Is Secondhand Smoke as Dangerous as Smoking a Cigarette?

Secondhand smoke refers to the fumes that are emitted when smokers use:

  • cigarettes
  • pipes
  • cigars
  • other tobacco products

Both firsthand and secondhand smoke have significant health impacts. While smoking is the most harmful, both have similar adverse health effects.

Secondhand smoke is also called:

  • side-stream smoke
  • environmental smoke
  • passive smoke
  • involuntary smoke

Nonsmokers who inhale secondhand smoke are affected by chemicals contained in the smoke.

Tobacco smoke contains about 7,000 chemicals, according to the World Health Organization (WHO). At least 69 of them are cancerous. Over 250 are harmful in other ways.

Fluids such as blood and urine in nonsmokers might test positive for nicotine, carbon monoxide, and formaldehyde. The longer you're exposed to secondhand smoke, the greater your risk of inhaling these toxic chemicals.

Exposure to secondhand smoke occurs anywhere someone might be smoking. These locations may include:

  • bars
  • cars
  • homes
  • parties
  • recreational areas
  • restaurants

  • workplaces

As the public gets more aware of the dangers of smoking, overall smoking rates among teens and adults continue to decline. However, the Centers for Disease Control and Prevention (CDC) estimates that 58 million nonsmokers in the United States are still exposed to secondhand smoke.

Overall, WHO estimates that 1.2 million premature deaths per year are related to secondhand smoke worldwide.

This is a serious health concern that can affect both adults and children exposed to secondhand smoke.

The only way to eliminate such risks is to avoid tobacco smoke entirely.

Effects in adults

Secondhand smoke exposure is every day in adults.

You might work with others who smoke around you or be exposed during social or recreational events. You might also live with a smoker in your family.

In adults, secondhand smoke can cause:

Cardiovascular diseases

Nonsmokers exposed to secondhand smoke had a 25%–30% increased risk of heart disease and a 25%–30% higher risk of stroke.

Also, smoke exposure can make preexisting cases of high blood pressure worse.

Respiratory diseases

Adults are more likely to develop asthma and suffer from respiratory illnesses regularly. If you already have asthma, being around tobacco smoke might make your symptoms worse.

Lung cancer

Adults who do not directly use tobacco products may develop lung cancer due to secondhand smoke.

Living or working with someone who smokes can increase your risk of lung cancer by as much as 30%.

Other cancers

Among the possibilities include:

  • breast cancer
  • leukemia
  • lymphoma

Cancers of the sinus cavity are also possible.

Effects in children

While secondhand smoke exposure can cause various health problems in adults, children are particularly vulnerable to the impacts of tobacco smoke. This is because their bodies and organs are still developing.

Children don't have a say when it comes to being around cigarette smoke. This makes limiting associated risks even more challenging.

The health consequences of secondhand smoke in children include:

Effects on the lungs. This has asthma and delayed lung development.

Respiratory infections. Pneumonia and bronchitis are the most common. Infections are more common in children who are exposed to secondhand smoke.

Ear infections. These often occur in the middle ear and are frequent in nature.

Asthma symptoms such as coughing and wheezing are getting worse. Children with asthma might also be privy to frequent secondhand smoke exposure from asthma attacks.

Cold or asthma-like symptoms regularly. Coughing, wheezing, shortness of breath, sneezing, and a runny nose are symptoms.

Brain tumours. These might develop later in life, too.

Because secondhand smoke can cause sudden infant death syndrome, infants are even more vulnerable to its effects (SIDS).

Pregnant women exposed to secondhand smoke are more likely to give birth to underweight children.

The WHO estimates that 65,000 children die each year due to secondhand smoke exposure. One of the most effective ways of protecting your child from secondhand smoke exposure is to stop smoking yourself.

Last but not least

To get the adverse health effects of smoking, you don't have to smoke a cigarette yourself.

Given the numerous health effects of secondhand smoke, avoidance is increasingly viewed as a human right.

Many states have enacted laws prohibiting smoke in common areas, such as restaurants, outside of schools and hospitals, and on playgrounds.

Despite the enactment of no-smoking laws, smoking cessation is the only way to protect nonsmokers from secondhand smoke fully.

If you live in a multiunit house, cigarette smoke can travel between rooms and apartments. Being outside in an open area or opening windows around an indoor smoker does little to stop the effects of secondhand smoke.

If you're around tobacco smoke, the only way you can fully eliminate exposure is by leaving the affected place entirely.

According to the CDC, the problem is that most secondhand smoke exposure takes place inside homes and job sites.

In such cases, it's nearly impossible to avoid secondhand smoke as a nonsmoker. This is especially true for children whose parents smoke inside houses and cars.

Quitting smoking is the best way to protect nonsmokers from secondhand smoke.

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