French study revives debate about alcohol-related deaths

An industry-funded research institute is calling for better methods to evaluate mortality attributable to alcohol, after the publication of a study which claimed that alcohol causes 49,000 premature deaths per year in France.

The Paris-based Institute for Scientific Research on Beverages (IREB) has proposed defining a clear methodology for calculating alcohol-related harm that can be shared by research teams and scientific institutions across the board.

A more consensual methodology should enable policymakers, observers and the wider public to be provided with reliable data, it said.

IREB's proposal comes after the publication of a report in the European Journal of Public Health, which suggested that 49,000 people die of alcohol-related diseases in France per year. Some 36,500 French men die each year from alcohol-related illnesses, making for around 13% of the overall male mortality rate, the report found.

The report, published in March, was based on data from 2009.

>> Read: Spirits industry questions death toll in French alcohol study

But IREB questions those figures and points to a similar study published by the Centre for Epidemiology on Medical Causes of Death (CépiDC, INSERM) in 2010. This latter report led to an estimate which was half that number, or 20,255 deaths attributable to alcohol. The report was based on 2006 data.

"An increase in deaths of more than 100% in 3 years, while total alcohol consumption has been steadily decreasing, highlights the problem of evaluation methods of mortality attributable to alcohol in France today," IREB said in a statement.

New methodology backed by spirits industry

The figures published in the European Journal of Public Health also came as a surprise to other industry bodies.

Carole Brigaudeau, director of communications at SpiritsEurope, an industry organisation representing producers at the EU level, questioned the quality of the study.

Although she acknowledged harm caused by chronic alcohol-related abuse, she said industry had estimated the number of alcohol-related deaths in France at 28,000 per year, based on previously published papers.

"We need more time to study this single article and compare it with the finding of various meta-analysis of more than 30 individual articles," Brigaudeau told EURACTIV.

She said alcohol misuse "should be addressed with targeted interventions involving all the relevant stakeholders aiming at those with risky drinking behaviours. The industry has for many years been committed to help reducing alcohol-related harm," Brigaudeau said.

Brigaudeau said spiritsEurope supports a commonly agreed methodology to assess alcohol-related harm, and insisted this work should be lead by the scientific community. IREB has its own scientific committee, whose research it claims is entirely independent and draws on voluntary work done by "high-level scientific personalities".


Europeans have the highest per-capita consumption of alcohol and drinking causes nearly one in 10 cases of ill health and premature death, according to EU data.

Harmful and hazardous alcohol consumption is the third largest risk factor for ill health in the EU, responsible for 195,000 deaths each year and accounting for 12% of male and 2% of female premature mortality, according to EU figures.

The estimated economic cost to the EU is in the region of €125 billion.

>> Read our LinksDossier: Fighting alcohol harm: The EU's strategy under review


  • Spring 2013: European Commission expected to publish a review of its informal alcohol strategy.

Further Reading

European Commission



  • European school survey project on alcohol and other drugs (ESPAD): Website
  • European Alcohol Policy Alliance (Eurocare): Website
  • Active (Sobriety, Friendship and Peace): Website
  • Alcohol Policy Youth Network (APYN): Website
  • European Public Health Alliance (EPHA): Website
  • European Association for the Study of the Liver (EASL): Website
  • Youth Forum: Website
  • European Kidney Health Alliance (EKHA): Website


  • Edualcool: Website
  • Institut de Recherches Scientifiques sur les Boissons: Website