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Wed, 5 Nov 2003 09:35:37 -0500

HSI - Jenny Thompson

Air Freshener

 

Air Freshener

 

Health Sciences Institute e-Alert

 

November 5, 2003

 

**************************************************************

 

Dear Reader,

 

When you think of Montana you might think of that state's famous

" big sky " sweeping over mountains and forests filled with plenty

of fresh, clean air.

 

But for some people in Montana, the air isn't clean or fresh;

it's filled with cigarette smoke.

 

A recent study in Helena, Montana, has revealed just how

devastating the effects of passive smoking - or second-hand

smoke - can be. But another study from the University of

California suggests that the increase of a single vitamin may

alleviate at least some of the dangers posed by second hand

smoke.

 

-----------------------------

Smoker roller coaster

-----------------------------

 

The Helena case is fascinating.

 

In June 2002, shortly after a Helena ordinance went into effect

banning smoking in all public buildings, doctors at St. Peter's

Community Hospital noticed that the number of heart attack

patients was dropping. Recognizing a perfect opportunity, two of

the doctors developed a study to examine the effects that the

smoking ban might have on local heart attack statistics.

 

With funding from the National Cancer Institute and statistical

analysis provided by researchers at the University of

California, San Francisco, the St. Peter's doctors collected

four years of heart attack statistics leading up to the smoking

ban. Control of the study was not a problem because St. Peter's

is the only cardiac care hospital in Helena. So among Helena's

population of approximately 66,000, it was relatively simple to

keep tabs on virtually every case of heart attack in the area.

 

The researchers found that within six months of the ban the

Helena heart attack rate dropped by almost 60 percent compared

with the average rate over the previous four years. But then the

study took an unexpected twist.

 

The Helena smoking ban included bars, restaurants, and casinos.

Immediately after the ban took effect, business in these

establishments dropped off almost as sharply as the heart attack

rate. So after several months of intense lobbying from tobacco

interests and the Montana Tavern Association, the Montana State

Legislature repealed the ban, and in December 2002 Helena

residents began lighting up again over meals, drinks and slot

machines.

 

And the rate of heart attacks in Helena returned to its previous

level just as quickly as it had dropped.

 

-----------------------------

Looking through smoke-colored glasses

-----------------------------

 

Yet, as we've often seen, studies need to be read very carefully

to make sure the researchers' conclusions are justified by the

details. Particularly with cigarette smoke being a popular

public enemy #1. Unfortunately, the Helena study hasn't been

published yet. So until we can review specific data and the way

it was analyzed, we'll still have some unanswered questions.

 

For instance, none of the several reports I read had data on the

heart attack rates of non-smokers compared to smokers both

before and after the Helena ordinance went into effect. And

although we're told that variables such as seasonal fluctuations

in the heart attack rate were taken into account, other

variables are harder to nail down; such as the fact that some

smokers tend to smoke more when they're out drinking and

socializing than they do at home. Or that drinking and gambling

themselves could lead to a greater number of cardiac events; and

since business had dropped off at the bars and casinos, people

may have cut down on those behaviors as well.

 

-----------------------------

The nonsmoking smoker

-----------------------------

 

That said, the Helena study would appear to offer a stark

reminder that no matter how healthy you may be, second hand

smoke should not be taken lightly. Previous studies have

revealed this general timeline of second hand smoke effects on

the heart:

 

* 5 minutes: The aorta begins to stiffen

* 30 minutes: The blood begins to become " sticky " with

activated blood platelets; damage to the artery linings

begins; blood vessel dilation is reduced

* 2 hours: Heart rhythm may become disturbed

 

By some estimates, an eight-hour shift spent working in a smoky

casino or bar has the same effect on the cardiovascular system

as smoking an entire pack of cigarettes. So in effect, a

nonsmoker who spends day after day in such an environment is

essentially a smoker. It's called " passive " smoking, but it's

smoking nonetheless, and carries an equal risk of cancer,

asthma, and heart attack that endangers everyday smokers.

