DISPONIBILIDADE DE ALCOÓIS NÃO BEBIVEIS NA RÚSSIA EM 2015-2020: AS POLÍTICAS DE CONTROLE IMPLEMENTADAS DESDE 2005 FORAM EFETIVAS?

Abstract

Consumption of non-beverage alcohol is an important aspect of hazardous drinking, impacting mortality from various causes of death. Since 2005, non-beverage alcohols in Russia have been the subject of active regulation to control their consumption for drinking. This study was purported to determine whether non-beverage alcohols were available in Russia in 2015–2020 to assess the effectiveness of implemented control policies. During the first wave of the survey between 2015 and 2017, 50 Russian cities of various sizes, types, and locations were surveyed. The second wave was conducted between 2018 and 2020 in 5 cities, which were surveyed during the first wave. Fieldworkers visited various retail outlets and purchased samples of non-beverage alcohols: spirituous liquids with an ethanol content of at least 60% by volume sold at a price of less than 45 roubles per bottle ($0.57, €0.49, £0.44). Up until 2016 various types of non-beverage alcohols known as consumed for drinking were available in retail. The availability of these alcohols differed between cities depending on the level of local enforcement of control regulations. The regulations enacted in response to the 2016 Irkutsk outbreak of mass alcohol poisonings, caused by the consumption of methanol containing fake bath additive “Hawthorn”, removed from the market several types of non-beverage alcohols, significantly reducing their availability since 2017. However, low-cost ethanol sources, such as medicinal tinctures, antiseptics, not denatured eau-de-colognes, remained available in 2017-2020, while new sorts of cheap non-beverage alcohols suitable for drinking were introduced to the market (antiseptics for veterinary use, anti-SARS-CoV-2 hand sanitizers). Illegal alcoholic beverages commonly produced from diverted pharmaceutical/medicinal ethanol were also available in retail networks selling non-beverage alcohols. Since 2005, policies implemented and especially those reinforced and newly enacted in 2017 and later in response to the 2016 Irkutsk outbreak, may have indeed reduced the physical availability of non-beverage alcohols. However, more decisive action is still required to prevent consumption of newly appearing and existing specific sorts of non-beverage alcohols and illegal alcoholic beverages, which are commonly produced from the licit or diverted from the legal market unrecorded illicit pharmaceutical/medicinal ethanol.