There is not a single part of the globe that has not been impacted by substance abuse. In the United States alone, there are more than 20 million people who suffer with addition to alcohol or drugs, not including tobacco products. At least five million emergency department visits are caused by the use of illegal drugs or alcohol every year. As of 2014, it was estimated that more than 130 million people consumed alcohol regularly in the United States. That same year saw more than 20,230 people die in car accidents and another 47,055 people were killed by drug overdoses. It is hard to look at these numbers and not conclude that there is an epidemic of substance use in the country. This is one of the reasons that people are turning to ibogaine drug treatment centers for help.