| Secondhand
Smoke Effects Pervasive
The
Most Detailed Statement by Surgeon General Since 1986
U.S.
Surgeon General Richard H. Carmona today issued a comprehensive
scientific report which concludes that there is no risk-free level
of exposure to secondhand smoke.
By Marc Kaufman, Washington
Post Staff Writer
Secondhand smoke
increases the risk of heart disease and lung cancer by about 25
percent in non-smokers and can be especially dangerous for children
living with smokers, according to a comprehensive report issued
today by U.S. Surgeon General Richard H. Carmona.
"The health
effects of secondhand smoke exposure are more pervasive than we
previously thought," said Carmona, vice admiral of the U.S.
Public Health Service. "The scientific evidence is now indisputable:
secondhand smoke is not a mere annoyance. It is a serious health
hazard that can lead to disease and premature death in children
and nonsmoking adults."
According to the
report, the government's most detailed statement ever on secondhand
smoke, exposure can cause heart disease and lung cancer in nonsmoking
adults and is a known cause of sudden infant death syndrome (SIDS),
respiratory problems, ear infections and asthma attacks in infants
and children.
The report found
that nearly half of all nonsmoking Americans are still regularly
exposed to smoke from others. It concludes that any exposure to
secondhand smoke is a risk to nonsmokers, and as a result the only
way to protect nonsmokers is to eliminate indoor smoking.
The last time that
the surgeon general addressed secondhand smoke was in 1986. The
Environmental Protection Agency and the California EPA have both
addressed the issue since then -- concluding that nonsmokers were
at risk for secondhand smoke -- but the surgeon general has generally
be considered the most authoritative source on science and tobacco
issues.
The report, The Health
Consequences of Involuntary Exposure to Tobacco Smoke, concludes
that even short exposure to secondhand smoke can lead to immediate
cardiovascular problems, and long-term heath problems and lung disease.
"The report
is a crucial warning sign to nonsmokers and smokers alike,"
said Health and Human Services Secretary Michael Leavitt. "Smoking
can sicken and kill, and even people who do not smoke can be harmed
by smoke from those who do."
There are more than
50 cancer-causing chemicals in secondhand smoke, and smokers and
nonsmokers in rooms with smokers inhale many of the same toxins.
Because the bodies of infants and children are still developing,
the report says, they are at special risk for secondhand smoke.
The report finds
that even the most sophisticated ventilation systems cannot eliminate
secondhand smoke and that only smoke-free environments are risk-free,
and Carmona endorsed smoke-free indoor buildings as the solution.
He called the adoption
of smoke-free buildings in many cities and states a major public
health accomplishment that has had enormous positive effects. He
said that levels of cotinine, a biological marker for secondhand
smoke exposure, have fallen by 70 percent in nonsmokers since the
late 1980s.
The report does not
present new scientific data, but rather is a compilation of the
best research on secondhand smoke.
"This report
once and for all ends any scientific debate about whether exposure
to secondhand smoke is a cause of serious diseases like lung cancer
and heart disease," Matthew Myers of the Campaign for Tobacco-Free
Kids, said in a statement.
The report, he said,
"leads to one inescapable conclusion: Only comprehensive smoke-free
workplace laws can protect all workers and the public from the serious,
proven health risks of secondhand smoke. The report's conclusions
make the need for strong and immediate action clear: It's time to
protect everyone's right to breathe clean air."
The tobacco industry
has tried to minimize the scientific findings on environmental tobacco
smoke, the report said.
"The industry
has funded or carried out research that has been judged to be biased,
supported scientists to generate letters to editors that criticized
research publications, attempted to undermine the findings of key
studies, assisted in establishing a scientific society with a journal,
and attempted to sustain controversy even as the scientific community
reached consensus," the report said.
Copies of The Health
Consequences of Involuntary Exposure to Tobacco Smoke: A Report
are available on the Surgeon General's Web site at www.surgeongeneral.gov.
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