Transcript Heart Attacks in Hawaii 2005, 2006, 2007 Numbers don’t lie… People do! Actual Hawaii Medical Data on Cardiology ER Visits • This is a study.

Heart Attacks in Hawaii
2005, 2006, 2007
Numbers don’t lie…
People do!
Actual Hawaii Medical Data
on 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
•
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•
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
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…
2007 (Valued from First six
month of 2007 only,
balance of figures are
not available at this
time)
633
430
1,266
860
2007 (If doubling the “on
record statistics”,
currently available:
Note According to
HHIC this is a
conservative approach
valuation)
https://www.reports.hhic.org/businessobjec
ts/enterprise115/desktoplaunch/InfoView/C
rystalEnterprise_Webi/view.do?objId=2623
&parentId=2623&logonToken=HHIC03@1
8036JWHkNSpmvC5Wxazo18033JtsjqZg
JIp4hcvcbONEOFF
Actual URL for verification of
the information provided.
Acute Myocardial Infarction Admissions to Emergency Rooms across the
State of Hawaii 2005, 2006, 2007
1400
1200
Patients
1000
800
600
400
200
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits
(Admitted via ER)
2006
2007 (Valued from First
2007 (If doubling the on
six month of 2007 only, record statistics, currently
balance of figures are not available: Note According
available at this time)
to HHIC this is a
conservative approach
valuation)
Years
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
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/businesso
bjects/enterprise115/desktoplaunch/Inf
oView/CrystalEnterprise_Webi/view.do
?objId=2623&parentId=2623&logonTok
en=HHIC03@18053Je1mxQ3qPu7GfK
9m18050JzSVIhOREfwJEjGPONEOFF
Actual URL for verification of
the information provided.
Heart Failure Admissions to Emergency rooms across the State of
Hawaii 2005, 2006, 2007
2500
Patients
2000
1500
1000
500
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits (Admitted
via ER)
2006
2007 (Valued from First
2007 (If doubling the on
six month of 2007 only,
record statistics,
balance of figures are not currently available: Note
available at this time)
According to HHIC this is
a conservative approach
valuation)
Years
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
1,088
2,338
2007 (If doubling the “on record
statistics”, currently
available: Note According
to HHIC this is a
conservative approach
valuation)
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/busine
ssobjects/enterprise115/desktoplau
nch/InfoView/CrystalEnterprise_We
bi/view.do?objId=2623&parentId=2
623&logonToken=HHIC03@18071
Jr2RY9OtQHEZoNyH18068JH8R8
nYVMviTE9U7ONEOFF
Actual URL for verification of
the information provided.
Cardiac Arrest Admissions to Emergency Rooms
across the state of Hawaii 2005, 2006, 2007
900
800
ER Visits
(Excludes IP
Admits)
Inpatient Admits
(Admitted via
ER)
700
Patients
600
500
400
300
200
100
0
2005
2006
2007 (V al ued f r om Fi r s t s i x mont h of 2007
2007 (I f doubl i ng t he on r ec or d s t at i s t i c s ,
onl y , bal anc e of f i gur es ar e not av ai l abl e at
c ur r ent l y av ai l abl e: Not e A c c or di ng t o HHI C
t hi s t i me)
t hi s i s a c ons er v at i v e appr oac h v al uat i on)
Years
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
427
39
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)
854
78
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/busines
sobjects/enterprise115/desktoplaunc
h/InfoView/CrystalEnterprise_Webi/vi
ew.do?objId=2623&parentId=2623&l
ogonToken=HHIC03@18071Jr2RY9
OtQHEZoNyH18068JH8R8nYVMviT
E9U7ONEOFF
Actual URL for verification of
the information provided.
Peripheral and other Vascular Disorders Admisssions to Emergency Rooms
across the State of Hawaii 2005, 2006, 2007
600
500
Patients
400
300
200
100
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits (Admitted
via ER)
2006
2007 (Valued from First six
2007 (If doubling the on
month of 2007 only, balance record statistics, currently
of figures are not available available: Note According to
at this time)
HHIC this is a conservative
approach valuation)
Years
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
249
123
498
246
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)
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/businessobje
cts/enterprise115/desktoplaunch/InfoView/
CrystalEnterprise_Webi/view.do?objId=26
23&parentId=2623&logonToken=HHIC03
@18071Jr2RY9OtQHEZoNyH18068JH8R
8nYVMviTE9U7ONEOFF
Actual URL for verification of
the information provided
Hypertension Admissions to Emergency Rooms
across the State of Hawaii 2005, 2006, 2007
1,600
1,400
1,200
Patients
1,000
800
600
400
200
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits
(Admitted via ER)
2006
2007 ( Valued f r om Fir st six mont h of
2007 ( If doubling t he on r ecor d
2007 only, balance of f igur es ar e not
st at ist ics, cur r ent ly available: Not e
available at t his t ime)
Accor ding t o HHIC t his is a conser vat ive
appr oach valuat ion)
Years
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
1382
120
2007 (If doubling the
“on record
statistics”,
currently
available: Note
According to
HHIC this is a
conservative
approach
valuation)
Same story,
different page.
