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Secondhand Smoke Is a Killer for Kids
Secondhand smoke is more
deadly than previously believed — and
it's especially harmful to children.
A new report from the U.S. surgeon general states
there is no such thing as a safe level of exposure
to cigarette smoke.
The only real protection is to eliminate all
indoor exposure, and ventilation systems and
popular air purifiers don't do the trick.
The report — the "Health Consequences
of Involuntary Exposure to Tobacco Smoke"
— comes at a time when an estimated 15
million American children are exposed regularly
to secondhand smoke, according to the American
Academy of Allergy, Asthma and Immunology.
Devastating Effects on Kids
"The news is bad," said Dr. Michael
Cummings, chairman of the Department of Health
Behavior at the Roswell Park Cancer Center in
Buffalo, N.Y. "Young children take in a
bigger dose of smoke with every breath and,
as a result, suffer more health problems."
Because young bodies are still developing, especially
the lungs, the effects of the many poisons contained
in cigarette smoke can be devastating to a child's
growth and development, experts said.
This regular exposure leads to higher rates
of asthma, bronchitis, pneumonia and ear infections.
And it takes longer to recover from these illnesses.
"Studies have shown a child sent home after
being treated for asthma will generally recover
within about a week," said Dr. Christopher
Randolph, a pediatric allergist and immunologist
at Yale University. "But a child exposed
to secondhand smoke at home can take up to a
month or longer to recover."
The challenge is knowing which kids are getting
ill as a result of secondhand smoke.
"We can't be entirely sure that a child's
respiratory problems are the result of secondhand
smoke," said Randolph. "It's really
just a hunch. It's based on clinical suspicion.
If a child isn't getting better even while receiving
treatment, then secondhand smoke is a likely
culprit, Randolph said.
Babies, Toddlers Most at Risk
The very young are at greatest risk of suffering
the effects of secondhand smoke because they
simply can't walk away from the smoke .
"Young children are trapped," he said.
"Unlike older children, who spend more
time outside the home away from caretakers who
might be smoking."
According to the AAAI, an estimated 1 million
American children experience a worsening of
their asthma as a direct result of secondhand
smoke.
This new report also confirms that exposure
to cigarette smoke can cause sudden infant death
syndrome, also known as SIDS or crib death.
It states some 430 infants died of SIDS in 2005
as a result of exposure to secondhand smoke
in the home. This relationship was originally
addressed in the previous report in 1986, but
fell short of labeling it as a cause.
Is It Child Abuse?
With such damaging health effects, is secondhand
smoke tantamount to child abuse? Some think
so.
"It is not rationalized or deliberate abuse,
but it negatively affects a child's health and
it is easily prevented," Randolph said.While
it may be easy to prevent unwanted exposure
to tobacco smoke, anyone who has quit smoking
will attest to just how difficult an undertaking
that can be."It's extremely difficult to
get parents or caretakers who smoke to quit,"
said Randolph. "Nicotine is extremely addictive,
second only to heroin."
Fighting Back
John Seffrin, CEO of the American Cancer Society,
said that in 1964, when the surgeon general's
landmark report connecting cigarette smoking
to lung cancer was issued, there were no laws
restricting public smoking.
Now, 16 states, Washington, D.C., and more than
2,200 communities across the country have passed
such laws, covering 43 percent of the American
population, Seffrin said.
And some states are doing more than just that.
Arkansas and Louisiana recently passed laws
making it illegal for a person to smoke in a
vehicle in which a child is sitting in a child-safety
seat. And there is talk of making it illegal
to smoke during pregnancy.
But do such bold measures
impinge on one's right to smoke?
"We live in a democracy, so there are issues
of rights," said Randolph. "We can only
go so far to get people to quit smoking and to
eliminate secondhand smoke exposure.
In the end, Dr. Miles Weinberger said, it's up
to the parents. What message do they want to send
to their children?
"Smoking parents send the message to their
children that smoking is OK," said Weinberger,
director of the Pediatric Allergy and Pulmonary
Division at University of Iowa Hospital in Iowa
City, Iowa. "[It] increases the likelihood
that the children will also smoke."
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