As part of the International Alcohol Control Study, researchers from 24 jurisdictions assessed alcohol industry penetration and government safeguards against alcohol industry interference.
The study revealed high levels of alcohol industry penetration and few government safeguards. Better measures are needed to protect government policies from alcohol industry interference.

Author

June Yue Yan Leung, Sally Casswell, Steve Randerson, Lathika Athauda, Arvind Banavaram, Sarah Callinan, Orfhlaith Campbell, Surasak Chaiyasong, Song Dearak, Emeka W Dumbili, Laura Romero-García, Gopalkrishna Gururaj, Romtawan Kalapat, Khem Karki, Thomas Karlsson, Mom Kong, Shiwei Liu, Norman Danilo Maldonado Vargas, Juan Felipe Gonzalez-Mejía, Timothy Naimi, Keitseope Nthomang, Opeyemi Oladunni, Kwame Owino, Juan Camilo Herrera Palacio, Phasith Phatchana, Pranil Man Singh Pradhan, Ingeborg Rossow, Gillian Shorter, Vanlounny Sibounheuang, Mindaugas Štelemėkas, Dao The Son, Kate Vallance, Wim van Dalen, Ashley Wettlaufer, Arianne Zamora, Jintana Jankhotkaew

Citation

Leung JYY, Casswell S, Randerson S, Athauda L, Banavaram A, Callinan S, Campbell O, Chaiyasong S, Dearak S, Dumbili EW, Romero-García L, Gururaj G, Kalapat R, Karki K, Karlsson T, Kong M, Liu S, Maldonado Vargas ND, Gonzalez-Mejía JF, Naimi T, Nthomang K, Oladunni O, Owino K, Herrera Palacio JC, Phatchana P, Pradhan PMS, Rossow I, Shorter G, Sibounheuang V, Štelemėkas M, Son DT, Vallance K, van Dalen W, Wettlaufer A, Zamora A, Jankhotkaew J. Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study. BMJ Glob Health. 2024 Nov 24;9(11):e016093. doi: 10.1136/bmjgh-2024-016093. PMID: 39581634; PMCID: PMC11590778.


Source
BMJ Global Health
Release date
24/11/2024

Assessing alcohol industry penetration and government safeguards: the International Alcohol Control Study

Original research

Summary

24 diverse jurisdictions reported high levels of alcohol industry penetration. Specifically, all indicated the presence of transnational alcohol corporations, which have enormous resources to market their products and influence policy both nationally and locally.

Almost two-thirds reported government officials or politicians having held roles in the alcohol industry, suggesting it is common for the industry and decision-makers to have close relationships.

There were also multiple examples of government partnerships or agreements with the alcohol industry as forms of Corporate Social Responsibility (CSR), as well as government incentives for the alcohol industry during the COVID-19 pandemic.

63%
Big Alcohol revolving door
63% of the studied jurisdictions reported senior government officials or politicians having held roles in the alcohol industry, known as ‘revolving doors’.

In contrast, the study found few government safeguards against alcohol industry influence, with only the Philippines reporting policies limiting government interactions with and contributions specifically mentioning the alcohol industry, along with the tobacco and milk industries. There were more examples of policies requiring transparency of engagements, such as in the form of lobbyist registers and ministerial diaries.

What is already known on this topic

  • The alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting government policies from alcohol industry influence.

What this study adds

  • The researchers documented the presence or absence of 22 indicators of alcohol industry penetration and government safeguards across 24 jurisdictions.

How this study might affect research, practice or policy

  • The study revealed high levels of alcohol industry penetration and few government safeguards against alcohol industry influence. Better measures are needed to protect government policies from alcohol industry influence.

