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August 31, 2009

Secondhand smoke in cars worse than in bars

Jurisdictions around the globe have tried to squash secondhand smoke by banning smoking in public places. But only a few have tried to prevent people from lighting up in their cars -- typically only when children are present. 

A new study from Johns Hopkins' school of public health takes on the question car smoking -- just how bad is it?

Pretty bad. The amount of secondhand smoke was significantly higher in cars than in bars and restaurants, the paper found. 

Makes sense. Anyone who has driven with a smoker knows it can be impossible to escape the air in a smoky car -- forget about it if the windows are rolled up. But researchers also found that exposure to secondhand smoke lingers long after the smoker has put out the butt.

It's important to note the small study size: researchers monitored and tested the air in the cars of just 17 smokers and 5 non-smokers. Still, the researchers say their study, published in the journal Tobacco Control, supports the "urgent need" for banning smoking in cars.

"Involuntary exposure to secondhand smoke accounts for thousands of cases of respiratory, cardiovascular and cancer deaths in the U.S. every year," said Ana Navas-Acien, the study's author. "The high air nicotine concentration measured in this study support the urgent need for smoke-free education campaigns and legislative measures banning smoking in motor vehicles, especially children, are present."

Researchers also asked participants about their views on smoking and laws designed to prevent it. A little over half of the smokers said being unable to smoke in their car would help them quit. That doesn't mean they support laws to prevent them from lighting up -- only 7 percent said they would. Still, smokers and non smokers agreed that smoking in cars can harm passengers.

So what's your take? Ban smoking in cars or no? 

photo: AFP/Getty images

Posted by Kelly Brewington at 7:00 AM | | Comments (14)
Categories: General Health
        

Comments

Secondhand Smoke: the “no threshold” Scare

A major argument for smoking bans is the claim “there is no safe level”—no threshold—below which tobacco smoke is not dangerous. The ban advocates/activists invoke the well-known link of smoking and lung cancer and assert that, therefore, even secondhand smoke must also be carcinogenic. They claim the air from smoking can never be made clean enough to eliminate the health risk and thus smoking must be banned altogether. But the “no threshold” hypothesis about cancer has never been shown to be true for ANY chemical, much less secondhand smoke. The idea that if something is carcinogenic at high doses it must also be proportionately so at small doses simply does not fit the real world. At least ten elements (including iron and oxygen) are carcinogens at high doses but essential to human life in small doses. And some carcinogens, such as selenium and Vitamin A, are proven anti-carcinogens at low doses. These facts contradict the “no-threshold” idea. Thresholds are a law of nature; the mere title of one treatise says it all: “Environmental Carcinogenesis—The Threshold Principle: A Law of Nature." The authors, Claus and Bolander, state that the no-threshold concept about any dose being dangerous ignores “all the fundamental principles of cell biology.”

Dr. Elizabeth Miller, former president of the American Association for Research on Cancer, has stated: “Chemical carcinogenesis is a strongly dose-dependent phenomenon.” This is opposite to the claim by smoking ban advocates—including the surgeon general—that it is not dose dependent, that any dose is a health hazard.

The no-threshold concept, when applied to secondhand smoke, “incorporates unsound assumptions that are not valid,” says an article by Drs. Huber (pulmonary specialist), Brockie (cardiologist), and Mahajan (a hospital director of internal medicine and professor of medicine.)

Furthermore, thresholds are known to exist for mainstream tobacco smoke in total as well as for each of the individual carcinogens known to be in it. It is preposterous to claim, as the surgeon general has done, that secondhand smoke—which is more than 100,000 times more dilute than mainstream smoke—has no threshold, even though mainstream smoke does. This turns the dose-response principle of epidemiology on its head and means secondhand smoke can be more dangerous than actual smoking! Ridiculous!

