Heart Attacks in Hawaii 2005, 2006, 2007
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Transcript of Heart Attacks in Hawaii 2005, 2006, 2007
Heart Attacks in Hawaii2005, 2006, 2007
Numbers don’t lie…
People do!
Actual Hawaii Medical Dataon Cardiology ER Visits
• This is a study gathered from public information of the www.HHIC.org website which is deemed reliable but not guaranteed.
• It is meant as a direct rebuttal of the statements being made by Mr. Don Weisman of the Hawaii Heart Association, who has made claims at the State Capitol on January 17, 2008 that Hawaii Heart Attack rates are down 25%.
• Please note that the 2007 data only represents January through June of 2007. Jill Miyamura of HHIC said that doubling this figure was a conservative but not accurate approach. We will be updating and replacing the anecdotal column as the records become available to the public. 3 rd Quarter figures are due by January 27, 2007.
• It is being furnished to you by The Hawaii Smokers Alliance as an educational tool for the Legislator’s at the Hawaii State Capitol. Please feel free to contact Jolyn Tenn with any questions or concerns you may have at 808-721-8384.
Don Weisman
• American Heart Association• Has been telling anyone who will listen at the Hawaii
State Capitol, the astonishing news that Hawaii Heart Attack Rates are down by an incredible 25% since the smoking ban took effect November 16, 2006.
• That’s him in the background
• That’s more like it, Mr. Weisman
• Strange how some people react…
• When someone actually tells the truth.
• Oh Yeah, That’s me doing exactly that!
• I think he’s a little irritated, don’t you?
• He’ll be much more after this…
• PRESENTATION OF THE TRUTH!
Angina Pectoris and Coronary Atherosclerosis Admissions to Emergency Rooms Across the
State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 1,252 994
2006 1,246 912
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 633 430
2007 (If doubling the “on record statistics”,
currently available: Note According to
HHIC this is a conservative approach
valuation)
1,266 860
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18036JWHkNSpmvC5Wxazo18033JtsjqZgJIp4hcvcbONEOFF
Actual URL for verification of the information provided.
As you can plainly see, there has been no dramatic drop in this area, if the figures stay on track, the number will have actually increased even higher than the year of 2005. Maybe, Mr. Weisman was talking about a different figure, let’s continue…
Acute Myocardial Infarction Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
200
400
600
800
1000
1200
1400
2005 2006 2007 (Valued from Firstsix month of 2007 only,
balance of f igures are notavailable at this time)
2007 (If doubling the onrecord statistics, currentlyavailable: Note According
to HHIC this is aconservative approach
valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits(Admitted via ER)
Acute Myocardial Infarction Admissions to Emergency Rooms across the State of
Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 204 1,328
2006 264 1,265
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 166 595
2007 (If doubling the “on record statistics”,
currently available: Note According to
HHIC this is a conservative
approach valuation)332 1190
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18053Je1mxQ3qPu7GfK9m18050JzSVIhOREfwJEjGPONEOFF
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Once again, no dramatic drop in these figures. Also notice the downward trend that began the year prior to the Smoking Ban enactment. The ER visits are on track to out pace the 2 prior years of admissions. In patient admissions, however, do appear to be looking a tad better, but not 25% lower. I guess Mr. Weisman must be talking about a different area of study. Shall we proceed?
Heart Failure Admissions to Emergency rooms across the State of Hawaii 2005, 2006, 2007
0
500
1000
1500
2000
2500
2005 2006 2007 (Valued from Firstsix month of 2007 only,
balance of f igures are notavailable at this time)
2007 (If doubling the onrecord statistics,
currently available: NoteAccording to HHIC this isa conservative approach
valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits (Admittedvia ER)
Heart Failure Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 975 2,141
2006 1,223 2,256
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 544 1,169
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a
conservative approach
valuation)
1,088 2,338
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Well, here is one statistic that appears to have improved a great deal on the ER admission’s side. Still not quite 25% though. And still higher than the admissions from 2005. The inpatients on the other hand look to be heading for a 3 year high. Are we getting closer to the truth yet?
