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Health Effects of Exposure to Environmental Tobacco Smoke - Smoking and Tobacco Control Monograph No. 10 (Paperback)
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Health Effects of Exposure to Environmental Tobacco Smoke - Smoking and Tobacco Control Monograph No. 10 (Paperback)
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Exposure to environmental tobacco smoke (ETS) has been linked to a
variety of adverse health outcomes. Many Californians are exposed
at home, at work, and in public places. In the comprehensive
reviews published as Reports of the Surgeon General and by the U.S.
Environmental Protection Agency (U.S. EPA) and the National
Research Council (NRC), ETS exposure has been found to be causally
associated with respiratory illnesses-including lung cancer,
childhood asthma, and lower respiratory tract infections.
Scientific knowledge about ETS-related effects has expanded
considerably since the release of the above-mentioned reviews. The
state of California has therefore undertaken a broad review of ETS
covering the major health endpoints potentially associated with ETS
exposure: perinatal and postnatal manifestations of developmental
toxicity, adverse impacts on male and female reproduction,
respiratory disease, cancer, and cardiovascular disease. A "weight
of evidence" approach has been used, in which the body of evidence
is examined to determine whether or not it can be concluded that
ETS exposure is causally associated with a particular effect.
Because the epidemiological data are extensive, they serve as the
primary basis for assessment of ETS-related effects in humans. The
report also presents an overview on measurements of ETS exposure
(particularly as they relate to characterizations of exposure in
epidemiological investigations) and on the prevalence of ETS
exposure in California and nationally. ETS, or "secondhand smoke,"
is the complex mixture formed from the escaping smoke of a burning
tobacco product and smoke exhaled by the smoker. The
characteristics of ETS change as it ages and combines with other
constituents in the ambient air. Exposure to ETS is also frequently
referred to as "passive smoking," or "involuntary tobacco smoke"
exposure. Although all exposures of the fetus are "passive" and
"involuntary," for the purposes of this review, in utero exposure
resulting from maternal smoking during pregnancy is not considered
to be ETS exposure.
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