I know why we can't pass a state wide smoking ban. To start we can't get
the bills heard by Republican committee chairs. But I don't understand
what is stopping the city of Minneapolis. Do we really need to fall
behind not just New York City and Austin, Texas but Lexington, Kentucky?
Here is a copy of the relevant article.

This article from the Star Tribune has been sent to you by Phyllis
Kahn.

BYLINE: Marc Kaufman
CREDITLINE: Washington Post
HEADLINE: Smoke raises heart attack risk, CDC says


WASHINGTON, D.C. -- For the first time, the Centers for Disease Control
and Prevention (CDC) is warning people at risk of heart disease to avoid
buildings and gathering places that allow indoor smoking.
In commentary to a study in the British Medical Journal released
Thursday, the CDC said doctors should advise people with heart problems
that secondhand smoke can significantly increase their risk of a heart
attack. The agency said that as little as 30 minutes' exposure can have
a serious and even lethal effect.
The commentary accompanied a study showing that the number of heart
attacks in Helena, Mont., decreased substantially after the city banned
indoor smoking.
The number quickly returned to its former level after the law was
struck down in court.
That study found that, during the six months in 2002 when the ban was
in effect, the number of heart attacks reported by Helena's single heart
hospital fell by 40 percent.
 In his commentary, Terry Pechacek, associate director of science at
CDC's Office on Smoking and Health, wrote that the research underscores
evidence that secondhand smoke rapidly increases the tendency of blood
to clot, which can restrict flow to the heart.
Pechacek said the new study strengthens the growing body of research
pointing to potentially fast and acute reactions to secondhand smoke, in
addition to the long-term damage to nonsmokers who live with smokers.
The CDC has estimated that secondhand smoke causes 35,000 heart disease
deaths a year in the United States, but Pechacek said that estimate is
likely to be revised upward.
"We've said before that secondhand smoke increases the risk of heart
disease in nonsmokers, but this is our first recommendation that
clinicians advise their patients with heart disease to avoid indoor
settings where smoking is allowed," he said.
"We don't make these kind of statements lightly," he said. "What we are
seeing in the data is a substantial biological change that occurs with
even 30 minutes of exposure to secondhand smoke."
Bans disputed
The new recommendation is bound to become part of the often acrimonious
national debate over whether smoking in public places should be banned.
Public health advocates say the bans will save many lives, while
cigarette makers and some businesspeople say the decision should be left
to individual choice.
Just Thursday, the Kentucky Supreme Court upheld a ban on smoking in
bars, restaurants and other public places in Lexington, ruling that the
city had acted within its authority to "promote and safeguard public
health." That ban has drawn national attention because Kentucky has the
highest smoking rate in the nation -- about one third of adults there
are smokers, according to the CDC -- and is the second-largest producer
of tobacco.
As both the CDC and authors of the new study acknowledge, the Montana
data are limited by the relatively small number of people involved.
Pechacek said that similarly dramatic reductions in heart attacks are
unlikely to be found in larger populations, but he said the study is
nonetheless important because it offers the best real-world information
to date on the connection between indoor smoking and serious heart
problems. He said studies have been proposed or begun into the how
indoor smoking bans in California, New York City and Delaware have
affected heart attack rates.
The CDC study's authors, Richard Sargent and Robert Shepard of St.
Peter's Community Hospital in Helena, and Stanton Glantz of the
University of California, San Francisco, collected information about the
number of heart attacks from St. Peter's hospital records.
During the six-month period in 2002 when the indoor smoking ban was in
effect, 24 Helena residents suffered acute heart attacks. For the five
years before and after 2002, the average number of heart attacks
reported for Helena residents during the same six months was 40. The
authors found through St. Peter's records that the number of heart
attacks suffered by people living in the area outside Helena -- where
there was no smoking ban -- did not experience the same 2002 dip as
Helena.
Of the patients followed in the study, 38 percent were current smokers,
29 percent were former smokers and 33 had never smoked.


Phyllis Kahn,  District 59B
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