The surgeon general should know that thresholds for all carcinogens in—or even assumed to be in—secondhand smoke have been identified. They have been calculated by the American Conference of Government Industrial Hygienists. Below these thresholds, the chemicals are considered safe. To reach the threshold for the carcinogen with the lowest threshold (hydroquinone) would require 1,250 cigarettes to be smoked in a sealed, unventilated room 20 by 22 feet within one hour. This would mean 30 people in that room each smoking slightly more than 2 PACKS of cigarettes per hour. And remember this is in a sealed room, where no one would enter or leave in that hour and where there would be no mechanical ventilation. Open a door or window or add mechanical ventilation, and the number of cigarettes needed to reach the threshold would be even higher. Of course, nobody—much less everyone in a room—will ever smoke 2 packs of cigarettes per hour. Thus it is essentially impossible for secondhand smoke to be a cancer risk despite the pathetic claims of the surgeon general and other smoking ban activist/advocates.

Notice that I began the last paragraph by speaking of all the carcinogens known “or even assumed” to be in secondhand smoke. This is because most of the carcinogens have never actually been found in secondhand smoke. If they exist there at all, they are in quantities too small to be measurable. They are simply assumed to be there because they are known to exist in the smoke from which secondhand smoke is derived. So calculations of their presence in secondhand smoke are based on their proportions in the parent smoke. But they may not exist at all in secondhand smoke because of physical, chemical and behavioral differences from the parent smoke. Secondhand smoke has extremely low concentrations of volatiles. Mainstream smoke is highly concentrated, and its higher gas phase concentrations favor larger respirable particles that condense and retain more volatile compounds. Evaporation is faster from secondhand smoke particles; within fractions of a second, they becomes 50 to 100 times smaller than their mainstream counterparts. Secondhand smoke quickly undergoes a variety of other changes: oxidation, polymerizations, photochemical transformations, and other changes. All these changes take place extremely quickly. So suddenly secondhand smoke is a very different collection of chemicals than the smoke from which it was derived, and carcinogens assumed to be there may, in fact, be absent. But even if present, they are in quantities far below the threshold levels. And secondhand smoke is “so highly diluted,” say Huber/Brockie/Mahajan, “that it is not even appropriate to call it smoke, in the conventional sense. Indeed, the term 'environmental tobacco smoke' is a misnomer.”

Why is it that celebrities NEVER die from second hand smoke. Who are these people who die from second hand smoke . Why have I been to more funerals of people who die from AIDS and second hand alcohol than from second hand smoke?

Harleyride1978r, why must you cut and paste old tobacco company propaganda on just about every smoking related site that you can find. Even the large tobacco companies now concede that secondhand smoke is indeed harmful to all non-smokers.

Pete... in response to you respons to harleyrider who's post is very informative to me and credible.. why do you think non celebrities are the only ones to die from second hand smoke?

They asked surgeon general carmona to name some second hand smoke deaths..........He couldnt do it, not one name. So he adnitted the shs/ets deaths were computer generated and that not one person has ever died from second hand smoke........We are still waiting tobacco control........

THE AIR ACCORDING TO OSHA

Though repetition has little to do with "the truth," we're repeatedly told that there's "no safe level of exposure to secondhand smoke."

OSHA begs to differ.

OSHA has established PELs (Permissible Exposure Levels) for all the measurable chemicals, including the 40 alleged carcinogens, in secondhand smoke. PELs are levels of exposure for an 8-hour workday from which, according to OSHA, no harm will result.

Of course the idea of "thousands of chemicals" can itself sound spooky. Perhaps it would help to note that coffee contains over 1000 chemicals, 19 of which are known to be rat carcinogens.
-"Rodent Carcinogens: Setting Priorities" Gold Et Al., Science, 258: 261-65 (1992)

There. Feel better?

As for secondhand smoke in the air, OSHA has stated outright that:

"Field studies of environmental tobacco smoke indicate that under normal conditions, the components in tobacco smoke are diluted below existing Permissible Exposure Levels (PELS.) as referenced in the Air Contaminant Standard (29 CFR 1910.1000)...It would be very rare to find a workplace with so much smoking that any individual PEL would be exceeded."
-Letter From Greg Watchman, Acting Sec'y, OSHA, To Leroy J Pletten, PHD, July 8, 1997

Indeed it would.

Independent health researchers have done the chemistry and the math to prove how very very rare that would be.

As you're about to see in a moment.

In 1999, comments were solicited by the government from an independent Public and Health Policy Research group, Littlewood & Fennel of Austin, Tx, on the subject of secondhand smoke.