More detailed findings

Summary of responses for 22 indicators of alcohol industry penetration and government safeguards

IndicatorsResponses
YesNoNIA
n%n%n%
Government ownership of industry
1. Is any part of the alcohol industry owned by the government?1250114614
Industry penetration
2. Do any transnational alcohol corporations have headquarters/offices in your country/jurisdiction/state?241000000
3. Has the government allowed the alcohol industry (national or transnational) to participate in any governmental agencies, committees or working groups involved in alcohol policy formulation, implementation or enforcement (excluding public submissions)?1146625729
4. Has the government entered into any partnerships or agreements with the alcohol industry, including corporate social responsibility activities (eg, industry involvement in education and charitable causes)?1458521521
5. Have any contributions been accepted (financial or non-financial) from the alcohol industry (eg, sponsorship of events) by the government?1042281250
6. Have any contributions been accepted (financial or non-financial) from the alcohol industry (eg, sponsorship of events) by political parties?729281563
7. Have any contributions been accepted (financial or non-financial) from the alcohol industry (eg, sponsorship of events) by politicians?625281667
8. Have any government officials or politicians (former or current) held roles in the alcohol industry (eg, ‘revolving door’ phenomenon)?156328729
9. Has the government granted any incentives, privileges or benefits to the alcohol industry (eg, investments or tax exemptions)?1354521625
10 Has the alcohol industry supported or funded any non-governmental organisations, front groups, think tanks or consumer groups (excluding trade associations)?1250001250
11. Has the alcohol industry supported or funded any media outlets/media training?521281771
12. Has the alcohol industry supported or funded any research?1042141354
13. Has the alcohol industry supported or funded any education (eg, schools, symposia or academic meetings)?156300938
14. Has the alcohol industry supported or funded any scientific advisory boards or science institutes?417281875
15. Has the alcohol industry mounted any legal challenges against health policy, government or opponents?938625938
16. Has the alcohol industry used international trade agreements to attempt to influence alcohol policy?1146417938
17. Has the alcohol industry exploited loopholes in legislation or regulation?1042141354
Government safeguards
18. Is there any policy that limits government interactions with the alcohol industry?141771625
19. Is there any policy that prohibits contributions (financial or non-financial) from the alcohol industry to the government?141875521
20. Is there any policy that prohibits contributions (financial or non-financial) from the alcohol industry to political parties?3131667521
21. Is there any policy that prohibits contributions (financial or non-financial) from the alcohol industry to politicians?3131563625
22. Is there any policy that requires the government or politicians to make public any records of its meetings or interactions with the alcohol industry?9381042521
NIA, no information available.

Summary of responses to whether any part of the alcohol industry is owned by the government

JurisdictionResponseRelevant examples
AustraliaNo
BotswanaYesGovernment-owned investment company, Botswana Development Corporation, is a major shareholder of Sechaba Brewery Holdings, which owns alcohol producer Kgalagadi Breweries.
CambodiaNo
Canada (Alberta)YesGovernment agency Alberta Gaming, Liquor and Cannabis holds a monopoly over alcohol wholesale, while alcohol retailers are privately owned.
Canada (BC)YesBritish Columbia Liquor Distribution Branch is a branch of government that maintains a monopoly over alcohol wholesale, and operates one of the province’s largest retailers, BC Liquor.
Canada (Ontario)YesLiquor Control Branch Ontario is a government-owned corporation with a near-monopoly over alcohol wholesale and retail in the province.
Canada (Quebec)YesSociété des alcools du Québec is a government-owned corporation with a monopoly over alcohol wholesale in the province.
ChinaYesChina’s largest alcohol producers, Kweichow Moutai and Wuliangye Yibin, are state-owned enterprises.
ColombiaYesLocal government departments in Colombia have the exclusive power to produce and import distilled liquors directly or through third parties by prior authorisation.
FinlandYesGovernment-owned company Alko holds a monopoly over the off-premise retail sales of beverages containing over 5.5% alcohol in Finland. 
Another government-owned investment company, Solidium Oy, is a major shareholder of alcohol producer Anora Group.
India (Karnataka)No
IrelandNo
KenyaYesThe government’s development finance institution, Kenya Development Corporation, is a major shareholder of alcohol producer Kenya Wine Agencies.
Lao PDRYesLao Brewery, one of the country’s largest alcohol producers, is a joint venture company owned by the Lao government and the transnational corporation Carlsberg Group.
LithuaniaNo
NepalNo
NetherlandsNo
New ZealandNo
NigeriaNIA
NorwayYesGovernment-owned company Vinmonopolet maintains a monopoly over the retail sales of beverages containing over 4.7% alcohol in Norway.
PhilippinesNo
Sri LankaNo
ThailandNo
VietnamYesHabeco, one of the largest brewers in Vietnam, is owned by the government and has a strategic partnership with the transnational corporation Carlsberg Group.
BC, British Columbia; NIA, no information available.

