The tenth bulletin documents trends in alcohol-attributable harms due to risky and high risk drinking among those aged 85 years and over in Australia. An estimated 1,526 'old-old' Australians died from alcohol-attributable injury and disease between 1994 and 2003, mostly due to strokes and falls. Falls were also the most common cause of hospitalisations in this age group. Annual rates for all states and territories have been presented, as well as a comparison between metropolitan and non-metropolitan regions.