Heart Attacks in Hawaii 2005, 2006, 2007

1. Heart Attacks in Hawaii2005, 2006, 2007 Numbers don’t lie… People do!

2. 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. 3rd 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.

3. 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!

5. Angina Pectoris and Coronary Atherosclerosis Admissions to Emergency Rooms Across the State of Hawaii 2005, 2006, 2007 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… Actual URL for verification of the information provided.

7. Acute Myocardial Infarction Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007 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? https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18053Je1mxQ3qPu7GfK9m18050JzSVIhOREfwJEjGPONEOFF Actual URL for verification of the information provided.

9. Heart Failure Admissions to Emergency Rooms across the State of Hawaii 2005, 2006, 2007 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? https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided.

11. Cardiac Arrest Admissions to Emergency Rooms across the state of Hawaii2005, 2006, 2007 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. https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided.

13. Peripheral and other Vascular Disorders Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 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. https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

15. Hypertension Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 Same story, different page. Let’s continue… https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

17. Cardiac Structural and Valvular Disorders Admission of Emergency Rooms across the State of Hawaii2005, 2006, 2007 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… https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

19. Cardiac Arrhythmia and Conductive Disorders Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 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… https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

21. Chest Pain Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 This is getting redundant, but these are the actual statistics. Let’s Continue… https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

23. Syncope and Collapse Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 Slightly better on the Inpatient side, but woefully higher ER Admissions. https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

25. Cardiomyopathy Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 Incredibly, the 6 month figure is almost out pacing the entire year before the ban was implemented. https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

27. Malfunction, reaction, complication of Cardiac/Vasc device or procedure Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 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. https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

29. Other Circulatory System Diagnosis Admissions to Emergency Rooms across the State of Hawaii2005, 2006, 2007 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? https://www.reports.hhic.org/businessobjects/enterprise115/desktoplaunch/InfoView/CrystalEnterprise_Webi/view.do?objId=2623&parentId=2623&logonToken=HHIC03@18071Jr2RY9OtQHEZoNyH18068JH8R8nYVMviTE9U7ONEOFF Actual URL for verification of the information provided

30. 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

31. 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!