The health consequences of involuntary exposure to tobacco smoke : A report of the surgeon general.
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : U.S. Public Health Service. Department of Health and Human Services.
- ناشر : Rockville : U.S. Department of Health and Human Services
- چاپ و سال / کشور: 2006
- شابک / ISBN : 9780160761522
Description
ch. 1. Introduction, summary, and conclusions -- Introduction -- Definitions and terminology -- Evidence evaluation -- Major conclusions -- Chapter conclusions - Methodologic issues -- Tobacco industry activities -- References -- ch. 2. Toxicology of secondhand smoke -- Introduction -- Evidence of carcinogenic effects from secondhand smoke exposure -- Mechanisms of respiratory tract injury and disease caused by secondhand smoke exposure -- Mechanisms of secondhand smoke exposure and heart disease -- Evidence synthesis -- Conclusions -- Overall implications -- References -- ch. 3. Assessment of exposure to secondhand smoke -- Introduction -- Building designs and operations -- Atmospheric markers of secondhand smoke -- Exposure models -- Biomarkers of exposure to secondhand smoke -- Conclusions -- References -- ch. 4. Prevalence of exposure to secondhand smoke -- Introduction -- Methods -- Metrics of secondhand smoke exposure -- Estimates of exposure -- Conclusions -- Overall implications -- References -- ch. 5. Reproductive and developmental effects from exposure to secondhand smoke -- Introduction -- Conclusions of previous Surgeon General's Reports and other relevant reports -- Literature search methods -- Critical exposure periods for reproductive and developmental effects -- Fertility -- Pregnancy (Spontaneous abortion and perinatal death) -- Infant deaths -- Sudden infant death syndrome -- Preterm delivery -- Low birth weight -- Congenital malformations -- Cognitive, behavioral, and physical development -- Childhood cancer -- Conclusions -- Overall implications -- References -- ch. 6. Respiratory effects in children from exposure to secondhand smoke -- Introduction -- Mechanisms of health effects from secondhand tobacco smoke -- Methods used to review the evidence -- Lower respiratory illnesses in infancy and early childhood -- Middle ear disease and adenotonsillectomy -- Respiratory symptoms and prevalent asthma in school-age children -- Childhood asthma onset -- Atopy -- Lung growth and pulmonary function -- Conclusions -- Overall implications -- References -- ch. 7. Cancer among adults from exposure to secondhand smoke -- Introduction -- Lung cancer -- Other cancer sites -- Conclusions -- Overall implications-- Appendix 7.1. Details of recent lung cancer studies -- References -- ch. 8. Cardiovascular diseases from exposure to secondhand smoke -- Introduction -- Coronary heart disease -- Stroke -- Subclinical vascular disease -- Evidence synthesis -- Conclusions -- Overall implications -- References -- ch. 9. Respiratory effects in adults from exposure to secondhand smoke -- Introduction -- Biologic basis -- Odor and irritation -- Respiratory symptoms -- Lung function -- Respiratory diseases -- Conclusions -- Overall implications -- References -- ch. 10. Control of secondhand smoke exposure -- Introduction -- Historical perspective -- Attitudes and beliefs about secondhand smoke -- Policy approaches -- Technical approaches -- Conclusions -- Overall implications -- References -- A vision for the future -- Appendix -- List of abbreviations-- List of tables and figures -- Index.
This twenty-ninth report of the Surgeon General documents the serious and deadly health effects of involuntary exposure to tobacco smoke. Research reviewed in this report indicates that smoke-free policies are the most economic and effective approach for providing protection from exposure to secondhand smoke. But do they provide the greatest health impact. Separating smokers and nonsmokers in the same airspace is not effective, nor is air cleaning or a greater exchange of indoor with outdoor air. Additionally, having separately ventilated areas for smoking may not offer a satisfactory solution to reducing workplace exposures. Policies prohibiting smoking in the workplace have multiple benefits. Besides reducing exposure of nonsmokers to secondhand smoke, these policies reduce tobacco use by smokers and change public attitudes about tobacco use from acceptable to unacceptable. Research indicates that the progressive restriction of smoking in the United States to protect nonsmokers has had the additional health impact of reducing active smoking.