The Burden of Excessive Drinking in Orange County, NC

Excessive drinking leads to harm that often impacts the wider community, not just the drinker. This cost-of-illness analysis of excessive drinking in Orange County (OC), North Carolina uncovers just how much the community is paying, both literally and figuratively, for these behaviors. Excessive drinking cost OC $111.8 million in 2017 and is a leading cause of death in OC. The cost breakdown includes healthcare costs ($8.2 million), miscellaneous costs ($11.5 million), and productivity losses ($92.2 million). There were 234 alcohol-attributable emergency department visits and 237 alcohol-attributable hospitalizations involving both chronic and acute conditions. 15.9% of deaths in 2017 were due to excessive drinking, and those due to suicide and homicide largely impacted younger populations. While impactful, these analyses do not account for intangible losses like pain and suffering; excessive drinking impacts numerous aspects of society, and overall, the harms are preventable and can be mitigated.