Environmental Tobacco Smoke: Adverse Effects on Respiratory Infection, Respiratory Symptoms, and Lung Function

  • J. M. Samet
Conference paper
Part of the ILSI Monographs book series (ILSI MONOGRAPHS)


Environmental tobacco smoke (ETS) refers to the mixture of sidestream smoke, released from the cigarette’s burning end, and mainstream smoke, exhaled by the smoker. Although exposure of nonsmokers to ETS has only recently been investigated as a risk factor for disease, sufficient evidence has accumulated to identify adverse effects causally related to ETS. In 1986, reports of the United States Surgeon General (US DHHS 1986) and of the United States National Research Council (1986) linked ETS to increased respiratory infections and respiratory symptoms, reduced lung growth in children, and lung cancer in adult nonsmokers. The evidence for adults on respiratory morbidity, cancers at sites other than the lung, and ischemic heart disease was not considered conclusive.


Respiratory Syncytial Virus Respiratory Symptom Environmental Tobacco Smoke Maternal Smoking Passive Smoking 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Berkey CS, Ware JH, Dockery DW et al. (1986) Indoor air pollution and pulmonary function growth in preadolescent children. Am J Epidemiol 123:250–260.PubMedGoogle Scholar
  2. Bland M, Bewley BR, Pollard V et al. (1978) Effect of children’s and parents’ smoking on respiratory symptoms. Arch Dis Child 53:100–105.PubMedCrossRefGoogle Scholar
  3. Burchfiel CM III (1984) Passive smoking, respiratory symptoms, lung function and initiation of smoking in Tecumseh, Michigan. PhD dissertation, University of Michigan, Ann Arbor.Google Scholar
  4. Charlton A (1984) Children’s coughs related to parental smoking. Br Med J 288:1647–1649.CrossRefGoogle Scholar
  5. Chen Y, Wanxian LI, Shunzhang YU (1986) Influence of passive smoking on admissions for respiratory illness in early childhood. Br Med J 293:303–306.CrossRefGoogle Scholar
  6. Colley JR (1974) Respiratory symptoms in children and parental cigarette smoking and phlegm production. Br Med J 2:201–204.PubMedCrossRefGoogle Scholar
  7. Colley JRT, Holland WW, Corkhill RT (1974) Influence of passive smoking and parental phlegm on pneumonia and bronchitis in early childhood. Lancet 2:1031–1034.PubMedCrossRefGoogle Scholar
  8. Coultas DB, Howard CA, Peake GT et al. (1987) Salivary cotinine levels and involuntary tobacco smoke exposure in children and adults in New Mexico. Am Rev Respir Dis 136:305–309.PubMedCrossRefGoogle Scholar
  9. Coultas DB, Samet JM, McCarthy JF, Spengler JD (1988) Variability of measures of exposure to environmental tobacco smoke in the home. APCA specialty conference on combustion processes and the quality of the indoor environment, Niagara Falls, New York, September 1988.Google Scholar
  10. Fergusson DM, Horwood LJ (1985) Parental smoking and respiratory illness during early childhood: a six-year longitudinal study. Pediatr Pulmonol 1:99–106.PubMedCrossRefGoogle Scholar
  11. Friedman GD, Petitti DB, Bawol RD (1983) Prevalence and correlates of passive smoking. Am J Public Health 73:401–405.PubMedCrossRefGoogle Scholar
  12. Harlap S, Davies AM (1974) Infant admissions to hospital and maternal smoking. Lancet 1:529–532.PubMedCrossRefGoogle Scholar
  13. Lee PN (1988) Misclassification of smoking habits and passive smoking. Springer, Berlin Heidelberg New York.CrossRefGoogle Scholar
  14. National Research Council, Committee on Passive Smoking (1986) Environmental tobacco smoke: measuring exposures and assessing health effects. National Academy Press, Washington, DC.Google Scholar
  15. Pullan CR, Hey CN (1982) Wheezing, asthma, and pulmonary dysfunction 10 years after infection with respiratory syncytial virus in infancy. Br Med J 284:1665–1669.CrossRefGoogle Scholar
  16. Samet JM (1988) Involuntary exposure to tobacco smoke. Ann Sports Med 4:1–15.Google Scholar
  17. Samet JM, Marbury MC, Spengler JD (1987) Health effects and sources of indoor air pollution. Part I. Am Rev Respir Dis 136:1486–1508.CrossRefGoogle Scholar
  18. Schenker MB, Samet JM, Speizer FE (1983) Risk factors for childhood respiratory disease: the effect of host factors and home environmental exposures. Am Rev Respir Dis 128:1038–1043.PubMedGoogle Scholar
  19. Sims DG, Downham MAPS, Gardner PS, Webb JKG, Weightman D (1978) Study of 8-year-old children with a history of respiratory syncytial virus bronchiolitis in infancy. Br Med J 1:11–14.PubMedCrossRefGoogle Scholar
  20. Spengler JD, Dockery DW, Turner WA et al. (1981) Long-term measurements of respirable sulfates and particles inside and outside homes. Atmos Environ 15:23–30.CrossRefGoogle Scholar
  21. Spengler JD, Treitman RD, Tosteson TD et al. (1985) Personal exposures to respirable particulates and implications for air pollution epidemiology. Environ Sci Technol 19:700–707.PubMedCrossRefGoogle Scholar
  22. Tager IB, Weiss ST, Rosner B et al. (1979) Effect of parental cigarette smoking on the pulmonary function of children. Am J Epidemiol 110:15–26.PubMedGoogle Scholar
  23. Tager IB, Weiss ST, Munoz A et al. (1983) Longitudinal study of the effects of maternal smoking on pulmonary function in children. N Engl J Med 309:699–703.PubMedCrossRefGoogle Scholar
  24. Taylor B, Wadsworth J (1987) Maternal smoking during pregnancy and lower respiratory tract illness in early life. Arch Dis Child 62:786–791.PubMedCrossRefGoogle Scholar
  25. US Department of Health and Human Services (1984) The health consequences of smoking: chronic obstructive lung disease. US Government Printing Office, DHHS publication no (PHS) 84-50205, Washington, DC.Google Scholar
  26. US Department of Health and Human Services (1986) The health consequences of involuntary smoking. US Government Printing Office, DHHS publication no (CDC) 87-8398, Washington, DC.Google Scholar
  27. Ware JH, Dockery DW, Spiro A III et al. (1984) Passive smoking, gas cooking, and respiratory health of children living in six cities. Am Rev Respir Dis 129:366–374.PubMedGoogle Scholar
  28. Weiss ST, Tager IB, Speizer FE et al. (1980) Persistent wheeze. Its relation to respiratory illness, cigarette smoking, and level of pulmonary function in a population sample of children. Am Rev Respir Dis 122:697–707.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • J. M. Samet
    • 1
  1. 1.Department of Medicine and the New Mexico Tumor Registry, Cancer CenterUniversity of New MexicoAlbuquerqueUSA

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