GRASSROOTS
NEWSLETTER
May-June
2006
Volume 4 Number 6
Dear Members and Friends of TFMC,
CELEBRATE!
TFMC staff is
training to help local businesses comply with Act 8 and we’d love to discuss
your workplace smoke free policy implementation planning; contact us at (870)
427-2620 or e-mail tfmc@marioncounty.com
. Also the Arkansas Division of Health
has an information phone (800) 235-0002 operating and a website www.ARCleanAir.com .
The 2nd
law (Act 13) protects children under 6 years of age
and 60 pounds by prohibiting smoking in vehicles when they are present and
strapped into their safety seats.
Health
Effects of Secondhand Smoke on Children
Children are
significantly affected by secondhand smoke. Children's bodies are still
developing, and exposure to the poisons in secondhand smoke puts them at risk
of severe respiratory diseases and can hinder the growth of their lungs.
Secondhand smoke is a known cause of low birth weight, Sudden Infant Death
Syndrome (SIDS), asthma, bronchitis, pneumonia, middle ear infection, and other
diseases. The health effects of secondhand smoke exposure from conception
through childhood can last a lifetime.
Low Birth Weight Secondhand
smoke is a known preventable cause of low birth weight, which contributes to
infant mortality and health complications into adulthood. Secondhand smoke
exposure reduces the birth weight of infants of nonsmoking mothers and
contributes to additional reductions in birth weight among babies of smoking
mothers.1
Sudden Infant Death Syndrome (SIDS)
Maternal smoking is the strongest
risk factor leading to SIDS.2
Secondhand smoke
is a risk factor contributing to SIDS. Infants who die from SIDS tend to have
higher concentrations of nicotine in their lungs than do control children,
regardless of whether smoking is reported.3
Cognitive Impairments Secondhand smoke exposure impairs a child's ability
to learn. It is neurotoxic even at extremely low
levels. More than 21.9 million children are estimated to be at risk of reading
deficits because of secondhand smoke. Higher levels of exposure to secondhand
smoke are also associated with greater deficits in math and visuospatial
reasoning.4
Maternal prenatal
smoking contributes to the development of antisocial behavior and
attention-deficit hyperactive disorder symptoms in the mother's offspring.5
Respiratory Problems The U.S. Environmental Protection Agency (EPA) has
reported that secondhand smoke exposure increases the risk of lower respiratory
tract infections such as bronchitis and pneumonia. The EPA estimates that
between 150,000 and 300,000 annual cases of lower respiratory tract infections
in infants and young children up to 18 months of age are attributable to
secondhand smoke exposure. Of these cases, between 7,500 and 15,000 result in
hospitalization.6
Infants with
mothers who smoke are 50 percent more likely to be hospitalized with a
respiratory infection during their first year when compared to infants with
nonsmoking mothers. Infants whose mothers smoke in the same room have a 56
percent higher risk of being hospitalized compared to infants whose mothers
smoke in a separate room. There is a 73 percent higher risk if mothers smoke
while holding their infants and a 95 percent higher risk if mothers smoke while
feeding their infants.7
Asthma Asthma attacks are perhaps the
most well-known health effect of secondhand smoke exposure among children.
Secondhand smoke exposure increases the frequency of episodes and the severity
of symptoms in asthmatic children. The EPA estimates that 200,000 to 1,000,000
asthmatic children have their condition worsened by exposure to secondhand
smoke.8
Exposure to secondhand smoke is associated
with increased asthma severity and worsened lung function in children with asthma.9
Secondhand smoke exposure is associated with
increased respiratory-related school absenteeism among children, especially
those with asthma.10
Maternal and grandmaternal
smoking may increase the risk of childhood asthma. Relative to children of
never-smokers, children whose mothers smoked throughout the pregnancy have an
elevated risk of asthma in the first five years of life. Children whose mothers
quit smoking prior to the pregnancy show no increased risk.11
Repercussions on Adult
Health
Not only does in utero
and childhood secondhand smoke exposure cause decreased lung function and
asthma in children, but such exposure is also responsible for poor lung
function and respiratory disease in adults. Men who report postnatal secondhand
smoke exposure and women who report prenatal exposure are more likely to have
respiratory problems as adults.12,13
Secondhand tobacco smoke exposure raises
adolescents' risk of metabolic syndrome - a disorder associated with excessive
belly fat that increases one's chances of heart disease, stroke, and type II
diabetes.14
The level of secondhand smoke a child is
exposed to is directly proportional to the likelihood of the child becoming a
smoker as an adolescent or an adult.15
REFERENCES
1. Dejmek, J.; Solansky,
2.
