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The Economic Costs of Alcohol and Drug Abuse in the United States - 1992

Table 5.5

Economic Cost of Mortalities Due to Alcohol Abuse, for Various Discount Rates, 1992

Causes of Death, by ICD-9 Code Total Deaths Attributed to Alcohol Abuse Discounted Economic Effects
(millions of dollars)
Cause ICD-9 Code Percent Age Number 3% 4% 6%
Direct Primary Causes
Alcoholic psychoses 291 384 100 > 0 384 113.9 103.8 88.3
Alcohol dependence syndrome 303 5,217 100 > 0 5,217 2,215.9 2,012.3 1,701.1
Nondependent abuse of alcohol 305.0 788 100 > 0 788 504.4 445.8 360.7
Alcoholic polyneuropathy 357.5 4 100 > 0 4 1.0 1.0 0.9
Alcoholic cardiomyopathy 425.5 878 100 > 0 878 329.0 299.7 254.7
Alcoholic gastritis 535.3 90 100 > 0 90 42.1 38.0 31.9
Alcoholic cirrhosis 571.0-571.3 11,868 100 > 0 11,868 4,664.2 4,246.7 3,604.9
Excessive blood level of alcohol 790.3 34 100 > 0 34 31.2 27.0 21.2
Accidental poisoning by alcohol E860.0, E860.1 179 100 > 0 179 128.1 113.0 91.1
Direct Secondary Causes
Tuberculosis 011-012 1,315 25 > 35 329 905.8 811.0 670.1
Malignant neoplasm of lip, oral cavity, and pharynx 140-149 8,107 50 (men)
40 (women)
> 35 3,741 632.6 589.1 519.1
Malignant neoplasm of esophagus 150 10,239 75 > 35 7,665 1,073.3 1,005.0 893.8
Malignant neoplasm of stomach 151 13,630 20 > 35 2,700 316.6 294.6 259.3
Malignant neoplasm of liver and interhepatic bile ducts 155 9,555 15 > 35 1,411 178.8 166.4 146.5
Malignant neoplasm of larynx 161 3,114 50 (men)
40 (women)
> 35 1,894 284.8 266.5 236.7
Diabetes mellitus 250 50,067 5 > 35 2,423 255.3 237.3 208.6
Essential hypertension 401 5,232 8 > 35 416 33.7 31.5 27.8
Cerebrovascular disease 430-438 143,769 7 > 35 9,985 586.3 546.4 482.5
Pneumonia and influenza 480-487 75,719 5 > 35 3,693 181.8 168.9 148.5
Diseases of esophagus, stomach, and duodenum 530-537
(excl. 535.3)
9,088 10 > 35 892 67.6 62.8 55.2
Chronic hepatitis 571.4 729 50 > 35 349 65.9 60.8 52.6
Cirrhosis of liver without mention of alcohol 571.5 11,506 50 > 35 5,654 1,145.2 1,058.0 920.0
Other chronic nonalcoholic liver damage 571.8 482 50 > 35 199 94.8 86.2 73.0
Unspecified chronic liver disease without mention of alcohol 571.9 244 50 > 35 118 23.4 21.5 18.6
Portal hypertension 572.3 144 50 > 35 67 12.0 11.2 9.9
Acute pancreatitis 577.0 2,317 42 > 35 907 170.5 156.6 134.8
Chronic pancreatitis 577.1 222 60 > 35 126 33.9 31.0 26.6
Injuries and adverse effects indirectly attributable to alcohol
Motor vehicle traffic and nontraffic accidents E810-E825 40,982 42 > 0 17,196 12,685.1 10,692.3 8,023.1
Pedal cycle and other road vehicle accidents E826, E829 223 20 > 0 45 28.6 24.1 18.2
Water transport accidents E830-E838 837 20 > 0 167 133.1 113.9 87.6
Air and space transport accidents E840-E845 1,094 16 > 0 175 129.9 113.6 90.3
Accidental falls E880-E888 12,646 35 > 15 4,372 664.8 591.6 485.1
Accidents caused by fires and flames E890-E899 3,958 45 > 0 1,831 994.5 806.1 572.4
Accidental drowning and submersion E910 3,524 38 > 0 1,339 1,068.2 869.0 617.1
Suicide and self-inflicted injury E950-E959 30,484 28 > 15 8,476 5,533.4 4,801.1 3,771.6
Homicide and injury purposely inflicted by other persons E960-E969 25,144 46 > 15 11,609 10,342.2 8,746.8 6,589.3
Other injuries and adverse effects E901, E911,
E917, E918,
E919, E920,
E922, E980
558 25 > 15 139 45.8 40.8 33.5
Total 483,490   107,360 45,717.7 39,691.5 31,326.6

Sources: Alcohol attributable factors: National Institute on Alcohol Abuse and Alcoholism (1993) and Stinson et al. (1993); number of deaths: National Center for Health Statistics (1996b); NCHS Public Use ICD-9 Data Tape (age and gender distribution for deaths by ICD code for 1991); economic costs: Rice (1997), personal communication. Present discounted values for the 3-percent discount rate were estimated by interpolation of values for 2- and 4-percent discount rates.
Note: Components may not sum to totals because of rounding.


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