Accidents and injuries are among the leading cause of death and disability in many countries. Alcohol is the major risk factor for fatal accidents and injuries, contributing to approximately one third of all deaths. A causal link between alcohol and injuries has been established from both individual and population level studies. A systematic review of emergency department studies, published between 1995 and 2005, revealed that injured patients were more likely to be positive for BAC (blood alcohol concentration) at the time they were admitted and to report drinking within six hours prior to the injury event compared with those who were not reporting with injuries. Of all alcohol-attributable deaths globally, WHO indentify 12% as being a result of intentional injuries and 29.6% being a result of unintentional injuries. There is a dose-response relationship between alcohol and injury, with risk increasing with an increasing amount of alcohol consumed. Alcohol-related accidents and injuries are more closely related to pattern of drinking than to the overall volume consumed.