Smoking and SHS is higher in bars and pubs in cities where the city-hall does not enforce the law by sending inspectors to inspect bars and pubs and give fines. Bar owners respond directly to the chances of receiving a fine. Conclusions: Although Israeli non-smoking legislation is progressive, enforcement is lacking, and smoking in public places still exists. Law enforcement is the responsibility of the local authorities, however, not enough has been done to enforce the law and city-halls should be encouraged to enforce the law more successfully as this has a profound effect on SHS in the pubs. Background: Stress is a consequence of different types of stressors that all separately are associated with IHD. It has not been investigated whether the impact of stress on IHD is similar for all kinds of stressors or whether accumulation of stressors increases the risk of IHD/MI.