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Wall Street Journal

• The Wall Street Journal. This is a premium service, but you will find, amazingly, that the WSJ covers stories that never appear elsewhere and that they often cover health related stories. I heartily recommend this as a source for general information.

• If you sign up, then you can read the article dated November 13, 1996, in which the WSJ, exclusively, described how the new President of the American Heart Association admitted that the Association had been deliberately misleading the American public for years.
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• Click on the heading, or the image, to visit the WSJ web site
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Deaths From Heart-Disease
Are Occurring Later in Life

Wall Street Journal of November 13, 1996

By JERRY E. BISHOP
Staff Reporter of THE WALL STREET JOURNAL

NEW ORLEANS -- Americans have been seriously misled into thinking that heart disease is on the decline, the new president of the American Heart Association charged.

Deaths from heart disease haven't dropped nearly as much as health officials have claimed and the prevalence of the disease actually may be increasing, asserted President Jan L. Breslow, a Rockefeller University researcher, at the heart group's annual meeting here.

More information about the 69th Scientific Session was available on the World Wide Web at http://aha.expocity.com/. [Note from Karl Loren: This site was active in February, 1997, but nothing could be found of the Breslow quote!!  That same address, in December 1997, takes you to the site of the 70th Session.  On November 27, 1998, this link goes nowhere!]

Other researchers echoed that warning. Charles H. Hennekens of Harvard Medical School's Brigham & Women's Hospital in Boston noted that "adolescents are smoking more, are heavier and are exercising less than their parents."

Dr. Breslow said that for several years public-health officials and groups like the heart association have pointed proudly to a widely used chart that shows the death rate from heart disease has fallen to about 150 deaths per year per 100,000 people, about half of the peak rate in the early 1950s. Dr. Breslow said that the number of deaths is actually 260 to 270 a year.

Chart Reflects 1940 Death Rate

The original chart was used to support claims that the massive public-health campaigns to get Americans to reduce their risk of heart disease have been paying off. These campaigns urged people to reduce their dietary fat, lower blood-cholesterol levels, stop smoking, reduce blood pressure and lose weight. "Our philosophy was that to get more money from politicians, we had to show that good things were happening," Dr. Breslow said.

The researchers explained that the older chart showed the so-called age-adjusted death rate reflecting the death rate for each age group in the population. The older chart is based on the U.S. population in 1940, when the proportion of Americans over age 65 was relatively small.

Thus, the older chart gives heavy weight to a decline in heart-disease deaths among 40-to-60 year-olds. But it gives very little weight to increases in the death rates among the older groups where most heart-disease deaths are occurring, the researchers said.

Heart Disease at a Later Age

The researchers said that deaths from heart disease, instead of declining, are only being postponed to later ages. This postponement is the real result of the efforts by Americans to reduce their risk of heart disease with low-fat diets, quitting smoking, blood-pressure control and weight loss. Improved care of people who have heart attacks also has helped push deaths to a later age.

"The actual overall number of cardiovascular deaths is 60% higher than it was 30 years ago, despite a 60% decline in the age-adjusted death rate," added Australian cardiologist David Kelly of the University of Sydney. Today, "80% of coronary deaths are in the over-65 group," Dr. Kelly said.

Dr. Kelly said that when the "baby-boom" population begins to move into the over-65 age group, in about 2010, "they'll have a high incidence of coronary heart disease and there's going to be a huge increase in the need for medical care."

Dr. Breslow said the strategy of pointing to successes against heart disease to coax more money for research, "although plausible as a strategy, ... has backfired." The proportion of funds from of the National Institutes of Health going to heart and vascular disease has dropped by 5% to $669 million since 1985.

Copyright © 1997 Dow Jones & Company, Inc. All Rights Reserved.

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