Study: Alcohol more lethal than heroin, cocaine

Heroin, crack cocaine and metamfetamines, or crystal meth, were the most lethal to individuals. When considering their wider social effects, alcohol, heroin and crack cocaine were the deadliest. But overall, alcohol outranked all other substances, followed by heroin and crack cocaine. Marijuana, ecstasy and LSD scored far lower.

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Experts said alcohol scored so high because it is so widely used and has devastating consequences not only for drinkers but for those around them.

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When drunk in excess, alcohol damages nearly all organ systems. It is also connected to higher death rates and is involved in a greater percentage of crime than most other drugs, including heroin.

But experts said it would be impractical and incorrect to outlaw alcohol.

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Experts said the study should prompt countries to reconsider how they classify drugs.

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"What governments decide is illegal is not always based on science," said van den Brink. He said considerations about revenue and taxation, like those garnered from the alcohol and tobacco industries, may influence decisions about which substances to regulate or outlaw.

"Drugs that are legal cause at least as much damage, if not more, than drugs that are illicit," he said.

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