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This report, written by David H. Jernigan and Xixi Zhou of Boston University School of Public Health, provides the best available evidence on alcohol from a health and safety perspective within Massachusetts. Beginning with a review of what is known about drinking patterns in the Bay State, the report then reviews evidence of harms, and both the revenues and the costs generated by alcohol use in the state. The report concludes with a review of alcohol policies in Massachusetts, putting them in the context of research indicating which policies are most effective in reducing alcohol-related harm, and how other states treat alcohol from a policy perspective.