Summary of responses by 24 jurisdictions for 5 indicators of alcohol industry penetration

JurisdictionIndicators of alcohol industry penetration
Presence of transnational alcohol corporationsAlcohol industry participation in alcohol policy formulation implementation or enforcementGovernment partnerships or agreements with alcohol industryGovernment granting incentives, privileges or benefits to alcohol industryGovernment officials/politicians (former/ current) held roles in the alcohol industry (eg, revolving doors)
AustraliaYesYesYesYesYes
BotswanaYesYesYesNIAYes
CambodiaYesNoYesNIANIA
Canada (Alberta)YesNIANIAYesNIA
Canada (BC)YesYesYesYesYes
Canada (Ontario)YesNIANIAYesNIA
Canada (Quebec)YesYesYesYesNIA
ChinaYesNIAYesYesYes
ColombiaYesYesYesYesYes
FinlandYesNoNoNoYes
India (Karnataka)YesNIANIANIAYes
IrelandYesYesYesYesYes
KenyaYesNIANIANoYes
Lao PDRYesYesYesYesNo
LithuaniaYesNoNoYesNo
NepalYesNIANIANIAYes
NetherlandsYesYesNoYesYes
New ZealandYesYesYesYesYes
NigeriaYesNIAYesNIANIA
NorwayYesNoNoNoNIA
PhilippinesYesNoYesNoNIA
Sri LankaYesNoNoYesYes
ThailandYesYesYesNoYes
VietnamYesYesYesNIAYes
BC, British Columbia; NIA, no information available.

Results

Half (50%) reported some part of the alcohol industry being owned by the government. All jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported senior government officials or politicians having held roles in the alcohol industry, known as ‘revolving doors’.

About half (58%) reported government partnerships or agreements with the alcohol industry, while 54% reported government incentives, privileges or benefits for the alcohol industry.

Just under half (46%) reported the alcohol industry being allowed to participate in governmental groups involved in policy formulation or implementation (ie, beyond public submission processes).

54%
Governments benefiting Big Alcohol
54% of studied jurisdictions reported government incentives, privileges or benefits for the alcohol industry.

Although missing data were >30%, all positive responses (‘yes’ or ‘no’) reported the alcohol industry supporting or funding non-governmental organisations and other front groups, and the alcohol industry supporting or funding education (eg, schools and symposia).

In contrast, few jurisdictions had government safeguards limiting potential industry influence. Only one jurisdiction (4%; the Philippines) had a policy limiting government interactions with and contributions from the alcohol industry. Another three jurisdictions (13%) had policies limiting financial contributions from the alcohol industry to political parties and politicians. More jurisdictions (38%) reported policies requiring the government or politicians to publish any engagement records with the industry. These policies included public registers of lobbyists and their interactions with government officials (eg, for Australia, Ireland and the four Canadian provinces), diary records of government officials (New Zealand) and legislation allowing public access to government information (Kenya and Norway).

Responses to government ownership of the alcohol industry ranged from government ownership of individual alcohol companies (eg, in Botswana, China, Lao PDR, Kenya and Vietnam), which may reflect industry penetration; to government-controlled alcohol wholesale or retail monopolies (eg, in Canada, Finland and Norway), which aim to reduce harm by removing the private sector’s profit motive. In Colombia, local government departments control the production and import of spirits.

Five of 24 jurisdictions (Australia, British Columbia, Colombia, Ireland and New Zealand) reported the presence of all five indicators on alcohol industry penetration. One jurisdiction (Norway) reported only the presence of transnational alcohol corporations.

Notably, government partnerships or agreements with the alcohol industry were commonly in the form of CSR activities, such as supporting healthcare facilities, alcohol impaired driving campaigns and conservation programmes.

