A record low number of Americans are drinking, according to a new Gallup poll released this week. Just 54% of Americans said they consume alcohol at all.

In January, then–U.S. Surgeon General Vivek Murthy called for warning labels on alcohol, noting that alcohol causes about 100,000 cancer cases and 20,000 cancer deaths each year in the U.S., more than the 13,500 deaths from alcohol-related car crashes.

Gallup, which started tracking Americans' alcohol habits more than 80 years ago, says the drop in drinking rates coincides with Americans' growing concerns that even moderate drinking is unhealthy.