Monthly Archives: April 2016

Will the UK’s new alcohol guidelines change hearts, minds—and livers?

CMO guidelinesSo almost 3 months on from the new alcohol guidelines, which you can see my summary of here, and in February the BMJ carried a Public Health observation piece from the University of Cambridge.

They may not reduce consumption directly, but they raise awareness of harm

New guidelines from the UK chief medical officers aim to provide citizens with accurate information about the risks to health of alcohol, to allow them to make informed choices.1 Will they succeed? Only time, coupled with robust evaluations, will tell.

Might the guidelines also change how much alcohol we consume as a nation to the betterment of our health? Two routes by which guidelines might change actual consumption are a direct one, by persuading drinkers to drink less, and an indirect one, by altering social attitudes towards alcohol, increasing the public’s and in turn the political acceptability of policies that reduce alcohol consumption.

Direct effect on behaviour

There is little direct evidence for any effect of health related guidelines on behaviour, including those on alcohol.2 Any direct effect on behaviour is, however, likely to be extremely limited, for three reasons. Firstly, information on risk is a weak driver of change in behaviour associated with potential longer term harm but immediate, certain pleasure: consumption of alcohol, tobacco, and sugar, for example.3 Secondly, people regulate their drinking to meet social responsibilities that they value, such as work and childcare, rather than to reduce health risks.4 And thirdly, alcohol consumption is strongly influenced by environmental factors such as price, availability, and marketing, often without consumers being aware of the influence.5

But novel information on risk can change behaviour. Smoking rates fell overnight when the Royal College of Physicians published Smoking and Health in 1962, for example, the first unequivocal presentation to the public, as well as doctors, of the health risks of smoking.6 The new UK alcohol guidelines present novel information on the link between alcohol and cancer. The potency of information that links drinking to cancer is reflected in a recent, unsuccessful attempt by the alcohol industry to ban an advertisement making this link explicit.7

In the week after the new alcohol guidelines were published last month, Google Trends showed more searches for “alcohol and cancer” than in the same week in 2015. No similar increase was seen in searches for “alcohol and heart disease” or “alcohol and health.” Although more online searching may not reflect less consumption, strengthening one negative association with alcohol may weaken the influences of the many positive associations forged by alcohol marketing. These include associations between alcohol and sport and comedy, recognised by most 10 year olds.8

Effect of evidence

Few people oppose government intervention to provide information about health risks as a prelude to potential behaviour change.9 Public support then generally ebbs away as interventions become more intrusive, but often more effective—for example, altering the prices and availability of products that can harm health, such as alcohol and sugar.10 Tobacco is an exception: more intrusive policies now receive widespread support.

Resolving tensions between benefits at the individual and population levels is a core role of democratic governments and is made easier when the public embraces population as well as individual perspectives, as in the case of tobacco.

As expected, interventions to cut drinking that are based on pricing policies are less accepted by the public, especially heavier drinkers, than interventions that provide information or reduce advertising.10 11 But people are more accepting of a higher minimum price for a unit of alcohol when they see evidence of its effectiveness at reducing admissions to hospital and crime related to alcohol, an effect seen in other policy areas, such as obesity.12

The new alcohol guidelines are unlikely to cut drinking directly. But they may shift public discourse on alcohol and the policies that can reduce our consumption. As the debate around the guidelines continues, with references to the nanny state and the killing of joy, we should keep in focus the objective of alcohol policies: to reduce the blight without losing the delight that alcohol brings.

References

I really liked this piece and agree completely!

