diageo has been using Facebook for advertising and promotions for more than a year and has found through Nielsen basket-scanning research that certain campaigns for brands including Smirnoff and Baileys boosted offline purchases by as much as 20 per cent in the US”.
The Financial Times report also quoted Diageo’s senior vice-president of global marketing and innovation as saying “Facebook are working with us to make sure that we are not only fan collecting but that they are actively engaged and driving advocacy for our brands” and “we are looking for increases in customer engagement and increases in sales and [market] share. I do not think we could have said it better ourselves. The Financial Times also reported that “Diageo has increased its budget for digital marketing by 50 per cent to just under 20 per cent of its total media spending”.
Heineken has also been busy on the technology front. It has signed a multi-million euro deal to enter into partnership with the search engine Google, which owns YouTube. According to another report in the Financial Times, "in exchange for committing to a minimum amount of advertising investment across Google's sites, Heineken will be given access to special consultancy, data and discounts from the search company". It is estimated that Heineken's annual marketing budget is €2.17 billion, with 4% or €87 million being spent on digital marketing. That figure is now likely to go up.
To say that our alcohol marketing codes are inadequate in dealing with digital marketing is to put it mildly. If we do not think about how we are going to tackle this area, we might as well be designing codes or regulations for advertising on transistor radios in the era of the iPad. The Government needs to accept its responsibility to introduce statutory regulations relating to advertising, alcohol placement and pricing. As I have said, we intend to initiate a discussion on pricing.
I have circulated Alcohol Action Ireland's pre-budget submission on pricing to the committee. We ask a very simple question on the front of the document - if one has a bottle of beer and a bottle of water, which is them is the cheapest? - and we provide a helpful hint to the effect that it is not always the water. The truth is that when one walks into a supermarket, one can buy alcohol for less than the price of a bottle of water or a bar of chocolate. We are talking about alcohol at pocket money prices. Alcohol is now so cheap that a woman can reach her low-risk, maximum weekly limit for €7 and a man can do so for €10. If one works for an hour on the minimum wage, one will receive €8.65. That one can buy one's weekly limit for such an amount explains why this country has an alcohol problem and how young people are accessing alcohol.
We accept that there are complex reasons for alcohol problems in our society. We argue that this complexity should not be a hindrance to tackling this issue. The World Health Organisation has conducted a comparative study of what has worked to reduce alcohol consumption and associated alcohol-related harm in various jurisdictions. It has found that pricing is the key strand in that context. If one wants to reduce consumption, one needs to tackle pricing. The WHO has also mentioned availability and alcohol marketing in this regard. Alcohol Action Ireland is not the only body that is making these points.
Alcohol-related harm costs this country €3.7 billion a year - €1.2 billion in health costs, €1.2 billion in criminal justice costs and €500 million in absenteeism costs. We are being asked to make austerity cuts of almost the same amount this year. The chief medical officer of Ireland has said that if we could reduce alcohol-related harm by 30%, we would save €1 billion and 30 lives a month. What could we do with that €1 billion? How many special needs posts could we save? How many front line services could we save? How many lives could we save? How many families could be spared heartbreak?
The committee will probably be told this morning that alcohol consumption is decreasing. I suggest we should take a wider look at the matter. Alcohol consumption peaked in the early part of the last decade because we had reached saturation levels, in effect. We could have been wrung out like a towel. The reality is that if one takes a longer-range view, one will learn that alcohol consumption in this country has doubled in the last 30 years. We now drink 11.9 litres of pure alcohol each year. That is the equivalent of 45 bottles of vodka or 125 bottles of wine. Given that 20% of people do not drink, it is clear that those who drink are actually drinking more.
If we were all drinking at our maximum low-risk weekly drinking limit, the annual pure alcohol consumption figure would be 8.8 litres. If we are all being really honest about drinking sensibly, someone else must be drinking the extra three litres. I say this as someone who drinks. The fact is that we are drinking more than we are admitting. The committee does not need to take my word for it. According to figures from the national drug treatment reporting system that were published yesterday, the number of treated cases of problematic alcohol use increased by 43% between 2005 and 2010. The committee is being told that alcohol consumption decreased during the same time. As I have said, it decreased from a record high.
Over 42,000 cases of problematic alcohol use were treated between 2005 and 2010. Half of the people in question had started to drink by the time they were 16. Half of them were aged 39 or younger. There was a 145% increase in new cases involving people under the age of 18. We are seeing alcoholic liver disease among people in their 20s. This used to be a disease of middle-aged people. When will we start having a grown-up conversation about what alcohol is doing to our population on an individual level, on a family level and on a community level? I have spoken to members of this committee and other Deputies who have said that half of their constituency calls relate to anti-social behaviour, much of which is fuelled by alcohol. When will we get real about this?
We need to consider why alcohol-related harm is increasing. When we talk about alcohol misuse in Ireland, there is a tendency to focus exclusively on young people as if they are the only people in the country who have any issues with alcohol, but that is not the case. Half of us are drinking at levels that are harmful to our health. Alcohol is relatively more affordable and available than it has ever been before.
I do not dispute that Ireland has among the highest rates of excise duty in Europe. However, this must be viewed in the context of affordability. The alcohol industry will argue that there are always complex causes, which is true. The RAND report prepared for the European Commission showed that alcohol in Ireland was 50% more affordable than it was 15 years ago. In other words, while the price may appear high in comparison to Spain, it has declined in the past 15 years as a proportion of income. We know from the Central Statistics Office that while prices in general are increasing, alcohol prices are in decline.
The age at which young people first drink alcohol has dropped from 16 years to 14 years in the space of a decade. The bottom line is that alcohol is for sale at pocket money prices. We have a perfect storm of widespread availability of cheap alcohol and, as young people tell us, they do not have any difficulty accessing it. While I am in favour of enforcement, it has not stopped young people buying alcohol. As anyone with children knows, the difference in age between the various members of a peer group is usually three or four years, which means that 15 year olds will hang around with 18 year olds who may legally buy crates of drink in an off-licence or supermarket. We know because we listen to what young people tell us that they do not have any problems legally accessing cheap alcohol. It has been calculated that a young person can get drunk, by which I mean "bombed", for €10. It is important to remember this when one considers that average pocket money for telephone credit and so forth is €16 per week. Young people can clearly afford to get drunk easily.
On the European Commission, the matter is not as simple as has been suggested. There is potentially a legislative basis to enforce public health legislation and we have been informed that this possibility is being actively pursued by the Scottish Government.
During the week, spokespersons for Alcohol Action Ireland appeared on radio with Mr. Higgins, to whom Mr. Cribben referred. Dr. Smith also appeared with Mr. Higgins on TV3 earlier today. We asked Mr. Higgins whether he had anything he would like to say to the joint committee. He asked Alcohol Action Ireland to deliver a statement, which I will cite in part. It reads:
Many factors played a part in David's death but cheap alcohol played a very large part. Alcohol can now be purchased for pocket money prices. For years we have heard our politicians promise to ban cheap alcohol but it is still on the shelves....
Alcohol is just so cheap. All I'm looking for is a little bit of honesty, to bring the price of alcohol up so that young people think twice about buying it in the quantities they're buying it. These people who are selling alcohol at this price - do they not realise what it is they are responsible for? Take the cheap drink off the shelves.
You cannot accept the revenue generated by alcohol with open arms and not accept responsibility for the heartbreak associated with the cheap alcohol. [By implication, this includes the Government]. The Government owes it to its citizens to protect them from this plague. We don't have living proof - our proof is dead.
Mr. Higgins also commented on the problem of trying to be a responsible parent but for reasons of time I will not elaborate on them.