According to the World Heart Federation, in 2019, more than 2.4 million people died because of alcohol, accounting for 4.3% of all deaths globally and 12.6% of deaths in men aged 15 to 49. Alcohol is a psychoactive and harmful substance that can cause significant damage to the human body. Its consumption is a major avoidable risk factor for noncommunicable diseases, including cardiovascular disease, cancer, digestive diseases, and intentional and unintentional injuries, and for several infectious diseases.
The agency says that the evidence is clear: any level of alcohol consumption can lead to the loss of healthy life. Studies have shown that even small amounts of alcohol can increase a person’s risk of cardiovascular disease, including coronary disease, stroke, heart failure, hypertensive heart disease, cardiomyopathy, atrial fibrillation, and aneurysm. Studies that claim otherwise are largely based on purely observational research, which fails to account for other factors, such as pre-existing conditions and a history of alcoholism in those considered to be “abstinent”. To date, no reliable correlation has been found between moderate alcohol consumption and a lower risk of heart disease.
“The portrayal of alcohol as necessary for a vibrant social life has diverted attention from the harms of alcohol use, as have the frequent and widely publicized claims that moderate drinking, such as a glass of red wine a day, can offer protection against cardiovascular disease,” said Monika Arora, Member of the WHF Advocacy Committee and co-author of the brief. “These claims are at best misinformed and at worst an attempt by the alcohol industry to mislead the public about the danger of their product.”
The economic and social costs of alcohol are also significant: they include the cost to health systems, out-of-pocket expenditure, and productivity losses, as well as the increased risk of violence, homelessness, and criminal activity. Alcohol has a greater impact on people from low socio-economic backgrounds, who are more likely to experience its adverse effects compared to people from higher socio-economic backgrounds, even when consuming similar or lower amounts.
The WHF Policy Brief, The Impact of Alcohol Consumption on Cardiovascular Health: Myths and Measures, summarizes the available evidence regarding the negative health impacts of alcohol use, explains the alcohol “harms versus benefit” debate, and presents recommendations for both individuals and policymakers to help counter the deadly impact of alcohol globally.
Cost-effective interventions to reduce alcohol consumption include strengthening restrictions on alcohol availability, enforcing bans on alcohol advertising, and facilitating access to screening and treatment.