Alcohol & Tobacco Consumption

Preventable health-risk burden from alcohol and tobacco consumption. Raw value is a 0-100 risk-point composite from World Bank WDI / WHO GHO alcohol litres per person aged 15+ and adult current tobacco use. Lower raw value scores higher.
1 Djibouti5 risk points 5 risk points 95
1 Guinea5 risk points 5 risk points 95
1 Libya5 risk points 5 risk points 95
1 Somalia5 risk points 5 risk points 95
1 Sudan5 risk points 5 risk points 95
1 Syria5 risk points 5 risk points 95
1 Tajikistan5 risk points 5 risk points 95
8 Eritrea7.1 risk points 7.1 risk points 93
9 Senegal8.1 risk points 8.1 risk points 92
10 Niger8.6 risk points 8.6 risk points 91
11 Mauritania10.1 risk points 10.1 risk points 90
12 Oman10.5 risk points 10.5 risk points 90
13 Togo11.3 risk points 11.3 risk points 89
14 Central African Republic11.7 risk points 11.7 risk points 88
15 Mozambique12.6 risk points 12.6 risk points 87
16 Gambia13 risk points 13 risk points 87
17 Venezuela13.3 risk points 13.3 risk points 87
18 Micronesia13.5 risk points 13.5 risk points 87
19 Vanuatu13.6 risk points 13.6 risk points 86
20 Turkmenistan14.1 risk points 14.1 risk points 86
21 Sierra Leone14.6 risk points 14.6 risk points 85
22 Ethiopia15.1 risk points 15.1 risk points 85
23 Nigeria15.3 risk points 15.3 risk points 85
24 Morocco15.3 risk points 15.3 risk points 85
25 Iran15.7 risk points 15.7 risk points 84
26 Saudi Arabia15.8 risk points 15.8 risk points 84
27 United Arab Emirates16.1 risk points 16.1 risk points 84
28 Qatar16.5 risk points 16.5 risk points 83
29 Ghana17 risk points 17 risk points 83
30 Chad17 risk points 17 risk points 83
31 Guatemala17.4 risk points 17.4 risk points 83
32 Liberia17.7 risk points 17.7 risk points 82
33 Ivory Coast18.3 risk points 18.3 risk points 82
34 Haiti18.3 risk points 18.3 risk points 82
35 Ecuador18.8 risk points 18.8 risk points 81
36 Congo DR18.9 risk points 18.9 risk points 81
36 Comoros19 risk points 19 risk points 81
38 Brunei19 risk points 19 risk points 81
39 Kenya19.1 risk points 19.1 risk points 81
40 El Salvador19.3 risk points 19.3 risk points 81
41 Bahrain19.8 risk points 19.8 risk points 80
42 Jamaica20 risk points 20 risk points 80
43 Costa Rica20.1 risk points 20.1 risk points 80
44 Panama20.1 risk points 20.1 risk points 80
45 Pakistan20.3 risk points 20.3 risk points 80
46 Zimbabwe20.3 risk points 20.3 risk points 80
47 Guinea-Bissau20.4 risk points 20.4 risk points 80
48 Bhutan20.4 risk points 20.4 risk points 80
49 Belize20.8 risk points 20.8 risk points 79
50 Kuwait21.1 risk points 21.1 risk points 79
51 Iraq21.1 risk points 21.1 risk points 79
52 Malawi21.6 risk points 21.6 risk points 78
53 Colombia22 risk points 22 risk points 78
54 Honduras22.7 risk points 22.7 risk points 77
55 Yemen22.8 risk points 22.8 risk points 77
56 Singapore23.1 risk points 23.1 risk points 77
57 São Tomé and Príncipe23.3 risk points 23.3 risk points 77
58 Bahamas23.4 risk points 23.4 risk points 77
59 Afghanistan24.1 risk points 24.1 risk points 76
60 Rwanda24.2 risk points 24.2 risk points 76
61 Algeria24.2 risk points 24.2 risk points 76
62 Uzbekistan24.3 risk points 24.3 risk points 76
63 Bolivia24.4 risk points 24.4 risk points 76
64 Nicaragua24.5 risk points 24.5 risk points 76
65 Zanzibar24.6 risk points 24.6 risk points 75
66 Burundi24.9 risk points 24.9 risk points 75
67 Mali25.1 risk points 25.1 risk points 75
68 Malaysia25.6 risk points 25.6 risk points 74
69 Hong Kong26.2 risk points 26.2 risk points 74
70 Macau26.4 risk points 26.4 risk points 74
71 Egypt26.6 risk points 26.6 risk points 73
72 Zambia26.8 risk points 26.8 risk points 73
73 Western Sahara26.9 risk points 26.9 risk points 73
74 Chinese Taipei27 risk points 27 risk points 73
75 Tunisia27.1 risk points 27.1 risk points 73
76 Angola27.5 risk points 27.5 risk points 72
