Lorillard
Reduction of Carbon Monoxide in Cigarette Smoke
Fields
- Author
- Ellis, R.L.
- Gori, G.B.
- Type
- PSCI, SCIENTIFIC PUBLICATION
- BIBL, BIBLIOGRAPHY
- CHAR, CHART/GRAPH/MAPS
- DRAW, DRAWING
- FOOT, FOOTNOTE
- Alias
- 81211252/81211262
- Area
- LIBRARY/SUBJECT BOXES
- Named Organization
- NIH, Natl Inst of Health
- Preventive Medicine
- Academic Press
- Ahf, American Health Foundation
- Enviro Control
- Federal Health Office
- NCI, Natl Cancer Inst
- Named Person
- Baker
- Brunnemann
- Burton
- Hoffmann
- Kilburn
- Lanzillotti
- Mikami
- Morie
- Owens
- Rickards
- Schultz
- Terrel
- Tiggleback
- Wayte
- Date Loaded
- 05 Jun 1998
- Request
- R1-059
- Master ID
- 81211048/1331
- 81211093-1100 the American Health Foundation Newsletter Vol. 5 / No. 1
- 81211101-1108 the American Health Foundation Newsletter Vol. 4 / No. 2
- 81211109-1116 the American Health Foundation Newsletter Vol. 4 / No. 1
- 81211117-1128 the American Health Foundation Newsletter Vol.3 / No. 3
- 81211153
- 81211154-1156 Forum: Workshop on Carbon Monoxide and Cardiovascular Disease
- 81211157-1163 Risk Factors on Arteriosclerosis and Cardiovascular Disease with Special Emphasis on Cigarette Smoking
- 81211164-1171 Effect of Carbon Monoxide on Cardiovascular Disease
- 81211172-1182 The Epidemiology of Carbon Monoxide in Cardiovascular Disease in Industrial Environments A Review
- 81211183-1188 Compliance with the Carbon Monoxide Standard in the Workplace
- 81211189-1196 Model Studies Linking Carbon Monoxide and / or Nicotine to Arteriosclerosis and Cardiovascular Disease
- 81211197-1203 Carbon Monoxide, Tobacco Smoking, and the Pathogenesis of Atherosclerosis
- 81211204-1216 Mechanisms of Carbon Monoxide Toxicity
- 81211217-1226 The Prevalence of Carboxyhemoglobinemia in New Yorkers and Its Effects on the Coronary and Systemic Circulation
- 81211227-1237 Animal Models and Acute and Long - Term Carbon Monoxide Intoxication
- 81211238-1244 Formation and Analysis of Carbon Monoxide in Cigarette Mainstream and Sidestream Smoke
- 81211245-1251 Thiocyanate As An Indicator of Tobacco Smoking
- 81211263-1272 Methods to Reduce Carbon Monoxide Levels at the Workplace
- 81211273-1283 Evaluation of the Role of Carbon Monoxide and Nicotine in the Pathogenesis of Arteriosclerosis and Cardiovascular Disease
- 81211284-1297 Potential Mechanisms for the Augmentation of Atherosclerosis and Atherosclerotic Disease by Cigarette Smoking
- 81211301
- 81211302-1319 Bibliography
- 81211321-1329 Untitled Document 81211321/1329
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A
PREYEVrIYE ~It_hIC[Ni. 8, OtKI-OIKI (I9791
ili .t
I
Reduction of Carbon Monoxide in Cigarette Smoke'
Gio B-. GOR1# AND RICHARD L. ELLISi
,\'ational Cancer Instirtue. Dil isinn of Cancer Cause and Prerentinn. ,`'atinna!
lnstitutes of Health, Bethesda. ,1lanland 20014. and `Enviro Contri>! Inc.. Prirne
Contractor. A'C1 Snrol ing and Healrlf Program. 11300 Rocl t ille Pil e.
Rock rille. Marcland 20852
Many studies have documented that cigarette smoking is associated %vith coro-
nary heart disease and appears to be g significant risk factor contributing to its
pathogenesis. especially in young and middle-aged people (1). Some experimental
evidence seems to implicate carbon monoxide (CO) in the pathogenesis of athero-
sclerosis and, even though this association has not been proven conclusively,
there is significant causY among those dedicated to smoking and health programs
to work at reducing the delivery of CO from cigarettes for those people who
continue to smoke despite all the warnings.
To appreciate better the problems of reducing CO delivery in cigarettes. a brief
review of the process of -smoke generation from a tobacco cigarette is in order.
Figure I illustrates the overall makeup and characteristics of the cigarette (19).
