Dr. Vivek Murthy’s report cites studies linking alcoholic beverages to at least seven malignancies, including breast cancer. But to add warning labels, Congress would have to act.

In a new advisory, Surgeon General Vivek Murthy recommended that labels on alcoholic beverages be updated to include a warning about cancer risk.

U.S. Surgeon General Vivek Murthy’s office warns alcohol consumption is to blame for nearly one million preventable cancer cases in the U.S. over the last decade.