Edited to add 20th May 2016:

Call for public support of alcohol policy

Improving public knowledge about alcohol harm will increase government appetite for regulation, write Sir Ian Gilmore and colleagues in a new Perspectives article published online in Nature Reviews Gastroenterology & Hepatology this week | IAS, UK

Alcohol: taking a population perspective

This Perspective will outline the scale of the global alcohol problem, the wide-ranging effects of alcohol and the most effective evidence-based strategies to effect a population-level reduction in harm. We will also highlight how clinicians can be good public health advocates and the available downstream strategies they can implement while we wait for governments to take the necessary action | Nature.com, International

Tennent’s lager: first UK alcohol product to display calorie information

weight scalesThis from the Daily Mail in February:

  • Cans, bottles and drip mats in pubs will carry information from March
  • Tennent’s: Move will educate drinkers and promote responsible drinking
  • 500ml can of Tennent’s lager has 152 calories – same as a packet of crisps
  • Local Government Association has previously warned putting on weight from drinking is less well known than other alcohol risks

Tennent’s lager is to become the first alcohol product in the UK to display calorie information on its packaging.

Cans and bottles will carry the information from March in a move to ‘educate drinkers and promote the responsible consumption of alcohol’.

Drip mats in pubs and clubs will also display the information that a 500ml can of Tennent’s lager contains 152 calories.

The information also states 100ml of Tennent’s typically contains 30 calories. There are 568ml in a pint, equivalent to around 170 calories.

Brewers Tennent Caledonian said it is the first alcohol product in the UK & Ireland to print clear nutritional information on its cans and bottles. 

Managing director Alastair Campbell said: ‘As a responsible producer of alcohol and proud owner of brands that are trusted and enjoyed by drinkers across Scotland, we wanted to further extend our commitment to promote the responsible consumption of alcohol.

‘We are introducing calorie information onto our cans and bottles to ensure people can make an informed decision.

He continued: ‘There is increasing interest among consumers around the nutritional content of the food and drink that they consume.

‘We feel that it is a natural next step to include calorie information on our cans and bottles to sit alongside the responsible drinking messaging and number of alcohol units already displayed.’

Public health minister Maureen Watt said the Scottish Government supports improved alcohol product labelling.

‘Many people are unaware of the calorie content of alcoholic drinks, so this is an important step forward in informing consumers and, as such, we are happy to support Tennent’s commitment today,’ she said.

‘Raising awareness on alcohol labels is an important tool to allow consumers to make informed, positive lifestyle choices, change their drinking habits and drink more responsibly.’

Tennent’s owner C&C Group also manufactures Bulmers and Magners cider, and plans to add nutritional information to other products over the next year. 

A step in the right direction 🙂

How does alcohol cause cancer?

Alcohol-Acetaldehyde-updateI love this fantastic infographic from Cancer Research UK which accompanied a great article about how alcohol can cause cancer that they featured in February.

It is a long and detailed blog but I’m going to cherry pick what I consider the highlights:

Mutations and rearrangements and clumps….

This is an important part of the chain of evidence linking alcohol to cancer risk.

“The evidence that mistakes in DNA can lead to cancer is overwhelming,” says Patel.

So how exactly does acetaldehyde affect our cells’ DNA? Over the years, scientists have identified several forms of damage.

  • DNA ‘spelling mistakes’

Acetaldehyde can cause errors in DNA called point mutations. These are a type of mistake where one base – or ‘letter’ – in a gene is swapped for another. And because DNA is the instruction manual that tells our cells what to do, mistakes in it can lead to cancer.

  • Rearranging the furniture

Acetaldehyde can also trigger larger-scale changes to our DNA, by messing up entire chromosomes (the technical name for the long strings of DNA in our cells). It can cause bits of chromosomes to break off and to swap around, meaning genes end up in the wrong place and don’t work properly – these are also phenomena that can trigger cancer.

  • DNA clumps

Acetaldehyde has also been shown to bind to DNA, forming clumps called adducts. These play havoc with how DNA works, folds, replicates and repairs itself. Essentially, adducts are another type of mutation, and they too can cause cells to become cancerous.

Other potential mechanisms

Smoking is the number one preventable cause of cancer. So it’s not surprising that if someone drinks and smokes, they’re increasing their chances of developing cancer even further. But for some cancers, it seems that these two effects in combination are much worse than either by itself. Why?