77 Guyana27.6 risk points 27.6 risk points 72
78 Peru27.7 risk points 27.7 risk points 72
79 Azerbaijan28.6 risk points 28.6 risk points 71
80 Paraguay29 risk points 29 risk points 71
81 North Macedonia29.1 risk points 29.1 risk points 71
82 Korea DPR29.6 risk points 29.6 risk points 70
83 Sri Lanka29.8 risk points 29.8 risk points 70
84 South Sudan30 risk points 30 risk points 70
85 Cape Verde30.5 risk points 30.5 risk points 70
86 Israel30.5 risk points 30.5 risk points 69
87 Namibia30.8 risk points 30.8 risk points 69
88 Mexico30.8 risk points 30.8 risk points 69
89 Samoa31.2 risk points 31.2 risk points 69
90 Saint Kitts and Nevis31.3 risk points 31.3 risk points 69
91 Swaziland31.3 risk points 31.3 risk points 69
92 Dominican Republic31.5 risk points 31.5 risk points 69
93 Madagascar31.5 risk points 31.5 risk points 68
94 Maldives32.5 risk points 32.5 risk points 67
95 Barbados33.2 risk points 33.2 risk points 67
96 Nepal33.3 risk points 33.3 risk points 67
97 Dominica33.5 risk points 33.5 risk points 67
98 Tonga34.3 risk points 34.3 risk points 66
99 Benin34.3 risk points 34.3 risk points 66
100 Palestine34.6 risk points 34.6 risk points 65
101 Palau34.6 risk points 34.6 risk points 65
102 Iceland34.8 risk points 34.8 risk points 65
103 Bangladesh35.2 risk points 35.2 risk points 65
104 Congo35.3 risk points 35.3 risk points 65
105 Cuba35.3 risk points 35.3 risk points 65
106 Cameroon37 risk points 37 risk points 63
107 Brazil37.1 risk points 37.1 risk points 63
108 Albania37.2 risk points 37.2 risk points 63
109 Saint Vincent and the Grenadines37.5 risk points 37.5 risk points 63
110 Turkey37.6 risk points 37.6 risk points 62
111 Kazakhstan37.7 risk points 37.7 risk points 62
112 Norway38.2 risk points 38.2 risk points 62
113 Tahiti38.4 risk points 38.4 risk points 62
114 Jordan38.5 risk points 38.5 risk points 62
115 India38.6 risk points 38.6 risk points 61
116 Cambodia39.1 risk points 39.1 risk points 61
117 China39.2 risk points 39.2 risk points 61
118 Lesotho39.2 risk points 39.2 risk points 61
119 Bermuda39.3 risk points 39.3 risk points 61
120 Uruguay39.3 risk points 39.3 risk points 61
121 Philippines39.4 risk points 39.4 risk points 61
122 Cayman Islands39.5 risk points 39.5 risk points 61
123 Suriname39.5 risk points 39.5 risk points 60
124 Tuvalu39.7 risk points 39.7 risk points 60
125 Anguilla39.8 risk points 39.8 risk points 60
125 Armenia39.8 risk points 39.8 risk points 60
127 Turks and Caicos Islands40.1 risk points 40.1 risk points 60
128 British Virgin Islands40.1 risk points 40.1 risk points 60
129 Trinidad and Tobago40.2 risk points 40.2 risk points 60
130 Kyrgyzstan40.3 risk points 40.3 risk points 60
130 Lebanon40.3 risk points 40.3 risk points 60
132 Japan40.3 risk points 40.3 risk points 60
133 Fiji40.5 risk points 40.5 risk points 60
134 Greenland40.7 risk points 40.7 risk points 59
134 Indonesia40.7 risk points 40.7 risk points 59
136 Montserrat40.8 risk points 40.8 risk points 59
137 Aruba41.1 risk points 41.1 risk points 59
138 Curacao41.2 risk points 41.2 risk points 59
139 Sint Maarten41.3 risk points 41.3 risk points 59
140 Timor-Leste41.6 risk points 41.6 risk points 58
141 Niue41.9 risk points 41.9 risk points 58
142 Cook Islands42.3 risk points 42.3 risk points 58
143 Faroe Islands42.4 risk points 42.4 risk points 58
144 Botswana42.6 risk points 42.6 risk points 57
145 Uganda43.4 risk points 43.4 risk points 57
146 Mauritius43.6 risk points 43.6 risk points 56
147 Solomon Islands43.7 risk points 43.7 risk points 56
148 Canada43.7 risk points 43.7 risk points 56
148 Saint Lucia43.7 risk points 43.7 risk points 56
150 Equatorial Guinea43.7 risk points 43.7 risk points 56
151 Gibraltar44 risk points 44 risk points 56
152 Tanzania44.2 risk points 44.2 risk points 56
153 South Africa44.3 risk points 44.3 risk points 56
