Control State News August 9, 2018

NH: NH Liquor Commission Celebrates Freedom from NABCA HIGHLIGHTS Taxes with Tax-Free Sale for Out-of-state Customers The Public Health Considerations of Fetal

MI: Letter: Three-tier system key to Michigan’s alcohol Alcohol Spectrum Disorders (White Paper) industry Native American Nations & State Alcohol Policies: An Analysis (White Paper) License State News Alcohol Technology in the World of Tomorrow - (White Paper) AK: Anchorage Non-Profit to Study Local Option Data In The Control State Agency Info Bethel Sheets. Please view website for more information. MA: 'Impaired is impaired is impaired,' whether it's alcohol or marijuana, Massachusetts official says NABCA Survey Database (members only) Upcoming NABCA Meetings CA: California Bill Could Boost Branded Beer Glass Statistical Data Reports Giveaways www.NABCA.org International News Asia: WHO recommends Vietnam to tighten alcoholic use

Ireland: ‘Fatal’ amount of alcohol can be bought for €10, says survey Public Health News Higher alcohol taxes are cost-effective in reducing alcohol harms Industry News Delivery represents 3% of all restaurant orders Heineken is still worried about Snapchat’s age-gating policies Beer drinkers lose U.S. appeal over Anheuser-SABMiller merger Daily News Warning issued about 'drunk wasps' who drink your alcohol and sting more people Gin And Chronic Fibbers - Patients always lie about their weekly alcohol intake — so ‘doctors double the answers’, study shows

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CONTROL STATE NEWS

NH: NH Liquor Commission Celebrates Freedom from Taxes with Tax-Free Sale for Out-of-state Customers Massachusetts, Vermont and Maine customers to receive discounts equal to double states’ sales tax rates New Hampshire Liquor Commission August 8, 2018 Concord, NH – To thank its out-of-state customers who make up more than 50-percent of its annual sales and to highlight New Hampshire’s tax-free status, the New Hampshire Liquor Commission (NHLC) is offering other New England customers discounts equal to double their states’ sales tax rates. NHLC’s “No Taxation on Our Libations” sale provides customers from Maine with an 11-percent discount, Massachusetts a 13-percent discount and Vermont a 12-percent discount—double each state’s sales tax rate. As a thank you to its Granite State customers, NHLC will also offer New Hampshire residents a 13-percent discount to be in line with the promotion’s largest discount. Customers from all other states will be eligible for the 13-percent discount. Eligible customers will receive one-time coupons valid from now through Monday, September 3. For full details, visit: www.liquorandwineoutlets.com/notax. To take part, customers must submit their email addresses and select their home states at www.liquorandwineoutlets.com/notax. NHLC will send customers discount coupons in accordance with their states. “In New Hampshire, we are always tax-free and we are pleased to be able to offer this unique opportunity for major savings to our friends in neighboring states this summer,” said NHLC Chairman Joseph Mollica. “With 79 statewide NH Liquor & Wine Outlets, we offer our 11 million annual customers a selection of more than 11,000 wines and spirits, the most competitive, tax-free prices and a welcoming and enjoyable shopping experience. The “No Taxation on Our Libations” sale is our way of thanking our customers for their continued loyalty in shopping with us.” The “No Taxation on Our Libations” promotion is available to eligible customers making purchases totaling up to $149.99. Eligible customers making purchases of $150 or more will receive a $25 discount during the promotional period. Caption: To thank its out-of-state customers who make up more than 50-percent of its annual sales and to highlight New Hampshire’s tax-free status, the New Hampshire Liquor Commission (NHLC) is offering other New England customers discounts equal to double their states’ sales tax rates. NHLC’s “No Taxation on Our Libations” sale provides customers from Maine with an 11-percent discount, Massachusetts a 13-percent discount and Vermont a 12-percent discount—double each state’s sales tax rate. As a thank you to its Granite State customers, NHLC will also offer New Hampshire residents a 13-percent discount to be in line with the promotion’s largest discount. Customers from all other states will be eligible for the 13-percent discount. Eligible customers will receive one-time coupons valid from now through Monday, September 3. About the New Hampshire Liquor Commission The New Hampshire Liquor Commission (NHLC) operates 79 retail locations throughout the Granite State and serves more than 11 million customers each year. More than $3.5 billion in net profits has been raised since the first store opened in 1934. NHLC set an all-time sales record in Fiscal Year 2017, generating $698.2 million in gross sales, an increase of $19.8 million – or 2.92-percent – over the previous fiscal year. Total liquor net profits reached $159 million, of which $155.7 million was transferred to the New Hampshire General Fund, which is used to fund programs including education, health and social services, transportation and natural resource protection. Additionally, $3.3 million was transferred to New Hampshire’s Alcohol Abuse Prevention and Treatment Fund, which utilizes a percentage of NHLC profits to fund addiction treatment and prevention programs. Visit www.LiquorandWineOutlets.com to locate a store, search for product availability, learn about monthly sales, review wine tasting schedules, and sign up to receive significant savings with monthly Email Extras. ### NABCA Daily News Update (8/8/2018) 3

