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Exposure to Environmental Tobacco Smoke and Cotinine Levels — Fact Sheet


  • The National Institutes of Health's National Toxicolgy Program's 9th issue of the Report on Carcinogens listed ETS (Environmental Tobacco Smoke) as a "known" human carcinogen, which indicates that there is a cause and effect relationship between exposure and human cancer incidence.
  • ETS is classified as a Group A carcinogen (known to cause cancer in humans) under the EPA's carcinogen assessment guidelines. Exposure to ETS causes lung cancer and has been linked to an increased risk for heart disease in nonsmokers.
  • ETS causes serious respiratory problems in children, such as greater number and severity of asthma attacks and lower respiratory tract infections. ETS exposure increases the risk for sudden infant death syndrome (SIDS) and middle ear infections for children.
  • Cotinine is a major metabolite of nicotine. Exposure to nicotine can be measured by analyzing the cotinine levels in the blood, saliva, or urine. Since nicotine is highly specific for tobacco smoke, serum cotinine levels track exposure to tobacco smoke and its toxic constituents.
  • Involuntary exposure to ETS remains a common, serious public health hazard that is entirely preventable by adopting and enforcing appropriate regulatory policies. Smokefree environments are the most effective method for reducing ETS exposure. Healthy People 2010 objectives address this issue and seek optimal protection of nonsmokers through policies, regulations, and laws requiring smoke-free environments in all schools, work sites, and public places.
  • ETS causes about 3,000 lung cancer deaths annually among adult nonsmokers. Scientific studies have also estimated that ETS accounts for as many as 62,000 deaths from coronary heart disease annually in the United States. More research is needed to know exactly how recent changes in ETS exposure may affect lung cancer rates among adult nonsmokers.

    This information is from Center for Disease control and prevention (CDC).

    If you are with us so far, you must be convinced about the ill-effects of ETS.

    What we can do:

  • Campaign for a comprehensive nationwide tobacco control program for banning indoor smoking or limiting it to separately ventilated areas.
  • Prevent people from smoking in public places like restaurants, theatres, offices, parks, railway stations and bus stops.
  • Build up Support Groups to discourage people from smoking.

    Let's refuse to inhale smoke from someone else's cigarettes! Let's lobby for smoke-free India!!


  • http://www.RebuildIndia.org/ ,is a non-profit community organization for betterment of India. Website last updated on 17-January-2004