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Reducing Smoking in Hospitals: Title and subTitle BreakA Time for Action FREE

Anthony M. H, Ho, MS, PE, MD
[+] Author Affiliations

Reprint requests to Department of Anaesthesia, McMaster University School of Medicine, Hamilton, Ontario, Canada L8N 3Z5 (Dr Ho).


JAMA. 1985;253(20):2999-3000. doi:10.1001/jama.1985.03350440077036
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THE FACT that cigarette smoking is widespread in hospitals is a paradox. Smoking, voluntary and involuntary, is a major risk factor associated with respiratory and cardiovascular disease, a growing list of malignancies, adverse outcomes of pregnancy, and impaired healing of peptic ulcers. This has been documented in the past two decades by several US Surgeon General's reports, and some 30,000 articles.1 As quoted in a recent editorial in The Journal,2 the 350,000 premature deaths per year attributable to smoking in the United States exceeds the number of American lives lost in all the wars this country has fought in the 20th century. Medical care expenditures and productivity loss cost Americans at least $49 billion a year.3 Worldwide, the annual toll of over 1 million tobacco-related early deaths is expected to rise as a result of aggressive cigarette promotion in the Third World.4 Briefly stated, the tremendous

REFERENCES

Terry LL:  The Surgeon General's first report on smoking and health—a challenge to the medical profession . NY State J Med 1983;; 83:1254-1255.
Pollin W:  The role of the addictive process as a key step in causation of all tobacco-related diseases . JAMA 1984;;252:2874.
Warner KE:  The economics of smoking: Dollars and cents . NY State J Med 1983;;83:1273-1274.
WHO Expert Committee on Smoking Control Strategies in Developing Countries , Technical Report Series No. 695. Geneva, World Health Organization, 1983;.
Andrews JL Jr:  Reducing smoking in the hospital: An effective model program . Chest 1983;;84:206-209.
Murphy GP, Sciandra R:  Helping patients withdraw from smoking . NY State J Med 1983;;83:1353-1354.
Schwartz JL:  Myths and realities of smoking cessation . NY State J Med 1983;;83:1355-1357.
Richards JW:  A positive health strategy for the office waiting room . NY State J Med 1983;;83:1358-1360.
Seffrin JR, Brashear RE, Shireley LA:  A state-wide survey of hospital policy and practice concerning cigarette sales . Am Rev Respir Dis 1978;;118:1105-1107.
Catford JC, Nutbeam D:  Smoking in hospitals . Lancet 1983;;2:94-96.
Lefcoe NM:  Program to control smoking in hospitals . Ont Med Rev 1984;;51:226-228.
Ball K. Stevenson A:  Hospital action on smoking . Br Med J 1979;;2:777-778.
Pederson LL:  Compliance with physician advice to quit smoking: A review of the literature . Prev Med 1982;;11:71-84.
 Aids for patients who want to stop smoking . Med Lett Drugs Ther 1978;;2:777-778.
Hjalmarson AIM:  Effect of nicotine chewing gum in smoking cessation—a randomized, placebo-controlled, double-blind study . JAMA 1984;;252:2835-2838.
Seideman N:  Deaconess Hospital: 'No smoking.' Conn Med 1980;; 44:239-240.
Kahn PL:  The Minnesota Clean Indoor Air Act: A model for New York and other states . NY State J Med 1983;;83:1300-1301.
Kusinitz M:  'Non-smoking, please': A money-saving proposition . NY State J Med 1983;;83:1361-1363.
Barr SH, Lambert CA:  Smoking regulation in restaurants and health-care facilities . N Engl J Med 1982;;306:812.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Terry LL:  The Surgeon General's first report on smoking and health—a challenge to the medical profession . NY State J Med 1983;; 83:1254-1255.
Pollin W:  The role of the addictive process as a key step in causation of all tobacco-related diseases . JAMA 1984;;252:2874.
Warner KE:  The economics of smoking: Dollars and cents . NY State J Med 1983;;83:1273-1274.
WHO Expert Committee on Smoking Control Strategies in Developing Countries , Technical Report Series No. 695. Geneva, World Health Organization, 1983;.
Andrews JL Jr:  Reducing smoking in the hospital: An effective model program . Chest 1983;;84:206-209.
Murphy GP, Sciandra R:  Helping patients withdraw from smoking . NY State J Med 1983;;83:1353-1354.
Schwartz JL:  Myths and realities of smoking cessation . NY State J Med 1983;;83:1355-1357.
Richards JW:  A positive health strategy for the office waiting room . NY State J Med 1983;;83:1358-1360.
Seffrin JR, Brashear RE, Shireley LA:  A state-wide survey of hospital policy and practice concerning cigarette sales . Am Rev Respir Dis 1978;;118:1105-1107.
Catford JC, Nutbeam D:  Smoking in hospitals . Lancet 1983;;2:94-96.
Lefcoe NM:  Program to control smoking in hospitals . Ont Med Rev 1984;;51:226-228.
Ball K. Stevenson A:  Hospital action on smoking . Br Med J 1979;;2:777-778.
Pederson LL:  Compliance with physician advice to quit smoking: A review of the literature . Prev Med 1982;;11:71-84.
 Aids for patients who want to stop smoking . Med Lett Drugs Ther 1978;;2:777-778.
Hjalmarson AIM:  Effect of nicotine chewing gum in smoking cessation—a randomized, placebo-controlled, double-blind study . JAMA 1984;;252:2835-2838.
Seideman N:  Deaconess Hospital: 'No smoking.' Conn Med 1980;; 44:239-240.
Kahn PL:  The Minnesota Clean Indoor Air Act: A model for New York and other states . NY State J Med 1983;;83:1300-1301.
Kusinitz M:  'Non-smoking, please': A money-saving proposition . NY State J Med 1983;;83:1361-1363.
Barr SH, Lambert CA:  Smoking regulation in restaurants and health-care facilities . N Engl J Med 1982;;306:812.
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