Using data and research to support your action
When making an objection to a new licence application, or a licence renewal application, it helps to have good relevant data about alcohol-related harm, and about the locality. Below are a few places to get useful information to inform your action.
Healthspace
http://www.healthspace.ac.nz/maps/maps_Alcohol.html
Healthspace allows people to investigate a number of key indicators of alcohol-related harm. You can find local data on health outcomes, alcohol related traffic crashes, and licences.
Data are available at District Health Board level for:
- Hospitalisations wholly attributable to alcohol
- Prevalence of self-reported hazardous drinking
- Injury outcomes of alcohol-related motor vehicle crashes
- Reported alcohol-related motor vehicle crashes
Data are available at Territorial Authority (council) level for:
- Hospitalisations wholly attributable to alcohol
- Injury outcomes of alcohol-related motor vehicle crashes
- Reported alcohol-related motor vehicle crashes
- Licence density per 10,000 adults
- Licence density per 100km2 land area
- Alcohol licence counts
Data are available at Auckland Local Board level for:
- Hospitalisations wholly attributable to alcohol
- Licence density per 10,000 adults
- Licence density per 100km2 land area
- Alcohol licence counts
Data are available at Census Area Unit level for:
- Licence density per 1,000 adults
- Licence density per 10km2 land area
- Alcohol licence counts
Police Victimisation Data
https://www.police.govt.nz/about-us/publications-statistics/data-and-statistics/policedatanz
Policedata.nz is a portal that makes a wide range of police data available to the public. It may take a while to learn to navigate but you should be able to find information about police events in your local area, and over certain periods of time. The data available does not provide information on whether each event was alcohol-related. Start with the Crime Snapshot, and then look at victimisations by time and place to see more detail about where and when crimes occurred across New Zealand.
Index of Multiple Deprivation
http://www.imd.ac.nz/NZIMD_Single_animation_w_logos/atlas.html
The Index of Multiple Deprivation is a set of tools for identifying concentrations of deprivation in New Zealand. It measures deprivation at the neighbourhood level in local areas with an average population of 712. The IMD uses routinely collected data from government departments, census data and methods comparable to current international deprivation indices to measure different forms of disadvantage. It is comprised of 28 indicators grouped into seven domains of deprivation: Employment, Income, Crime, Housing, Health, Education and Access to services.
Census QuickStats
http://archive.stats.govt.nz/Census/2013-census/profile-and-summary-reports/quickstats-about-a-place
The census can provide demographic information about communities all over New Zealand. The census allows us to look at the whole country, territorial authorities, right down to local areas called Census Area Units. We can find information on age, sex, ethnicity, employment, income, family structure, education.
Mashblock NZ
Mashblock provides a user friendly way to explore publically available demographic statistics at levels of regional councils, territorial authorities, local boards, census are units, and meshblocks. Available data includes NZ Deprivation Index 2013, usual resident population count, breakdowns of age, gender, ethnic group, religious affiliation, and income. The website uses Census 2013 data from Statistics New Zealand. Locations can be searched by address or located on a map.
Alcohol Notices (Auckland region only)
https://www.alcoholnotices.co.nz/
Alcohol Notices provides an efficient way for licensees and applicants to publically notify their application for a new licence, or for a renewal of an existing licence. Community members can sign up for a daily alerts of public notices, or can search notices by date, area, and trading name. If you are outside of Auckland check with your local council for the best way to keep up to date with public notification of licence applications.
Alcohol Regulatory and Licensing Authority
https://www.justice.govt.nz/tribunals/licences-certificates/arla/
The Alcohol Regulatory and Licensing Authority (ARLA) is the body that hears appeals when a party is unhappy with a District Licensing Committee decision. They also hear appeals to provisional local alcohol policies, and maintain a database of alcohol licences and managers’ certificates. It may be useful to search decisions of the Authority, or find details about specific licences.
