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A new study conducted by a British medical journal says that “alcohol is the most harmful drug” followed by heroin and crack cocaine, according to an article released by The Lancet Sunday.

The physical, psychological and social problems were among the effects that were looked at, which determined the score for each drug.

The drugs were scored on a scale of 100, with alcohol receiving a score of 72. Meanwhile, heroin and crack cocaine received scores of 55 and 54, respectively.

Britain’s former chief drug adviser and professor, David Nutt, who caused controversy last year after he published an article saying ecstasy was not as dangerous as riding a horse, co-authored the article  for The Lancet.

“So why are harmful sporting activities allowed, whereas relatively less harmful drugs are not?” Nutt wrote in the Journal of Psychopharmacology. “I believe this reflects a societal approach which does not adequately balance the relative risks of drugs against their harms.”

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