The interaction between alcohol and smoking is complex. Acetaldehyde is also a by-product of burning tobacco, as is a second, similar chemical: formaldehyde.

But to go back to our funnel, if you drink and smoke there’s more chance of creating an overflow because the body’s systems can’t work fast enough to handle the damage caused by both of them at the same time.

“If you smoke and drink, you’re going to have a greater build-up of acetaldehyde and other toxins, which will increase the damage to your DNA and, in turn, your chances of developing cancer.”

As well as this, there’s also evidence that alcohol can make it easier for the cancer-causing tobacco chemicals found in cigarettes to get into tissue and cells.

Alcohol increases a woman’s chances of developing breast cancer – but how and why this happens still isn’t fully understood.

One theory is that drinking alcohol affects women’s hormone levels, increasing the amount of oestrogen in the body, which is then used by breast cancer cells as fuel for growth.

But it’s not necessarily straightforward to unravel. Lots of other things affect oestrogen levels, including whether the woman is pre- or post-menopausal, the stage of her menstrual cycle and whether she’s taking hormonal contraceptives or hormone replacement therapy (HRT).

Patel is cautious. “We know alcohol increases women’s risk of developing breast cancer. But so far, the exact mechanism that causes this increased risk hasn’t been pinned down,” he says. “At the moment, the evidence is too weak to say for definite how alcohol causes breast cancer.”

“We need more research to figure out this complex cause-and-effect relationship.”

More or less?

Research is slowly revealing more about how alcohol causes cancer, and the theories we’ve discussed in this post are the ones with the strongest supporting evidence.

But there are other ideas that haven’t yet been fully explored or resolved. These include changes in folate metabolism, increased production of reactive oxygen species and reactive nitrogen species and the role of bacteria in how alcohol is metabolised.

At Cancer Research UK, we’re committed to finding out more about the mechanisms by which alcohol causes cancer.

We’re continuing to fund Dr Patel’s research, which is focusing on how alcohol is broken down into different chemicals in the body and how this can damage cells and trigger cancers – particularly liver cancer. He is also studying both the long and short-term effects of exposure to alcohol.

And one of the big questions raised by our Grand Challenge funding scheme is asking if the mutational fingerprints left behind by lifestyle factors like drinking alcohol can help us better understand the link between environmental factors and cancer.

The whole blog is really well worth a read and you can do so here and is much needed after reading this

Public awareness of link between alcohol and cancer ‘worryingly low’

Nine out of ten Britons do not associate drinking with cancer, according to research by Cancer UK | Guardian, UK

Edited to add 7/11/16 (Alcohol Policy UK):

Death rates from liver cancer in Scotland have increased by 52% in the last 10 years. An NHS Health Scotland report says “Survival from liver cancer is poor in most cases. The main risk factors for liver cancer are alcohol and infection with hepatitis B and C”. A Cancer Research UK’s spokesperson said four in 10 cancers could be prevented by cutting down on alcohol and other lifestyle improvementsBBC news.

Drunkorexia: the worrying new trend affecting young women

Bunch of grapes on plate

So this was in a UK magazine called Reveal in February and looked at the subject of drunkorexia where we save up our calories from food and use them to consume alcohol instead.

A worrying new trend sees more and more women across the UK skipping meals in favour of booze

Recent figures from a YouGov survey suggest that an eye-opening one in 20 of us is skipping meals to save calories for alcohol.

And, while ditching dinner so you can enjoy a night of boozing without piling on extra pounds might sound harmless enough, health experts claim the practice – which has been dubbed ‘drunkorexia’ – starves your body of essential vitamins, which can lead to chronic liver and heart problems.

Here, two readers share their shocking stories of falling victim to this trend.

“I’d rather save the calories for drinking”

Amy Wilkes, 33, a mortgage advisor from Hampshire, says,

“I started skipping dinner before nights out about seven years ago, after I came out of a long-term relationship and big nights out with friends became more regular.

“I drink quite a lot on a night out, so I’d rather not add extra calories from food.