It is also possible to search District Licensing Committee decisions for some areas:
Auckland: http://www.nzlii.org/nz/cases/NZDLCAK/
Hamilton: http://www.nzlii.org/nz/cases/NZDLCHAM/
Porirua: http://www.nzlii.org/nz/cases/NZDLCPOR/
Waipa: http://www.nzlii.org/nz/cases/NZDLCWP/
Wellington: http://www.nzlii.org/nz/cases/NZDLCWN/
Find a District Licensing Committee hearing (Auckland)
This page provides details of upcoming and recent DLC hearings. If you click on the link “See the hearing documents” you may be able to access the agenda for the hearing and also the decision of the committee once available. Other councils may have similar pages to keep communities informed.
Companies office
https://companies-register.companiesoffice.govt.nz/
In determining the suitability of an applicant, it may be wise to search the names of the directors involved in a licence application, and assess if they have been involved in other companies. If they are or were involved in other companies, there may be clues as to the applicant’s suitability, for instance if they were involved in a licenced premises with poor track record on enforcement operations.
Take Action
On the spot - take action immediately
Stopping someone from getting behind the wheel after they’ve been drinking could save their life and the lives of innocent others.
If it is an emergency - call 111 and provide the details to emergency services.
If it is safe to do so, take their keys off them and offer to find them a safe ride home.
If the risk of drink driving is associated with a licensed premise - advise the licensee or duty manager of the risk and remind them of their duties to support safe transport options.
If the person has been drinking on a licensed premise and appears intoxicated then report the incident to the local licensing team and/or Police. See the Licensing section for more information.
Be a positive role model
Always drive sober and encourage members of your family/whanau to do likewise.
If you are hosting a family/whanau gathering or event, be a responsible host – e.g. make it alcohol-free, or have a range of alcohol-free options available, arrange a place for people to stay or a safe ride home if they’ve been drinking. See Places and Events for more information on planning events.
Spread the word
Take opportunities as they arise to discuss drink-driving, its risks and consequences with your family/whanau.
Develop some safety protocols/kawa with your family/whanau. These can focus on how to avoid the risks of drinking and driving, and having a plan to get home safely should that be necessary.
Start a group or if you are already part of a group or network you can plan initiatives to reduce drinking and driving in your community.
For more information on doing this see Mobilising Others
Assist people to get the help they need
If you have any concerns about someone you know who is drinking and driving assist them or their family to get professional help.
Help can be reached at your GP/local medical centre, school counsellor or local Community Alcohol and Drug Service.
The Alcohol and Drug Helpline is a useful starting point for anyone who has concerns about their own or others drinking. They will be able to support you towards the best course of action and local services including youth services - 0800 787 797.
Change the wider environment to change our drinking culture
Take action on environmental factors which support low-risk drinking. For example, foster and mobilise others to:
- Reduce the availability of alcohol
- Increase the price of alcohol
- Restrict alcohol adverting and sponsorship
- Promote the uptake of early and brief intervention
Case for Change
Drink driving doesn't just harm the driver - passengers and other road users are often involved in alcohol-related road deaths and injuries.
For every 100 alcohol or drug-impaired drivers or riders who die in road crashes, 47 of their passengers and 16 sober road users die with them.
The risk of crashing increases with the amount of alcohol in the blood at the time of driving. Road traffic crashes involving alcohol are more likely to result in death or severe injuries.
The number of convicted drink-drive offences has declined in recent years. Despite the downward trend, the number of repeat or multiple offenders remains high.
Take Action
On the spot - Address any immediate health and safety issues
If you are concerned about your safety, or that of others, call emergency services on 111.
When any urgent matters are under control and if you feel it is safe to do so, look to minimise any further consumption and risks. Get assistance with this if possible.
If you see an intoxicated person in a licensed premises (e.g pub, night club) alert the duty manager, and/or the Police on 111. If you know that an intoxicated person has been drinking at a particular licensed premises, then follow the above.
Spread the word - Promote informed choice
As opportunities arise guide people in your life to relevant information on alcohol and to the low-risk drinking guidelines.
