Estimating the disease burden of alcohol : the problems arising when data and policy interact

While the risk of many disease or injury conditions is raised by the presence of health risk factors, it is usually impossible to identify individual risk-factor caused cases. However, the overall burden of disease and injury attributable to various health risks can be estimated if we know the prevalence of exposure to the risk factor in the community and the relative risk of each causally associated disease or injury for those exposed to the risk factor. This paper describes the estimation of the total number of deaths and hospital episodes attributable to alcohol consumption. It also describes how some methodologically trivial variations to the estimation methods raised some major issues in interpreting the results for the development of public policy.<br />