“This also has the added benefit of making sure I get drunk quicker and on less alcohol, which is obviously cheaper. I find that, if I eat dinner beforehand, I have to spend at least £20 extra to get drunk.

“Swapping food for alcohol keeps my weight steady, so I’ve kept it up. Now I always skip my evening meal if I’m having a night out. Sometimes, I’ll even skip lunch, too.

“I do get hunger pangs, but I find alcohol soon puts a stop to them.

“Most of my friends do the same thing.

“On an average night, I probably have at least 15 drinks – three or four before I leave the house, then a mix of vodka mixers, Jägerbombs and – if I still don’t feel drunk enough – shots of sambuca.

“If I’m going out for a meal, I’ll drive and eat instead of drinking – I don’t see the point in having the alcohol, because I’d be too full for it to have an effect.

“I don’t give much thought to the health implications of it. I don’t drink every day, so I hope it doesn’t have too much effect!

“For now, it’s worth the risk.”

“I made myself ill”

Rhian Cheyne, 29, an actress from Cardiff, says,

“I’d always been small but, by the time I went into my second year of university, too many bottles of wine and budget food had taken their toll on my waistline.

“My weight crept up from 9st to 10st 7lb. I missed my petite size 8 frame and, at a size 12, decided to take action.

“I downloaded a fitness app that worked out how many calories I needed to consume to lose weight, and soon became transfixed by my calorie intake. But it shocked me how calorific alcohol was.

“I loved partying with the girls, and didn’t want to be the sober one in the corner not having fun. But the calories in alcohol could easily add up to the equivalent of three meals.

“I soon worked out the simple solution – not to eat when I knew I had a night out scheduled. And I was amazed at how quickly the pounds began to drop off.

“I love fashion, and like to wear what I want and feel confident. By refraining from eating before a boozy night out, I felt reassured that I could maintain my figure.

“I’d fast every Saturday in preparation for a night on the town, and stuck to low-calorie beverages like gin and tonics rather than red wine or lager.

“However, early last year, I started suffering from extreme stomach cramps, bloating and fatigue.

“The doctor diagnosed it as irritable bowel syndrome. I’d suffered from bouts of it before, but never to this degree.

“When I explained my diet to him, he said it was important I line my stomach before drinking alcohol to avoid damaging physical and psychological consequences.

“It was the jolt I needed, and as soon as I stopped, my symptoms went away.

“I still care about remaining a healthy weight, but I now do it by focusing on nutrition. And, while I still enjoy a good night out, I make sure I’ve eaten a decent meal beforehand.”

Drunkorexia – know the dangers:

“‘Drunkorexia’, or skipping meals to save up those calories to drink alcohol, could significantly impact your health and well-being,” says Drinkaware’s medical advisor, Dr Sarah Jarvis.

“Starving yourself to drink to excess in a short amount of time can cause acute alcohol poisoning, leading to confusion, vomiting and passing out,” she adds.

“Doing this regularly could put you at risk of chronic health harms like liver and heart disease in the long term.

“While it’s good to know about the calories in your favourite drink, don’t let it become an obsession that means you skip meals just so you can drink to excess,” continues Dr Jarvis. “For the calorie-conscious, it’s healthier to cut back on alcohol rather than food.”

I did this too – though not to manage weight – more because I knew drinking on an empty stomach meant getting drunk faster.  I thought I was being so clever at the time *sigh*

Edited to add 3rd July 2016:

Psychiatry Advisor – “Drunkorexia” Linked To Both Eating and Substance Use Disorders
Researchers from the University of Kansas have found that “drunkorexia,” a behavior pattern of repeatedly fasting or purging to compensate for the amount of calories consumed during binge drinking, may be linked to both eating disorders and substance abuse disorders.
Edited to add: 5th September 2016
One in five adults eat less to ‘save’ calories for alcohol, according to a survey reported in The Independent. The more extreme practice of skipping meals – often termed ‘drunkorexia’ – was reported by 43% of males aged between 18 and 24, compared to 35% of females, in a separate piece which stated ‘more young people than ever in the UK are skipping meals in favour of binge drinking’.

