The Role of Environmental Tobacco Smoke in Asthma Induction and Exacerbation in Children and Adults

The Role of Environmental Tobacco Smoke in Asthma Induction and Exacerbation in Children and Adults PDF

Author: Peter N. Lee

Publisher: Nova Publishers

Published: 2007

Total Pages: 472

ISBN-13: 9781600218729

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This book provides a comprehensive and up-to-date review of epidemiological and experimental (chamber) studies relating tobacco smoke (ETS) exposure to the induction and exacerbation of asthma in children and adults. Particular attention is given to separating out the roles of maternal smoking in pregnancy and post-natal ETS exposure on the induction of asthma. It is at a level equivalent to that in peer-reviewed academic publications. Previous reviews by the California EPA and by Strachan and Cook reach different views as to whether ETS exposure induces asthma or not. The book is aimed at clarifying the situation by more detailed and more up-to-date investigations.

Exacerbation of Asthma in Children and Exposure to Environmental Tobacco Smoke

Exacerbation of Asthma in Children and Exposure to Environmental Tobacco Smoke PDF

Author: Peter N. Lee

Publisher: Nova Science Publishers

Published: 2009

Total Pages: 0

ISBN-13: 9781606920831

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The literature searches identified 60 publications which together described the results of a total of 47 relevant epidemiological studies in children. Eighteen of the studies were conducted in the USA, four in Canada, 13 in Europe (in a total of 10 countries), five in Turkey or the Middle East, three in India or the Far East, three in Africa and one in New Zealand. Seven references were published as abstracts. A further 17 publications described studies that seemed possibly relevant, but did not meet the inclusion criteria. The reasons for rejection included no actual data collected on ETS exposure, the study only reporting on whether tobacco smoke brought on wheezing (Speer, 1968), no results reported relating ETS exposure to aggravation of asthma (Wood et al., 1993; Huss et al., 1994; Chadwick, 1996; Gilliland et al., 2001; Morgan et al., 2004), results not reported separately for children (Tarlo et al., 2000; Bayona et al., 2002), results not reported separately for asthmatics (Lebowitz, 1984a; Lebowitz, 1984b; Toyoshima et al., 1987; Strachan et al., 1990; Agudo et al., 1994; Henderson et al., 1995; Fielder et al., 1999; Willers et al., 2000) and endpoint (respiratory illness) too broad (Gilliland et al., 2003). A further study (Bener et al., 1991) was rejected as the data presented seemed totally implausible, with 85% of a sample of schoolchildren reported to have asthma and the odds of having a frequent attack 34 times higher if one of the parents smoked. The studies are described individually in sections 1.2 (USA), 1.3 (Canada), 1.4 (Europe), 1.5 (Asia) and 1.6 (Other). Section 1.7 then summarises various relevant aspects of the studies considered and section 2 brings together the findings by type of endpoint.

The Health Consequences of Involuntary Exposure to Tobacco Smoke

The Health Consequences of Involuntary Exposure to Tobacco Smoke PDF

Author:

Publisher:

Published: 2006

Total Pages: 736

ISBN-13:

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This Surgeon General's report returns to the topic of the health effects of involuntary exposure to tobacco smoke. The last comprehensive review of this evidence by the Department of Health and Human Services (DHHS) was in the 1986 Surgeon General's report, The Health Consequences of Involuntary Smoking, published 20 years ago this year. This new report updates the evidence of the harmful effects of involuntary exposure to tobacco smoke. This large body of research findings is captured in an accompanying dynamic database that profiles key epidemiologic findings, and allows the evidence on health effects of exposure to tobacco smoke to be synthesized and updated (following the format of the 2004 report, The Health Consequences of Smoking). The database enables users to explore the data and studies supporting the conclusions in the report. The database is available on the Web site of the Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/tobacco.

Children and Secondhand Smoke Exposure

Children and Secondhand Smoke Exposure PDF

Author: Janice R. Harrington

Publisher:

Published: 2009

Total Pages: 0

ISBN-13: 9781606925874

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Today, massive and conclusive scientific evidence documents the serious health risks that second-hand smoke poses to children, and the list of these health conditions has lengthened. The 2006 Surgeon General's report on The Health Consequences of Involuntary Exposure to Tobacco Smoke concludes that children who are exposed to second-hand smoke are at an increased risk for sudden infant death syndrome, lower respiratory infections, middle ear disease, more severe asthma, respiratory symptoms, and slowed lung growth. Because their respiratory, immune, and nervous systems are still developing, children are especially vulnerable to the health effects of second-hand smoke. In addition, young children typically are exposed to second-hand smoke involuntarily and have limited options for avoiding exposure. They depend on their parents and on adults around them for protection.

Clearing the Air

Clearing the Air PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-05-24

Total Pages: 457

ISBN-13: 0309064961

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Since about 1980, asthma prevalence and asthma-related hospitalizations and deaths have increased substantially, especially among children. Of particular concern is the high mortality rate among African Americans with asthma. Recent studies have suggested that indoor exposuresâ€"to dust mites, cockroaches, mold, pet dander, tobacco smoke, and other biological and chemical pollutantsâ€"may influence the disease course of asthma. To ensure an appropriate response, public health and education officials have sought a science-based assessment of asthma and its relationship to indoor air exposures. Clearing the Air meets this need. This book examines how indoor pollutants contribute to asthmaâ€"its causation, prevalence, triggering, and severity. The committee discusses asthma among the general population and in sensitive subpopulations including children, low-income individuals, and urban residents. Based on the most current findings, the book also evaluates the scientific basis for mitigating the effects of indoor air pollutants implicated in asthma. The committee identifies priorities for public health policy, public education outreach, preventive intervention, and further research.

Environmental Tobacco Smoke and Asthmatic Children

Environmental Tobacco Smoke and Asthmatic Children PDF

Author: Debra M. Perkins

Publisher:

Published: 2005

Total Pages: 32

ISBN-13:

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Background: Pediatric asthma is a growing public health concern. Parental cigarette smoking has been linearly related to reoccurrence and severity of symptoms. Substantial benefits would arise if parents assured an environment free of ETS, yet 43% of children are exposed to ETS in their homes. Objective: To determine how often PCP counsel parents of asthmatic children for avoidance of ETS exposure and tobacco use. Methods: This was a quantitative descriptive study utilizing retrospective chart review. All patients were randomly selected from a computer generated listing of patients meeting the age requirements with a NCD code of asthma. Results: Asthmatic children with at least one parent who smoked in the home was found to be at 59.3%. Overall, PCP advised elimination of ETS 52.9% of the time: MD's addressed this issue 44.6% of the time; Pediatricians slightly higher at 60%, and Family Nurse Practitioners addressing the issue 72.5% of the time. Percentages of addressing ETS were significantly higher in all categories when the child was in a smoking environment. Conclusion: It is incumbent upon every PCP caring for this population to utilize every teachable opportunity for identification and education for parents to eliminate ETS.