The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Smoking bans fail to lower heart attack risk

    Declines in hospital admissions for acute myocardial infarction following smoke-free ordinances have been reported in smaller communities.

    Researchers at the University of Louisville, in Kentucky, looked at the effect in 6 US states.

    First, the details.

    • The mortality rate for heart attacks among people at least 45 years of age during the 3 years before adoption of the smoke-free ordinance (the expected rate) was compared with the rate observed in the first full year after the ban (the target year) in 6 US states.
    • Target-year declines were also compared to those in states without smoking bans.

    And, the results.

    • Declines in heart attack mortality in California (2%), Utah (8%) and Delaware (8%) were not significantly different from the expected declines.
    • The South Dakota heart attack mortality rate increased 9%, a significant difference from the 3 years before adoption of the law.
    • Both a 9% decline in Florida and a 12% decline in New York significantly exceeded the expected declines but were not significantly different from the 10% decline that year in the 44 states without bans.

    The bottom line?

    The authors concluded, “Smoke-free ordinances provide a healthy indoor environment, but their implementation in 6 states had little or no immediate measurable effect on acute myocardial infarction mortality.”

    9/15/11 20:32 JR

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