Using EPA figures on the emissions per cigarette of everything measurable in secondhand smoke, they compared them to OSHA's PELs.

The following excerpt and chart are directly from their report and their Washington testimony:

CALCULATING THE NON-EXISTENT RISKS OF ETS

"We have taken the substances for which measurements have actually been obtained--very few, of course, because it's difficult to even find these chemicals in diffuse and diluted ETS.

"We posit a sealed, unventilated enclosure that is 20 feet square with a 9 foot ceiling clearance.

"Taking the figures for ETS yields per cigarette directly from the EPA, we calculated the number of cigarettes that would be required to reach the lowest published "danger" threshold for each of these substances. The results are actually quite amusing. In fact, it is difficult to imagine a situation where these threshold limits could be realized.

"Our chart (Table 1) illustrates each of these substances, but let me report some notable examples.

"For Benzo[a]pyrene, 222,000 cigarettes would be required to reach the lowest published "danger" threshold.

"For Acetone, 118,000 cigarettes would be required.

"Toluene would require 50,000 packs of simultaneously smoldering cigarettes.

"At the lower end of the scale-- in the case of Acetaldehyde or Hydrazine, more than 14,000 smokers would need to light up simultaneously in our little room to reach the threshold at which they might begin to pose a danger.

"For Hydroquinone, "only" 1250 cigarettes are required. Perhaps we could post a notice limiting this 20-foot square room to 300 rather tightly-packed people smoking no more than 62 packs per hour?

"Of course the moment we introduce real world factors to the room -- a door, an open window or two, or a healthy level of mechanical air exchange (remember, the room we've been talking about is sealed) achieving these levels becomes even more implausible.

"It becomes increasingly clear to us that ETS is a political, rather than scientific, scapegoat."

Ha! Typical tobacco control study. They only tested 17 cars of smokers and now want to ban smoking in all cars? How do you explain all of the kids that grew up around second hand smoke in cars, homes and everywhere else that are living longer now than ever before? Tobacco control is a very bad joke at best.

Harleyrider has information that is verifiable. After my research since 1998, I find his posts to be accurate. What is the problem with cut and paste? He presents the truth as it was written with no reliance on opinion that is open question. He presents facts. What is wrong with that when Anti's only have opinions, which mean nothing.

I have never heard of someone dying from second hand smoke either. But knew many who died of cancer, heart attacks, emphyzema and so on, most who were non smokers. I can't see any way that breathing in smoke is not harmful. Catching a whiff of it once and a while most likely won't hurt but sitting in a smokey bar for several hours cannot be good for you.

Pete, don't you even see the inconsistency of your own thinking? You wrote, "Harleyride1978r, why must you cut and paste old tobacco company propaganda on just about every smoking related site that you can find. Even the large tobacco companies now concede that secondhand smoke is indeed harmful to all non-smokers."

If the tobacco companies are now protecting themselves from lawsuits by bending over backwards to put antismoking propaganda on their own websites, how can Harley be pasting tobacco company propaganda contradicting it? And if you believe it's propaganda why don't you simply show how it's a lie? Should be simple for you, right?

Unless Harley is telling the truth and all you've got in response is "name calling."

Michael J. McFadden
Author of "Dissecting Antismokers' Brains"

Not sure that this is true:), but thanks for a post.
Have a nice day
Hobosic

Every one who breathes in second-hand smoke is endangering their health, but young children are particularly at risk as their lungs are smaller and more delicate. They are, therefore, seriously affected by tobacco smoke and the chemicals it contains. Young people exposed to second-hand smoke at home are seven times more likely to smoke. Second-hand smoke contains cancer-causing and other toxic substances that are often in greater concentrations than in the smoke inhaled by the smoker. Some chemical compounds found in smoke only become carcinogenic after they've come into contact with certain enzymes found in many of the tissues of the human body, so the smoke that is breathed out may be worse than the smoke breathed in by the smoker through the cigarette.

@marty zit:
What you're saying directly contradicts the evidence presented in earlier comments by scientific studies. I'm willing to believe you, but only if you present some equally plausible studies which have reached different or more insightful conclusions. I actually would like to know whether or not second-hand smoke is indeed harmful so I can make an effort to control my exposure to it, but if it turns out to be mostly harmless then my social life will be significantly easier as anyone could imagine who finds themselves around smokers.

