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Correspondence
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Volume 359:2070 November 6, 2008 Number 19
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Smoke-free Legislation and Acute Coronary Syndrome

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 by Pell, J. P.
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To the Editor: Pell et al. (July 31 issue)1 report that smoke-free legislation in Scotland was strongly associated with a decreased risk of the acute coronary syndrome. Nested within their study is a critical and remarkable observation: smokers are also at substantial risk from exposure to secondhand smoke and benefit from its cessation. My group and others have also shown that smokers have adverse respiratory health effects from exposure to secondhand smoke.2,3 Bartenders, whether smokers or nonsmokers, have rapid improvement in their respiratory health after smoke-free–workplace legislation is instituted.4,5 This point is important, because most previous research on the health . . . [Full Text of this Article]


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