MI: Letter: Three-tier system key to Michigan’s alcohol industry The Detroit News August 8, 2018 Nationally, Michigan is a Top Five producer of beer and wine, thanks to a three-tier system that opens up opportunities for breweries and wineries big and small to create jobs, grow and thrive. And it’s not just those who make beer and wine in the state who benefit from this system. The three-tier system and the state’s beer and wine distributors do more than move cases of wine and kegs of beer from point A to point B. They help small craft breweries and wineries access retailers down the street and on the other side of the state, ensure a fresh product is found on store shelves and on tap at bars and restaurants and provide marketing muscle to put on unique events and tastings. Michigan’s three-tier system doesn’t just help small producers get off the ground and grow their brand. It also prevents big multinational brewers from having a monopoly on the alcohol market, which would block out our state’s innovative craft brewers and bring the state’s craft beer boom to a halt. Imagine today, walking into a bar and instead of finding 40 taps of beer from breweries from across the state and around the world, you find a handful of taps of beer from one brewery. Go down the street and you’ll find the same thing. You actually don’t have to go back in time to see the negative effects of tied-houses. Bars across Europe are tied to multinational brewers, limiting the growth of the craft beer industry in many European countries. The three-tier system provides safeguards to help prevent alcohol abuse, drunk driving, underage drinking and binge drinking. It also ensures the products that make it to retailers aren’t tainted, like alcohol that wound up at resorts in Mexico earlier this year. Michigan’s beer and wine distributors are proud to play a role in the success of the state’s beer and wine industries, which have more than a $15 billion annual economic impact. Our members, many of whom are family owned distributors and have deep roots in their communities, employ nearly 5,000 people locally in good-paying jobs with good benefits. Michigan’s beer and wine industries have grown by leaps and bounds over the last several years and are on track to continue growing – opening new breweries and wineries and adding jobs – under a system that promotes choice, competition and a level playing field. Spencer Nevins President, Michigan Beer & Wine Wholesalers Association

Larry Bell President, Bell’s Brewer

LICENSE STATE NEWS

AK: Anchorage Non-Profit to Study Local Option Data in Bethel KYUK By Krysti Shallenberger, Alaska’s Energy Desk August 8, 2018 When the AC Quickstop liquor store opened two years ago, local emergency services, law enforcement and social services saw a sharp rise in alcohol-related incidents — mostly public intoxication.

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The Bethel City Council opposed the liquor store's license renewal, and the state Alcohol Beverage Control Board chose not to renew it in May. Alcohol sales have been limited ever since, but they could be shut down entirely in October, when Bethel residents vote whether or not to allow alcohol sales. Meanwhile, a small non-profit in Anchorage thinks that Bethel can fill in key informational gaps about how rural Alaska deals with alcohol, specifically local option. Tiffany Hall, Executive Director of Recover Alaska, says that the group found little to no numbers about local option. Just this past year, Recover Alaska tried to help push a massive bill through the Legislature that was six years in the making: Senate Bill 76. It would have revised alcohol regulations in Alaska. The bill died in the state House at the last minute after clearing the Senate. Its sponsor, Senator Peter Micciche, withdrew it after stakeholders couldn’t agree on a House amendment. While that bill addressed a lot of issues with Alaska’s alcohol regulations, it didn’t address local option. Hall blames the lack of input and the group's location in Anchorage. Hall chose Bethel for a kind of case study about local option. Bethel’s history with the regulation dates back to 1960, when a proposal to allow liquor sales failed by 25 votes. And the town has toggled between allowing liquor sales in various capacities since then. Hall says that she reached out to the Bethel ONC tribe and the Yukon-Kuskokwim Health Corporation a year ago about gathering data from Bethel and the surrounding communities so that she could gather data about local option. It took a while, but Hall finally visited Bethel last week at the behest of those two organizations. She says that Recover Alaska is also working with the Institute for Circumpolar Health and the Alaska Native Tribal Health Consortium. But Hall says finding the data will be a challenge. "In some cases that will mean electronic cases, and other cases that means boxes of handwritten paper," Hall said. Hall also plans to talk to villages in the Y-K Delta, but doesn’t expect to find many records there because of sparse resources. "So we’ll just be trying to have a conversation, and getting qualitative data where possible," Hall said. Hall says that Recover Alaska could have its initial findings as soon as this December. But, she says, it will take a lot of time to gather all the data the group needs. And once they are done, Hall says that they still have to figure out who gets the data. "We are not exactly sure how we plan to roll that out," Hall said. Meanwhile, the group is reaching out to local stakeholders, like the Tundra Women’s Coalition and Search and Rescue, for any information and insight they have on the town’s local option history.

