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How the 1977 World Health Organization report on alcohol-related disabilities came to be written: a provisional
1National Addiction Centre, London, UK. louisa@addictionjournal.org
Background:
In 1977 the World Health Organization (WHO) published a report entitled 'Alcohol-Related Disabilities'. The crucial contribution of this report was to differentiate between alcohol dependence, on one hand, and alcohol-related disabilities (or problems) on the other hand. Essentially, it offered a bi-axial mapping of the field of concern.
Aims:
This paper seeks to identify the multiple influences which shaped the evolution of this report.
Methods:
Use is made of unpublished archival material and recall of personal involvement, together with relevant published material.
Results:
Three major influences made it possible to move beyond the confines of previous WHO thinking on alcohol: the multi-disciplinary nature of the input; the internationality of the enterprise; and the expectations set that the concepts developed should speak to the practical world.
Conclusions:
The arena of drug and alcohol policy has, for more than a century, been rich in its reports. This case study, although limited in its immediate content, points to the need for further analysis of the history of such reports.
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