Develop some safety protocols/kawa with your family/whanau. These can focus on how to avoid drinking excessively, and what to do if they are in trouble.
If you have a group or network that you belong to, work together to raise awareness in your community about alcohol and share relevant information and links to low-risk drinking guidelines or other tools.
|
See the section on Mobilising Others for more information and support |
Assist people to get the help they need
If you have any concerns about the alcohol use of people in your life, assist them or their family to get professional help.
- Help can be reached at your GP/local medical centre, school counsellor or local Alcohol and Drug Service.
- The Alcohol and Drug Helpline is a useful starting point for anyone who has concerns about their own or others drinking. They will be able to support you towards the best course of action and local services including youth services - 0800 787 797.
Change the wider environment to change our drinking culture
Take action on environmental factors which support low-risk drinking. For example, foster and mobilise others to:
- Reduce the availability of alcohol
- Increase the price of alcohol
- Restrict alcohol advertising and sponsorship
- Promote the uptake of early and brief intervention
Get Prepared
Alcohol is a toxin the body wants to get rid of
When alcohol is consumed, the human body is alerted and will start to eliminate it. The liver does much of this process.
It takes around one hour for a healthy liver to process a single standard drink. This is only an average, a person's other health issues may impact this.
Drinking more than one standard drink in an hour will mean that the liver cannot keep up, and the alcohol will build up and start to be absorbed into the blood stream.
This leads to a range of impairments;
- Initially, the drinker will experience light-headedness and feelings of euphoria – generally these are pleasant. They are the early signs of impairment.
- Balance and movement will be affected – increasing the risk of falls and other injuries.
- Slowed reaction times – slowing essential skills needed for driving, cooking, looking after children etc.
- Impaired judgement – increasing the risk of aggression, and making poor choices such as driving, or getting into a car with someone intoxicated, or continuing to drink, or having sex you later regret.
- Changed mood and emotional state – this can lead to missing or misinterpreting social cues increasing the risk of aggression and violence, depression.
- “Hangover” – the after effects of heavy drinking can carry over into the next day. This might affect the ability to attend work, school or university, look after children or other responsibilities.
Continued consumption can lead to black-outs and alcohol poisoning.
As well as injuries and violence, heavy consumption of alcohol can have significant and long-term effects on the body including brain damage, liver damage and failure.
The law on intoxication
New Zealand does not have any laws against being intoxicated or drunk. Rather, the Police can apprehend persons if they are creating disorder.
There are a number of offences related to intoxication. Most of these relate to licensed premises. You can read them here.
For example, a licensed premises MUST NOT:
- Sell or supply alcohol to an intoxicated person
- Allow a person to become intoxicated on their premises
- Allow a person who is intoxicated to remain in the licensed premises
In addition, it is illegal for anyone under 18 to be drinking in a public place (without their parent/guardian).
Factors which facilitate heavy drinking in New Zealand
There are a number of factors in our environment which facilitate heavy drinking:
- licensed premises open late at night and early morning,
- a high number of licensed premises in an area
- high exposure to alcohol marketing and promotion,
- cheap alcohol products
- certain types of products such as Ready-to-drinks (RTDs)
- availablity of higher strength beverages.
Screening for hazardous drinking
The earlier we intervene on hazardous drinking, the less harm will result.
Ideally, everyone who is seen by a health practitioner should be screened for alcohol use, and if found to drink hazardously, provided with brief intervention and referral to treatment.
Case for Change
Intoxication increases the risk of a range of alcohol-related harms
Intoxication often leads to acute effects including violence, unintentional injuries and self-harm [5], but also longer terms harms such as long-term health conditions and social problems [5].
Skills and inhibitions decrease with more amount of alcohol is consumed on a single occasion. This often leads to a greater risk of injury during, or immediately, after the drinking occasion [6].
In 2016/17, among those who drank in the past year in New Zealand [7]:
- 15% consumed 6 or more drinks on one occasion at least weekly
- 27% consumed 6 or more drinks on one occasion at least monthly
- 25% were classified as hazardous drinkers.