MA: 'Impaired is impaired is impaired,' whether it's alcohol or marijuana, Massachusetts official says MassLive By Gintautas Dumcius August 8, 2018 In a public awareness campaign on impaired driving, Massachusetts public safety officials sought to equate operating a motor vehicle under the influence of marijuana with doing so under the influence of alcohol. "It's the same," State Police Major Richard Ball said. "You're a danger to yourself and others and that's what we're trying to combat here," he added, pointing to the possibility of someone who's consumed marijuana having slower motor skills and experiencing changed depth perception as they get behind the wheel of a 2,000-pound vehicle. NABCA Daily News Update (8/8/2018) 5

The public awareness campaign comes as the Massachusetts Cannabis Control Commission sifts through applications and paperwork for retail marijuana licenses. Home-growing and gifting of marijuana for adults over the age of 21 has been legal since December 2016, and medical marijuana dispensaries have been open since June 2015. The campaign's 30-second ad will air on TV and online. The campaign promotes alternative modes of transportation, including the MBTA, taxis and ride-hailing apps like Uber and Lyft. At a press conference announcing the campaign, Jennifer Queally, undersecretary for law enforcement within Gov. Charlie Baker's public safety secretariat, reiterated the dangers of drugged driving. Earlier, she pointed to numbers saying that an average of 125 drunk or high drivers die annually in Massachusetts. "I just want everyone to recognize that impaired is impaired is impaired, okay? Regardless of whether it's alcohol, marijuana, prescription drugs, other legal drugs, if you are impaired and you drive a car, it is illegal, it's dangerous and it's deadly, okay?" she said. "So the effects you might feel may be different, whether you're high or whether you're drunk, but the impairment is no different and the law doesn't look at it any differently," Queally said. Jim Borghesani, chief operating officer for Tudestr, a cannabis consulting company, called impaired driving "unacceptable, period." He added that it's also "unacceptable" for state law enforcement officials for using statistics that don't differentiate between impairment and the presence of marijuana in somebody's system, which can last for weeks. "True to their pattern, the Baker administration puts fear first, alarmism second and leadership third," said Borghesani, who also sparred with Baker officials when he the spokesman for the ballot campaign legalizing marijuana in 2016. "Massachusetts voters and drivers deserve a more deliberative approach in order to give the issue the intelligent, factual discussion it deserves," he said in an email. Jennifer Flanagan, a member of the Cannabis Control Commission, said consumers are responsible for understanding the effect of marijuana and alcohol on their bodies. Technology also hasn't caught up with marijuana legalization, so something like the Breathalyzer, deployed in alleged drunk driving cases, is unavailable in drugged driving cases. Alcohol and marijuana do have different effects, too, Flanagan said. And a person using marijuana every day will see a different level of impairment than someone trying for the first time, according to Flanagan. "No one is trying to demonize the fact that marijuana is legal," Flanagan said. "No one is trying to say people shouldn't use this product. What we're trying to say today is you need to use it responsibly." A former state senator from Central Massachusetts, she also acknowledged the limits of promoting the use public transit and ride-hailing apps in parts of the state that have little of either mode. "I do recognize the fact that the further west you go, Uber is not as relevant there, they don't have as many drivers, and that's why planning for afterwards is so important," she said. "Just as you would if you were going out with your friends for drinks or dinner."

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CA: California Bill Could Boost Branded Beer Glass Giveaways The proposed legislation would allow beer makers to give up to five cases of logoed glassware to each licensed bar or restaurant in the Golden State. Advertising Specialty Institute By Christopher Ruvo August 8, 2018 In a Nutshell *Assembly Bill 2573, which allows for the branded glassware giveaways, is currently in the California State Assembly’s Appropriations Committee. *A similar bill passed in Florida earlier this year. Promotional products companies eager to up sales of branded beer glasses might be in line for a boon from California legislators. The California State Assembly is considering a bill that would allow beer makers to give up to five cases of logoed glassware or non-glass containers to every licensed bar and restaurant that sells alcohol for consumption on- premise and off in the Golden State. Assembly Bill 2573 says each qualified licensed location in California could accept up to 10 cases of logoed glassware from various beer makers per calendar year. The bill says that the retail locations are barred from giving away the glasses, selling them, or returning them to the manufacturer for cash, credit or replacement. Beer manufacturers can’t condition the giving of glassware upon the expectation that bars and the like will purchase their suds. Similarly, businesses that retail alcohol can’t predicate the purchase of a beer maker’s brews on receiving logoed glassware. Under the bill’s legal language, a case is defined as a box containing up to 24 pieces of glassware. “Glassware” means a single-service glass container or non-glass container capable of holding up to 23 ounces of liquid. According to California records, the bill currently rests in “Suspense File” with the Assembly’s Appropriations Committee. The committee sends any bill with an annual cost of more than $150,000 to suspense file. Suspense File bills are then considered at a hearing after the state budget has been prepared and the committee has a better sense of available revenue. It’s unclear when such a hearing might occur for Assembly Bill 2573. A similar bill passed in Florida earlier this year. The bill in California enjoys support from Anheuser-Bush inBev – the world’s largest brewer. “We believe the ability for the beer industry to provide retailers branded glassware will elevate consumers’ enjoyment of different styles of beer and increase interest in beer in a competitive marketplace,” A-B Spokesman Josh Gold told Brewbound. Interestingly, the California Craft Brewers Association initially opposed an earlier incarnation of the bill on glassware giveaways. Lacking the caps on giveaways that the bill currently under consideration has, the older version of the bill would have allowed large corporate brewers like A-B inBev to flood the market with branded items, to the detriment of craft brewers, the CCBA maintained. CCBA is okay with the revised bill. “They [retailers] are going to have to pick and choose who they want to accept that glassware from,” Tom McCormick, CCBA’s executive director, told Brewbound. “We feel in most cases that it’s going to be from craft breweries and not from major global beer companies. So we’re not perfectly happy with it, but we’re content with it, and feel dramatically better than how it was originally written.”

