1 Cleaning House: Reducing Children’s Involuntary Exposure to Secondhand Smoke National Conference on Tobacco or Health November 19, 2002

2 Objectives Communicate the health effects and demographics of children’s exposure. Discuss program strategies, marketing approaches and support services Explore opportunities to create more smoke-free homes & cars

3 Session Outline Overview and Health Effects Simon McNabb – EPA Indoor Environments Demographics Angela Trosclair – CDC Office of Smoking & Health Program Initiatives and Strategies Nina Jones – Univ. of Ariz. Healthcare Partnership Strategy Session

4 Overwhelming Science Two 1986 reports found increased frequency of serious respiratory problems in children of smokers: National Research Council, 1986 Report 1986 Surgeon General’s Report on Involuntary Smoking

5 Overwhelming Science 1992 EPA’s risk assessment - Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders This landmark report changed U.S. culture on Secondhand Smoke Classified SHS as human lung carcinogen

6 Overwhelming Science National and international studies that confirm and go beyond EPA findings: California EPA 1997/Natl. Cancer Inst. Monograph Australia’s National Health and Medical Research Council’s 1997 Conclusions French National Academy of Medicine 1997 report UK’s Report of the Scientific Committee on Tobacco and Health (1998) U.S. Institute of Medicine (2000)/NAS Report

7 Adult Health Effects Lung Cancer 3,000 deaths in non-smokers annually Heart Disease 62,000 deaths in non-smokers annually Coughing, phlegm production, chest discomfort, & reduced lung function

8 Childhood Health Effects Bronchitis and Pneumonia 150, ,000 cases/year Middle Ear Infections 700, million doctor visits/year Sudden Infant Death Syndrome 1,900-2,700 deaths/year

9 Childhood Health Effects Chronic Respiratory Symptoms Coughing, wheezing, phlegm Decreased Lung Function Significant reduction in growth/function Decreased Fetal Growth 9,700-18,600 cases of low birth-weight

10 Childhood Health Effects Asthma Exacerbation 400,000 – 1 million children/year Costing $200 million annually Asthma Induction 18,000 – 36,000 new cases/year

11 Childhood Health Effects Emerging Science Cognitive and behavioral effects Cardiovascular effects Cancer (leukemia & brain tumors)

12 Children especially vulnerable Their respiratory, immune, and nervous systems are still developing They absorb greater doses than adults from the same exposure levels If mother smokes, infants and young children typically receive very high exposures from proximity to mother

13 EPA’s Asthma Initiative “Goldfish” Media Campaign Mailed to every TV and Radio Station Works with Hotline supported by AAN-MA

14 EPA’s Asthma Initiative Working with National Asthma Network Integrating ETS & children’s health Asthma and Allergy Foundation of America Allergy & Asthma Network/ Mothers of Asthmatics American Academy of Respiratory Care

15 Why Children in the Home? Children's exposure is involuntary Children’s exposure mostly occurs at home Progress being made in public places but a gap in progress in the home

16 How Do We Fit In? Restrictions result in greater quit rates Ads that stress ETS are most effective Smokers who believe ETS is harmful & take action make more progress towards quitting

17 EPA’s Tools and Resources: Media campaign Pediatrician’s Speakers Kit Poisoning Our Children video Daycare Module Community Action Kit Smoke-Free Home Pledge Campaign Pledge Brochure Smoke-Free Home Kit Printed information Risk Assessment, brochures, posters)

18 Our Challenge Protect children from secondhand smoke by creating more smoke-free homes and cars.

19 Protecting Children What are you currently doing to protect children from secondhand smoke? What could you do differently or more of? Who are you already working with that you could collaborate to protect children? Who could you engage to work with you who you don’t already work with?

20 Resources To take the Smoke-Free Home Pledge call SMOKE-FREE EPA’s Indoor Air Quality Information Clearinghouse EPA’s Secondhand Smoke Website –