NACCHO Aboriginal Health and #Alcohol : @healthgovau National Alcohol strategy 2018-2026 for public consultation Closes 11 February 2018

” The National Alcohol Strategy 2018- 2026 outlines Australia’s agreed approach to preventing and minimising alcohol-related harms.

The National Alcohol Strategy provides a national framework and highlights a number of opportunities for action under each of the priority areas of focus.

These opportunities are examples of activities or initiatives that could be considered at either local, jurisdictional (state and territory) or national levels, including a mix of broad population approaches and targeted approaches.”

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Consultation Draft National Alcohol Strategy 2018-2026

Consultation closes 11 February 2018

The Department of Health has opened a public consultation process, and is inviting stakeholders and the general public to provide feedback on the National alcohol strategy 2018-2026.

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As a sub-strategy of the National drug strategy 2017-2026, the National alcohol strategy is overseen by the Ministerial Drug and Alcohol Forum. The Forum consists of Ministers from across Australia with responsibility for alcohol and other drug policy  from the health and justice/law enforcement portfolios from each jurisdiction.

On 27 November 2017, members agreed that the draft National alcohol strategy will undergo a public consultation process to further inform the strategic direction and priorities of the strategy.

The online submission process is now open and will close on 11 February 2018. Feedback from the consultation will be considered by the Ministers at their next meeting in 2018, and the strategy revised.

To lodge a submission, please email

Disproportionate Impacts of Alcohol-Related Harm

This Strategy recognises that alcohol-related harms are not experienced uniformly across the population, with disproportionate levels of harm being experienced within some contexts and communities.

Read over 190 NACCHO Articles Alcohol and other Drugs posted over the past 5 years

Aboriginal and Torres Strait Islander people

Overall, Aboriginal and Torres Strait Islander people are more likely to abstain from drinking alcohol than non-Aboriginal and Torres Strait Islander people (31% compared with 23% respectively). However, among those who did drink, higher proportions drank at risky levels (20% exceeding the lifetime risk guidelines) and were more likely to experience alcohol-related injury than non-Aboriginal and Torres Strait Islander people (35% compared to 25% monthly, respectively).26

For this reason, Aboriginal and Torres Strait Islander people suffer from disproportionate levels of harm from alcohol, including alcohol-related mortality rates that are 4.9 times higher than among non-Aboriginal and Torres Strait Islander people.27

The poorer overall health, social and emotional wellbeing of Aboriginal and Torres Islander people than non-Aboriginal and Torres Strait Islander people are also significant factors which can influence drinking behaviours.28

People in remote areas

People residing in remote areas have reported drinking alcohol in quantities that place them at risk of harm at higher levels that those living in less remote regions.

People in remote and very remote areas were 1.5 times as likely as people in major cities to consume 5 or more drinks at least monthly and 2.4 times as likely to consume 11 or more drinks

Pregnant women (or those planning a pregnancy)

Alcohol consumption during pregnancy can result in birth defects and behavioural and neurodevelopmental abnormalities including Fetal Alcohol Spectrum Disorder (FASD). Data from states and territories have estimated FASD rates at 0.01 to 1.7 per 1000 births in the total population and 0.15 to 4.70 per 1000 births for the Aboriginal and Torres Strait Islander population.31 There is evidence that indicates some communities are experiencing much higher incidences of FASD and therefore the lifelong impacts of FASD.32

The relationship between the consumption of alcohol during pregnancy and the expression of FASD is complex, but avoiding drinking before or during pregnancy eliminates the risk of FASD.

Around 1 in 2 women report consuming alcohol during their pregnancy, with 1 in 4 women continuing to drink after they are aware they are pregnant. Of these women, 81% drank monthly or less with 16.2% drinking 2–4 times a month.33


The Ministerial Drug and Alcohol Forum is co-Chaired by the Commonwealth Ministers with portfolio responsibility for alcohol and other drugs (AOD), and justice/law enforcement.

Membership consists of two Ministers from each jurisdiction, one each from the health/community services portfolios (with AOD policy responsibilities) and one from the justice/law enforcement portfolios.

The Commonwealth, State and Territory governments have a shared responsibility to build safe and healthy communities through the collaborative delivery and implementation of national strategic frameworks to reduce AOD related harms for all Australians.

The Forum will be supported by the National Drug Strategy Committee (NDSC) in the implementation and monitoring of these national strategic frameworks.


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