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U.S. Surgeon General Advocates for Cancer Warnings on Alcoholic Beverages

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In a recent advisory, U.S. Surgeon General Vivek Murthy has called for mandatory cancer warning labels on alcoholic beverages, emphasizing the well-documented link between alcohol consumption and increased cancer risk.


Alcohol has been identified as a contributing factor to at least seven types of cancer, including breast, colon, liver, esophagus, and throat cancers. This initiative also encourages reevaluating current guidelines on alcohol consumption to ensure individuals are better informed about the associated risks.


According to Murthy's office, alcohol is the third-leading preventable cause of cancer in the United States, following tobacco use and obesity. It contributes to approximately 100,000 cancer cases and 20,000 cancer-related deaths annually. These figures surpass the 13,500 deaths attributed to alcohol-related traffic incidents. Despite the severity of these risks, U.S. alcohol warning labels, which have remained unchanged since 1988, currently focus on pregnancy risks and impairment while operating machinery.

In Canada, similar concerns are being raised. Quebec Senator Patrick Brazeau introduced Bill S-254, proposing mandatory health warnings on alcohol packaging. Public health experts argue that these labels could raise awareness about the dangers of alcohol consumption, which research shows even in low amounts, poses significant health risks, including cancer.

1st Session, 44th Parliament,

70-71 Elizabeth II – 1 Charles III, 2021-2022

SENATE OF CANADA

BILL S-254


Food and Drugs Act

1 The Food and Drugs Act is amended by adding the following after section 5:

Alcoholic beverages — warning


5.‍1 No person shall sell a beverage that contains 1.‍1 per cent or more alcohol by volume unless the package in which it is sold bears, in the prescribed form and manner, a label warning against the risks of alcohol consumption to the health of consumers and showing, in addition to any other prescribed information,
  • (a) the volume of beverage that, in the opinion of the Department, constitutes a standard drink;

  • (b) the number of standard drinks in the package;

  • (c) the number of standard drinks that, in the opinion of the Department, should not be exceeded in order to avoid significant health risks; and

  • (d) a message from the Department that sets out the direct causal link between alcohol consumption and the development of fatal cancers.


Coming into Force

One year after royal assent


2 This Act comes into force on the first anniversary of the day on which it receives royal assent


A pilot study conducted in Yukon in 2017 demonstrated that such labels could effectively reduce alcohol sales. Products with labels warning about cancer risks saw a more than six percent drop in sales at a participating liquor store. Researchers believe these findings underline the potential for cancer warnings to influence consumer behavior and public health positively.

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The World Health Organization (WHO) has also highlighted that no level of alcohol consumption is entirely safe. Updated Canadian guidelines recommend limiting intake to two or fewer standard drinks per week to minimize health risks, marking a significant shift from previous recommendations of 10 drinks per week for women and 15 for men.

"Alcohol consumption, even in small amounts, increases the risk of several cancers, making clear warning labels essential to empower individuals with the knowledge to make informed health decisions."-Adv M.R MISHRA

Public health advocates, including Erin Hobin of Public Health Ontario, have praised the growing recognition of alcohol’s cancer risks by policymakers and health leaders. The push for updated warnings reflects a global effort to prioritize public awareness and reduce alcohol-related harm.


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