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January 2003

A Second Opinion on Second-Hand Smoke

By Julie Blackwood

True or False? Non-smokers don’t have to worry about getting lung cancer from cigarettes.
False: An estimated 60,000 people in the United States die each year because of their exposure to second-hand smoke. Of these, 3,000 deaths are from lung cancer.

Some people may think that “ignorance is bliss,” but this is one case where what you don’t know could kill you. Although the health risks of smoking have been documented for more than four decades, it has only been in the past 15-20 years that the role of second-hand smoke in lung cancer and other diseases has been studied. There are more than 4,000 chemicals in second-hand smoke. Of these, more than 50 compounds have been identified as being carcinogenic. Six others have been identified as developmental or reproductive toxicants.

In 1986, independent reports from the International Agency for Research on Cancer, the National Research Council Committee on Passive Smoking, and the US Department of Health and Human Services pinpointed second-hand smoke as a cause of lung cancer. The US Environmental Protection Agency in 1992 classified second-hand smoke as a group A (known human) cancer-causing agent.

Health risks of second-hand smoke for women can be severe. According to the American Cancer Society: “Overall, nonsmoking wives of husbands who smoke have a 20% increased risk of lung cancer compared with women whose husbands don’t smoke. Nonsmokers married to heavy smokers (40+ cigarettes per day) were found to have twice the risk of lung cancer compared with those married to nonsmokers. Nonsmokers married to smokers had about 20% higher coronary heart disease mortality over nonsmoking couples.

Other research has shown that a woman who has never smoked has an estimated 24% greater risk of lung cancer if she lives with a smoker. The risk of lung cancer for a non-smoker increases as the years of exposure to the smoker and the amount that person smokes increase.

Second-hand smoke in the workplace is a greater health risk to non-smokers than smoke in the home, because there’s a greater level of consistent exposure and the amount of smoke is greater because there are more smokers. One study on lung cancer in non-smoking females determined the risk of lung cancer was 1.67 times greater for women exposed to smoke at home, but almost three times as great for those exposed at work.

In West Virginia, “diseases of the heart” leads the causes of death. Heart disease kills more women than does any type of cancer. Second-hand smoke contributes to heart disease, and can worsen an existing heart condition. Research has shown people who never smoked increase their risk of heart disease by an estimated 30% if they live with a smoker. Exposure to second-hand smoke has also been found harmful to children and unborn babies. In 1997, the California Environmental Protection Agency linked second-hand smoke to cases of low birth-weight infants and cited it as a cause of Sudden Infant Death Syndrome (SIDS).

Second-hand smoke exposure places children at greater risk for ear infections, bronchitis, pneumonia, colds and chronic coughs, reduced lung function, and asthma. The number, severity and duration of asthma episodes increase with prolonged exposure to second-hand smoke

True or False? Exposure to second-hand smoke is inevitable; there is nothing one can do about it.

False: While it may not be possible to entirely eliminate second-hand smoke exposure, there are steps that can minimize the risk. Make home a smoke-free zone and ask smokers to light up outside. Don’t allow smoking in your vehicle. The small, enclosed space, even with an open window,, greatly increases the level of exposure to cancer-causing chemicals.

Help everyone reduce the damage from second hand smoke. Support clean indoor air regulations that restrict smoking in work and public places.

Julie Blackwood, MA is the Tobacco Cessation Program Coordinator, CAMC Institute For the CAMC Health Information Center. For more information, call
1-888-HEALTHY.

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