Going smoke-free : the medical case for clean air in the by Royal College of Physicians of London. Tobacco Advisory

By Royal College of Physicians of London. Tobacco Advisory Group

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Stat Methods Med Res 1998;7(2):119–36. Enstrom JE, Kabat GC. Environmental tobacco smoke and tobacco related mortality in a prospective study of Californians, 1960–98. BMJ 2003;326:1057–60. Letters in response to Enstrom & Kabat. BMJ 2003;327:501–505. Department of Health. Notes from the UK Committee on Carcinogens, June 2003. htm Hackshaw AK; International Agency for Research on Cancer. Paper does not diminish conclusion of previous reports. BMJ 2003;327:501–2. Involuntary smoking and cancer among adults.

Lyon, France: WHO/IARC, 2004. Benowitz N. Biomarkers of environmental tobacco smoke exposure. Environ Health Perspect 1999;107(suppl 2):349–355. Jarvis M, Tunstall-Pedoe H, Feyerabend C, Vesey C, Salloojee Y. Biochemical markers of smoke absorption and self reported exposure to passive smoking. J Epidemiol and Comm Health 1984;38:335–339. Matsukura S, Tomohiko T, Kitano N, Seino Y et al. Effects of environmental tobacco smoke on urinary cotinine excretion in non-smokers. New Eng J Med 1984;311:828–832.

1. Summary of meta-analyses of the relative risk of lung cancer in neversmokers according to specified sources of ETS exposure. ) Source No. of studies (No. 70) Childhood Mother Father Either parent Either parent Either parent As expected, the magnitude of this effect is small in relation to that of active smoking, but this is consistent with the evidence on the relation between exposure and risk in active smokers. 13 Given that the increase in relative risk in active smokers is about 15–20 fold,4,5 and since passive smokers, on average, sustain 16 Going smoke-free tobacco smoke exposure equivalent to about 1% of that of a typical smoker (see Chapter 1), the expected increase in risk in passive smokers based on a linear interpolation would be about 14–19%.

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