| Surgeon
General's new report:
No safe level of secondhand smoke
"The
science is clear: Secondhand smoke is not a mere annoyance but a
serious health hazard," said Richard Carmona.
Parts
excerpted from article by SHEARON ROBERTS,
WASHINGTON (AP) --
Steer
clear of smokers and any of their drifting fumes. That's the advice
of the surgeon general, who on Tuesday declared the debate about
the dangers of secondhand smoke over.
- There is no safe level of secondhand
smoke -- even a few minutes inhaling someone else's smoke harms
nonsmokers, he found. And separate smoking sections, even the
best ventilated ones, don't protect enough. Carmona called for
completely smoke-free buildings and public places to lessen
what he termed "involuntary smoking."
- More than 126 million nonsmoking
Americans are regularly exposed to someone else's tobacco smoke,
and tens of thousands die each year as a result, concludes the
670-page study. It cites "overwhelming scientific evidence"
that secondhand smoke causes heart disease, lung cancer and
a list of other illnesses.
The report is sure
to fuel efforts by states and cities to ban smoking in workplaces
and other public spaces. Seventeen states and more than 400 towns,
cities and counties have passed strong no-smoking laws.
But public smoking
bans don't reach inside private homes, where just over one in five
children breathes their parents' smoke -- and youngsters' still
developing bodies are especially vulnerable. Secondhand smoke puts
children at risk of sudden infant death syndrome, or SIDS, as well
as bronchitis, pneumonia, worsening asthma attacks, poor lung growth
and ear infections, the report found.
Carmona implored
parents who can't kick the habit to smoke outdoors, never in a house
or a car with a child. Opening a window to let the smoke out won't
protect them. Read
"Stay away from
smokers," he urged everyone else.
Repeatedly questioned
about how the Bush administration would implement his findings,
Carmona would pledge only to publicize the report in hopes of encouraging
anti-smoking advocacy. Passing anti-smoking laws is up to Congress
and state and local governments, he said.
"My job is to
make sure we keep a light on this thing," he said.
Still, public
health advocates said the report should accelerate an already growing
movement toward more smoke-free workplaces.
"This could
be the most influential surgeon general's report in 15 years,"
said Matthew Myers of the Campaign for Tobacco-Free Kids. "The
message to governments is: The only way to protect your citizens
is comprehensive smoke-free laws."
The report won't
surprise doctors. It isn't a new study but a compilation of the
best research on secondhand smoke done since the last surgeon general's
report on the topic in 1986, which declared secondhand smoke a cause
of lung cancer that kills 3,000 nonsmokers a year.
Since then, scientists
have proved that even more illnesses are triggered or worsened by
secondhand smoke. Topping that list: More than 35,000 nonsmokers
a year die from heart disease caused by secondhand smoke.
Regular exposure
to someone else's smoke increases by up to 30 percent the risk of
a nonsmoker getting heart disease or lung cancer, Carmona found.
Some tobacco companies
acknowledge the risks. But R.J. Reynolds Tobacco Co., which has
fought some of the smoking bans, challenges the new report's call
for complete smoke-free zones and insists the danger is overblown.
"Bottom line,
we believe adults should be able to patronize establishments that
permit smoking if they choose to do so," said RJR spokesman
David Howard.
And a key argument
of some business owners' legal challenges to smoking bans is that
smoking customers will go elsewhere, cutting their profits.
But the surgeon general's
report concludes that's not the case. It cites a list of studies
that found no negative economic impact from city and state smoking
bans -- including evidence that New York City restaurants and bars
increased business by almost 9 percent after going smoke-free.
To help make the
point, Carmona's office videotaped mayors of smoke-free cities and
executives of smoke-free companies, including the founder of the
Applebee's restaurant chain, saying that business got better when
the haze cleared.
In addition to the
scientific report, Carmona issued advice for consumers and employers
Tuesday:
- Choose smoke-free restaurants
and other businesses, and thank them for going smoke-free.
- Don't let anyone smoke near
your child. Don't take your child to restaurants or other indoor
places that allow smoking.
- Smokers should never smoke around
a sick relative.
- Employers should make all indoor
workspace smoke-free and not allow smoking near entrances, to
protect the health of both customers and workers, and offer
programs to help employees kick the habit.
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