Environmental
Tobacco Smoke: Why it's Important to You
There
is a cause and effect relationship between tobacco exposure
and human cancer incidence, according to the National Institutes
of Health's National Toxicology Program's 9th issue of the Report
on Carcinogens.
Environmental Tobacco Smoke, also known as secondhand smoke, is
classified as a Group A carcinogen (known to cause cancer in humans)
under the EPA's carcinogen assessment guidelines.
Exposure
to Environmental Tobacco Smoke causes lung cancer and has been
linked to an increased risk for heart disease in nonsmokers.
Environmental Tobacco Smoke causes about 3,000 lung cancer deaths
annually among adult nonsmokers. Scientific studies have also
estimated that Environmental Tobacco Smoke accounts for as many
as 35,000 deaths from ischemic heart disease annually in the United
States. More research is needed to know exactly how recent changes
in Environmental Tobacco Smoke exposure may affect lung cancer
rates among adult nonsmokers.
Environmental
Tobacco Smoke causes serious respiratory problems in children,
such as greater number and severity of asthma attacks and lower
respiratory tract infections. Environmental Tobacco Smoke exposure
increases the risk for sudden infant death syndrome (SIDS) and
middle ear infections for children.
Cotinine
is a major metabolite of nicotine. Exposure to nicotine can be
measured by analyzing the cotinine levels in the blood, saliva,
or urine. Since nicotine is highly specific for tobacco smoke,
serum cotinine levels track exposure to tobacco smoke and its
toxic constituents.
In
1991, data showed that nearly 90 percent of the U.S. population
had measurable levels of serum cotinine in their blood. The Centers
for Disease Control and Prevention's National Report on Human
Exposure to Environmental Chemicals found more than a 75 percent
decrease in median cotinine (metabolized nicotine) levels for
nonsmokers in the United States since 1991.
Children
and teenagers, 3-19 years old, had higher levels of cotinine than
did adults, 20 years old and above. Involuntary exposure to ETS
remains a common, serious public health hazard that is entirely
preventable by adopting and enforcing appropriate regulatory policies.
Smoke-free environments are the most effective method for reducing
Environmental Tobacco Smoke exposure. Healthy People 2010 objectives
address this issue and seek optimal protection of nonsmokers through
policies, regulations, and laws requiring smoke-free environments
in all schools, work sites, and public places.
Only California meets the nation's Healthy People 2010 objective
to eliminate exposure to Environmental Tobacco Smoke by either
banning indoor smoking or limiting it to separately ventilated
areas. Because of a comprehensive statewide tobacco control program,
virtually all indoor workplaces in California are now smoke free,
including restaurants, bars, and gaming clubs.
The dramatic declines in serum cotinine levels among nonsmokers
are a good indication that efforts to ensure clean indoor air
through smoking restrictions in workplaces, restaurants and other
public places are working. However, there are still too many people,
especially young people, who continue to be exposed to Environmental
Tobacco Smoke.
Second
hand smoke in your home
We
spend more time in our homes than anywhere else. So the thought
of cancer-causing chemicals circulating throughout our houses
and apartments can be quite unsettling. Yet, according to the
Environmental Protection Agency, that is exactly what happens
when someone lights a cigarette in your home.
Those
most affected by secondhand smoke are children. Because their
bodies are still developing, exposure to the poisons in secondhand
smoke puts children in danger of severe respiratory diseases and
can hinder the growth of their lungs. On top of that, the effects
can last a lifetime.
Ventilation
systems in homes cannot filter and circulate air well enough to
eliminate secondhand smoke. Blowing smoke away from children,
going into another room to smoke, or opening a window may help
reduce children's exposure but will not protect them from the
dangers of secondhand smoke.
Benefits
of a Smoke-Free Home
- The
greatest benefit, of course, is that you will remove all the
health risks associated with secondhand tobacco smoke.
- When
your home is smoke-free, it will smell much better.
- Your
food will taste better.
- You'll
spend less time, energy, and money cleaning your curtains,
walls, windows, and mirrors.
- Your
insurance rates may be lower-check with your insurance company.
Even
your pets will be happier. For example, secondhand smoke increases
the risk of lung cancer in dogs
How to Make (and Keep) Your Home Smoke-Free
- It may
feel awkward at first to tell people not to smoke in your
home-no one wants to make guests uncomfortable-but if you
simply explain the facts about secondhand smoke, they should
understand completely. Tell them that for the sake of your
family's health, you simply cannot allow smoking in your home.
Have gum or mints available as an alternative to lighting
up. If visitors absolutely must smoke, tell them they can
do so outside.
- If someone
in your household smokes, be sympathetic and understanding-but
encourage him or her to quit. Let that person know that cigarette
smoke affects everyone, not just the smoker. Let them know
you care and you want to help. Again, if someone absolutely
must smoke, ask that person to do so outside.
Don't Forget Schools and Day Care
- Make
sure your child's school and day care programs are smoke-free.
And insist that baby-sitters not smoke around your children.
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