Boxing Medical Concerns Knocking a person unconscious or even causing concussion may cause permanent brain damage. There is no clear division between the force required to knock a person out and the force likely to kill a person. Since 1980, more than 200 amateur boxers, professional boxers and Toughman fighters have died due to ring or training injuries. In 1983, the Journal of the American Medical Association called for a ban on boxing. The editor, Dr. George Lundberg, called boxing an "obscenity" that "should not be sanctioned by any civilized society." Since then, the British, Canadian and Australian Medical Associations also have called for bans on boxing. Supporters of the ban state that boxing is the only sport where hurting the other athlete is the goal. Dr. Bill O'Neill, boxing spokesman for the British Medical Association, has supported the BMA's proposed ban on boxing: "It is the only sport where the intention is to inflict serious injury on your opponent, and we feel that we must have a total ban on boxing." Opponents respond that such a position is misguided opinion, stating that amateur boxing is scored solely according to total connecting blows with no award for "injury". They observe that many skilled professional boxers have had rewarding careers without inflicting injury on opponents by accumulating scoring blows and avoiding punches winning rounds scored 10-9 by the 10-point must system, and they note that there are many other sports where concussions are much more prevalent. In 2007, one study of amateur boxers showed that protective headgear did not prevent brain damage, and another found that amateur boxers faced a high risk of brain damage. The Gothenburg study analyzed temporary levels of neurofiliment light in cerebral spinal fluid which they conclude is evidence of damage, even though the levels soon subside. More comprehensive studies of neurologiocal function on larger samples performed by Johns Hopkins University and accident rates analyzed by National Safety Council show amateur boxing is a comparatively safe sport. In 1997, the American Association of Professional Ringside Physicians was established to create medical protocols through research and education to prevent injuries in boxing. Professional boxing is forbidden in Iceland, Iran and North Korea. It was banned in Sweden until 2007 when the ban was lifted but strict restrictions, including four three-minute rounds for fights, were imposed. It was banned in Albania from 1965 till the fall of Communism in 1991; it is now legal there. Norway legalized professional boxing in December 2014.