Ireland has become the fourth heaviest drinking nation in the Organization for Economic Co-operation and Development in terms of quantity of alcohol consumed, and ranked joint third for binge drinking in an analysis of 194 nations by WHO, according to a new report in Lancet. Irish adults consume on average 11·5 L of pure alcohol per person every year, an increase of more than 100% compared with 60 years ago. Most alcohol in Ireland is now consumed at home and alcohol retailing off licenses have increased by five-fold since 1990.