Letter to the editor:

Analysis of data from Ireland's Hospital In-Patient Enquiry (HIPE) scheme has revealed a considerable increase in alcohol liver disease (ALD) morbidity and mortality between 1995 and 2007. The rate/100,000 adults (aged ≥15) increased by 190% from 28.3 in 1995 to 82.2 in 2007.

Over two-fifths (43%) of all discharges were aged 50–64 years; 6% were 15–34 years old, 35% were 35–49 years old and 16% were aged ≥65 years. There were considerable increases in age-specific rates especially among younger age groups, albeit from a low base; the rate of ALD discharges increased by 247% for 15–34 year olds and by 224% for 35–49 year olds. This is a worrying trend but is not surprising as survey data have shown that 18–29-year-old drinkers have the highest...