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March 2, 2006 Ron Schoenfeld, Ph.D. Office of the Surgeon General Department of Health and Human Services 5600 Fishers Lane Room 18-66 Rockville, MD 20852 Subject: Comments on Surgeon General’s Call to Action on Underage Drinking Prevention Dear Dr. Shoenfeld: In response to the Federal Register notice dated February 22, 2006, please accept the enclosed comments for consideration in the development of the Surgeon General’s forthcoming Call to Action on underage drinking prevention. With best regards. Sincerely, George A.Hacker Dictr Alcohol Policies Project encl. Tel: (202) 332-9110 Suite 300 Michael F. Jacobson, Ph.D.Fax: (202) 265-4954 1875 Connecticut Avenue, NW Executive Directorwww.cspinet.org Washington, DC 20009-5728 Comments and Recommendations of the Center for Science in the Public Interest on the Surgeon General’s National Call to Action on Underage Drinking Prevention The Surgeon General’s Call to Action on underage drinking prevention presents an historic opportunity for the nation’s top public health authority to spearhead a long-overdue, comprehensive and coordinated, public and private response to America’s number one youth drug problem: underage drinking. Consistent with previous Surgeon Generals’ statements on the prevention of smoking and drunk driving, the proposed Call to Action should incorporate guiding principles that rely on ...

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March 2, 2006
Ron Schoenfeld, Ph.D.
Office of the Surgeon General
Department of Health and Human Services
5600 Fishers Lane
Room 18-66
Rockville, MD
20852
Subject:
Comments on Surgeon General’s Call to Action on Underage Drinking Prevention
Dear Dr. Shoenfeld:
In response to the Federal Register notice dated February 22, 2006, please accept the enclosed comments
for consideration in the development of the Surgeon General’s forthcoming Call to Action on underage
drinking prevention.
With best regards.
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Alcohol Policies Project
encl.
Tel:
(202) 332-9110
Fax:
(202) 265-4954
www.cspinet.org
Suite 300
1875 Connecticut Avenue, NW
Washington, DC 20009-5728
Michael F. Jacobson, Ph.D.
Executive Director
Comments and Recommendations of the Center for Science in the Public Interest
on the Surgeon General’s National Call to Action on Underage Drinking Prevention
The Surgeon General’s Call to Action on underage drinking prevention presents an historic opportunity
for the nation’s top public health authority to spearhead a long-overdue, comprehensive and coordinated,
public and private response to America’s number one youth drug problem: underage drinking.
Consistent with previous Surgeon Generals’ statements on the prevention of smoking and drunk driving,
the proposed Call to Action should incorporate guiding principles
that rely on evidence-based prevention
approaches that utilize both individual and population-oriented policy and programmatic strategies.
Only
that combination will promote real progress in national efforts to combat underage drinking.
We
strongly recommend that the Call to Action adopt the following principles:
Base recommended programs and policies on proven public health and prevention strategies.
In a
2003 report to Congress, the National Academies of Sciences’ Institute of Medicine (NAS/IOM)
identified a cohesive, comprehensive, science-based national strategy to combat underage drinking.
The
Call to Action should mirror and amplify that strategy.
In particular, it should echo the NAS/IOM’s call
for a federally-funded, adult-focused national media campaign as the centerpiece of a commitment to
reduce underage drinking.
Focus on high-leverage public policy strategies and on educational and clinical approaches aimed at
individual behavioral change.
A serious commitment to demand reduction, in particular, requires a
willingness to insist on improved monitoring and regulation of alcohol advertising and promotion directed
at young people.
It also requires articulation of the well-documented benefits of increasing excise taxes
on alcoholic beverages – especially on beer – at the federal and state levels.
Analogous strategies have
been central components of successful efforts to reduce initiation and use of tobacco among young
people.
Propose a comprehensive plan and a clear strategy (including federal initiatives) to prevent and
reduce underage drinking.
The Call to Action should outline a series of short- and longer-term actions
to be undertaken by various agencies within the federal government, state and local governments, law
enforcement agencies, schools and universities, and alcohol producers, wholesalers, and retailers.
The
Surgeon General’s Office should develop a vigorous plan to effectively promote and disseminate the Call
to Action to policy makers and the public.
We urge the Surgeon General, in developing the Call to Action, to continue the work of his
predecessors, C. Everett Koop, Antonia Novello, and David Satcher, who vocally supported strong
measures to reduce underage drinking.
Generals Koop and Novello called for restrictions on
advertising and marketing practices that reach underage youth.
Dr. Koop endorsed i
ncreases in excise
taxes on alcoholic beverages to save young lives; and Dr. Novello initiated a series of (DHHS) Inspector
General reports on underage drinking,
including a report calling for tighter restrictions on alcohol
advertising that appeals to young people.
General Satcher addressed the need to reduce youth
demand for alcohol and promoted the development and widespread dissemination of campaigns to
deglamorize underage drinking.
He recognized, as we believe the Call to Action should, that “until
we are able to curtail the demand by young people for alcohol, increased enforcement and legal
sanctions will represent only half the solution.”
CSPI
3/2/2006
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