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Preventing Secondhand Smoke Exposure

Secondhand smoke, also known as environmental tobacco smoke (ETS) is a mixture of chemicals produced from the burning of tobacco products.  Exposure to secondhand smoke is sometimes called involuntary or passive smoking. Those who are exposed to secondhand smoke can develop lung cancer and are at an increased risk of developing heart disease.1 The United States Environmental Protection Agency (EPA) has classified secondhand smoke as a class A carcinogen that is known to cause cancer2 and estimates that in the United States, secondhand smoke exposure causes approximately 3,400 lung cancer deaths and 22,700-69,600 heart disease deaths annually among nonsmokers.3 In addition, secondhand smoke exposure is responsible for 150,000-300,000 new cases of bronchitis and pneumonia in children aged less than 18 months.4

According to United States Surgeon General, The good news is that secondhand smoke exposure is preventable. "A proven method exists for protecting nonsmokers from the health risks associated with secondhand smoke exposure: avoiding places where secondhand smoke is present. An important new conclusion of this Report is that smoke-free environments are the ONLY approach that effectively protects nonsmokers from the dangers of secondhand smoke. The 1986 Surgeon General's Report concluded that the simple separation of smokers and nonsmokers within the same air space may reduce, but does not eliminate, secondhand smoke exposure among nonsmokers. The current Report expands on that finding by concluding that even sophisticated ventilation approaches cannot completely remove secondhand smoke from an indoor space. Because there is no risk-free level of secondhand smoke exposure, anything less cannot ensure that nonsmokers are fully protected from the dangers of exposure to secondhand smoke" 5


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Sources:
1- U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006.
2- Report on carcinogens, Tenth Edition; U.S. Department of Health and Human Services, Public health Service, National Toxicology Program, December 2002.
3- California Environmental Protection Agency. Proposed Identification of Environmental Tobacco Smoke as a Toxic Air Contaminant. Final report, September 29, 2005, approved by Scientific Review Panel on June 24, 2005.
4- United States Environmental Protection Agency. Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders.Office of Research and Development, EPA/600/6-90/006F, Washington, D.C., December 1992.
5- Vice Admiral Richard H. Carmona, M.D., M.P.H, FACS. Remarks at press conference to launch Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. June 27, 2006.