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ETS EXPOSURE AND NONSMOKERS
W!TH-~.pRE~EXISTENT HEART/LUNG DISEASE,
TOBACCO SMOKE IS A HEALTH RISK FOR NONSMOKERS SUFFERING
FROM H:EART AND LUNG DISEASES.
The claim about heart disease is largely based on, a 1978,
study involving i0 heart patients which reported that
exposure to tobacco smoke could hasten the onset of heart
pain during exercise.(1) However, the credibility of
this report, as well as other research, by this
investigator, has been. widely challenged.(2) Furthermore,
other than a single Russian language article about which
relatively little is known,(3) the 1978 data have not
been replicated in the literature. One reason for this
ma~y be the possibility that subjective factors may have
influenced the data. This possibility is supported by
research from Great Britain which actually measured
objective responses of a group of heart patients to
smoking and carbon monoxide exposure. Using these
objective measurements, no adverse physical response
were reported at any level of exposure.(4~)
Other scientists have questioned: the plausibility of a~
association between adverse reactions in heart patient~
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and exposure to tobacco smoke, given the extremely low.
levels encountered in everyday life. (.5)
Similarly, studies which have assessed the influence of
tobacco smoke exposures on adult asthmatics are not
conclusive. While the data from two studies have been
interpreted as suggesting a genu.ine response to tobacco
smoke,(16) the five other studies reported no significant,
objective changes in asthmatics, sometimes even after
prolonged;, heavy exposure to tobacco smoke.(7) ~n the
two studies reporting a possible relationship, researchers
were unable to rule out the influence of emotional and
It's doubtful these people can~ avoid everything that
they perceive as uncomfortable -- this is a simple
What's obvious is the need for special courtesy by all
people -- not just smokers -- to individuals with these
medical conditions. That may mean avoiding, for example,
the use of aerosols, perfumes, etc., as well as smoking.
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Page 3: 2023854305
Aronow, W., "Effects of Passfve Smoking on Angina Pectoris,"
New. England Journal of Medicine 299(I),: 21-24, 1978.
Fisher, E., Statement, U.S. Congress, House Committee on
Agriculture,, Subcommittee on Tobacco, Effect of Smoking on
Nonsmokers, H~earing, 95th Cong. 2nd Sess., September 7, 1978,
washington, D.C., U.S. Government Printing: office, 1978., pp.
Shephard, R., The Risks of Passive Smoking (London.:
Helm~ Ltd., 1982): 73.
Mintz, M., "FDA, Citing Phony Evidence, Bars Drug Tests by
Researcher," The Washington Post, Ma:rch 23, 1983.
Peterson, C., "EPA Probe Criticizes a Study Used in A.ir Quality
Standard," The Wash,inqton Post, J,une 7, 1983.
Kha~ifen, E.Sh. and Klochkov, V.A., "Effect of 'Passive' Smoking
on the Physical Load Tolerance of Coronary Heart Disease
Patfents," Ter. Arkh. 5: 112-115, 1987. [Uncertified
McNicol, M., and J. McM Turner, "Oxygen Uptake at the Onset
of Angina Pectoris: Effects of Nicotine and!Carbon Monoxide,"
Clin. Sci 65:(3): 24, i~983. Abstract.
Schievelbein, H. and: F. Richter, "The Influence of Passive
Smoking on the Cardiovascular System," Preventive Medi.cine
13.(6) : 626-644, ~984.
Rylander, R., "Workshop Perspectives," ETS-Environmental
Tobacco Smoke: Report from a Workshop on Effects and Exposure
Levels, R. Rylander, et al. (eds.), Eur. J. Resp~r. Dis,
Suppl. 133(65): 143-145, 1984.
Dahms, T., et al., "Passive Smoking -- Effects on Bronchial
Asthma," Chest 80 (5).: 530-534, 1981.
Knight, A., and A. Breslin, "Passive Cigarette Smoking and
Patients With Asthma," Medical Journal of Australia 14~2(3):
Ing, A. and A. Breslin, "The Effect of Passive Cigarette
Smoking on, Asthmatic Pati~ents," Proceedings, The Thoracic
Society of Australia, p. 543, October, 1983. Abstract.
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Lebowitz, M., "The Effects of Environmental Tobacco Smoke
Exposure and Gas Stoves on Daily Peak Flow. Rates in Asthmatic
and Non-Asthmatic Families," ETS-Environmental Tobacco Smoke:
Report from a Workshop on Effects and Exposure Levels, R.
Rylander, et al. (eds.), Eur. J. Respir. Dis., Suppl. 133(65):
Magnussen, H., "The Effect of Passive Smoking on Airway Tone
and Responsiveness in Children and Adults with Bronchial
Asthma," Toxico~oq~cal Forum, Budapest, Hungary: 202-205,
Shephard, R., et al., "'Passive' Exposure of Asthmatic Sub-
jects to Cigarette Smoke," Environ. Res. 20: 392-402, 1979.
Weidemann, M., et al., "Acute Effects of Passive Smoking on
Lung Function. and Airway Reactivity in Asthmatic Subjects,"
Ch,est 8:9(2)i: 180-18.5, 1986.
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