722
Yep, it's pretty normal
(slrpnk.net)
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this post was submitted on 10 Nov 2024
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https://www.cdc.gov/mmwr/volumes/73/wr/mm7308a1.htm
180k/330 Mio = 54 Alcohol related deaths per year and 100k people in the US.
https://www.spiegel.de/gesundheit/diagnose/suchtbericht-alkohol-und-tabak-toeten-jedes-jahr-zehntausende-menschen-in-deutschland-a-19d17c83-3439-4291-8034-a6f32325e8a7
60k / 80 Mio = 75 Alcohol related deaths per year and 100 k people in Germany.
More people per capita die in Germany from alcohol abuse than in the US. I have no idea which numbers you have there. They are way off.