The number of deaths attributable to alcohol each year is in the range of 25,000 to 60,000 deaths. This gap is of considerable in part, the inaccuracy of death certificates, but also a factor analysis more complex. Anyway, it is important to restore a hierarchy of risk and so, remember that if BSE has 3 dead in UK, alcohol more makes each year tens of thousands! Analysis precise causes of the 540,000 annual deaths in UK is difficult, especially when it comes to evaluate the weight of alcohol in the overall mortality, or of considerable variation, ranging from 25 000 to 60 000 deaths attributable to alcohol. Professor Claude Got, French Observatory of Drugs and Addiction, enunciated in a recent paper the main causes of these differences. The death certificates by the collection of specialized service Inserm do not always include such detail necessary to determine all the causes of a precise death..It would indeed be able to systematically distinguish the pathological events of contemporary death, illness and one or more major risk factors, respectively, eg, hepatic encephalopathy, cirrhosis, chronic alcoholism. But these precisions are not always available. Thus, a certificate may be mentioned the cause, cirrhosis, without that it is qualified. But epidemiological arguments, including departement, can sometimes justify grouping these unqualified cirrhosis with cirrhosis of alcoholic origin. However, this grouping is random and is probably more to the regression of alcoholic cirrhosis in UK and on the contrary the strong growth of post-hepatic cirrhosis C. But deaths from cirrhosis post-liver C or primary liver cancer in hepatitis C may be partly related to alcohol consumption, which is known to favor the evolution of hepatitis C to cirrhosis.


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