Cardiac Arrest Admissions to Emergency Rooms across the state of Hawaii 2005, 2006, 2007
0
100
200
300
400
500
600
700
800
900
2005 2006 2007 (Valued f rom First six month of 2007
only, balance of fi gures are not available at
this time)
2007 (If doubling the on record statistics,
currently available: Note According to HHIC
this is a conservative approach valuation)
Years
Pa
tie
nts
ER Visits(Excludes IPAdmits)Inpatient Admits(Admitted viaER)
Cardiac Arrest Admissions to Emergency
Rooms across the state of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 742 70
2006 796 57
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 427 39
2007 (If doubling the “on record statistics”,
currently available: Note According to
HHIC this is a conservative approach
valuation)
854 78
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Isn’t this what most people call a Heart Attack, Mr. Wiesman? This figure is on track to out pace the prior 2 years in both the ER and Inpatient admissions. This does not appear to be going well for the Hawaii Heart Association, but in the spirit of bringing truth, and of being non-biased in my approach to the truth, I shall continue with the study.
Peripheral and other Vascular Disorders Admisssions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
100
200
300
400
500
600
2005 2006 2007 (Valued from First sixmonth of 2007 only, balanceof f igures are not available
at this time)
2007 (If doubling the onrecord statistics, currently
available: Note According toHHIC this is a conservative
approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits (Admittedvia ER)
Peripheral and other Vascular Disorders Admissions to Emergency Rooms across
the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 405 222
2006 468 224
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 249 123
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 498 246
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Once again, this is not looking good for the Hawaii Heart Association. I will skip the witty sidebar, and continue on to the next category.
Hypertension Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
200
400
600
800
1,000
1,200
1,400
1,600
2005 2006 2007 (Valued from First six month of
2007 only, balance of figures are not
available at this time)
2007 (If doubling the on record
statistics, currently available: Note
According to HHIC this is a conservative
approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)Inpatient Admits(Admitted via ER)
Hypertension Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 1,229 103
2006 1,327 106
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 691 60
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 1382 120
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Same story, different page. Let’s continue…
Cardiac Structural and Valvular Disorders Admission of Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
10
20
30
40
50
60
2005 2006 2007 (Valued from First six month of 2007
only, balance of figures are not available
at this time)
2007 (If doubling the on record statistics,
currently available: Note According to
HHIC this is a conservative approach
valuation)
Years
Pati
en
ts
ER Visits (Excludes IPAdmits)
Inpatient Admits(Admitted via ER)
Cardiac Structural and Valvular Disorders Admission of Emergency Rooms across the
State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 32 52
2006 24 38
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 11 25
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 22 50
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Not quite sure what exactly this condition is, but thankfully, it seems very rare. Seems like the year before the ban showed marked improvement in this statistic. Let’s Continue…
Cardiac Arrhythmia and Conductive Disorders Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
2005 2006 2007 (Valued from Firstsix month of 2007 only,balance of f igures are
not available at thistime)
2007 (If doubling the onrecord statistics,
currently available: NoteAccording to HHIC this
is a conservativeapproach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits(Admitted via ER)
Cardiac Arrhythmia and Conductive Disorders Admissions to Emergency Rooms
across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 3,056 1,160
2006 3,223 1,062
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 1,688 561
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 3,376 1122
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Sadly, on track for a three year high. Let’s hope these statistics improve sometime soon. The trend does seem quite disturbing, it keeps on going up. Let’s continue…
Chest Pain Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
2005 2006 2007 (Valued from First six monthof 2007 only, balance of figures are
not available at this time)
2007 (If doubling the on recordstatistics, currently available: Note
According to HHIC this is aconservative approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits(Admitted via ER)
Chest Pain Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 7,560 1,079
2006 7,801 860
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 3,951 385
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 7,902 770
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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This is getting redundant, but these are the actual statistics. Let’s Continue…
Syncope and Collapse Admissions to Emergency Rooms across the State of Hawaii
2005, 2006, 2007
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
2005 2006 2007 (Valued from First six monthof 2007 only, balance of figures
are not available at this time)
2007 (If doubling the on recordstatistics, currently available: Note
According to HHIC this is aconservative approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits(Admitted via ER)
Syncope and Collapse Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 3,488 752
2006 3,765 708
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 2,017 343
2007 (If doubling the “on record statistics”,
currently available: Note According to
HHIC this is a conservative
approach valuation)4,034 686
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Slightly better on the Inpatient side, but woefully higher ER Admissions.
