1 Katie Rodgers, "The hazards of secondhand smoke," Business & Health Special Report, Vol. 15, No. 8, Summer, 1997, p. 11. ^1a New Years Day Smoking Cessation Class, TV Presentation, WFYI, Dr. Richard Feldman, Indiana State Health Commissioner, December 23,1997. ² Indiana State Department of Health, Preliminary Maternal and Child Health Data presented at American Public Health Association Annual Conference, 1997. ³ Katherine Napier, Cigarettes: What the Warning Label Doesn't Tell You, American Council on Science and Health, New York, N.Y., 1996, p. 72. ⁴ Ibid. ⁵ Ibid. ⁶ Centers for Disease Control and Prevention (CDC), "Facts About Secondhand Smoke" Fact Sheet. ⁷Katherine Napier, Cigarettes: What the Warning Label Doesn't Tell You, American Council on Science and Health, New York, N.Y., 1996, p. 72. ⁸ Katie Rodgers, "The hazards of secondhand smoke," Business & Health Special Report, Vol. 15, No. 8, Summer, 1997, p. 11. ⁹Ibid. ¹⁰Katherine Napier, Cigarettes:What the Warning Label Doesn't Tell You, American Council on Science and Health, New York, N.Y., 1996, p. 73. ¹¹Ibid. ¹²Ibid. p. 74. ¹³Ibid. pp. 87-88.

Just The Facts

1. Mainstream smoke
2. Sidestream smoke
3. Environmental smoke

Mainstream smoke (MS) is the smoke inhaled by smokers. Sidestream smoke (SS) is the smoke freshly generated by a burning cigarette into the air. ETS (also called secondhand smoke and passive smoke) is a mixture of sidestream smoke, exhaled mainstream smoke and contaminants from the cigarette paper and mouth end of the cigarette.

Smoke from the burning end of a cigarette contains over 4,000 chemicals and 40 carcinogens. The EPA study on ETS identifies it as a Group A Carcinogen that poses a serious public health threat. Environmental tobacco smoke is the nation's No. 1 airborne carcinogen.

Source: Katherine Napier, Cigarettes: What the Warning Label Doesn't Tell You, American Council on Science and Health, New York, N.Y., 1996.

	6,200 children die each year due to exposure to tobacco smoke.1
	43% of children between the ages of 2 months and 11 years are exposed to ETS in the home in this country.1a
	57% of infants born in Indiana went home to smoke-filled environments.2
	Children exposed to their parents' tobacco smoke more frequently suffer significant respiratory diseases including bronchitis,
	bronchiolitis, pneumonia, and other upper respiratory infections.3
	Children of smokers who suffer from bronchitis, pneumonia, and other lower respiratory-tract illnesses spend 20% more time in bed to recover.4 Children who get pneumonia and bronchitis also have a 20-40% increased risk for hospitalization to treat their infections. Each year, 150,000-300,000 infections and 7,500-15,000 hospitalizations are attributable to pediatric exposure to tobacco smoke in the U.S.5
	Children exposed to ETS are twice as likely to develop asthma.6 8% of childhood asthma is directly due to tobacco smoke exposure.7
	Due to exposure of ETS, over a half-million office visits for acute exacerbation of asthma in children under the age of 14 occur each year.8
	Parental smoking adversely affects 200,000 to one million asthmatic children.9
	Children have increased risk of chronic infections, fluid in the middle ear (which can lead to hearing loss and tubes to drain excess fluid in the middle ear), sore throats, chronic sore throats, stuffy noses, hoarseness adenoidectomies and tonsillectomies. 10
	Children exposed to ETS after birth have a 5.3 times increased risk of developing Crohn's disease and have a doubled risk of developing ulcerative colitis.11
	Each year tobacco use is responsible for an estimated 1,200 to 2,000 deaths from Sudden Infant Death Syndrome (SIDS).12
	2/3 of SIDS cases could be avoided if parents did not smoke. The risk is eight times higher when both parents smoke in the household.13

1 Project ASSIST: Smokefree Indiana, "Secondhand Smoke" Fact Sheet, 1997. ²Ibid. ³Ibid. ⁴Ibid. ⁵Ibid. ⁶Ibid. ⁷Katie Rodgers, "The hazards of secondhand smoke, "Business & Health Special Report, Vol. 15, No. 8, Summer, 1997, p. 11. ⁸Center for Disease Control and Prevention (CDC), "Secondhand Smoke in the Workplace" Fact Sheet. ⁹Project ASSIST: Smokefree Indiana, "Secondhand Smoke" Fact Sheet, 1997. ¹⁰Testimony to Indiana General Assembly, Environmental Tobacco Smoke, Dr. Richard Feldman, January 26, 1998.