RETHINKING ALCOHOL CONTROL IN INDIA

Why is News : 

  • India faces a mounting alcohol-related public health crisis, with rising consumption, weak regulatory mechanisms, and significant socio-economic impacts. Experts call for a National Alcohol Control Policy to replace fragmented state-level interventions.

Key Data Points

  • 23% of Indian men and 1% of women consume alcohol (NFHS-5).
  • India ranks among the highest globally in heavy episodic drinking.
  • ₹6.24 trillion: estimated societal cost of alcohol-related health burdens.
  • Alcohol contributed to 2.6 million DALYs (2021).
  • 240% increase in per capita alcohol consumption over 20 years.
  • Nearly 50% of alcohol use is unrecorded, highlighting regulatory loopholes.

Determinants of Alcohol Consumption

Biopsychosocial:

  • Genetic predisposition, psychological stress, urban peer pressure.

Commercial:

  • Surrogate advertising, glamorous branding, social media influence, happy hours.

Policy:

  • State control leads to variation in age limits, pricing, and access
  • Revenue dependency weakens regulatory enforcement.
  • No unified national alcohol policy exists.

Issues with Current Regulation

  • State-centric control leads to inconsistency (e.g. prohibition in Bihar vs. promotion in Kerala).
  • Policy fragmentation: different ministries handle demand, supply, and harm reduction.
  • Digital platforms escape regulatory purview (e.g. alcohol influencers).
  • Excise revenue conflict: alcohol is a key income source for States, limiting reform.

Key Recommendations for Reform

  • Affordability: Price controls must deter excessive use without triggering illicit alternatives.
  • Allocation: Ring-fence health taxes from alcohol for public health programmes.
  • Accessibility: Reduce availability in urban spaces (not just geographic curbs).
  • Advertisement Control: Crack down on digital “social surrogacy” and brand influence.
  • Attractiveness: Enforce plain packaging and visible warning labels.
  • Awareness: Mass public health campaigns akin to tobacco warnings.
  • AI & Digital Regulation: Use AI tools to flag misinformation and reduce visibility of alcohol-related content.

Why a National Alcohol Control Policy is Needed

  • Alcohol is excluded from GST, limiting central intervention.
  • NAPDDR, NMHP, and NSPS recommend a consolidated approach but remain fragmented.
  • Only a centralised, evidence-based, and equity-oriented framework can resolve policy incoherence, improve public health outcomes, and reduce economic losses.
Value Addition for MainsQuote: “There is no safe amount of alcohol that does not affect health” – WHO.

Case Study: Kerala’s shift from prohibition to promotion under its ‘Akbari Policy’ reflects economic vs. ethical policy tensions.

Best Practice: Thailand’s national alcohol control law combines pricing, advertising bans, and public awareness with community involvement.
UPSC Relevance :
GS2Governance, Health Policy, Social Justice, Role of State in public health
GS3Economy (Excise & Health Spending), Science & Tech (AI for digital regulation), Internal Security (alcohol-related violence/crime)
Essay/GS4Ethical dilemma: Revenue vs. Health; Public good vs. Corporate lobbying

Possible Mains Question :
 India faces a mounting alcohol-related public health crisis, with rising consumption, weak regulatory mechanisms, and significant socio-economic impacts.

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