Woodward, A. and Laugesen M., "How many
deaths are caused by secondhand cigarette smoke?" Tobacco Control, 10: 383
- 388, December 2001.
3. McMartin, K.I.; Platt, M.S.; Hackman,
R.; Klein, J.; Smialek, J.E.; Vigorito,
R.; Koren, G., "Lung tissue concentrations of
nicotine in sudden infant death syndrome (SIDS)," Journal of Pediatrics
140(2): 205-209, February 2002.
4. Yolton, K. et al., "Exposure to Environmental Tobacco
Smoke and Cognitive Abilities of
5.
Button, T.M.M.; Thapar, A.; and McGuffin, P., "Relationship between antisocial
behavior, attention-deficit hyperactivity disorder and maternal prenatal
smoking," British Journal of Psychiatry (2005), 187, 155-160.
6. [n.a.], "Fact Sheet: Respiratory Health Effects of
Passive Smoking,"
7.
Blizzard, L.; Ponsonby, A.; Dwyer, T.; Venn,
A.; Cochrane, J.A., "Parental smoking and infant respiratory infection:
how important is not smoking in the same room with the baby?" American
Journal of Public Health 93(3): 482-488, March 2003.
8. [n.a.], "Fact Sheet: Respiratory Health Effects of
Passive Smoking," Environmental Protection Agency, April 2004.
9. Mannino, D.M.; Homa, D.M.; Redd, S.C., "Involuntary smoking and asthma severity
in children: data from the Third National Health and Nutrition Examination
Survey," CHEST 122(2): 409-415, August 2002.
10.
Gilliland, F.D.; Berhane, K.; Islam, T.; Wenten, M.; Rappaport,E.; Avol, E.; Gauderman, W.J.;
McConnell, R.; Peters, J.M., "Environmental tobacco smoke and absenteeism
related to respiratory illness in schoolchildren," American Journal of
Epidemiology 157(1): 861-869, May 15, 2003.
11.
Yu-Fhen, Li. et al., "Maternal and Grandmaternal Smoking Pattern Are Associated With Early
Childhood Asthma," Chest, 127(4): 1232, 2005.
12. Svanes, C.; Omenaas, E.; Jarvis,
D.; Chinn, S.; Gulsvik, A.; Burney, P.,
"Parental smoking in childhood and adult obstructive lung disease: results
from the European Community Respiratory Health Survey," Thorax
59(4): 295-302, April 1, 2004.
13. Skorge, T.D., et. al., "The Adult Incidence of Asthma and Respiratory
Symptoms by Passive Smoking In Utero
or in Childhood," American Journal of Respiratory and Critical Care
Medicine, Vol. 172, pp. 61-66, April 2005. Abstract available
at http://ajrccm.atsjournals.org/cgi/content/abstract/172/1/61?etoc.
Accessed on
14. Weitzman, M., et. al, "Tobacco Smoke Exposure Is Associated With the
Metabolic Syndrome in Adolescents," Circulation 2005,
doi:10.1161/CIRCULATIONAHA.104.520650. Abstract available at http://circ.ahajournals.org/cgi/content/abstract/CIRCULATIONAHA.104.520650v1.
Downloaded on
15. Becklake, M.R.,; Ghezzo, H.; Ernst, P.,
"Childhood predictors of smoking in adolescence: a follow-up study of