Scottish Cardiologists' Bad Mood Explained
Remember the days of smoking sections on airplanes? Good god, I do. I was asthmatic as a kid (still am, though apparently I'm supposed to refer to myself as a "person with asthma" these days), and I remember my airways becoming increasingly constricted and my visual environs increasingly indistinct as the transcontinental flights we used to take on various family visits droned on.
My one comfort was that cigarette smoke made me gassy when I was a lad, so when things got especially bad, I could respond to the bozos in the back and the thickening haze they were generating with some noxious fumes of my own.
I think I understood the absurdity of the Jim-Crow smoking rules even as a kid. Back when doctors could endorse cigarettes, newscasters smoked on camera, and smoking was the cool norm, smoking sections didn't have to exist, because the world was one big ashtray. Then the smokers got the best seats in the house. Then the slightly-worse seats; then outside; then 30 feet from the door; and now, finally, next to the dumpster in the back. Pretty soon restaurants and other public facilities will have to acquire a rotting skunk carcass to mark off their smoking areas, with surgeon general's warnings piped through a PA system on an endless loop. I almost feel sorry for the poor schlubs.
Apparently I'm not alone, because in recent years I've heard more and more noise about how the dangers of secondhand smoke have never been proven, that the numbers have been greatly exaggerated, nay, invented out of whole cloth, and can we all stop being so high-and-mighty about this one particular vice, because, let's face it, we already know all the facts and it's still a massive undertaking to quit?
And it sounded convincing: all the ghettoization had to stop somewhere, and maybe it was time for a dollop of sympathy for our poor, addicted, yellow-teethed, stinky-breathed brethren.
Well, last week, Alwyn Cosgrove, a Scot clearly keeping an eye on the health of his fellow countrymen, sent me this link to a Reuter's story that basically says, 'not so fast:'
Scotland's 2006 ban on smoking in public places cut the heart attack rate by 17 percent within one year, with non-smokers benefiting most, researchers reported on Wednesday.
The study is the first real-time, large-scale look at how a ban on second-hand smoke might benefit smokers and nonsmokers...
"A total of 67 percent of the decrease involved non-smokers," Dr. Jill Pell of the University of Glasgow and colleagues wrote in the New England Journal of Medicine.
The number of people admitted to nine Scottish hospitals for a heart attack dropped 14 percent among smokers, 19 percent among former smokers and 21 percent for those who had never smoked.
Interesting that the nonsmokers actually benefited more. Could it be that occasional, indirect exposure to cigarette smoke is actually more dangerous in the short term than direct, chronic exposure? Do smokers grow some protective crust in their lung lining that buys them a few extra years? Stay tuned for the 2015 test results...
0 recs |
6 comments
Comments
My take
The nonsmoker’s smoke exposure went from say 100 units to 10 units. (some indirect exposure to rare indirect exposure)
The smoker’s smoke exposure went from say 10000 units to 9910 units. (direct, chronic exposure to… direct, chronic exposure only in private)
(units are some arbitrary amount of smoke exposure, estimated for illustration purposes).
In my mind, obviously, the nonsmokers are gonna benefit more from the ban.
by ectonoob on Aug 5, 2008 2:17 AM EDT reply actions 0 recs
Unsurprising
Already well explained by ectonoob.
Smoking bans do not keep smokers from smoking. Come to Chicago or New York some cold and miserable November day, where the temp hovers above freezing and the wintry mix is falling. Watch as they emerge and stand outside in weather that no one would endure willingly. They will stamp their feet as they puff their ciggies. They will rub their hands. Clearly, not being able to smoke inside is not an obstacle.
The benefit clearly falls to the rest of us.
The great thing about this study is that the apologists who claim that second hand smoke isn’t a problem have another nail in their coffin (or should that be coughing?)
by PotKettleBlack on Aug 5, 2008 9:19 AM EDT reply actions 0 recs
Not so fast...
First of all, you haven’t even pointed to a theory of causation. You really think a lack of second hand smoke for a year prevented all those heart attacks? This is another statistical game to try to show short term gains to a public policy measure through (1) poor information gathering techniques and (2) citing stats as causation.
Why do I care? I’m from Delaware. The state with the highest cancer rates in the nation. Leading the country in brain and liver cancer. We have higher cancer rates than Utah, where nuclear weapons were tested. We have high cancer rates because, for years, duPont, Dow, and Hercules dumped chemicals in our soil that poisoned our groundwater. On state land. Rented to them by county officials, through dummy corporations.
How did the state respond to this epidemic of cancer? With a smoking ban. I’m not saying that smoking doesn’t cause cancer or that second hand smoke isn’t a factor in developing cancer, but next to consuming PCB’s on a daily basis, second hand smoke is almost a health food. My problem with the public anti-second hand smoking campaigns is that they often disguise far worse carcinogens that are killing a lot more people. But maybe you’d care to quote some carefully selected statistics to dispute me.
by Joe in DC on Aug 5, 2008 10:01 AM EDT reply actions 0 recs
Nah...
It’s got to be the protective crust. Has to be.
You’ve got a plausible theory, Ecto, thanks for sharing it.
The study results contradict the notion that bans don’t affect smokers’ behavior. The benefits were greater among nonsmokers, but the heart attack rates among smokers still dropped by 14%.
The freeze-and-bear it crowd will always exist, but it sounds like the ban did deter some people from lighting up. Perhaps it’s akin to the dieter’s trick of putting junk food in a hard-to-reach place; the final step required to reach the drug of choice is just enough to allow the addict to reconsider.
Clearly Delaware’s got far tougher problems than secondhand smoke. —A
by Andrew Heffernan on Aug 5, 2008 12:49 PM EDT reply actions 0 recs
The results change a bit when one looks at more than nine hospitals. There’s a slightly different take here.
Mich
http://maspikteruzim.wordpress.com
by Michal on Aug 5, 2008 9:36 PM EDT reply actions 0 recs
The plot thickens...
It will be interesting to see if there’s any response to these fuzzy math/bad science allegations. Thanks for the update, Michal…Cheers, Andrew
by Andrew Heffernan on Aug 6, 2008 9:59 AM EDT reply actions 0 recs

by 









