We've run all population programmes in public health around alcohol for some long while. We've raised the price of alcohol, controlled its distribution and imposed a variety of advertising, promotion and other controls. And, in one respect this has worked - alcohol consumption has plummeted, falling by some 18% in the UK over the past decade or so with the biggest falls in among the young.
But, as we're repeatedly reminded by the public health gang, the levels of alcohol harm simply haven't fallen to match this decline in consumption - most to the statistics suggest that, in fact, levels of alcohol admissions to hospital have risen significantly over that same period. Now some of this (a great deal if you ask me, but that's a guess) is down to the way in which statistics are gathered by medical staff in situ but there's still that paradox - we're drinking loads less but there are still plenty of people causing themselves real harm through abusing the booze.
These statistics - for the USA where levels of alcohol consumption are quite a bit lower than in the UK - explain the problem:
...the top 10 percent of drinkers account for well over half of the alcohol consumed in any given year. On the other hand, people in the bottom three deciles don’t drink at all, and even the median consumption among those who do drink is just three beverages per week.