add atleast 1,000 more each year. cuz each year someone turns 21 and thinks oh im 21 I can drink and then they think they can get in a car and drive or they think, oh I can outdrink everyone else , and they get alchohol poisening some get drunk get taken home get layed wrong and drown in there own throw up becuz there so intoxicated that they cant get up to move, so yes alot die and alot more die each year the main causes are drinking and driving or over drinking(alchohol poisening)