
Alcohol and tobacco are two of the leading causes of preventable deaths worldwide. Alcohol abuse claims the lives of up to 3 million people annually, with alcohol-related deaths accounting for at least 5.3% of all global deaths. Tobacco, on the other hand, is responsible for over 8 million deaths each year, with more than 7 million resulting from direct tobacco use and around 1.3 million from exposure to second-hand smoke. These numbers highlight the devastating impact these substances have on public health and the importance of prevention, education, and effective policies to reduce their consumption. The high mortality rates associated with alcohol and tobacco use underscore the need for comprehensive strategies to address this growing crisis.
| Characteristics | Values |
|---|---|
| Number of deaths from alcohol per year | 2.6 million |
| Number of deaths from alcohol in the US per year | 178,000 |
| Number of male deaths from alcohol in the US per year | 120,000 |
| Number of female deaths from alcohol in the US per year | 59,000 |
| Number of deaths from alcohol in the US among under 21s | 4,000 |
| Number of deaths from tobacco | N/A |
| Number of deaths from tobacco in the US | N/A |
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What You'll Learn
- Alcohol-related deaths increased 29% from 2016-2017 to 2020-2021
- Alcohol is one of the leading preventable causes of death in the US
- Tobacco kills more people annually than AIDS, alcohol, car accidents, illegal drugs, murder and suicide combined
- Alcohol-attributable deaths in 2019 were highest among young people aged 20-39
- Binge drinking is the most common way people drink alcohol excessively

Alcohol-related deaths increased 29% from 2016-2017 to 2020-2021
Alcohol is one of the leading preventable causes of death in the United States. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), there are more than 178,000 deaths attributable to excessive alcohol use each year (approximately 120,000 male deaths and 59,000 female deaths). This accounts for 4.7% of all deaths globally.
Alcohol-related deaths have been rising in recent years. A Centers for Disease Control and Prevention (CDC) study found that the average number of annual deaths from excessive alcohol use in the US increased by 29% from 2016-2017 to 2020-2021. The number of deaths rose from approximately 138,000 during 2016-2017 to 178,000 during 2020-2021. This increase is concerning and highlights the growing impact of alcohol on public health.
The COVID-19 pandemic may have contributed to this rise, as there was a sharp increase in alcohol purchases during the initial lockdowns. The stress and isolation of the pandemic may have led to increased alcohol consumption as a coping mechanism. Additionally, the pandemic disrupted access to substance misuse services, with a 28.2% cut in real terms between 2013-2014 and 2021-2022. This reduction in services likely impacted the ability to prevent and treat alcohol misuse.
The leading causes of alcohol-attributable deaths are chronic conditions such as liver disease, cardiovascular disease, and various types of cancer. Alcohol use disorder (AUD) is also a significant factor in alcohol-related deaths, and it is the second most common mental disorder among people who die by suicide. The increase in alcohol-related deaths underscores the need for effective prevention and treatment strategies to address this growing public health concern.
To address this issue, public health initiatives, such as Alcohol Awareness Month, aim to raise awareness about the dangers of alcohol misuse and promote prevention efforts. Additionally, the Royal College of Psychiatrists has provided estimates and reviews to inform government strategies and policies to tackle alcohol-related harm. These collective efforts are crucial in reducing the impact of alcohol on individuals, families, and communities.
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Alcohol is one of the leading preventable causes of death in the US
Alcohol-related deaths occur due to both long-term drinking and binge drinking or drinking too much on one occasion. Binge drinking is the most common way that people drink alcohol excessively. From 2020 to 2021, two-thirds of alcohol-related deaths (approximately 117,000) were from chronic conditions that develop over time, such as liver disease, heart disease, and various types of cancer. One-third of alcohol-related deaths (around 61,000) were from binge drinking.
Alcohol use disorder (AUD) is a significant contributor to alcohol-attributable deaths. It is the second most common mental disorder among people who die by suicide, involved in about one-quarter of suicide deaths. AUD also leads to chronic conditions that can be fatal, such as liver disease, cardiovascular disease, and certain types of cancer.
Young people are particularly vulnerable to the harmful effects of alcohol. In 2019, the highest proportion (13%) of alcohol-attributable deaths occurred in individuals aged 20-39. Additionally, about 4,000 alcohol-related deaths occur each year among young people under 21. Continuous heavy drinking is highly prevalent among men, and globally, 23.5% of 15-19-year-olds are current drinkers.
While tobacco is responsible for more deaths annually than alcohol, with over 490,000 people dying from tobacco use each year, the combination of alcohol and tobacco use results in millions of preventable deaths worldwide. These substances severely harm individual health and increase the risk of chronic diseases and mental health conditions.
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Tobacco kills more people annually than AIDS, alcohol, car accidents, illegal drugs, murder and suicide combined
Tobacco kills more people annually than AIDS, alcohol, car accidents, illegal drugs, murder, and suicide combined. According to recent statistics, tobacco kills more than 490,000 people each year, highlighting its devastating impact on public health.