The tobacco column is wrapped in a gas- and vapor-permeable membrane that
allows air to flow into the tobacco column during puffing and- gas and vapor
components to diffuse during the smoldering cycle. A permeable or perforated
wTapper is often used on the tip of a filter cigarette, which reduces pressure and air
flow into the burning cone of the cigarette during the puffing cycle. The burning
cone is relatively impermeable: the majority of the air enters the cigarette along
the cone surface near the edge of the burning wrapper. Figure I also outlines the
three zones used to describe the overall smoke generation process, which %;,-ill be
discussed shortly. -
Figure 2 describes a ty pical air flow pattern (2). The bulk of the inspired air
enters along the perimeter of the burning cone. Thus, during the puff. tobacco at
the outer periphery of the column is largely consumed and between puffs the
interior portion of the tobacco column is preferentially consumed.
As a puff is taken, the bulk of the incoming air floµ s at the periphery of the coal
at the char line. The exothermic oxidation of carbon heats the gas stream that acts
as an energy source for the subsequent reactions. In this high-temperature zone
the products are mainly gaseous with CO and carbon dioxide incorporating more
than 50% of the oxygen from atmospheric oxygen; the pyrolytic formation of CO
accounts for about 439'0 of total CO formed (2, 6, 12, 19).
~ In the pyrolysis distillation zone the energy provided by the oxygen-depletedl
' Presented at a Workshop on Carbon Monoxide and Cardiovascular tJiseate. sponsored by the
American Health Foundation and the Federal Health O(Tice. Federal Republic of Germany. Berlin.
October 10-12. 1978. -
-fc'1IQ-
I
- 0091-7435r79 0083-0000502.OQ O
Copyn`ht ;.1979 by AcaJem,- Prn..lnc.
All rightf of rcprchloct,on m any form nruncJ.

GORI AND ELLIS
eslpLr9S 1
; (YSTUATqN i!
1 jCIP{ 1
j ~+TERM20fS51 t
Low
?EMffRATIjtE
ZO.E
- CO.COt L1GHr wSFS -
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' ~ fIiRATDNI
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aw
_ 1v.ROLrnc `
~ D6TlLAT1pN ~
/ PROOUCTS ~
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Ftc. I. Schematic of the burning cigarette (Osdene, 1976) (19).
NcN
TEwfAARqE
ZaE
hot gas stream yields the high-boiling compounds that are the main source of
particulates, CO, carbon dioxide, organic gases, and- distillation products. The
overall sum of the reactions in this area is endothermic so the gas stream cools
rapidly.
Baker and Kilburn (5) have presented a rather detailed picture of the tempera-
ture profile as well as the CO distribution within-the combustion coal in Fig. 3. The
oxygen contours show that the interio-r of the coal is an oxygen-deficient region;
thus with oxygen in the air being unable to penetrate into this region of carbonized
tobacco, the interior is largely a pyrolytic region. Probably, the major quantitative
effect of oxygen is to produce carbon dioxide, CO, water, and heat. -
Examination of the contour diagram shows that CO production reaches a
maximum in the high-temperature zone. Figure 4 describes CO production as a
function of distance from the char line (5, 11). As a consequence of this type of
analysis, Lanzillotti and Wayte_(13) described a one-dimensional combustion pro--
file as shown in Fig. 5 (2).
-
Again, in zone I, CO and carbon dioxide are formed by carbon oxidation and
hydrogen is liberated, and this results in a reducing atmosphere. In zone 2, air
enters the rod around the coal and some CO is oxidized to carbon dioxide. In zone
t
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.z .a. +6 st+ 1o
I
oiS7AHCE fRO/d LINE Of
)
VAPEIi DURM(mm
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FtG. 2. Probabtt air flow patterns into the combustion zone of a cigarette during a puff. Thickness
of
arrow is proportional to magnitude of air flow (Baker, 1975) (2).
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WORKSHOP: CARnON MONOXII!li AND
oxrGrld
CARBON LIONOXIpE
CARBON 010XIGE -
CVl)
12 1 16 i ©s 16 I
~ IZ
i n
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FtG. 3. Gas concentration (% vv) contours (Baker and Kilturn) (5).
3, carbon dioxide is reduced to CO over the hot char: in zone 4. CO and carbon
dioxide are formed by pyrolysis: in zone 5, the gases diffuse isothermally into and
out of the cigarette rod.
It should be mentioned here that several factors ultimately determine the qual-
itative and quantitative-smoke composition. The major factors affecting the profile
of the burning cigarette include the physical form (length and circumference) of
the cigarette, filler materials, tobacco type or blend, width and/or type of tobacco
cut, packing density, additives, moisture content, permeability of the cigarette rod
and mouth-piece tipping paper, and the filter makeup (i.e., fiber material, plas-
ticizers, additives, draw resistance, construction, and perforation) (24). Burton
(8), for example, concludes that the heated ceilulosic materials of tobacco are the
major precursors of pyrolytic CO. -
More than 90% of the weight of the total mainstream smoke effluent is ac-
counted for by the gas phase, where nitrogen and oxygen account for more than
70%. The mainstream smoke of a typical United States commercial nonfilter
cigarette contains about 17.0 mg of CO (5.5 vol% and 60 mg of CO, (14.5 volS'c) (7,
10. 21). Especially low CO values have been reported for cigarettes with perfo-
rated filter tips (10). Both CO and CO, yields increase linearly with ascending puff _
------- ---- - --- ~ --- -i

i
GORI AND ELLIS
FIG. 4. Smoothed concentration curve for carbon monoxide(Lanzilotti and Wayte. 1975) (13).
