Environmental Smoke Exposure

Aka: Environmental Smoke Exposure, Passive Smoke Exposure, Secondhand Smoke

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II. Epidemiology: Smoke exposure related U.S. Deaths/Year

  1. Lung Cancer 3,000 deaths/year
  2. Ischemic Heart Disease 62,000 deaths/year
  3. Pulmonary disease 300,000 cases and 212 deaths/year
  4. SIDS (Crib Death): 2700 deaths/year
  5. Pediatric Meningococcus infection (maternal smoking)
    1. Fischer (1997) Pediatr Infect Dis J 16:979-83 [PubMed]

III. Pathophysiology

  1. Smoke exposure increases inflammatory markers
    1. Pantagiotakos (2004) Am J Med 116:145-50 [PubMed]

IV. U.S. States with highest rates of Tobacco Abuse

  1. Kentucky (31%)
  2. Nevada (29%)
  3. Missouri (27%)
  4. Indiana (27%)
  5. Ohio (26%)
  6. West Virginia (26%)
  7. North Carolina (26%)
  8. Tennessee (26%)
  9. New Hampshire (25%)
  10. Alabama (25%)
  11. Arkansas (25%)
  12. Alaska (25%)

V. U.S. States with lowest rates of smoking

  1. Utah (13%)
  2. Puerto Rico (13%)
  3. California (17%)
  4. Arizona (19%)
  5. Montana (19%)
  6. Hawaii (20%)
  7. Minnesota (20%)
  8. Connecticut (20%)
  9. Massachusetts (20%)
  10. Colorado (20%)
  11. Maryland (20%)
  12. Washington (21%)

VI. Prevention of second hand smoke

  1. Limit smoking in public places
  2. Strong support for smoking bans
    1. Both smokers and nonsmokers agree with bans
    2. Locations achieving strong supported for bans
      1. Schools and day care centers (universal support)
      2. Indoor work areas
      3. Restaurants

VII. References

  1. (2003) MMWR Morb Mortal Wkly Rep 50(49): 1101-6 [PubMed]

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