In contrast, alcohol consumption is responsible for a significant number of deaths globally, but the toll is lower than that of tobacco. Alcohol-related deaths have been on the rise, with an estimated 178,000 deaths attributable to excessive alcohol use in the United States alone. This includes deaths from both long-term drinking and binge drinking or excessive consumption on a single occasion. The COVID-19 pandemic also saw an increase in alcohol-related deaths, with a 25.5% rise from 2019 to 2020 among people aged 16 and older.
Alcohol-attributable deaths are caused by various chronic conditions, including liver disease, cardiovascular disease, and cancer. The World Health Organization (WHO) reports that globally, 2.6 million deaths per year are attributable to alcohol consumption, accounting for 4.7% of all deaths. This figure includes deaths among young people, with the highest proportion (13%) of alcohol-attributable deaths in 2019 occurring in individuals aged 20-39.
While tobacco and alcohol both contribute significantly to global mortality, the statement "Tobacco kills more people annually than AIDS, alcohol, car accidents, illegal drugs, murder, and suicide combined" underscores the immense harm caused by tobacco use. The high death toll attributed to tobacco underscores the urgency of tobacco control measures and public health initiatives aimed at reducing tobacco-related deaths.
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Alcohol-attributable deaths in 2019 were highest among young people aged 20-39
Alcohol and tobacco continue to be leading preventable causes of death globally. According to the World Health Organization (WHO), there are 2.6 million deaths attributable to alcohol consumption annually, accounting for 4.7% of all deaths worldwide. In 2019, the highest proportion of alcohol-related deaths, at 13%, was among young people aged 20–39. This age group is disproportionately affected by the harmful effects of alcohol, which can lead to various health and social problems.
Alcohol use disorders (AUD) are prevalent among young adults, with an estimated 400 million people suffering from AUD globally, and 209 million living with alcohol dependence. The harmful and hazardous consumption of alcohol increases the risk of chronic diseases and mental health conditions, including liver disease, cardiovascular disease, and cancer. In the United States, liver diseases, such as alcohol-associated liver disease and cirrhosis, were the leading causes of alcohol-attributable deaths between 2015 and 2019.
Young adults aged 20–39 are at a critical stage of brain development, and alcohol consumption during this period can have detrimental effects on brain structure and function. Excessive drinking can impair cognitive function, decision-making abilities, and increase the risk of mental health disorders. The high prevalence of alcohol-attributable deaths in this age group highlights the need for targeted interventions and awareness campaigns to address the specific risks associated with alcohol consumption among young adults.
Social factors also play a significant role in alcohol consumption among young people. Peer pressure, social media influences, and the availability of alcohol can contribute to risky drinking behaviours. Additionally, young adults may be more susceptible to the toxic and dependence-inducing properties of alcohol due to biological and developmental factors. Addressing the social and cultural norms that promote excessive drinking in this age group is crucial for reducing alcohol-related harm.
To mitigate the impact of alcohol on young people, comprehensive strategies are required. These include increasing awareness about safe drinking guidelines, implementing effective alcohol control policies, and improving access to treatment and support services for alcohol use disorders. By addressing the cultural, social, and individual factors that contribute to harmful alcohol consumption, we can reduce the number of alcohol-attributable deaths in this vulnerable age group.
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Binge drinking is the most common way people drink alcohol excessively
Alcohol and drug use lead to over 3 million deaths per year, with 2.6 million of those deaths attributable to alcohol consumption alone. Alcohol is one of the leading preventable causes of death in the United States, with excessive alcohol use causing more than 178,000 deaths annually. Binge drinking is a significant contributor to this toll, as it is the most common way people drink alcohol excessively.
Binge drinking is defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) as a pattern of drinking that brings blood alcohol concentration (BAC) to 0.08% or higher. This typically corresponds to consuming five or more drinks for men or four or more drinks for women in about two hours. Binge drinking is a concern across all age groups, with rates of binge drinking among young adults aged 18 to 25 remaining high at 28.7% in 2023. Even among older adults aged 65 and above, about 12% reported binge drinking in the past month.
Binge drinking is particularly dangerous as it can lead to chronic diseases and serious health problems. These include liver and heart disease, stroke, and alcohol use disorder (AUD). AUD is a mental health condition that affects both physical and mental health and increases the risk of suicide. Among people who die by suicide, AUD is the second most common mental disorder, involved in about one in four suicide deaths.
The impact of binge drinking extends beyond the individual, as it can negatively affect their loved ones as well. The cost of excessive alcohol use in the United States was estimated at $249 billion in 2010, including losses due to lower worker performance, property damage, crashes, and healthcare services for injuries. Binge drinking can strain relationships, add emotional stressors, and create financial challenges for families and friends.
Overall, binge drinking is a prevalent and harmful way of drinking alcohol excessively, leading to significant health, social, and economic consequences. It is important for individuals to be aware of the risks associated with binge drinking and to make informed decisions about their alcohol consumption to improve their health and well-being.
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Frequently asked questions
Excessive alcohol consumption causes approximately 178,000 deaths per year in the United States, with a similar number of attributable deaths worldwide being 2.6 million.
Tobacco kills more than 490,000 people each year in the United States, and is a preventable cause of death.
The leading causes of alcohol-attributable deaths are liver diseases, cardiovascular diseases, and various types of cancers. Binge drinking or drinking too much on one occasion can also lead to death.



















