Smoking sections don’t work

Separate smoking sections do not help much: Only smoke-free buildings and public places truly protect nonsmokers from the hazards of breathing in other people’s tobacco smoke, says a report from the United States surgeon general, the nation’s chief health educator.

Some 126 million nonsmokers are exposed to secondhand smoke, what US Surgeon General Richard Carmona repeatedly calls involuntary smoking that puts people at increased risk of death from lung cancer, heart disease and other illnesses. Carmona heads the U.S. Public Health Service.

Moreover, there is no risk-free level of exposure to someone else’s drifting smoke, declares the report issued Tuesday – a conclusion sure to fuel already growing efforts at public smoking bans nationwide. Fourteen states have passed what are considered comprehensive smoke-free workplace laws, those that include restaurants and bars.

Smoking is still allowed at restaurants and bars in the Cayman Islands, but legislation is expected to be introduced in the Legislative Assembly in September that would prohibit smoking in some public places.

The Caymanian Compass is taking an online poll now about the smoking issue in the Cayman Islands. Log onto to vote and see how others have voted.

As of Tuesday, 124 of 238 voters said Government should ban smoking from every public building, including bars. Seventy four voters want smoking banned in most public buildings, including restaurants, but not bars; 22 voters said smoking should be banned in many public buildings but not bars and restaurants; 7 voted to ban smoking in schools and workplaces only; and 11 voted not to ban smoking at all.

As the Cayman Islands once again addresses the smoking issue as it pertains to public spots, the United States surgeon general is especially concerned about young children who cannot escape their parents’ addiction in search of cleaner air: Just over one in five children is exposed to secondhand smoke at home, where workplace bans do not reach. Those children are at increased risk of SIDS, sudden infant death syndrome; lung infections such as pneumonia; ear infections; and more severe asthma.

“The debate is over. The science is clear. Secondhand smoke is not a mere annoyance but a serious health hazard,” Carmona said.

He implored parents especially to smoke outside if they cannot quit, or while they are trying to quit, so that they do not endanger their children whose bodies are especially vulnerable to smoke’s toxic substances.

For everyone else, “stay away from smokers,” Carmona said.

The report will not surprise doctors. It is not a new study but a compilation of the best research on secondhand smoke, the most comprehensive federal probe since the last surgeon general’s report on the topic in 1986, which declared secondhand smoke a cause of lung cancer in nonsmokers.

Since then, numerous other health agencies have linked secondhand smoke to heart disease and other illnesses. Earlier this year, California health officials estimated that secondhand smoke kills about 3,400 nonsmoking Americans annually from lung cancer, 46,000 from heart disease, and 430 from SIDS.

The new surgeon general’s report does not re-tally the deaths, but it cites that toll.

The tobacco industry and some businesses, particularly restaurant and bar owners concerned about loss of smoking customers, have challenged some of the broadest public smoking bans in cities and states.

The new report gives new scientific ammunition against those challenges, said Matthew Myers of the Campaign for Tobacco-Free Kids.

“There is no longer a scientific controversy that secondhand smoke is a killer,” he said. The report “eliminates any excuse from any state or city for taking halfway measures to restrict smoking, or permitting smoking in any indoor workplace.”

Among other findings:

-Separating smokers from nonsmokers, cleaning the air and ventilation systems do not eliminate exposure to secondhand smoke.

-There is good evidence that comprehensive smoking bans, like those in New York City and Boston, do not economically hurt the hospitality industry.

-Workplace smoking restrictions not only reduce secondhand smoke but discourage active smoking by employees.

-Secondhand smoke can act on the arteries so quickly that even a brief pass through someone else’s smoke can endanger people at high risk of heart disease. Do not ever smoke around a sick relative, Carmona advised

-Living with a smoker increases a nonsmoker’s risk of lung cancer and heart disease by up to 30 percent.

-There is not proof that secondhand smoke causes breast cancer, although the evidence is suggestive. California earlier this year cited that link in becoming the first state to declare secondhand smoke a toxic air pollutant.

-On the plus side, blood measurements of a nicotine byproduct show that exposure to secondhand smoke has decreased. Levels dropped by 75 percent in adults and 68 percent in children between the early 1990s and 2002. However, not only has children’s exposure declined less rapidly, but levels of that byproduct among children are more than twice as high as in nonsmoking adults.

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