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Germany’s alcohol crisis deepens as over a million seek treatment in 2023

A hidden epidemic unfolds as Germany’s alcohol treatment cases hit record highs. Why are some regions—and age groups—struggling more than others?

Here in this picture we can see a person filling a glass with beer with machine present in front of...
Here in this picture we can see a person filling a glass with beer with machine present in front of him on the table over there and we can see he is wearing cap and spectacles on him and on that table we can see some papers present and behind him in the racks we can see alcohol present all over there.

Barmer: Over one million people treated for alcohol misuse - Germany’s alcohol crisis deepens as over a million seek treatment in 2023

Over one million people in Germany received medical treatment for alcohol misuse in 2023. The national average stood at 14.8 cases per 1,000 residents, but figures varied sharply across regions. Berlin and Mecklenburg-Western Pomerania reported the highest rates, while Rhineland-Palatinate had the lowest.

Official data shows 720,000 men and 320,000 women needed care for alcohol addiction or poisoning last year. The problem was most pronounced among those aged 60 to 69, with 40 out of every 1,000 men and 16 out of every 1,000 women in this group receiving treatment.

Regional differences were stark. Mecklenburg-Western Pomerania recorded the highest rate at 23 cases per 1,000 residents, closely followed by Berlin. Meanwhile, Rhineland-Palatinate had the lowest rate, with just 12 cases per 1,000 people. Experts warn that the true number of alcohol misuse cases is likely far higher than reported. Dependence often develops over years, making early intervention critical. Research also highlights that individuals with higher education and incomes face a lower risk of developing alcohol problems.

The 2023 figures reveal a significant burden on healthcare services from alcohol misuse. Older adults and residents in certain regions appear particularly affected. Authorities continue to emphasise the need for accessible support and prevention measures.

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