Second Hand Smoke

November 21st, 2008
  • Please link to hard scientific evidence that second hand smoke is bad for you.


  • Hello alexan07 These are all references to articles in the medical journal literature as found on the Medline database at the National Library of Medicine http://www.nlm.nih.gov The URLs are to the summaries of the articles, from which extracts are quoted. There are thousands of papers on the subject, so this is just to give you some idea of the types of studies conducted and the types of diseases investigated. If I have not covered a specific condition in which you are interested, please request further clarification of my answer. 1. New Zealand Medical Journal 2002 Nov 8;115(1165):U240 Still dying from second-hand smoke at work: a brief review of the evidence for smoke-free workplaces in New Zealand. Wilson N, Thomson G. “… The New Zealand evidence suggests that over 30% of workers continue to be exposed to SHS in workplace settings. The best available estimate is that SHS exposure in these settings causes around 100 avoidable deaths per year from lung cancer, coronary heart disease and stroke collectively. National survey data and studies in hospitality industry settings (measuring nicotine in hair and cotinine in saliva), strongly indicate that smoke-free workplaces result in reduced exposure to SHS.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12552286&dopt=Abstract 2. Rev Saude Publica 2000 Feb;34(1):39-43 [Effects of environmental tobacco smoke on lower respiratory system of children under 5 years of age] [Article in Portuguese] Pereira ED, Torres L, Macedo J, Medeiros MM. “…A cross sectional study of a total of 1,104 children under 5 years old…. Among 611 children exposed to second-hand smoke, 82% had respiratory problems… Children whose parents were smokers at the time of the survey were more likely to experience wheezing than children of nonsmoking parents… shortness of breath… morning and day time or night coughs… The odds ratio for asthma, bronchitis and pneumonia was greater for children exposed to second-hand smoke” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10769359&dopt=Abstract 3. Journal of the American College of Cardiology 1997 Dec;30(7):1878-85 Effects of second-hand smoke and gender on infarct size of young rats exposed in utero and in the neonatal to adolescent period. Zhu BQ, Sun YP, Sudhir K, Sievers RE, Browne AE, Gao L, Hutchison SJ, Chou TM, Deedwania PC, Chatterjee K, Glantz SA, Parmley WW. “We sought to assess the effects of second-hand smoke (SHS) and gender on infarct size in young rats exposed in utero or in the neonatal to adolescent period, or both…. Exposure to SHS in the neonatal to adolescent period and male gender increased myocardial infarct size in a young rat model of ischemia and reperfusion. These results are consistent with epidemiologic studies demonstrating that SHS increases the health risk to neonates and adolescents.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9385922&dopt=Abstract 4. Circulation 1994 Sep;90(3):1363-7 Inhalation of steady-state sidestream smoke from one cigarette promotes arteriosclerotic plaque development. Penn A, Chen LC, Snyder CA. Nelson Institute of Environmental Medicine, New York University Medical Center, Tuxedo 10987. “A number of epidemiologic studies have suggested that every year environmental tobacco smoke (second-hand smoke) is responsible for tens of thousands of deaths, mostly from heart disease, in the United States. Environmental tobacco smoke is composed mainly (80% to 85%) of aged and diluted sidestream smoke… Among the thousands of compounds that have been identified in environmental tobacco smoke are a number of carcinogens, including polynuclear aromatic hydrocarbon carcinogens, such as benzo(a)pyrene…. Thirty cockerels were exposed to the steady-state sidestream smoke from 1 cigarette for 6 hours per day for 16 weeks… there was a statistically significant increase in plaque size in the smoke-exposed cockerels… levels of carbon monoxide … measured independently over 1 to 3 hours in four bars where there was heavy smoking…. were as high or higher … than they were in the exposure chambers during the 1-cigarette sidestream-smoke study. CONCLUSIONS: Experimental exposure to secondhand smoke at levels equal to or even below those routinely encountered by people in smoke-filled environments is sufficient to promote arteriosclerotic plaque development.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8087947&dopt=Abstract 5. American Journal of Medicine 1992 Jul 15;93(1A):38S-42S Passive smoking: the medical and economic issues. Lesmes GR, Donofrio KH. Since the late 1970s, the dangers associated with passive (involuntary) smoking have been widely debated… Those debates have culminated in a report sponsored by the Environmental Protection Agency and other federal agencies. The report concludes that second-hand cigarette smoke kills 53,000 nonsmokers a year and is a major cause of indoor air pollution.