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Vol 272 No 7294 p438
10 April 2004

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More evidence on passive smoking harm emerges

Further evidence that passive smoking can be damaging to health has emerged from three studies reported recently.

The first shows that in two population cohorts of New Zealand adults, mortality is about 15 per cent higher among those who have never smoked, but who live with smokers, than those living in a smoke-free household (published online in BMJ Online First, 5 April 2004).

A second study suggests that the incidence of hospital admissions for myocardial infarction may fall when public smoking bans are imposed. US researchers examined hospital admission data for a hospital serving an isolated community in Montana where a local law banning smoking in public and in workplaces was enforced for a six-month period in 2002. The researchers observed a drop in admissions during implementation of the ban — before and after the ban the average number of admissions was 40 during equivalent six-month periods. When the six-month ban was in place, this fell to 24 admissions (BMJ Online First, 5 April 2004).

The final study indicates that passive smoking may hinder wound healing. Researchers added cell-culture media containing the components of second-hand smoke to fibroblast cells in vitro. They found that the cells became elongated and separated from one another. They were also less mobile than control cells.

“If these cells are unable to migrate they will remain concentrated at the edge of the wound ... leading to poor wound closure and abnormal scar formation,” the researchers conclude (BMC Cell Biology 2004;5:13).

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