Even though a recent scientific report showed that the risk of passive smoking was often overstated, it’s still a fact that second hand smoke is damaging, especially to youngsters.

Breathing other people’s smoke is called passive, involuntary or secondhand smoking. The non-smoker breathes “sidestream” smoke from the burning tip of the cigarette and “mainstream” smoke that has been inhaled and then exhaled by the smoker. Secondhand smoke (SHS) is a major source of indoor air pollution.

What’s in the smoke?

Tobacco smoke contains over 4000 chemicals in the form of particles and gases. Many potentially toxic gases are present in higher concentrations in sidestream smoke than in mainstream smoke and nearly 85% of the smoke in a room results from sidestream smoke.

We have discussed the content of cigarettes before, What is in Cigarettes? Ammonia? Acetone? Cadmium? Napthtalene?

The particulate phase includes tar (itself composed of many chemicals), nicotine, benzene and benzo(a)pyrene. The gas phase includes carbon monoxide, ammonia, dimethylnitrosamine, formaldehyde, hydrogen cyanide and acrolein. Some of these have marked irritant properties and some 60 are known or suspected carcinogens (cancer causing substances). The Environmental Protection Agency (EPA) in the USA has classified environmental tobacco smoke as a class A (known human) carcinogen along with asbestos, arsenic, benzene and radon gas.

How does this affect the passive smoker?

Some of the immediate effects of passive smoking include eye irritation, headache, cough, sore throat, dizziness and nausea. Adults with asthma can experience a significant decline in lung function when exposed, while new cases of asthma may be induced in children whose parents smoke. Short term exposure to tobacco smoke also has a measurable effect on the heart in non-smokers. Just 30 minutes exposure is enough to reduce coronary blood flow.

In the longer term, passive smokers suffer an increased risk of a range of smoking-related diseases. Non-smokers who are exposed to passive smoking in the home, have a 25 per cent increased risk of heart disease and lung cancer.

Deaths from secondhand smoke

Whilst the relative health risks from passive smoking are small in comparison with those from active smoking, because the diseases are common, the overall health impact is large. Professor Konrad Jamrozik, formerly of Imperial College London, has estimated that domestic exposure to secondhand smoke in the UK causes around 2,700 deaths in people aged 20-64 and a further 8,000 deaths a year among people aged 65 years or older. Exposure to secondhand smoke at work is estimated to cause the death of more than two employed persons per working day across the UK as a whole (617 deaths a year), including 54 deaths a year in the hospitality industry

Related:

Factsheet number 8: Secondhand smoke
Respiratory Health Effects of Passive Smoking
How Dangerous is Passive Smoking?