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INTERNATIONAL NEWS

Asia: WHO recommends Vietnam to tighten alcoholic use The letter adds a voice in prompting a draft law on alcohol harm reduction in Vietnam, which is scheduled to be on the National Assembly’s table for approval later this year. Vietnam.net August 8, 2018 The alcoholic consumption in Vietnam is at high level, creating many side effects, according to a letter by the World Health Organization (WHO) sent to the Vietnamese government last week, VnExpress reported. In the letter to Prime Minister Nguyen Xuan Phuc, the WHO stressed that the Southeast Asian country is bearing a heavy burden of non-communicable diseases, which is attributed to the high use of alcohol. On average, each Vietnamese person aged 15 and more consumes 8.3 liters of pure alcohol per year, equivalent to the level of Thai people, and higher than the respective figures in many Asian countries, said Dr. Shin Young-soo, the WHO’s regional director for the Western Pacific. The corresponding figures in Mongolia is 7.4 liters, China 7.2, Cambodia 6.7, the Philippines 6.6 and Singapore 2.0, he added. Therefore, Dr. Shin Young-soo recommends Vietnam government to adjust legal frameworks to tightly control the production, sale, promotion and consumption of alcoholic drinks. The WHO also suggests that Vietnam should increase prices of alcoholic beverages. Evidences show that higher prices will help to reduce the use of alcohol by alcoholic drinkers in general and teenagers in particular. At the same time, the death rate caused by wine and beer consumption will also decrease. It is necessary to limit the availability and ease of purchase for alcoholic beverages by regulating the density of the sale points through stricter licensing mechanisms, limiting the number of days and hours allowed to sell alcoholic beverages, determining the minimum age of people who can buy or use alcoholic beverages, the organization suggested. Advertisements for alcoholic beverages affect young people a lot. If implemented effectively, restricting or prohibiting the advertisements for alcoholic beverages can reduce consumption, especially among adolescents, the WHO added. “Each dollar spent to implement effective measures to prevent harm caused by the use of alcoholic beverages will yield benefits worth US$9.13,” according to the WHO’s representative. Vietnam’s alcoholic use has climbed rapidly. Within five years since 2010, Vietnamese people consumed 15% more beer and wine. It’s estimated that drinking caused some 79,000 deaths in Vietnam in 2016. Moreover, hundreds of thousand people got infected due to alcoholic use. Hence, the WHO proposed the Vietnamese prime minister provide stronger support for the draft law on alcohol harm reduction and to submit it to the National Assembly soon.

Ireland: ‘Fatal’ amount of alcohol can be bought for €10, says survey Campaigners call for move on minimum pricing to tackle ‘remarkable affordability’ The Irish Times August 8, 2018 Alcohol in Ireland now costs so little that a woman can consume enough to damage her health by spending just €5.50 a week while a “fatal” amount can be bought for less than €10, a new pricing survey suggests. In its latest alcohol market review and price survey, Alcohol Action Ireland(AAI) has said the price of alcohol in the Republic demonstrates “the remarkable affordability of alcohol to everyday shoppers”. NABCA Daily News Update (8/8/2018) 8

