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Even so, despite acknowledging the wide variation in findings and the admitted methodological limitations of the studies, a 2009 meta-analysis conducted by the Institute of Medicine concluded that the impact of smoking bans on short-term heart attack rates was real and substantial: Even a small amount of exposure to secondhand smoke can cause a heart attack, one member of the IOM panel informed the New York Times , urging that smoking bans need to be put in place as quickly as possible. This report had, however, omitted one of the largest studies of secondhand smoke and heart attacks conducted to date

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