Cardiomyopathy Admissions to Emergency Rooms across the State of Hawaii 2005, 2006,
2007
0
5
10
15
20
25
30
35
40
45
2005 2006 2007 (Valued from First six monthof 2007 only, balance of figures are
not available at this time)
2007 (If doubling the on recordstatistics, currently available: Note
According to HHIC this is aconservative approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits (Admittedvia ER)
Cardiomyopathy Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 38 27
2006 28 33
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 20 10
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 40 20
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Incredibly, the 6 month figure is almost out pacing the entire year before the ban was implemented.
Malfunction, reaction, complication of Cardiac/Vasc device or procedure Admissions to Emergency Rooms across the State of
Hawaii 2005, 2006, 2007
0
20
40
60
80
100
120
140
160
2005 2006 2007 (Valued from First six monthof 2007 only, balance of figures are
not available at this time)
2007 (If doubling the on recordstatistics, currently available: Note
According to HHIC this is aconservative approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits (Admittedvia ER)
Malfunction, reaction, complication of Cardiac/Vasc device or procedure Admissions to Emergency Rooms across the
State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 138 62
2006 148 85
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 61 27
2007 (If doubling the on record statistics,
currently available: Note
According to HHIC this is a
conservative approach
valuation)122 54
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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This one is what is lovingly referred to in the Automotive Industry as a “Comeback”. Looks like the devices and procedures are working out better the first time.
Other Circulatory System Diagnosis Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007
0
50
100
150
200
250
300
350
400
450
2005 2006 2007 (Valued from First six month of
2007 only, balance of figures are not
available at this time)
2007 (If doubling the on record
statistics, currently available: Note
According to HHIC this is a
conservative approach valuation)
Years
Pa
tie
nts
ER Visits (Excludes IPAdmits)
Inpatient Admits (Admittedvia ER)
Other Circulatory System Diagnosis Admissions to
Emergency Rooms across the State of Hawaii 2005, 2006, 2007
Admission ER Visits Inpatient
Year (Excludes Admits
IP Admits) (Admitted
via ER)
2005 384 206
2006 402 219
2007 (Valued from First six month of 2007 only, balance of figures are not available at this time) 177 102
2007 (If doubling the “on record statistics”, currently
available: Note According to HHIC this is a conservative
approach
valuation) 354 204
https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF
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Finally, a good improvement of at least one of these statistics. Maybe this is what Mr. Weisman has been talking about. I am not sure what “Other” means, but in light of all the previous information you have just been provided, I would certainly not be buzzing around the State Capitol making a claim that Heart Attacks in Hawaii have dropped by 25%. Would you?
Conclusion• Hawaii has shown no dramatic improvements in
almost every statistic.• Hawaii has shown an increase in over half of the
statistics.• You will be updated as soon as those figures
become available, you can count on accuracy and an unbiased approach, as always when the information is being brought to you by: The Hawaii Smokers Alliance.
• The Smoking Ban is a Feel-Good sham.• Coming soon… The Pulmonary Statistics.• Mahalo for your time and attention
Acknowledgements: • Jill Miyamura – HHIC Without whose expertise, we would all still be in
the dark.
• Justine Tenn – My Daughter Without whose talents and gifts,
this presentation, would have been impossible. (Sweet Seventeen, and teaching her mom some new tricks)
• Gina – Queens Medical Center Data Specialist- Without whose information and direction, I would have never found this incredible website. She set me on the path to Ms. Miyamura…
• And finally… Mr. Don Weisman- Hawaii Heart Association, without whose arrogance and ignorance this study could not have been made possible! Don’t ever try to make these kind of claims again, sir. Unless you can BACK THEM UP! The walls of the Hawaii State Capitol have ears and eyes… And they are looking right at you!