Its report says there is an urgent necessity to implement the Public Health (Alcohol) Bill, including minimum unit pricing, to “ensure the low cost of the strongest, cheapest alcohol will be tackled”. Published on Thursday, the survey suggests alcohol is cheap not only in major retail operators but across all retail outlets. According to HSE low-risk weekly guidelines on consumption, men should drink no more than 17 standard drinks – with one standard drink being a small glass of wine or beer – while it is recommended that women consume no more than 11 such drinks. The survey, conducted in four locations, two urban and two regional, suggests cider remains the cheapest alcohol product available with beer coming in in second place just ahead of wine, gin and vodka. The methodology deployed sought to establish the unit cost per standard drink which is put at 10g of pure alcohol. So a 4.3 per cent beer in a 500ml volume container contains 1.7 standard drinks, while gin that is 37.5 per cent in a 700ml bottle contains 21 standard drinks. A man consuming alcohol within the HSE low-risk guidelines reaches the weekly threshold for as little as €8.49 while a woman reaches the weekly threshold for as little as €5.49. The average annual hourly earnings of all employees was €22.43 in 2017 while the national minimum wage is €9.55 per hour. “At this level of affordability, for a tenner you can buy enough drink to cause a fatal alcohol overdose,” Dr Bobby Smyth, consultant child and adolescent psychiatrist and AAI board member. The Irish consumer can spend as little as 50 cent for beer and cider while the price of a single standard gin drink was put at 60 cent, slightly less than the cost of vodka. A standard drink of wine was said to be 56 cent while a small whiskey was priced at just under 74 cent. The survey highlights what it said was a “sophisticated retailing model” deployed nationwide by the alcohol industry and their retail partners that maximises the yields from alcohol sales. In many cases, the authors claim, it is as cheap to buy gin or whiskey in a convenience store as a large supermarket; strong, cheap beer is often as affordable in small shops as it is in large supermarkets and cider is universally cheap through all levels of alcohol retailing. “Given the ubiquity of cheap alcohol in all stores, the loss of the original structural separation measures proposed within the Public Health (Alcohol) Bill but lobbied against by retailers and diluted by Seanad Éireann in 2017, remains a significant lost opportunity to curb alcohol marketing by intrusive visibility in-store,” said Eunan McKinney, head of communications at the AAI. Home drinking The price of drinking alcohol in a pub has increased by well over 300 per cent since the late 1990s but the cost of alcohol consumed at home has fallen dramatically and, in real terms, is now more than 50 per cent cheaper than it was in the summer of 1998. We have the big retail chains – Tesco, Dunnes Stores, Centra, Spar and Costcutter – to thank or to blame. They control the vast bulk of alcohol sales in the Republic and their aggressive use of it as a loss leader has seen below cost selling become common place. Added to the mix has been the popularity of the German discounters Aldi and Lidl where a bottle of wine can frequently be bought for less than €4. As concern over the health implications of problem drinking has mounted, legislation aimed at introducing minimum unit pricing for alcohol – a “floor price” below which a unit of alcohol cannot be sold – was put forward and is slowly becoming a reality in Ireland although a row over labelling plans to include health warnings linking alcohol to cancer have delayed the process. The idea is to target cheap and strong alcohol attractive to problem drinkers and affordable to young people at pocket-money prices. Drinks such as own-brand spirits, lager and cider and very cheap wine are hit by such measures. NABCA Daily News Update (8/8/2018) 9

To see the impact minimum pricing has one need look no further than Scotland where similar legislation was rolled out earlier this year. It has had a dramatic impact on pricing in some categories with cider hit hardest. Prior to the law change, a bottle of cider with around 15 units of alcohol – the equivalent of a half bottle of spirits – sold for less than £3. Since the law was changed the price has jumped to £7.50. Another category that changed was the below-cost supermarket own-brand vodkas which would have cost around £10.50 and they were going up to around £13. The Minister for Health Simon Harris has said a 700ml of Smirnoff Vodka would increase by 72 cent to €20.71 from €19.99 while a 700ml bottle of Tesco vodka sold under the Nikita label would increase to €20.71 from its current price of €12.99, a rise of €7.99. The Minister has also said there would be no increase in a pint of Heineken or Guinness but the price of a 500ml can of Dutch Gold would increase by 45 cent to €1.58 from €1.13 while a 440ml can of Tesco lager would rise by 66 cent to €1.32.

PUBLIC HEALTH NEWS

Higher alcohol taxes are cost-effective in reducing alcohol harms News Release Journal of Studies on Alcohol and Drugs August 9, 2018 PISCATAWAY, NJ - Increasing taxes on alcohol is one of the most cost-effective methods of reducing the harms caused by alcohol consumption, according to research in the new issue of the Journal of Studies on Alcohol and Drugs. Restrictions on alcohol advertising and hours of sale are also a "best buy" when it comes to reducing hazardous and harmful alcohol use and, by extension, improving overall health in the population. "Tax increases may not sound the most attractive of policy options but are the single most cost-effective way of diminishing demand and reining back consumption," says lead researcher Dan Chisholm, Ph.D., of the Department of Mental Health and Substance Abuse at the World Health Organization in Geneva, Switzerland. In the study, researchers from the World Health Organization and one of its academic collaborating centers used a statistical model to determine which of five alcohol control strategies could be a cost-effective public health policy to reduce deaths and harms from alcohol consumption. Previous research has indicated that more than 5 percent of deaths worldwide and over 4 percent of diseases are directly related to alcohol. A 50 percent hike in alcohol excise taxes--that is, taxes worked into the price of the product and that the consumer might not "see"--would cost less than the equivalent of USD$100 for each healthy year of life gained in the overall population and would add 500 healthy years of life for every 1 million people. To put that tax increase in perspective, it might represent mere pennies per drink. According to a study in the January issue of the journal, state excise taxes in America average only three cents per 12 oz. beer or 5 oz. glass of wine and only five cents for a drink with 1.5 oz. of hard liquor. "Current rates of excise taxes on alcohol vary considerably between jurisdictions but can be set very low," Chisholm says, "for example because of low awareness of the risks that alcohol consumption can pose to health or because of strong advocacy from economic operators." But increasing these rates is "an ambitious but feasible strategy," according to the study, and this change in public policy "would bring excise taxes for alcoholic beverages more in line with those imposed on tobacco products."