21%
Totally captured jurisdictions
Five of 24 jurisdictions (21%) were completely captured by Big Alcohol as they reported the presence of all five indicators on alcohol industry penetration.

There were multiple examples of government privileges or incentives for the alcohol industry during the COVID-19 pandemic. Examples of revolving doors were also common.

Most jurisdictions (14 of 24) reported no measures that limit industry penetration at all or had no such information available. The Canadian provinces (British Columbia, Ontario and Quebec) reported the most government safeguards overall (three of five indicators), with policies prohibiting contributions from the alcohol industry to political parties and politicians, and policies requiring the government or politicians to publish any records of engagements with the alcohol industry. However, current policies in these Canadian jurisdictions only prohibit political donations from corporations in general and are not specific to the alcohol industry. Only the Philippines reported a policy by the Department of Health prohibiting interactions of the government with the alcohol, tobacco and milk industries, including engagements, projects and activities.

Meaning

The study results highlight the contrast between the considerable extent of alcohol industry penetration and the absence of government safeguards, especially when considered against tobacco control policies. This finding is expected, given the lack of an international framework convention for alcohol. Even in the Philippines, where existing government policy limits interactions with the alcohol industry, a bill encouraging CSR in the private sector was recently approved by the House of Representatives, highlighting the challenges in limiting alcohol industry influence.

Given the similar tactics used by the alcohol and tobacco industries to influence policy-making and the extent of alcohol harm, the researchers suggest that governments use the FCTC as a template for alcohol policies, establishing measures to limit government interactions with the alcohol industry and rejecting any partnerships with the industry, including CSR activities. 

The economic impacts of the COVID-19 pandemic may have made governments more vulnerable to alcohol industry influence, as seen in the examples that the study has illustrated. Even in countries that are parties to the FCTC, the tobacco industry similarly exploited the pandemic by persuading governments to accept their political contributions and compromise on tobacco tax policies. This underlines the need for governments to strengthen policies on political contributions (both financial and non-financial), limiting the ability of the alcohol industry to influence the public sector. For example, the Canadian government has set an annual limit on political donations and prohibits donations from corporations and trade unions to political parties and politicians.

The study results suggest that more robust policies are needed to enhance the transparency of any government interactions with the alcohol industry. These may include policies requiring the disclosure of detailed meeting records, political lobbying activities and conflicts of interest for government employees and politicians. To limit revolving doors, stand-down periods for government officials and politicians should also be considered and enforced with meaningful sanctions.

Abstract

Background 

The alcohol industry uses many of the tobacco industry’s strategies to influence policy-making, yet unlike the Framework Convention on Tobacco Control, there is no intergovernmental guidance on protecting policies from alcohol industry influence.

Systematic assessment of alcohol industry penetration and government safeguards is also lacking.

In this study, researchers aimed to identify the nature and extent of industry penetration in a cross-section of jurisdictions. Using these data, the researchers suggest ways to protect alcohol policies and policy-makers from undue industry influence.

Methods 

As part of the International Alcohol Control Study, researchers from 24 jurisdictions documented whether 22 indicators of alcohol industry penetration and government safeguards were present or absent in their location. Several sources of publicly available information were used, such as government or alcohol industry reports, websites, media releases, news articles and research articles.

The researchers summarised the responses quantitatively by indicator and jurisdiction. They also extracted examples of industry penetration and government safeguards.

Results 

There were high levels of alcohol industry penetration overall.

Notably, all jurisdictions reported the presence of transnational alcohol corporations, and most (63%) reported government officials or politicians having held industry roles.

There were multiple examples of government partnerships or agreements with the alcohol industry as corporate social responsibility activities, and government incentives for the industry in the early COVID-19 pandemic.

In contrast, government safeguards against alcohol industry influence were limited, with only the Philippines reporting a policy to restrict government interactions with the alcohol industry. It was challenging to obtain publicly available information on multiple indicators of alcohol industry penetration.

Conclusion 

Governments need to put in place better measures to protect policies from alcohol industry influence, including restricting interactions and partnerships with the alcohol industry, limiting political contributions and enhancing transparency.

Data collection can be improved by measuring these government safeguards in future studies.


Source Website: BMJ Global Health