Let’s continue…
https://www.reports.hhic.org/businessobjects
/enterprise115/desktoplaunch/InfoView/Cryst
alEnterprise_Webi/view.do?objId=2623&par
entId=2623&logonToken=HHIC03@18071Jr
2RY9OtQHEZoNyH18068JH8R8nYVMviTE
9U7ONEOFF
Actual URL for verification of
the information provided
Cardiac Structural and Valvular Disorders Admission of
Emergency Rooms across the State of Hawaii 2005, 2006, 2007
60
50
Patients
40
30
20
10
0ER Visits (Excludes IP
2005
Admits)
Inpatient Admits
(Admitted via ER)
2006
2007 ( Valued f r om Fir st six mont h of 2007
2007 ( If doubling t he on r ecor d st at ist ics,
only, balance of f igur es ar e not available
cur r ent ly available: Not e Accor ding t o
at t his t ime)
HHIC t his is a conser vat ive appr oach
valuat ion)
Years
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
22
50
2007 (If doubling the
“on record
statistics”,
currently
available: Note
According to
HHIC this is a
conservative
approach
valuation)
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/businessob
jects/enterprise115/desktoplaunch/InfoV
iew/CrystalEnterprise_Webi/view.do?obj
Id=2623&parentId=2623&logonToken=
HHIC03@18071Jr2RY9OtQHEZoNyH1
8068JH8R8nYVMviTE9U7ONEOFF
Actual URL for verification
of the information provided
Cardiac Arrhythmia and Conductiv e Disorde rs Admissions to
Eme rge ncy Rooms across the State of Hawaii 2005, 2006, 2007
4,000
3,500
Patients
3,000
2,500
2,000
1,500
1,000
500
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits
(Admitted via ER)
2006
2007 (Valued f rom First 2007 (If doubling the on
six month of 2007 only,
record statistics,
balance of f igures are currently available: Note
not available at this
According to HHIC this
time)
is a conservative
approach valuation)
Years
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
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/businessobject
s/enterprise115/desktoplaunch/InfoView/Cry
stalEnterprise_Webi/view.do?objId=2623&p
arentId=2623&logonToken=HHIC03@1807
1Jr2RY9OtQHEZoNyH18068JH8R8nYVMvi
TE9U7ONEOFF
Actual URL for verification
of the information provided
Chest Pain Admissions to Emergency Rooms
across the State of Hawaii 2005, 2006, 2007
9,000
8,000
7,000
Patients
6,000
5,000
4,000
3,000
2,000
1,000
0
ER Visits (Excludes IP
Admits)
Inpatient Admits
(Admitted via ER)
2005
2006
2007 (V alued f rom First six mont h
2007 (If doubling t he on record
of 2007 only, balance of f igures are st at ist ics, current ly available: Not e
not available at t his t ime)
A ccording t o HHIC t his is a
conservat ive approach valuat ion)
Years
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
3,951
385
7,902
770
This is getting redundant, but
these are the actual statistics.
Let’s Continue…
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)
https://www.reports.hhic.org/businessobjects/ent
erprise115/desktoplaunch/InfoView/CrystalEnterp
rise_Webi/view.do?objId=2623&parentId=2623&l
ogonToken=HHIC03@18071Jr2RY9OtQHEZoNy
H18068JH8R8nYVMviTE9U7ONEOFF
Actual URL for verification
of the information provided
Syncope and Collapse Admissions to
Emergency Rooms across the State of Hawaii
2005, 2006, 2007
4,500
4,000
3,500
Patients
3,000
2,500
2,000
1,500
1,000
500
0
ER Visits (Excludes IP
Admits)
Inpatient Admits
(Admitted via ER)
2005
2006
2007 (Valued f rom First six mont h
2007 (If doubling t he on record
of 2007 only, balance of f igures st at ist ics, current ly available: Not e
are not available at t his t ime)
According t o HHIC t his is a
conservat ive approach valuat ion)
Years
Syncope and Collapse Admissions to Emergency
Rooms across the State of Hawaii
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
4,034
686
2007 (If doubling the “on
record statistics”,
currently available:
Note According to
HHIC this is a
conservative
approach valuation)
2005, 2006, 2007
Slightly better on the
Inpatient side, but woefully
higher ER Admissions.
