Abstract

A history of second hand smoke exposure: are we asking the right questions?

Highlights

  • The 2006 Surgeon General’s Report, “Health Consequences of Involuntary Exposure to Tobacco Smoke” (Surgeon General, 2006) documents the health implications of exposure to second hand smoke (SHS), including firm evidence that SHS contributes to coronary and lung disease, lung cancer, premature death in adults, slow lung development, SIDS, asthma, and ear infections in children, as well as suggestive evidence that implicate SHS in COPD, asthma, breast cancer, and nasal sinus cancer in adults, and leukemia, lymphoma, and brain tumors in children

  • An example of a medical history of SHS exposure on health status can be seen in the development of lung disease in flight attendants, a group who historically worked in SHS filled aircraft

  • The American Academy of Pediatrics (AAP) has pioneered efforts to encourage physicians to ask the right questions regarding the exposure of children to SHS

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Summary

Introduction

The 2006 Surgeon General’s Report, “Health Consequences of Involuntary Exposure to Tobacco Smoke” (Surgeon General, 2006) documents the health implications of exposure to SHS, including firm evidence that SHS contributes to coronary and lung disease, lung cancer, premature death in adults, slow lung development, SIDS, asthma, and ear infections in children, as well as suggestive evidence that implicate SHS in COPD, asthma, breast cancer, and nasal sinus cancer in adults, and leukemia, lymphoma, and brain tumors in children. Despite evidence that SHS is a risk factor for disease, most healthcare organizations and many physicians fail to ask patients about their history of SHS exposure. An example of a medical history of SHS exposure on health status can be seen in the development of lung disease in flight attendants, a group who historically worked in SHS filled aircraft.

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