Mental Health Book

Hallucinogen Use Disorders

Tobacco Use Disorders

http://www.fpnotebook.com/

Environmental Smoke ExposureAka: Passive Smoke Exposure, Secondhand Smoke

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  1. 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
  2. Pathophysiology
    1. Smoke exposure increases inflammatory markers
      1. Pantagiotakos (2004) Am J Med 116:145
  3. 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%)
  4. 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%)
  5. 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
  6. References
    1. (2003) MMWR Morb Mortal Wkly Rep 50(49):1101

Environmental Tobacco Smoke (C0813971)

Definition (NCI)Environmental tobacco smoke. Smoke that comes from the burning of a tobacco product and smoke that is exhaled by smokers (second-hand smoke). Inhaling ETS is called involuntary or passive smoking.
Definition (NCI)Smoke that is emitted from burning tobacco, including cigarette, pipe and cigar, and from tobacco smoke exhaled by smokers. Environmental tobacco smoke consists of a huge variety of chemicals that are produced during the burning of tobacco. Among them are known or suspected toxicants, carcinogens and respiratory irritants, including nicotine, ammonia, formaldehyde, sulfur dioxide, acrolein, hydrogen cyanide, phenol, nitrogen oxide, polycyclic aromatic hydrocarbons, N-Nitrosamines and radionuclides. Environmental tobacco smoke has numerous adverse health effects, is mutagenic and is a known human carcinogen that is associated with an increased risk of developing lung cancer. (NCI05)
ConceptsHazardous or Poisonous Substance (T131)
EnglishEnvironmental Tobacco Smoke, ETS, Second Hand Smoke, secondhand smoke
Parent ConceptsTobacco smoke (C0439994), Carcinogens, Environmental (C0007091)
SourcesAOD, CSP, MEDLINEPLUS, MTH, NCI
Derived from the NIH UMLS (Unified Medical Language System)



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