摘要:Ferketich et al. studied demographic factors associated with the passage of clean indoor air ordinances in Appalachian communities. 1 Based on reported lack of progress at the local level despite strong public support for clean indoor air laws, they recommended that efforts be focused on the state level instead. This conclusion goes beyond the data that they present and does not consider the power of the tobacco industry in state-level politics. 2 – 6 Additionally, recent experience in South Carolina, 7 a state Ferketich et al. included in their research, shows that strong progress on local clean indoor air ordinances is possible even in an Appalachian, tobacco-growing state.