154 New Zealand44.3 risk points 44.3 risk points 56
155 Kiribati44.3 risk points 44.3 risk points 56
156 Antigua and Barbuda44.4 risk points 44.4 risk points 56
157 Puerto Rico44.8 risk points 44.8 risk points 55
158 Thailand45.4 risk points 45.4 risk points 55
159 Northern Mariana Islands45.5 risk points 45.5 risk points 55
160 Papua New Guinea45.5 risk points 45.5 risk points 54
161 U.S. Virgin Islands45.5 risk points 45.5 risk points 54
162 Guam45.6 risk points 45.6 risk points 54
163 Italy45.6 risk points 45.6 risk points 54
164 Korea Republic45.6 risk points 45.6 risk points 54
165 Australia46.1 risk points 46.1 risk points 54
166 Denmark46.9 risk points 46.9 risk points 53
167 Malta48.5 risk points 48.5 risk points 52
168 United Kingdom48.7 risk points 48.7 risk points 51
169 Monaco48.7 risk points 48.7 risk points 51
170 Grenada48.9 risk points 48.9 risk points 51
171 Vietnam49 risk points 49 risk points 51
172 San Marino49.1 risk points 49.1 risk points 51
173 Liechtenstein49.2 risk points 49.2 risk points 51
174 Netherlands49.9 risk points 49.9 risk points 50
175 Réunion50.1 risk points 50.1 risk points 50
176 Argentina50.5 risk points 50.5 risk points 50
177 Burkina Faso50.5 risk points 50.5 risk points 50
178 American Samoa51.1 risk points 51.1 risk points 49
179 Saint Pierre and Miquelon51.7 risk points 51.7 risk points 48
180 Guadeloupe51.7 risk points 51.7 risk points 48
181 Martinique51.8 risk points 51.8 risk points 48
182 Finland52.1 risk points 52.1 risk points 48
183 Saint-Martin52.5 risk points 52.5 risk points 48
184 French Guiana52.9 risk points 52.9 risk points 47
185 Greece53 risk points 53 risk points 47
186 Myanmar53.1 risk points 53.1 risk points 47
187 Seychelles53.3 risk points 53.3 risk points 47
188 Kosovo53.4 risk points 53.4 risk points 47
189 Mayotte53.6 risk points 53.6 risk points 46
190 Slovenia53.9 risk points 53.9 risk points 46
191 Sweden54 risk points 54 risk points 46
192 Chile54.1 risk points 54.1 risk points 46
193 Ireland54.2 risk points 54.2 risk points 46
194 Gabon54.3 risk points 54.3 risk points 46
195 New Caledonia54.9 risk points 54.9 risk points 45
196 Portugal55 risk points 55 risk points 45
197 Mongolia55.3 risk points 55.3 risk points 45
198 Ukraine55.3 risk points 55.3 risk points 45
199 Bosnia and Herzegovina56.8 risk points 56.8 risk points 43
200 United States56.8 risk points 56.8 risk points 43
201 Wallis and Futuna56.8 risk points 56.8 risk points 43
202 Cyprus57.7 risk points 57.7 risk points 42
203 Belgium57.8 risk points 57.8 risk points 42
204 Luxembourg58.3 risk points 58.3 risk points 42
205 Switzerland58.6 risk points 58.6 risk points 41
206 Spain58.8 risk points 58.8 risk points 41
207 Marshall Islands59.6 risk points 59.6 risk points 40
208 Germany59.7 risk points 59.7 risk points 40
209 Nauru59.9 risk points 59.9 risk points 40
210 Poland61.6 risk points 61.6 risk points 38
211 Austria62.5 risk points 62.5 risk points 38
212 Laos62.7 risk points 62.7 risk points 37
213 Croatia63.2 risk points 63.2 risk points 37
214 Estonia63.5 risk points 63.5 risk points 37
215 Russia63.9 risk points 63.9 risk points 36
216 Hungary65.2 risk points 65.2 risk points 35
217 Moldova66.2 risk points 66.2 risk points 34
218 Montenegro66.3 risk points 66.3 risk points 34
219 Serbia66.6 risk points 66.6 risk points 33
220 Slovakia67.8 risk points 67.8 risk points 32
221 Belarus68.3 risk points 68.3 risk points 32
222 Andorra68.8 risk points 68.8 risk points 31
223 France69 risk points 69 risk points 31
224 Czech Republic69.3 risk points 69.3 risk points 31
225 Lithuania71.2 risk points 71.2 risk points 29
226 Latvia76.3 risk points 76.3 risk points 24
227 Bulgaria78.3 risk points 78.3 risk points 22
228 Romania78.8 risk points 78.8 risk points 21
229 Georgia78.9 risk points 78.9 risk points 21