Drinking four standard drinks on a single occasion more than doubles the relative risk of an injury in the six hours afterwards, and the relative risk rises even more rapidly when more than four standard drinks are consumed on a single occasion [6].
Take Action
You can do a lot to support and encourage low-risk drinking among your friends and family.
Be a positive role model
- enjoy yourself without alcohol
- model how to refuse a drink/avoid pressure to drink
- if drinking, do so within the low-risk drinking guidelines
- if you are driving or responsible for looking after children, don’t drink
- if you are concerned about your drinking, seek help from your GP or other health professional. This will model help-seeking behaviour.
- be alcohol-free if you are planning to have a baby or are pregnant. Support those around you who might be pregnant by being alcohol-free too.
Spread the word - Promote informed choice
As opportunities arise, guide people in your life to relevant information on alcohol and to the low-risk drinking guidelines.
If you have a group or network that you belong to, work together to raise awareness in your community about alcohol and share relevant information and links to low-risk drinking guidelines or other tools.
|
See Mobilising Others for more information and support |
Assist people to get the help they need
If you have any concerns about the alcohol use of people in your life, assist them or their family to get professional help.
Help can be reached at your GP/local medical centre, school counsellor or local Community Alcohol and Drug Service.
Alcohol and Drug Helpline is a useful starting point for anyone who has concerns about their own or others drinking. They will be able to support you towards the best course of action and local services including youth services - 0800 787 797.
Change the wider environment to support low-risk drinking
Taking action on environmental factors will support low-risk drinking. For example, you could foster and mobilise others to:
- Reduce the availability of alcohol
- Increase the price of alcohol
- Restrict alcohol adverting and sponsorship
- Increase the legal purchase age to 20 years
- Promote the uptake of early and brief intervention
Get Prepared
Low-risk drinking guidelines
A number of countries, including New Zealand, have developed advice or guidelines for Low-risk drinking.
In New Zealand, the Health Promotion Agency (HPA) provides the national low-risk alcohol drinking advice. The image below summarises HPA’s advice for adults.
There are times and circumstances when it is advisable not to drink alcohol. Do not drink alcohol if you:
- could be pregnant, are pregnant or trying to get pregnant
- are on medication that interacts with alcohol
- you have a condidtion that can be worsen by drinking alcohol
- feel unwell, depressed, tired or cold as alcohol could make things worse
- are about to operate machinery or a vehicle or do anything that is risky or requires skill.
HPA’s advice is supported by the Ministry of Health. Click on the image to go to the Health Promotion Agency's full advice on its alcohol.org.nz website.
(Courtesy of Health Promotion Agency - Alcohol.org.nz)
Advice for parents of children and young people under 18 years of age
For children and young people under 18 years of age not drinking alcohol is the safest option.
Parents and carers should be advised that children under 15 years of age are at the greatest risk of harm from drinking. For this age group, not drinking alcohol is especially important.
For young people aged 15−17 years, the safest option is to delay the initiation of drinking for as long as possible.
Advice for women who could be pregnant, are pregnant or are trying to get pregnant
Stop drinking alcohol if you could be pregnant, are pregnant or are trying to get pregnant.
There is no safe level of alcohol consumption during pregnancy.
This has been endorsed by organisations including the New Zealand College of Midwives, The Royal New Zealand College of General Practitioners, New Zealand Nurses Organisations. Read more..
Alcohol and breastfeeding advice
For women who are breastfeeding, not drinking is the safest option. Alcohol can reduce the amount of breast milk produced.
Alcohol can be passed on to the baby as alcohol is also excreted in breastmilk - this could cause damage to infant's developing brain.
The advice is that - if you choose to drink alcohol while breastfeeding, you may need to wait at least 2 hours for each standard drink before breastfeeding your baby. For 2 standard drinks, you may need to wait 4 hours before breastfeeding. Check out the Ministry of Health website for more information.
