@nemobis the (indeed striking) post-Soviet part not news to me (hopefully next 30y continues catchup to ~France) and heard of the Gorbachev anti-alchohol campaign but did not know it produced an immediate bump. Totally new to me is the slow decline from the early 1960s til that campaign. Wonder what caused that? https://www.jstor.org/stable/2955420 (paywalled for me unless accessed through https://scholar.google.com/scholar?cluster=14164432045154804623&hl=en&as_sdt=0,5) very weakly seems to say lifestyle and bad fit of Soviet healthcare for lifestyle diseases?