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The Surgeon General’s Call to Action on Alcohol and its Link to Cancer

  • armantabesh
  • Jan 22, 2025
  • 4 min read

Updated: Aug 17, 2025

In a recent advisory on January 3rd, U.S. Surgeon General Dr. Vivek Murthy has called for significant updates to public awareness regarding the risks of alcohol consumption, particularly its link to cancer. He stated that alcohol consumption is the third leading preventable cause of cancer in the United States(behind obesity and tobacco), responsible for approximately 100,000 cancer cases, 20,000 cancer-related deaths, and 13,500 traffic-related fatalities annually. Despite these alarming statistics, the majority of Americans are unaware that alcohol consumption increases cancer risk.




The advisory mainly advocates for updated warning labels on alcohol packaging to explicitly include cancer risks, supplementing the current warnings about impaired driving and risks during pregnancy. This label warning has been unchanged since 1988 despite numerous amounts of research that has arisen since then, highlighting alcohol's negative impacts.

Additionally, the advisory calls for a reassessment of national dietary guidelines for alcohol consumption, which currently suggest a limit of two drinks per day for men and one for women. Moreover, the surgeon general is calling for patients to be informed of the link between alcohol consumption and increased cancer risk in clinical settings. That way, people can hear this information from a trusted and reputable source. With around 65% of Americans saying that they have drank and about 10% of Americans ages 12 or older having alcohol use disorder, the road to a healthier and safer America is a long and tedious one.




“GOVERNMENT WARNING: (1) According to the Surgeon General, women should not drink alcoholic beverages during pregnancy because of the risk of birth defects. (2) Consumption of alcoholic beverages impairs your ability to drive a car or operate machinery, and may cause health problems.” 


The Impacts of Alcohol on Mind and Body
Physical Health Risks

Alcohol is a recognized carcinogen, with studies showing its role in increasing the risk of seven different cancers: breast, colorectal, esophageal, liver, mouth, throat, and laryngeal. Most notably, when alcohol is metabolized, it converts into acetaldehyde, a toxic compound that damages DNA and promotes uncontrolled cell growth, causing an increased risk of cancer. Alcohol also generates reactive oxygen species, which increase inflammation and damage DNA, lipids, and proteins throughout the body. Moreover, alcohol can alter hormone levels(including estrogen), which can play a role in mainly developing breast cancer. Finally, carcinogens from other sources(like particles of tobacco smoke) can dissolve in alcohol, making it easier for them to be absorbed into the body, increasing the risk for mouth and throat cancers. Beyond cancer, alcohol contributes to liver diseases such as cirrhosis, cardiovascular issues, and digestive disorders.

 



Mental Health Consequences

Excessive alcohol use is strongly linked to mental health disorders, including depression, anxiety and mood swings. Chronic drinking can alter brain chemistry, impair cognitive function, and exacerbate the risk of dementia. Alcohol dependence leads to a vicious cycle of poor mental health, making recovery from alcohol abuse one of the most difficult addictions to overcome.




Nutritionally Deficient

From a nutritional standpoint, alcohol is incredibly damaging. It is calorie-dense but offers no essential nutrients. Alcohol consistently leads to bloating in the face and belly, and causes inflammation of the GI tract. Moreover, alcohol's impact on the liver can cause issues with blood sugar regulation, leading to a sharp decrease in blood sugar levels once the body processes the alcohol. This contributes to an increased risk of diabetes and hypoglycemia(low blood sugar). Its diuretic effect leads to dehydration and the loss of essential minerals like magnesium and potassium, further compromising overall health.


Social and Economic Costs
Alcohol abuse and addiction is a costly endeavor while also imposing a heavy toll on the people affected. It strains personal relationships and can lead to isolation and withdrawing oneself from their loved ones. Healthcare expenses from any alcohol conditions could be costly and the price of purchasing alcohol to fuel the addiction is expensive. 


Strategies to Address Alcohol’s Public Health Crisis


Summing up the Proposed Measures from the Surgeon General
  1. Updated Warning Labels: Mandating warnings on alcoholic beverages that explicitly state their carcinogenic risks.

  2. Revised Dietary Guidelines: Reassessing alcohol consumption limits in national dietary recommendations.

  3. Public Awareness Campaigns: Starting educational initiatives to inform the public about alcohol and the damage it can impose by increasing the risk of cancer and many other diseases.


Some other Strategies to Strengthen Efforts
  1. Tax Increases on Alcoholic Beverages: Higher taxes on alcohol can reduce consumption, particularly among moderate, middle-class drinkers, while generating government revenue that could go to public health programs to increase awareness. 

  1. Stricter Advertising Regulations: Limiting alcohol advertising can help reduce its appeal and limit its normalization in society. Alcohol ads are especially common while watching sports. 


  1. Campaigns Targeting Younger Audiences: Reaching younger demographics is important in order to curb the alcohol problem at a young age. Alcohol use is becoming more common among underage people.

 


The Surgeon General’s advisory marks an important step in confronting the alcohol crisis and its drastic public health implications. By producing a more widespread understanding of alcohol’s harmful impacts, society can work toward reducing its negative impact on the population, paving the way for healthier futures.



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