Intended for healthcare professionals

CCBYNC Open access

Rapid response to:

Research

Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.d8059 (Published 25 January 2012) Cite this as: BMJ 2012;344:d8059

Rapid Response:

Re: Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study

I found the following passage in the study of interest:

"The increase in acute myocardial infarction event rate in London between 2007 and 2009 may be a result of the financial crisis that peaked in 2008 and greatly affected the London financial district."

Think how easily it could have read in the following way:

"The increase in acute myocardial infarction event rate in London between 2007 and 2009 may be a result of the smoking ban that started in 2007 and greatly affected the London population."

Of course an observation/speculation like that would have been a bit too politically incorrect for a medical journal, eh? I'd suggest looking at Scotland, but after an initial slight post-ban dip their own smoking ban ALSO resulted in the first increase in heart attacks this century.(1)

Are such instances mere outliers from the norm? Possibly. But not necessarily. See the research I did with David Kuneman back in 2005 (2) and the article about its publication history published by the American Council on Science and Health (3), or, for read some more up-to-date but similar and consistent research by RAND, NBER, and Stanford. (4)

A little different from what's usually presented as "The Norm," but certainly not information that should be ignored or simply dismissed by responsible researchers and authorities.

Michael J. McFadden

Author of "Dissecting Antismokers' Brains"

http://TheTruthIsALie.com

References:

(1) http://www.velvetgloveironfist.com/index.php?page_id=65

(2) http://www.scribd.com/doc/9679507/bmjmanuscript

(3) http://www.acsh.org/factsfears/newsID.990/news_detail.asp

(4) http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1359506#

Competing interests: Author of "Dissecting Antismokers' Brains" and active in a number of Free Choice organizations. No financial interests other than book royalties.

27 January 2012
Michael J. McFadden
Wirter/Researcher/Activist
FORCES, TICAP, CitizensFreedomAlliance, F2C, PASAN, et al
4424 Ludlow St.