Abstract
Summary: While international concern and cooperation about alcohol programmes date back almost a century, modem programming in international agencies has been primarily focused in the World Health Organization. Aside from a spate of work in 1950–1955, the primary effort has come since 1970. The main lines of this work are described. Assessing the record, the programme has been successful in symbolic accentuation of alcohol issues, and productive in information collation, conceptual development and collaborative research, but has failed as yet to become institutionalized as a regular‐budget activity. The difficulties for WHO and other public health institutions in facing the terrain of alcohol control are discussed.