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Domingo M. Aviado, MD
Atmospheric Health Sciences Short Hills, NJ

JAMA. 1992;267(24):3284-3285.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Steenland¹ estimates that ischemic heart disease deaths caused by ETS result in about 6% to 7% of total ischemic heart disease deaths. For the same period (early 1980s), estimates were acknowledged by the Surgeon General that dietary factors may be responsible for a third or more of all cases of coronary heart disease, "based on interpretations of research studies that cannot completely distinguish dietary from genetic, behavioral, or environmental causes."² The public health importance of dietary factors is potentially overwhelming compared with the claims concerning ETS exposure. Perhaps that may be related to why the National Institute for Occupational Safety and Health, in its 1991 Current Intelligence Bulletin on ETS,³ refrained from including a risk analysis that their own scientist has submitted to JAMA.

Steenland claims that seven of the nine studies he reviewed had positive results, and another was positive for women but . . . [Full Text PDF of this Article]

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