Increase in mortality in Russia in the 1990s:

BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7417.751-a (Published 25 September 2003) Cite this as: BMJ 2003;327:751

Authors' reply

  1. S L Plavinski (splavinskij@mail.ru), dean,
  2. S I Plavinskaya, leading researcher,
  3. A N Klimov, principal researcher
  1. College of Public Health, Medical Academy for Postgraduate Studies, Saint Petersburg, Russia
  2. Department of Biochemistry, Institute for Experimental Medicine, Saint Petersburg

    EDITOR–The hypothesis that alcohol is a major determinant of the recent mortality fluctuations in Russia is based on circumstantial evidence.1 Changes in binge drinking patterns are not compatible with changes in mortality.2 High death rates from cardiovascular disease cannot be explained by misclassification of deaths attributable to acute alcohol poisoning.3 Our study also failed …

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