 

-----------------------------

Margin of safety

-----------------------------

 

Fortunately, nonsmokers exposed to second hand smoke may get

some cardiovascular protection with an adequate intake of

vitamin C.

 

Previous research suggests that lung cancer and cardiovascular

problems triggered by passive smoking are associated with an

increase in oxidative stress. A recent study from the University

of California, Berkeley (UC), examined the effects of vitamin C

and other nutrients on oxidative stress in 67 middle-aged

nonsmokers who were regularly exposed to second hand smoke.

 

Split into three groups, the subjects were given either 500 mg

of vitamin C daily; a mix of vitamin C, E, and alpha-lipoic

acid; or a placebo. After two months, researchers found that,

compared to the placebo group, the vitamin C group showed a

decrease in oxidative stress of more than 11 percent, and the

nutrient mix group of almost 13 percent.

 

So can an 11, 12, or 13 percent reduction in oxidative stress

protect you from a heart attack triggered by passive smoking?

The answer to that would depend on many variables. But any

margin of safety is welcome when the heart is exposed to the

dangers of second-hand smoke.

 

**************************************************************

To start receiving your own copy of the HSI e-Alert, visit:

http://www.hsibaltimore.com/ealert/freecopy.html

Or forward this e-mail to a friend so they can sign-up to

receive their own copy of the HSI e-Alert.

 

**************************************************************

 

... and another thing

 

Lake Lewisville in Dallas, Texas, is quickly becoming Lake

Placid.

 

Bryan Brooks, a Baylor University toxicologist, has discovered

traces of Prozac's active ingredient (fluoxetine) in the tissue

of blue gill fish in Lake Lewisville. Brooks speculates that the

fluoxetine somehow made its way from the urine of Prozac users,

through a water treatment plant, and into the lake.

 

Most disturbing is the larger question: If fluoxetine can make

the trip intact from human urine to the tissue of fish, are

other pharmaceuticals also getting through?

 

The thought of it is enough to make you feel a little, you

know... depressed!

 

Meanwhile, there's no word yet on whether the fish are

overcoming bouts of depression. Also no word on whether they're

experiencing headaches, dizziness, insomnia, anxiety,

drowsiness, sweating, nausea, weigh loss, joint pain, or sexual

dysfunction. (All are Prozac side effects listed as " frequent "

by Eli Lilly, maker of Prozac.)

 

I wonder if there are any complementary and alternative streams

in Texas where St. John's Wort flows freely?

 

To Your Good Health,

 

Jenny Thompson

Health Sciences Institute

 

**************************************************************

 

 

Sources:

" The Secondhand Smoking Gun " Rosemary Ellis, The New York Times,

10/15/03, nytimes.com

" Six-Month Public Smoking Ban Slashes Heart Attack Rate in

Community " EurekAlert, 4/1/03, eurekalert.org

" Vitamin C Supplementation Decreases Oxidative Stress biomarker

f2-Isoprostanes in Plasma of Nonsmokers Exposed to Environmental

Tobacco Smoke " Nutrition and Cancer, 2003; 45(2), 176-84,

ncbi.nlm.nih.gov

Vitamin C to Counter Passive Smoking Damage "

NutraIngredients.com, 8/6/03, nutraingredients.com

" Fish on Prozac? How Depressing! " MSNBC, 10/23/03, msnbc.com

 

Copyright ©1997-2003 by www.hsibaltimore.com, L.L.C.

The e-Alert may not be posted on commercial sites without

written permission.

 

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visit here http://www.hsibaltimore.com/ealert/questions.html

 

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  • 1 year later...
Guest guest

Air FreshenerFew slices lemon, orange or grapefruit1 pot of water

 

Put slices of fruit into the pot of water. Let simmer gently for an hour or so. A citrus scent will fill your house.

 

"First they ignore you, then they laugh at you, then they fight you, then you win."-- Mahatma Gandhi

 

 

 

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