The BBC reports that:
There were 1,200 fewer hospital admissions for heart attacks in England in the year after July 2007 – when the smoking ban came in, research suggests.
While the 2.4% drop was less dramatic than that reported in some areas where similar bans have been introduced, the figures suggest it saved the NHS £8.4m.
Researchers said even a small reduction had “important public health benefits”.
The Bath team analysed English hospital admissions between 2002 and 2009, the British Medical Journal reports.
Three of the four authors are based at the University of Bath Tobacco Control Research Group, and the full article is published here which, I’m delighted to report, is open access.
In coming to their conclusion the authors created a model, made predictions, controlled for various factors, and used specific statistical techniques. All of this is of course good and proper, but the way these things get reported it always sounds like prior to the ban there were x number of admissions per year every year and after the ban the number dropped to x minus 1200. Of course this isn’t the case, and people far more expert than me can debate the pros and cons of the tests, models and assumptions used.
Lets look at the data. The figure below is taken directly from the paper and shows the number of admissions for myocardial infarctions in England. The data are obviously quite variable, and there appears to be a downward trend before the ban came into force on 1st July 2007.

These figures, also taken directly from the paper, show the above data broken down by gender and age group. Again, just from looking at the data it appears that there is a downward trend before the ban. This does not of course invalidate the authors findings, but I’d be surprised if these graphs get shown in many of the media reports based on the research. Consider this blog a public service.

Finally, I charted the data in Table 1 in the article, which gives the numbers for each year, so giving a smoother overview of the data shown above. Again, note the downward trend prior to the ban.

Epidemiological data are usually really complicated, because every individual is different and there are so many other factors to consider beyond the one you are interested in. As such, although it is not sufficient to just look at the data and say what you see, it is still necessary. There are many different statistical tools, and many ways of using them, some less appropriate than others. So never forget to use the tools you have in your face – your eyes!











