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EDITORIAL: The Importance of Extinguishing Secondhand Smoke 

Circulation. 2009;120:1339-1341
Jump to full article: Circulation, 2009-09-21
Author: Andrew M. Tonkin, MD, FRACP, FCSANZ; Alison Beauchamp, RN, BHSc, MPH; Christopher Stevenson, BHSc, MSc, PhD

Intro:

This issue of Circulation includes a meta-analysis of the impact of smoking bans on hospitalization for acute myocardial infarction.2 The findings further attest to the power of government interventions. . . .

A systematic review of 26 studies showed that smoke-free workplaces reduced smoking prevalence by 3.8% and the amount smoked by 3.1 cigarettes daily in those continuing to smoke, together constituting a 29% decrease in total cigarette consumption.19 One of the studies included in the meta-analysis2 found that acute coronary syndrome admissions were decreased in smokers as well as nonsmokers.7 Furthermore, rather than having a negative impact on businesses, smoking bans can increase patronage of restaurants and drinking venues.

Clinicians should advise their patients to avoid public places that permit smoking, and families should be counseled not to smoke at home or in a vehicle with patients. Healthcare professionals can also be powerful advocates, and research such as that described in this issue2 strengthens the case for government action.

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