https://www.reports.hhic.org/businessobjects/ent
erprise115/desktoplaunch/InfoView/CrystalEnterp
rise_Webi/view.do?objId=2623&parentId=2623&l
ogonToken=HHIC03@18071Jr2RY9OtQHEZoNy
H18068JH8R8nYVMviTE9U7ONEOFF
Actual URL for verification of
the information provided
Cardiomyopathy Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006,
2007
45
40
35
Patients
30
25
20
15
10
5
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits (Admitted
via ER)
2006
2007 (Valued f rom First six mont h
of 2007 only, balance of f igures are
not available at t his t ime)
Years
2007 (If doubling t he on record
st at ist ics, current ly available: Not e
According t o HHIC t his is a
conservat ive approach valuat ion)
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
20
10
40
20
Incredibly, the 6 month
figure is almost out pacing
the entire year before the
ban was implemented.
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)
https://www.reports.hhic.org/businessobjects/enter
prise115/desktoplaunch/InfoView/CrystalEnterprise
_Webi/view.do?objId=2623&parentId=2623&logon
Token=HHIC03@18071Jr2RY9OtQHEZoNyH1806
8JH8R8nYVMviTE9U7ONEOFF
Actual URL for verification
of the information provided
M alfunction, re action, complication of Cardiac/Vasc de v ice or
proce dure Admissions to Eme rge ncy Rooms across the State of
Hawaii 2005, 2006, 2007
160
140
120
Patients
100
80
60
40
20
0
ER Visits (Excludes IP
Admits)
2005
Inpatient Admits (Admitted
via ER)
2006
2007 (Valued f rom First six mont h
of 2007 only, balance of f igures are
not available at t his t ime)
Years
2007 (If doubling t he on record
st at ist ics, current ly available: Not e
According t o HHIC t his is a
conservat ive approach valuat ion)
Malfunction, reaction, complication of Cardiac/Vasc device
or procedure Admissions to Emergency Rooms across the
State of Hawaii
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
122
54
2007 (If doubling the on
record statistics,
currently
available: Note
According to HHIC
this is a
conservative
approach
valuation)
2005, 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/businessobjec
ts/enterprise115/desktoplaunch/InfoView/C
rystalEnterprise_Webi/view.do?objId=2623
&parentId=2623&logonToken=HHIC03@18
071Jr2RY9OtQHEZoNyH18068JH8R8nYV
MviTE9U7ONEOFF
Actual URL for verification of
the information provided
Other Circulatory System Diagnosis Admissions to Emergency
Rooms across the State of Hawaii 2005, 2006, 2007
450
400
350
Patients
300
250
200
150
100
50
0
2005
ER Visits (Excludes IP
Admits)
Inpatient Admits (Admitted
via ER)
2006
2007 ( Valued f r om Fir st six mont h of
2007 ( If doubling t he on r ecor d
2007 only, balance of f igur es ar e not
st at ist ics, cur r ent ly available: Not e
available at t his t ime)
Accor ding t o HHIC t his is a
conser vat ive appr oach valuat ion)
Years
Other Circulatory System Diagnosis Admissions to
Emergency Rooms across the State of Hawaii
Admission
ER Visits
Inpatient
Year
(Excludes
Admits
IP Admits)
(Admitted
via ER)
2005
384
206
2006
402
219
177
102
354
204
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)
2005, 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/ent
erprise115/desktoplaunch/InfoView/CrystalEnter
prise_Webi/view.do?objId=2623&parentId=2623
&logonToken=HHIC03@18071Jr2RY9OtQHEZo
NyH18068JH8R8nYVMviTE9U7ONEOFF
Actual URL for verification
of the information provided
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 SpecialistWithout whose information and direction, I would have never found this incredible website. She
set me on the path to Ms. Miyamura…
Mr. Don Weisman- Hawaii Heart
Association, without whose arrogance and ignorance
• And finally…
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!