Understanding State-by-State Alcohol Poisoning Statistics


Key Statistics for Alcohol Poisoning
Alcohol poisoning is a severe and potentially fatal result of consuming large quantities of alcohol in a short time frame. It can lead to a shutdown of critical functions, including:
- Breathing
- Heart rate
- Body temperature regulation
- Gag reflex
When these critical functions are affected, alcohol poisoning can lead to critical health emergencies and, in many cases, death. Let’s explore key statistics of alcohol poisoning and what you can do to prevent it from happening.
States With Highest Alcohol Poisoning Death Rates
According to the Centers for Disease Control and Prevention (CDC), the states with the highest alcohol poisoning death rates per million people are:

- Alaska has consistently been reported to have the highest alcohol poisoning death rate, with a staggering 46.5%. The state's remote and rural nature and other socioeconomic factors may contribute to this high rate.
- Following Alaska, New Mexico has a high alcohol overdose death rate of 32.7%. This rate is indicative of a significant public health issue within the state.
- Rhode Island ranks third with an alcohol poisoning death rate of 22.8% per million people. Despite being one of the smallest states, its rate is notably high.
- Arizona and Wyoming also have high alcohol poisoning death rates of 18.7% and 17.7%, respectively. These figures place them among the top five states with this concerning statistic.
States With Lowest Rates of Alcohol Poisoning Deaths
- Alabama has the lowest rate of alcohol poisoning deaths in the country at 5.3 deaths per million people.
- Other states with relatively low rates include Texas (5.4 per million), Illinois (5.6 per million), and Pennsylvania (6.5 per million).
Demographic Trends
Across the U.S., alcohol poisoning deaths are most common among:
- Men (76% of deaths)
- Middle-aged adults 35-64 years old (76% of deaths)
- Non-Hispanic whites (68% of deaths)
- Only about 30% of alcohol poisoning deaths involve people with alcohol dependence or alcoholism. Most deaths occur in people who are not alcoholics but engage in binge drinking.
Alcohol-Related Deaths and Emergencies
- The United States has seen a nearly 50% increase in alcohol-related deaths over the past two decades.
- By 2019, the rate had reached 10.4 deaths per 100,000 people, totaling over 39,000 deaths nationwide.
- Alcohol poisoning alone claims 6 lives daily, and alcohol plays a role in at least 7.1% of emergency department visits.
Alcohol and Homicides
Alcohol is the number one substance tied to homicides.
- 7,334 homicides annually having alcohol as a contributing factor.
- Nearly half of the homicide convicts were under the influence of alcohol when they committed the crime.
- A significant number of homicide victims were drinking before their death.
Drunk Driving
- Drunk driving fatalities account for a substantial number of deaths, with 28 to 30 people losing their lives every day in accidents involving drunk driving. This represents 28% of all overall driving fatalities.
Impact of the COVID-19 Pandemic
The COVID-19 pandemic has had a profound impact on alcohol-related deaths.
- There was a 25% increase in such deaths between 2019 and 2020 and an additional 10% increase from 2020 to 2021.
- In 2021, alcohol played a role in 3.2% of all deaths among individuals aged 16 and older in the United States. This increase may be partly due to people using alcohol to cope with pandemic-related stress and anxiety.
Demographic Risk Factors in the U.S.
Several demographic factors influence the risk of alcohol poisoning deaths in the U.S.:
Age
- Adults aged 50-64 have the highest rates of alcohol-induced deaths at 31.8%.
- Excessive drinking also kills 3,983 Americans under age 21 each year.
- Older adults (65+) are more likely to die from chronic alcohol-related conditions, while nearly all teen deaths (96.5%) are from acute causes like alcohol poisoning.
Gender
- Men account for 69.1% of alcohol-related deaths and are three times more likely than women to die from alcohol abuse.
- Among under-21 deaths, 75.1% are male.
Urbanization
- Alcohol-induced death rates increased more in rural than urban areas between 2000-2018 for both men and women.
- By 2018, rates were highest in medium/small metro, micropolitan, and non core areas.
Prevention Strategies for Alcohol Poisoning
Moderation is key for healthy adults. Limit yourself to two drinks a day for men and one for women. Remember that everyone reacts differently to alcohol, so listen to your body and stop before you feel intoxicated.
Eating slows down alcohol absorption. Never drink on an empty stomach and, as much as possible, avoid drinking when you’re on medication. Talk to your doctor before drinking to avoid adverse effects.
If you’re a parent with teenage children, talk to your teenagers about the dangers of alcohol poisoning. Open communication is crucial.
Look Out for Each Other
If you think someone has alcohol poisoning, call 911 immediately. Don't leave them alone.
If you are recovering from alcohol poisoning or know someone who is, support is important. Encourage follow-up care and counseling to prevent future problems.
By looking out for each other, we can create a safer environment for everyone and reduce the number of alcohol poisoning deaths.
- “Deaths from Excessive Alcohol Use in the United States.” Centers for Disease Prevention and Control.
- DeJong, W. et al. “NIAAA's Rapid Response to College Drinking Problems Initiative: Reinforcing the Use of Evidence-Based Approaches in College Alcohol Prevention.” Journal of Studies on Alcohol and Drugs. Supplement, 2009.
- “Alcohol Intoxication.” Wikipedia.
- “Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health.” Office of the Surgeon General, 2016.
- Delker, E. et al. “Alcohol Consumption in Demographic Subpopulations.” Alcohol Research, 2016.
- Collins, S. “Associations Between Socioeconomic Factors and Alcohol Outcomes.” Alcohol Research, 2016.
- “Preventing Excessive Alcohol Use.” Centers for Disease Prevention and Control.