Supporting New Zealand drinkers to drink within the low-risk drinking guidelines
Whilst it is important that each person looks at their own drinking, and supports others to do the same, we also need our environment to support low-risk drinking.
This means we need:
- fewer alcohol outlets
- later opening and earlier closing hours of alcohol outlets (off-licence and on-licences)
- increased price
- increased minimum legal purchase age of alcohol (to 20 years)
- restrictions on alcohol advertising and sponsorship.
Case for Change
Drinking regularly, even at low levels, increases your risk of long-term health harm.
For New Zealand women, cancer is the major cause of alcohol-related death. In relation to cancer, there is no safe level of alcohol consumption.
One in every 25 deaths from cancer in New Zealand are due to alcohol use (for persons <80 years). Of these, breast cancer is the most common.
Alcohol use is also linked with other long-term health conditions - liver cirrhosis, ischaemic stroke and cardiac arrhythmias.
All New Zealanders need to know the risks from drinking - it is not just hazardous or binge drinking that causes harm.
It isn't just binge drinking that causes harm
Drinking regularly, even at low levels (e.g. two standard drinks per day), increases your risk of long-term health harm. [1]
In New Zealand, one in twenty deaths (5.4%) each year can be directly attributable to alcohol use. Almost one-third of these are due to cancer.
Cancer
In relation to cancer, there is no safe level of alcohol use.
Alcohol consumption can increase your risk of the following seven cancers [2]:
- bowel
- liver
- breast
- mouth
- throat
- laryngeal
- oesophageal
One in every 25 deaths from cancer in New Zealand are due to alcohol use (for persons <80 years).[4]
Of the cancer deaths caused by alcohol, breast cancer is most common.
In New Zealand, half of all cancer deaths from alcohol were due to an average consumption of less than 4 standards drinks per day (i.e. 4 x 330ml (4%) beer or 4 x 100ml (12.5%) wine) [4].
More than one-third of breast cancer deaths from alcohol were due to an average consumption of less than 2 standard drinks per day [4].
Other long-term health conditions
Alcohol use is also linked with cirrhosis of the liver, ischaemic stroke and cardiac arrhythmias. Click the image below for the full-scale poster. Visit HPA's alcohol.org.nz website for more information on health effects.
(Courtesy of the Health Promotion Agency - Main body effects)
Is alcohol use good for my health?
You may have heard about alcohol use preventing heart disease.
We would not recommend drinking alcohol as a way to reduce your risk of heart disease. Having a healthy diet, doing exercise, and quitting smoking are likely to being the greatest benefit [1].
It is important to remember that there are risks of many health conditions from regularly drinking at low levels.
Having important conversations about alcohol use
It is important that conversations about alcohol use become a normal part of our visits to the GP, hospital, social worker, Police, children's health services, etc.
In New Zealand, many of our social and health services are learning how to have these challenging conversations.
Ideally, we want everyone to talk to each other about their alcohol use. This will start to create a discussion in our society about our drinking.
Identifying high-risk drinking / screening and offering help
Research shows that the following steps taken by a health professional can be effective to reduce alcohol use among hazardous and risky drinkers [1].
- Screening – screening to determine the level of hazardous drinking for an individual
- Brief Intervention – in 1-2 conversations, offering information or advice to increase a hazardous drinker’s motivation to avoid drinking and/or equip them with skills to reduce their alcohol use.
- Referral to Treatment – people who are dependent on alcohol will be referred to trained clinicians or specialist treatment facilities for treatment. This often involves a level of care outside the scope of brief services.
This pathway is commonly referred to as SBIRT or can also be known as ABC (Ask – Brief Intervention – Counselling).
The increased use of this process will mean that a greater number of people will benefit from earlier identification of their problems . It will assist drinkers in understanding that their alcohol use is likely to cause them harm.
Given so many risky drinkers do not question their drinking or access help, this process will enable everyone to access the support that they need to reduce their drinking.
For more information, please click here.