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Alcohol consumption is a significant public health concern across Europe, contributing to a substantial number of deaths and injuries. A new report by the World Health Organization (WHO) reveals that alcohol is linked to 31% of all injury and violence-related deaths on the continent, totaling approximately 145,000 lives lost annually. The report highlights concerning trends and disparities in alcohol-related harm across different European nations.
The WHO’s findings indicate that Europe has the highest alcohol consumption rates globally. While overall drinking levels have decreased in recent years, the impact remains considerable, particularly among specific demographics. Understanding these patterns is crucial for developing effective prevention strategies and reducing the burden of alcohol-related disease and death.
The Devastating Impact of Alcohol in Europe
Self-harm is the leading cause of alcohol-attributable deaths, accounting for 44,000 fatalities in 2019 alone, with a disproportionately high percentage – 83% – occurring among men. Following closely are road accidents caused by alcohol, resulting in 24,000 deaths, and accidental falls linked to alcohol use, which claimed 20,000 lives.
The report identifies a vulnerable age group, with individuals aged 35 to 39 being the most susceptible to alcohol-related harm. Gender also plays a role, as men exhibit higher rates of alcohol consumption and related health issues compared to women. According to the WHO, this disparity stems from differences in drinking frequency, quantity, and the prevalence of alcohol use disorder.
Regional Disparities in Alcohol-Related Deaths
Significant variations exist in alcohol-related mortality rates across Europe. While drinking levels have generally been declining since the early 2000s, eastern European countries experience a much higher proportion of deaths attributable to alcohol – exceeding 60% of all injury and violence-related deaths – compared to western and southern Europe, where rates are often below 20%.
Latvia, Lithuania, and Russia are particularly affected, reporting around 23 alcohol-related deaths per 100,000 people. In contrast, countries like Azerbaijan, Tajikistan, and Turkey have some of the lowest rates, often below 2.9 per 100,000. These differences likely reflect varying cultural norms, alcohol policies, and socioeconomic factors.
Countermeasures and Policy Interventions
Several European nations are implementing measures to curb harmful alcohol consumption. Lithuania, for example, has enacted a strict law banning alcohol sales to individuals under the age of 20. This legislation also restricts sales hours to between 10:00 am and 8:00 pm (3:00 pm on Sundays) and imposes a comprehensive ban on alcohol advertising, including on imported publications.
The WHO advocates for evidence-based strategies to reduce alcohol-attributable harm. These include increasing excise taxes on alcoholic beverages, limiting the availability of alcohol through regulations, restricting alcohol marketing, strengthening enforcement of drink-driving laws, and expanding access to screening and brief interventions for at-risk individuals. Further details on the WHO report can be found on their official website.
Trends in Alcohol Consumption Levels
Over the past two decades, average yearly alcohol consumption in the broader WHO European region has decreased by 18%, falling from 11.1 liters in 2000 to 9.1 liters in 2022. This decline is accompanied by reductions in heavy episodic drinking among both men and women.
However, data from the Organisation for Economic Co-operation and Development (OECD) indicates that most European Union countries still record alcohol consumption levels above the 9.1-liter average. Romania, Portugal, and Latvia currently top the list of highest-consuming nations within the EU. Explore OECD health data for more comparative statistics.
Conversely, Greece, Finland, Sweden, Belgium, the Netherlands, and Italy have demonstrated lower consumption rates, falling below the 9.1-liter threshold. These varying trends underscore the need for tailored interventions based on specific national contexts.
As Europe continues to grapple with the consequences of harmful alcohol consumption, ongoing monitoring of trends and implementation of effective policies will be essential. Public health officials will need to prioritize prevention efforts and address the underlying factors contributing to alcohol-related harm to protect vulnerable populations and reduce the overall burden of disease.

