1. A Health Hazard to Children Secondhand Smoke:

2. Children’s Exposure to Secondhand Smoke Millions of children six years old and younger are regularly exposed to secondhand smoke in the home.

3. What is Secondhand Smoke? Also known as Environmental Tobacco Smoke (ETS), passive smoking, or side- stream smoke Smoke breathed out by a smoker Smoke from the burning end of cigarettes, cigars, pipes Composed of nearly 4,000 different chemicals and chemical compounds of which, 40+ are cancer causing Contains benzene, nickel, carbon monoxide, ammonia, and cyanide

4. All ETS Exposure: Children Aged 6 and Younger All ETS Exposure: Children Aged 6 and Younger Source: CDC/EPA National Survey on Environmental Management of Asthma and Children's Exposure to Secondhand Smoke, 2003.

5. Health Risks Low birth weight Sudden infant death syndrome (SIDS) Coughing & wheezing More inner ear infections – up to 2,000,000 inner ear infections each year Sources: USEPA. Respiratory Health Effects of Passive Smoking – Lung Cancer and Other Disorders, 1992. California EPA. Health Effects of Exposure to Environmental Tobacco Smoke, 1997.

6. Health Risks Respiratory infections More pneumonia – up to 190,000 cases of pneumonia in children under five More bronchitis – up to 436,000 episodes of bronchitis in children under five Sore throats and colds Sources: USEPA. Respiratory Health Effects of Passive Smoking – Lung Cancer and Other Disorders, 1992. California EPA. Health Effects of Exposure to Environmental Tobacco Smoke, 1997.

7. Asthma Asthma is a disease that causes the lungs to tighten and swell Asthma is incurable, yet controllable Secondhand smoke is the most universal trigger of asthma episodes, especially in children

8. Indoor Asthma Triggers Secondhand smoke Dust mites Pets Cockroaches & other pests Mold Nitrogen dioxide

9. Addressing Asthma Talk to a Doctor Make a Plan Asthma-proof your Home

10. How to Protect Children Pledge not to smoke in your home or car. Call 1-866-SMOKE-FREE or visit www.epa.gov/smokefree/pledge Don’t allow others to smoke in your home or car Choose a smoke-free childcare provider Until you can quit, smoke outside

11. How to Promote Smoke-free Homes Work with childcare centers, WIC offices, health clinics, and other organizations Hand out brochures and other Smoke- free Homes materials at community events Think of ways to include the Smoke- free Homes message at parents meetings, churches, and kids’ clubs

12. 1.Educate parents, caregivers, and community leaders 2.Collect pledges 3.Publicize your smoke-free home messages How to Promote Smoke-free Homes

13. How to Learn More Order EPA’s Materials. Call the Indoor Air Quality Information Clearinghouse at 1-800-438-4318 Visit EPA’s Smoke-free Homes Web site – www.epa.gov/smokefree