Last rating: June 16th, 2026

How the Raw Value Is Calculated

The raw value is a Nomadino risk-point value from 0 to 100. Lower is better: 0 points represent very low observed consumption risk, while 100 points represent very high alcohol and tobacco burden. The visible rating is 100 minus the raw value.

The calculation uses two stable public core series: alcohol consumption in litres of pure alcohol per person aged 15+ and the share of adults currently using tobacco. Both series are available through the World Bank database and are based on World Health Organization data.

Alcohol is scaled to 0-100 risk points up to 15 litres of pure alcohol per person aged 15+: alcohol risk = min(100, alcohol litres / 15 * 100). Tobacco is scaled up to 50% current tobacco use among adults: tobacco risk = min(100, tobacco share / 50 * 100).

The raw value combines both component risks: raw value = 0.47 * alcohol risk + 0.53 * tobacco risk. Tobacco is weighted slightly higher because regular tobacco use is especially broad and long-term in preventable disease burden; alcohol remains almost equally weighted because high consumption also creates substantial acute and chronic risks.

If only one of the two public series exists for a country, Nomadino divides by the sum of available weights. A missing individual series therefore does not automatically lower the raw value and is not freely estimated while the other direct series is available. As a caution rule, such a partial value cannot fall below 5 risk points and can therefore reach at most 95 rating points.

This update uses the latest non-empty World Bank values for each country, based on WHO series. The alcohol series currently runs through 2020 and the tobacco series through 2022; Nomadino generated this rating from the public World Bank API on June 16th, 2026.

For countries and territories without separate public alcohol or tobacco series, Nomadino uses maintained replacement values. These are derived from administering state, regional comparators, available direct country values and bounded health and stability context. Replacement values remain visible as risk points and can reach at most 95 rating points because of uncertainty.

This indicator measures consumption risk, not life expectancy, cancer or cardiovascular mortality, drug use, prices, bans, tax policy, medical care or individual behaviour. Those factors may explain conditions, but they are not mixed into the raw value.