2.5m children of alcoholics ‘suffering in silence’

2.5million childrenSo this blog post started out with this study, which identified 2.5m at risk children, and was reported in The Mirror in February.  But since that news story this post has morphed into something much bigger as more and more coverage of children and its impact hit my inbox in the 7 weeks since and I’ve just kept adding them here!

Children of alcoholics are ‘suffering in silence’ because of a scandalous lack of support, a ground-breaking report reveals today.

The study found not a single council in England offers specific help for the estimated 2.5million children being brought up by heavy drinking parents.

MPs said the findings were a ‘national scandal’ and demanded a national action plan to help the “innocent victims” of booze.

The report by the All Party Parliamentary Group on Children of Alcoholics found no local authority in England had a set strategy for helping kids of alcoholics.

And a third of councils are actually cutting support for drug and alcohol addiction programmes.

An estimated 2.5 million children – one in five – live with a hazardous drinker (someone at risk of harm because of their consumption) and 705,000 live with a dependent drinker (someone who has no control of their alcohol intake).

Children of alcoholics are three times more likely to consider suicide and five times more likely to develop eating disorders.

A Freedom of Information request answered by 138 of 150 town halls in England found 70% have seen an increase in alcohol-related hospital admissions.

But more than one in three councils are planning to cut budgets for addiction support.

Only three councils in the country – Kirklees, Stoke-on-Trent and Stockport – are increasing the amount the spend on drug and alcohol support.

The Information request also found that some local authorities are only referring 0.4% of those who need help to treatment.

The All-Party Group is launching a campaign today called Break The Silence to Break The Cycle and is being backed by MPs and peers from all political parties.

They are calling for local authorities and health services to identify children of alcoholics and offer them support.

The MPs also want an information blitz aimed at heavy drinking parents to warn them of the damage they could be doing to their children and greater investment in services to help alcoholic mums and dads.

The chair of the All-Party group Liam Byrne MP, who recently revealed the anguish and difficulty of having alcoholic dad, said children of problem drinkers should not be left to suffer alone.

He said: “Millions of children of problem drinkers are suffering in silence and today this ground-breaking report reveals why.

“Not a single part of the country actually has a plan in place to help them. They are Britain’s innocent victims of booze and they’re being left to suffer alone.

“We’re calling for some simple, big steps that would mean we connect every child of a problem drinker with the help that would make a difference.

“We want every part of Britain to have a plan in place and we want more investment in crucial helplines like the helpline run by the National Association of Children of Alcoholics – 0800 358 3456.

“Crucially, we’re calling for a public information campaign aimed at parents so they know the damage they’re doing their kids, and we want every council to publish details of their treatment budgets so we know everyone is spending what’s needed.”

“No wonder so many go on to become alcoholics themselves, develop eating disorders, depression – or even try to kill themselves.

“This is quite simply a national scandal and things have got to change. That’s why today, MPs and peers from all parties are joining together to launch a new national campaign on behalf of Britain’s 2.5 million children of alcoholics and problem drinkers. It’s within our power to change things for the better – so let’s get on with it.

Labour MP Caroline Flint: My agony growing up with alcoholic

My mum, Wendy, made me who I am.

Born to a 17-year-old lone parent in 1961, it showed strength to keep me. I watched this kind and beautiful woman die at 45 from alcoholism. For years, I felt guilty that, maybe, keeping me ruined her life.

Mum married and my sister and brother came along. Life wasn’t easy. We never owned a home but I was happy.

In my teens, alcohol took over as her marriage and another relationship failed. Lacking self-esteem, drink ruined her.

Twice I lived away from home. First when mum took my sister and brother to live with our grandparents in Lancashire. I lodged with mum’s friend during O Levels.