As for young people being more likely to smoke after being exposed, it may not be because of the smoke itself. There are a variety of social factors which could contribute. Just because there's a correlation doesn't mean there is a causal connection, so without further evidence I'm going to respond to that factoid with "so what?"

Second-hand smoke contains cancer-causing and other toxic substances that are often in greater concentrations than in the smoke inhaled by the smoker. Some chemical compounds found in smoke only become carcinogenic after they've come into contact with certain enzymes found in many of the tissues of the human body, ...............................................................................................

I have heard a lot of bull in my day but this one takes the cake.....I will give you a quick lesson mr nazi.....cig smoke is 94% water vapor and air...but of course you know this otherwise and you want everybody else to know it to correct... so if you wanna prove me wrong please try as the smoke free nazis never ever put up the true chemistry of second hand smoke. IT would get them laughed out of this world.....

Outdoor bans are even crazier than indoor bans. The chemical make-up of shs is nearly 94% water vapor and A SLIGHT AMOUNT OF CARBON DIOXIDE with about 3% being carbon monoxide AND 3% CONTAINING THOSE SUPPOSED KILLER CARCENOGENS.........

n-nitrosomines which you hear so much about is actually inorganic arsenic..what they dont tell you is that the measurements they took match the naturally occuring arsenic in the air outside everywhere.
they measured levels at 0-29 picograms....which is totally safe.its the same as drinking a glass of water..the amount has to be 5 million times that to be harmful to humans........you see how they switched it. Trying to blame shs for what is actually a natural thing. The levels of other things in shs if they can be measured at all are millions if not billions of times smaller than the amounts needed to harm anyone......just remember this second hand smoke is a joke within nano seconds from the burn it turns into WATER VAPOR.....Even the exhaled smoke is loaded down with water vapor...osha has said nothing in shs/ets is going to harm you or anyone else.....what shs will do is irritate those with weak immune responces.......thats why shs is classified as a class 3 IRRITANT BY OSHA AND THE EPA.....Remember this a prohibition movement must rely on scare tactics and big money in order to succeed to the level of getting legislation....These outdoor regulations are even crazier than the first claims made for indoor bans.......lets do the silly math if one cig lets off 29 pico grams.We will use the high side of their measurement........and it takes 5 million picograms then thats 5 million divided by 29 = IN CIGARETTES SMOKED AT ONE TIME IN A SEALED ROOM.........172,414 CIGS SMOKED SIMULTANEOUSLY..........DIVIDE THAT BY 20 TO GET PACKS.........8620 PACKS ALL TOGETHER AT THE SAME TIME...........SECOND HAND SMOKE IS A JOKE........and this same thing applies to anything they claim in shs/ets.........dont be fooled


As for secondhand smoke in the air, OSHA has stated outright that: "Field studies of environmental tobacco smoke indicate that under normal conditions, the components in tobacco smoke are diluted below existing Permissible Exposure Levels (PELS.) as referenced in the Air Contaminant Standard (29 CFR 1910.1000)...It would be very rare to find a workplace with so much smoking that any individual PEL would be exceeded." -Letter From Greg Watchman, Acting Sec'y, OSHA, To Leroy J Pletten, PHD, July 8, 1997
-harleyrider1978

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About Picture of Health
Meredith CohnMeredith Cohn has been a reporter since 1991, covering everything from politics and airlines to the environment and medicine. A runner since junior high and a particular eater for almost as long, she tries to keep up on health and fitness trends. Her aim is to bring you the latest news and information from the local and national medical and wellness communities.

Andrea K. WalkerAndrea K. Walker knows it’s weird to some people, but she has a fascination with fitness, diseases, medicine and other health-related topics. She subscribes to a variety of health and fitness magazines and becomes easily engrossed in the latest research in health and science. An exercise fanatic, she’s probably tried just about every fitness activity there is. Her favorites are running, yoga and kickboxing. So it is probably fitting that she has been assigned to cover the business of healthcare and to become a regular contributor to this blog. Andrea has been at The Sun for nearly 10 years, covering manufacturing, retail , airlines and small and minority business. She looks forward to telling readers about the latest health news.
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