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1497002&dopt=Abstract 6. Chest 1991 Jul;100(1):39-43 Respiratory illness in nonsmokers chronically exposed to tobacco smoke in the work place. White JR, Froeb HF, Kulik JA. “Passive smokers … reported significantly more cough, greater phlegm production, more shortness of breath, greater eye irritation, more chest colds and more days lost from work due to chest colds than control subjects. Nonsmoking workers and their employers are likely to incur significant financial loss because of missed workdays due to illnesses resulting from exposure to second-hand tobacco smoke.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2060388&dopt=Abstract 7. Postgrad Med 1981 Jul;70(1):77-9 Secondhand cigarette smoke as a cause of chronic carbon monoxide poisoning. Kachulis CJ. “Symptoms of carbon monoxide poisoning in a nonsmoking patient continued for several years until her husband stopped smoking cigarettes near her.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7243702&dopt=Abstract 8. Cardiovascular Nursing 2003 Jan-Mar;18(1):69-74 Passive smoking and vascular disease. Ahijevych K, Wewers ME. “Passive smoking, or environmental tobacco smoke, is a causative factor in cardiovascular disease. A 30-minute passive smoking exposure was found to affect coronary flow velocity reserve in nonsmokers, indicating endothelial dysfunction in coronary circulation... Clinically relevant findings include a dose-response relationship between passive smoking exposure and heart disease and partial reversibility of physical effects after eliminating passive smoking exposure.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12537093&dopt=Abstract 9. American Journal of Epidemiol 2002 Aug 1;156(3):268-73 Environmental tobacco smoke and risk of malignant lymphoma in pet cats. Bertone ER, Snyder LA, Moore AS. “… To evaluate whether exposure to household environmental tobacco smoke (ETS) may increase the risk of feline malignant lymphoma, the authors conducted a case-control study of this relation in 80 cats with malignant lymphoma and 114 controls with renal disease… After adjustment for age and other factors, the relative risk of malignant lymphoma for cats with any household ETS exposure was 2.4… Risk increased with both duration and quantity of exposure, with evidence of a linear trend. Cats with 5 or more years of ETS exposure had a relative risk of 3.2 … compared with those in nonsmoking households. These findings suggest that passive smoking may increase the risk of malignant lymphoma in cats and that further study of this relation in humans is warranted.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12142262&dopt=Abstract 10. Neoplasma 2002;49(2):75-80 A case-control study of lung cancer in Polish women. Rachtan J. “A total of 242 women with histologically confirmed primary lung cancer and 352 healthy controls were involved in the study…. Passive smoking exposure during childhood significantly increased the risk [of lung cancer]” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12088109&dopt=Abstract 11. European Journal of Cancer Prevention 2002 Feb;11(1):27-38 Active and passive smoking and the risk of stomach cancer, by subsite, in Canada. Mao Y, Hu J, Semenciw R, White K; Canadian Cancer Registries Epidemiology Research Group. “Mailed questionnaires were used to obtain information on 1171 newly diagnosed histologically confirmed stomach cancer cases and 2207 population controls… findings suggest that active and passive smoking may play an important role in the development of cardial stomach cancer.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11917206&dopt=Abstract 12. International Journal of Cancer 2001 Sep15;93(6):902-6 Lifetime residential and workplace exposure to environmental tobacco smoke and lung cancer in never-smoking women, Canada 1994-97. Johnson KC, Hu J, Mao Y; The Canadian Cancer Registries Epidemiology Research Group. “Although the risk of lung cancer among never-smokers living with a spouse who smokes has been extensively studied, the impact of lifetime residential and workplace environmental tobacco smoke has received less attention. As part of a large population-based case-control study of lung cancer, we collected lifetime residential and occupational passive smoking information from 71 women with lung cancer and 761 healthy control subjects, all of whom reported being lifetime nonsmokers…. Our results are consistent with the literature suggesting that long-term, regular exposure to either residential or occupational environmental tobacco smoke is associated with increased lung cancer risk in never-smoking women.” http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11519055&dopt=Abstract Search strategy: 1. second hand smoke 2. passive smoking


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