Later, back together in London, her drinking made me leave. With a charity grant I rented a room to finish A levels. After that university was an escape.

I volunteered on Nightline, a student helpline. My sister knew when to ring to keep me in touch with home.

I could love and hate mum all in one day. I’d go to school not knowing what I’d come home to, frightened of people finding out.

She worked most of her life. People loved her. But, I’d know she was drunk, even if others couldn’t tell.

When alcohol took hold, Wendy could turn nasty. A different person. I’d get angry, emptying bottles down the sink.

Sometimes, it was easier to just let her drink and pass out on the sofa. Mum went to AA, took medicine to block her drinking, spent time hospitalised.

Nothing worked. Once, our family met with a social worker at mum’s choice of venue, a pub!

Not every day was a bad day. The times she stopped drinking I hoped for the best.

But in 1990, her liver ruined by alcohol, pneumonia killed her.

Elected in 1997, I pinched myself. Wendy’s daughter – me, an MP!

I never spoke about her illness. Too embarrassed. Then years later, a journalist asked: “How does it feel to be the age your mother died?”

My heart stopped. Tears rolled down my cheeks. Not how I would have chosen to speak about life with an alcoholic.

I hope my story encourages understanding and support for children of alcoholics and for adults to see how alcohol affects families.

I still never drink alone. You survive. You stay strong. Wendy would have wanted that for me.

And maybe that’s how we approach it and start the change process?  Focus on the children to enable support of the parents ….  As someone who is training as a child and adolescent counsellor I would love to support young people in this way!

To help give voices to the silent every day of COA Week (14 – 20 February 2016)  Nacoa shared personal stories of people affected by their parent’s drinking. Reading other people’s experiences helps us know we are not alone.

Sharing stories for COA Week

Day 1 – Heather – “Final score”

Day 2 – Liam – “Break the silence to break the cycle”

Day 3 – Ceri – “Missing mum”

Day 4 – Bryony – “I don’t remember anyone coming to look for us”

Day 5 – Josh – “If he loved you enough he’d stop”

Day 6 – Olivia – “It was quite shocking to realise that she was jealous of the drink”

Day 7 – Tracey – “There is always a light, if only a tiny flicker…”

To read more personal experiences or to share your own story see www.nacoa.org.uk

‘How I lost my dad to alcohol addiction’

‘What I learned from confronting my alcoholic mum’

Caitlin Croft was 12 when she first tried to talk to her mum Tracey about her alcohol problem.

Alcohol: One in five parents ‘problem drinkers’, research suggests (BBC Northern Ireland)

Research involving 1,000 children in Northern Ireland has suggested that one in five parents were “problem drinkers”.

At least their voices are now being heard ………

Wine or cancer? If it’s that bad, curb the drinks makers

dame helen mirrenSo I have cherry picked parts of this opinion piece from The Guardian which seems to reflect our now challenged and cognitive dissonance driven view of alcohol following the new drinking guidelines. It feels like a battle is afoot for our hearts, minds and livers and the battleground is the media.  I read conflicting news stories almost every day now designed not to curb your drinking but to confuse and muddy the waters so that we do nothing and ignore ……

Perhaps the bits that I have lifted from this piece will help explain why.  It’s subheading gives us a clue “The chief medical officer tells us we should think before every glass. So why is the drinks industry indulged?”

Outside the public health and temperance communities, her advice seems to have met, possibly unhelpfully for public health, with enormous indignation.

On what was it based, some patriots asked, when a Spaniard’s intake is double a Briton’s? How come the limits are now the same for men and women?

What, anyway, is their likely impact in a country where, as testified by the occasional brawl, parliament itself is daily sluiced down with buckets of subsidised gin, and, indeed, where the state’s alcohol policy is run by the alcohol industry?

How to treat one’s body as a temple, when, the prime minister treats Matthew Freud, PR to Diageo, as a mate? Cameron has been a regular at the parties where, with his health educator’s hat on, Freud presumably never opens a bottle without reminding his guests of the liver disease and drunkenness that unaccountably accompany the availability of incredibly cheap drink, 24 hours a day.

