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Romania ranks first in alcohol consumption among OECD countries, with an average of 12.3 liters of pure alcohol per adult in 2023. This marks a significant increase of about 30% over the past decade, particularly between 2020 and 2023. Alcohol-related deaths account for approximately 5% of total deaths in Romania, exceeding the OECD average of 3%. The report highlights that 11% of Romanians engage in heavy episodic drinking weekly, with a notable gender disparity. The OECD recommends stricter regulations on alcohol promotion and availability to address these issues.