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Restricting hours of operation for off-premise alcohol retailers or implementing and enforcing strong restrictions/bans on alcohol advertising (on the Internet, radio, television, and billboards) each would also cost less than $100 per healthy year of life gained and would add up to 350 healthy life years for every 1 million people in the population. Stronger enforcement of blood alcohol concentration laws by increasing the number of sobriety checkpoints would be a somewhat less cost-effective policy: Their model showed it would cost up to $3,000 per healthy year of life saved and would add fewer than 100 years of healthy life per 1 million people. The higher cost would be the result of more time invested by police and the equipment required at checkpoints. Chisholm and colleagues found that wider use of brief alcohol-problem screening and intervention performed by primary care doctors would generate up to 1,000 years of healthy life per 1 million people, but at a price of up to $1,434 per year of healthy life gained. The study used data from 16 countries, including upper middle- and high-income countries (such as the United States, Germany, Japan, and China) as well as low- and lower middle-income countries (such as Guatemala, India, Ukraine, and Vietnam). The report's authors note that they likely underestimated the benefits of improved alcohol control strategies. Their study did not look at effects such as reduced property damage or better productivity at work, among other likely benefits of less overall alcohol consumption in the population. Nonetheless, not everyone will necessarily think that less alcohol consumption is good policy. "Implementation of these effective public health strategies is actively fought by the alcohol industry, often with threats of lost jobs and/or revenue for countries," the authors write. In the end, the authors hope their research will "guide decision makers toward a more rational and targeted use of available resources . . . for addressing the substantial and still growing burden of disease attributable to alcohol use." ### To arrange an interview, please contact Dan Chisholm at [email protected]. Chisholm, D., Moro, D., Bertram, M., Pretorius, C., Gmel, G., Shield, K., & Rehm, J. (2018). Are the "best buys" for alcohol control still valid? An update on the comparative cost-effectiveness of alcohol control strategies at the global level. Journal of Studies on Alcohol and Drugs, 79, 514-522. doi:10.15288/jsad.2018.79.514 The Journal of Studies on Alcohol and Drugs is published by the Center of Alcohol Studies at Rutgers, The State University of New Jersey. It is the oldest substance-related journal published in the United States. To learn about education and training opportunities for addiction counselors and others at the Rutgers Center of Alcohol Studies, please visit AlcoholStudiesEd.rutgers.edu.

INDUSTRY NEWS

Delivery represents 3% of all restaurant orders “On-premise isn’t going away,” says NPD Nation’s Restaurant News By Fern Glazer 1 August 8, 2018 The rapid growth of delivery, especially digital ordering, is offering restaurant operators a bright spot of growth in an industry that has been otherwise flat for several years now. But the rise of delivery is also driving forward- looking operators to rethink on-premise dining.

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“[Delivery] is one of the only major sources of growth and everybody is starting to get into it, “ said David Portalatin, NPD vice president industry advisor-food. According to the latest research from The NPD Group, delivery visits are up 10 percent and sales are up 20 percent since 2012. The majority of that growth is coming from digital orders, which account for 52 percent of all delivery, up from just 27 percent in 2012. That growth is coming from both major chains with ample resources to create their own online ordering or mobile ordering apps as well as third-party delivery apps, such as Grub Hub, Uber Eats and Seamless, that have provided smaller chains and independent operators the capability tooffer delivery. About one-third of delivery traffic initiates from digital from restaurants, 49 percent via telephone, and 13 percent from third-party delivery apps, NPD found. While delivery is more accessible than ever to operators with nearly all kinds of budgets, it’s still quite small, accounting for just 3 percent of all restaurant orders. “On-premise isn’t going away,” said Portalatin. “There’s still a tremendous demand.” According to NPD, on-premise still accounts for 37 percent of all restaurant orders. “As delivery grows, it offers [operators] an opportunity to imagine how to set [themselves] apart from competition,” added Portalatin. Getting it on(premise) In addition to growing their delivery business, a host of operators are starting to change the dynamic for what the front of house is, reinventing the on-premise experience to meet the needs of today’s diners and encouraging them to sit and stay. Below, executives from Saladworks and Schlotzsky’s share their approaches to reinventing the on-premise experience in the delivery-age. Saladworks launches next-gen dining experience Even though Conshohocken, Penn.-based Saladworks’ delivery business is growing, accounting for as much as 20 percent of sales at some of its 100 locations, the 32-year-old build-your-own salad chain recently embarked on a systemwide store remodel to meet the changing needs of today’s diners. “Even though there’s an increase in delivery, eating at home, you still have to have a great experience in the dining room,” said Patrick Sugre, CEO of Saladworks. In late July, Saladworks opened its first company-owned, from-scratch store in Atlanta, built on its new Salad 2.0 vision. It’s a smaller store footprint with more efficient seating — including communal tables, two-tops, individual seats at a bar — and high-tech connectedness with free high-speed WiFi and outlets and USB charging stations at each table. Eleven more from-scratch company locations are in the works, and the chain’s 100 legacy stores have been or will soon all be remodeled to varying degrees to align with the new vision. In addition to décor, Saladworks has also revamped its service model, a shift which Sugre said has increased customer output per hour by 25-30 percent. Part of the effort is the testing of new ordering kiosks in select stores to improve flow and reduce customer wait times. “We’re really trying to engineer what we think consumers want today and 10 years from now,” said Sugre. A decade from now, will consumers be ordering delivery more than dining in? “I don’t see the dining out occasion going away,” said Sugre. “The dining occasion is still really important to people. Where the balance will be only time will tell.” Schlotzsky's grows on-premise with “fast fine” conversion To make itself a dining-in destination for younger generations, Atlanta, Georgia-based sandwich chain Schlotzsky's is transforming its more than 400 stores into “fast fine Austin Eateries.” NABCA Daily News Update (8/8/2018) 12