To make things worse, another plank in the Tories’ super-voluntary, legislation-free approach to problematic drinking, its “responsibility deal”, run by associates of Freud, has been condemned by the BMA, among many others, as weak and ineffective. Shortly before Davies produced her evidence-based drinking guidelines, a report from the Institute of Alcohol Studies condemned the deal, for, among other failings, “obstructing more effective policies addressing alcohol harm”.

To the surprise of nobody except Conservative politicians, it turns out that the alcohol industry is in no hurry to make people drink less. It can’t even be arsed to prominently change the labels. The importance of the IAS study was confirmed for anyone who makes it a rule never to do or believe anything endorsed by Andrew, now “Lord” Lansley, when he rubbished it as “polemical in character and not a research report at all”. Admittedly, this is consistent with his department’s assertion in 2012 of alcohol’s “positive impact on adults’ wellbeing”.

The use of dames, in public health, is not unknown. In the US, Budweiser just hired Dame Helen Mirren to call drink drivers “pillocks”. The company thought it would “spark conversation”. And the exhortations of Davies have definitely done that. But in the absence of Cochrane reviews on the impact of her personal example, there is surely a case for her promoting, instead, evidence-based interventions such as drink pricing, however unpopular with the government’s responsibility deal partners.

If you read the rest of the article you might end up as confused as I was by the mixed messages but then that is exactly the intent.  If the message isn’t clear and consistent – like it became around tobacco and smoking – then we ignore it and that’s just what the drinks industry want you to do.  As illustrated brilliantly in this TED talk:

We are manipulated by the media just as much around alcohol as we are about anything else.  Bought and paid for by the alcohol industry to distort and distract us away from the truth …….

The Zero Alcohol Awards 2016

Zero-Alcohol-Awards-LogoSo the alcohol industry is probably  hoping this is some April Fools’ joke but I’m happy  to say that the Zero Alcohol Awards is definitely real 🙂  Here is the list of nominee’s from Alcohol Concern.

Congratulations to our shortlisted nominees.

The Zero Alcohol Awards sponsored by Britvic are the first of their kind to recognise and reward the range of zero alcohol drinks provided by retailers, bars and pubs across the country, alongside the innovators bringing new products to the market and creating new environments to enjoy them in.

Best Bar/Pub Award

  • All Bar One
  • Browns
  • Pitcher and Piano

Best Multiple Retailer

  • Asda
  • M&S
  • Sainsbury’s
  • Tesco
  • Waitrose

Best Independent Retailer

  • The Alcohol Free Shop
  • Dry Drinker

Best New Product

  • Belvoir Elderflower and Rose Cordial
  • Fentimans Cherry Cola
  • Frobishers Classics: Apple Pear and Elderflower
  • Frobishers Classics: Sparkling Raspberry
  • Green Lady Sparkling Tea
  • Nix&Kix Cool Cucumber and Fresh Mint
  • Peter Spanton Drinks
  • Seedlip
  • Rochester Ginger

Best Zero Alcohol Award Initiative

  • Dry Bars: The Brink, Liverpool; Redemption, London; Sobar, Nottingham
  • Dry Scene
  • Morning Gloryville
  • Warsteiner Fresh partnership with Jurgen Klopp

People’s Choice Award: Favourite Drink

  • Bavaria 0% Beer
  • Becks Blue
  • Belvoir
  • Bottlegreen
  • Shloer

People’s Choice Award: Favourite Location

  • The Alcohol Free Shop, Manchester
  • The Arkle Manor Bar, Surrey
  • The Crown, Henlow
  • Granger & Co., Kings Cross
  • Sobar, Nottingham
  • Strada, Nationwide

So lots of good recommendations in that list for things to drink, places to buy & go visit 🙂

Winner’s announcement here:

The winners of the Zero Alcohol Awards 2016 sponsored by Britvic have been announced.