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The Health Consequences of Involuntary <br />Exposure to Tobacco Smoke <br />6 Major Conclusions of the Surgeon General Report <br />Smoking is the single greatest avoidable cause of disease and death. In this report, The Health Consequences of <br />/nvo/untary Exposure to Tobacco Smoke: A Report of the Surgeon Genera/, the Surgeon General has concluded <br />that: <br />t. Many millions of Americans, both children and adults, are still exposed to secondhand <br />smoke in their homes and workplaces despite substantial progress in tobacco control. <br />Supporting Evidence <br />• Levels of a chemical called cotinine, a biomarker of secondhand smoke exposure, fell by 70 percent from <br />1988-91 to 2001-02. In national surveys, however, 43 percent of U.S. nonsmokers still have detectable levels <br />of cotinine. <br />• Almost 60 percent of U.S. children aged 3-11 years-or almost 22 million children-are exposed to <br />secondhand smoke. <br />• Approximately 30 percent of indoor workers in the United States are not covered by smoke-free workplace <br />policies. <br />2. Secondhand smoke exposure causes disease and premature death in children and adults <br />who do not smoke. <br />Supporting Evidence <br />• Secondhand smoke contains hundreds of chemicals known to be toxic or carcinogenic (cancer-causing), <br />including formaldehyde, benzene, vinyl chloride, arsenic, ammonia, and hydrogen cyanide. <br />• Secondhand smoke has been designated as a known human carcinogen (cancer-causing agent) by the EPA, <br />National Toxicology Program and the International Agency for Research on Cancer (IARC). The National <br />Institute for Occupational Safety and Health has concluded that secondhand smoke is an occupational <br />carcinogen. <br />3. Children exposed to secondhand smoke are at an increased risk for sudden infant death <br />syndrome (SIDS), acute respiratory infections, ear problems, and more severe asthma. <br />Smoking by parents causes respiratory symptoms and slows lung growth in their children. <br />Supporting Evidence <br />• Children who are exposed to secondhand smoke are inhaling many of the same cancer-causing substances <br />and poisons as smokers. Because their bodies are developing, infants and young children are especially <br />vulnerable to the poisons in secondhand smoke. <br />• Both babies whose mothers smoke while pregnant and babies who are exposed to secondhand smoke after <br />birth are more likely to die from sudden infant death syndrome (SIDS) than babies who are not exposed to <br />cigarette smoke. <br />• Babies whose mothers smoke while pregnant or who are exposed to secondhand smoke after birth have <br />weaker lungs than unexposed babies, which increases the risk for many health problems <br />• Among infants and children, secondhand smoke cause bronchitis and pneumonia, and increases the risk of <br />ear infections. <br />• Secondhand smoke exposure can cause children who already have asthma to experience more frequent <br />and severe attacks. <br />