To date, the chain has 18 locations open as Schlotzsky’s Austin Eatery and expects to have the entire system converted by the end of 2019. “These converted locations are experiencing a higher than average dine-in check, specifically with the addition of local craft beer and wine to the menu, which has increased check sales by 10 percent in new restaurants,” said Kelly Roddy, president of Schlotzsky’s Austin Eatery. “We are finding that more diners are treating time in our restaurants as a true dining experience.” The new décor, which harkens back to the chain’s Austin roots, features wood details, colorful murals and garage doors that roll up to an outdoor patio with eclectic seating. A new street-food-like menu includes tacos and sliders with slow-cooked meats and a local spirit menu. “Our brand was previously seen as a “lunch-centric” business but with the new menu lineup, engaging dining space and addition of local spirits, our restaurants become more of a destination, which in turn, have helped boost our dinner and weekend business,” added Roddy. Off-premise is still important to Schlotzsky’s, currently representing about 18 percent of business. Driving growth in off-premise is the chain’s recent partnerships with third-party delivery providers Grubhub, Uber Eats and DoorDash. Third-party delivery business, exclusive of drive-thru orders, reached nearly 4 percent of sales in just a few months following the launch, said Roddy. The chain is also working to grow its catering business. “This gives us an opportunity to acquire new customers,” Roddy said. “But we also realize the importance of offering diners a memorable experience when on premise.”

Heineken is still worried about Snapchat’s age-gating policies Digiday By Seb Joseph August 9, 2018 Snapchat has made moves to address the age-gating concerns of alcohol advertisers over the last year, and it’s gotten and Moët to buy into the mobile-messaging app’s promise of better targeting. Heineken, however, still isn’t convinced its Snapchat ads won’t inadvertently target kids — so to promote its non- alcoholic beer, it went to YouTube and Facebook. Snapchat uses a mix of age-gating and behavioral and interest-based data to prevent users from seeing ads they shouldn’t on the app. But it’s not enough to get Snapchat on Heineken’s media plan for a £6 million ($7.7 million) campaign in the U.K. for its alcohol-free beer. Heineken has done small tests with geofilters at events in some markets but worries that a larger campaign to promote its beers could unintentionally reach Snapchat’s underage users. “We’re very much focused on Facebook and YouTube [for the campaign] because Snapchat is a platform that there have been some well-documented issues in that [alcohol] segment,” said Nic Casby, Heineken’s brand director in the U.K. Other alcohol brands have shared similar concerns. Those advertisers worry they will target people who are too young and aren’t in any buying demographic, one of Heineken’s former agency executives said on condition of anonymity. “Heineken’s ability to use a platform is entirely contingent on its age profile and whether enough of that is weighted toward people who are over 18 years old,” said the executive. “People who use Snapchat are incredibly engaged, but the number of them hasn’t accelerated as quickly as Facebook or Instagram have. It’s still perceived as being young, and that’s the main concern we get from marketers.” Snapchat declined to provide a statement. A company spokesperson did, however, explain that its age targeting methodology is consistent with current advertising rules in the U.K. following discussions with the region’s watchdog the Advertising Standards Authority earlier this year. NABCA Daily News Update (8/8/2018) 13

The other reason to skip Snapchat is scale. Heineken wants to reach a broad array of consumers, which the duopoly can deliver. For all the concerns around the effectiveness of ads on Facebook and whether brands are safe on YouTube, Heineken has backed the social network for its audience-based data and the video site for its vast pool of inventory. It has created several new profiles to target more health-conscious people on each platform with ads promoting different occasions they can drink the alcohol-free beer. “We still have to take care with advertising an alcohol beer as we do with one that has alcohol in it because it could still be perceived as grooming [underage drinkers],” said Casby. “Our intention is to focus on adults who like the taste of beer but don’t want alcohol.”

Beer drinkers lose U.S. appeal over Anheuser-SABMiller merger REUTERS By Jonathan Stempel August 8, 2018 (Reuters) - A federal appeals court on Wednesday rejected an antitrust challenge by 23 beer drinkers to Anheuser- Busch InBev SA’s (ABI.BR) $107 billion purchase in 2016 of SABMiller Plc, which they claimed would thwart competition and raise prices in the U.S. beer market. The 9th U.S. Circuit Court of Appeals in Portland, Oregon said SABMiller’s agreement with antitrust regulators to divest its U.S. beer business, by selling its stake in the MillerCoors joint venture to Molson Coors Brewing Co (TAP.N), would prevent increased concentration in the industry. It also rejected as speculative the argument that the merger violated the federal Clayton Act because it gave Molson Coors an incentive to adopt Anheuser’s distribution practices, to combat its rival’s newly increased size. That law requires consumers to properly allege that a merger “creates an appreciable danger or a reasonable probability of anticompetitive effects in the relevant market,” Circuit Judge Margaret McKeown wrote for a three- judge panel. “[The] consumers’ allegations do not belly up to this bar.” Anheuser-Busch InBev’s brands include Budweiser and Bud Light, Beck’s, , Hoegaarden, , the craft beers Goose Island and Blue Point, and many others. Joseph Alioto, a lawyer for the plaintiffs, said in an interview he would ask the panel or an 11-judge appeals court panel to revisit the case. “The court overlooked the elephant in the room: that the 72 percent of the market that was occupied by ABI, SAB and Molson is now occupied by two,” Alioto said. “Is the elimination of the second-largest brewer in the world from the U.S. market a lessening of competition? I don’t think there is any doubt.” A spokeswoman for Anheuser declined to comment. Wednesday’s decision upheld an October 2016 ruling by U.S. District Judge Ann Aiken in Eugene, Oregon. The case is DeHoog v Anheuser-Busch InBev SA/NV et al, 9th U.S. Circuit Court of Appeals, No. 16-35912.

DAILY NEWS

Warning issued about 'drunk wasps' who drink your alcohol and sting more people Wasps like to get drunk at this time of year and alcohol makes them more aggressive Derbyshire Live August 9, 2018 UNITED KINGDOM - 'Drunk wasps' sound fictional, but they are real and very dangerous.

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When the pests no longer have access to their usual food supply, they turn to sugar or fermenting fruit. This often means they visit pub gardens and a take a sip of a fruity cider or beer. And they can't handle their drink, so even a small amount of alcohol makes them more aggressive and causes them to sting more people. A genetic trait, or a 'tight' band around their abdomen stops them from eating a conventional diet of flies in later life and they become hooked on sugar. Making things worse, hive queens eventually stop laying larvae - which produce a sugar-spit that adult wasps rely on, Devon Live reports. As a result, wasps are sent into a frenzy at the height of summer, leaving desperate swarms out for the sugars of human food. Decaying fruit and small sips of pub-garden cider has enough booze to get wasps drunk - sending them into a sting-rage. Pest control expert Shane Jones is rushed off his feet this summer dealing with more massive wasp nests than ever before because of the long period of warm weather. He said: "The colonies have a workforce with nothing to do - and nothing to eat. "So they go down to the pub, obviously. "Wasps can't handle their booze, so they get tanked-up and fighty - like lager louts." Starving wasps will do anything to target jam sandwiches, fruit and pints of beer. This means much more risk of a sting. Dee Ward-Thompson, technical manager at the British Pest Control Association said: “Maybe the most influential factor on wasp numbers is when people do not dispose of their waste properly, especially food with a high sugar content, such as fruit. “We always advise waste to be securely bagged and held within a clean container, away from where young children might play.”

Gin and Chronic Fibbers - Patients always lie about their weekly alcohol intake — so ‘doctors double the answers’, study shows A recent study shows that only one in five people are truthful about their drinking habits The Sun By Shaun Wooller August 9, 2018 PATIENTS lie so often about their booze intake that doctors double the answer, a study found. United Kingdom - Only two in five Brits tell the truth when quizzed by medics about alcohol intake. The rest fib for a variety of reasons. One in five (20 per cent) never keeps track of how much they are downing. While 14 per cent are scared that the doctor will judge them. The same proportion matches their answer to NHS guidelines. Eleven per cent worry their drinking will be blamed for their medical problem. And ten per cent are embarrassed about the amount they knock back. The poll of 2,008 adults and 191 doctors by Direct Line Life Insurance reveals women under 30 are the most likely to lie. NABCA Daily News Update (8/8/2018) 15

Doctors think a quarter of patients (25 per cent) have a mild drink problem and a fifth (21 per cent) are “highly dependent”. Drinkers risk liver disease, pancreatitis and other conditions. Direct Line spokeswoman Jane Morgan said: “Without all the correct information about your life-style, you may not get the right diagnosis or treatment.”

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