I
number. a should be mentioned also that leaves from the_ lower stalk positions
generate significantly less CO and COZ than do leaves from-the upper stalk posi- j
tions of the same tobacco plant (7).
The amount of tobacco consumed during puffing and during smoldering de- !
pends on the static burning temperature and on the same parameters that help ~
determine the mainstream smoke formation and composition. Generally, how-
ever, the mainstream smoke effluent of a cigarette smoked to a 30-mm butt length
amounts to about 500 mg. The interrelationships involved in cigarette smoke may
be described by the general equation shown in Table 1(9). From this material
balance, one can suggest that reducing the pyrolytic and distillation effects and -
increasing-the efficiency of complete combustion would decrease the yield of total
particulate matter and increase the weight of the gas phase. However, to be
effective in reducing the CO levels, carbon dioxide should be the carbon oxide
produced. Baker (2, 5) has studied this approach and-has found that the CO yield - I
is dependent on the heating rate, although the total yield of carbon oxides is a
constant: thus, an increase in carbon dioxide would result in a decreased CO level.
r
We believe that technology generally is -available to reduce substantially the ! I
delivery of the 20 gas vapor cigarette smoke components judged as health hazards,
and of CO in particular. Tiggleback (23) has commented, however, that the 3-6 ~ !
volS'c CO in delivered `cigarette smoke has proven to be a greater challenge to ;
cigarette designers than have other vapor-phase components. For example, at- ;
tacking CO by filtration of filter catalysis is an exercise in futility. Catalytic oxida-
tion to carbon dioxide is limited by several factors including catalyst contact time, ~
mild temperature and pressure conditions, and catalyst poisoning. Using adsor-
i
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-t 0 1
D,sla~e from Oar Lru n cm
rl
--r'- -
2
3
4
5
FtG. 5. Combustion profile (Lanzillotti and w'ayte) (13).
6;_v Y ,:'
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I i > t'lr WORKSHOP: CARBON MONOXIDE AND CVD
1
TABLE I
THE tNTERRELATIONSHIPS INVOLVED IN CfGARETTE SMOKE
Weight of ash produced during puffs
+Mainstream TPM weight
+Mainstream gas phase weight
-Mainstream cntrained gas weight
-Mainstream combustion oxygen weight
=Weight of cigarette burned during puffs
bants such as bovine hemoglobin seems -impractical from the standpoint of the
large quantity necessary.
There are approaches, however, which do offer a feasible approach-
principally air dilution filtration. Reduction of heating rates is another technique.
For example, at low heating rates, the yield of CO is almost half that at high rates
(2). The quantities produced are consistent with that expected by the oxidation
mechanism and estimated from the oxygen isotope studies. Since the oxidative
formation of CO is dependent on heating rate, it may be suggested that this
mechanism might be utili7ed to decrease the CO yield of a cigarette. Mikami et a!.
(16) have also reported that the CO/COZ ratio found in smoke is a function of the
rate at which air is drawn over the burning cone surface during puffing. Their data
on varying puff volume at constant duration are shown in Table 2. The data
illustrate that the concentration of CO increases at a faster rate than the concen-
tration of carbon dioxide on increased puff volume. Of course: puff volume, in this
case, is directly proportional to volume of air flowing over the cone surface per
unit time. - ~
The same phenomenon may be observed when the air flow rate over the cone
surface is changed by the amount unt of air entering through the wrapper. In the
simplest case, there is less air flow over the cone surface on the first puff of a
cigarette than the last puff. Brunnemann and Hoffmann (7) recently reported the
sequential per-puff yields of CO and carbon dioxide. Although both components
rise in a linear fashion with puff number, due to decreasing air dilution as the
wrapper is consumed, CO rises at a faster rate than carbon dioxide with increasing
TABLE 2
EFFECT OF PUFF VOLUME ON COlCO.'-
Puff volume CO, CO_ (v,w)
10 - 0-'-8
14 0.25
20 0.40
25 0.39
30 0.39
35 0.50
45 - 0.50
Mikami et al. (16).
i

GORI AND ELLIS
puff number. CO increases 2.1 times from puffs I to 10, whereas carbon dioxide
increases only 1.5 times. -
Highly permeable paper also creates a different thermal profile: It changes the
I oxygen concentration and- flow in the fire cone region, altering the combustion
process; it creates an opportunity for entry of puff-diluting air and-diiTusion of CO
out of the cigarette rod. Tiggleback suggests that the- diffusion contribution di-
minishes minishes as the cigarette burns shorter but that dilution may remain fairly constant
due to a slightly decreasing tobacco resistance, although there is not uniform
agreement on this point. Condensation may increase the tobacco-rod resistance,
diminishing the effect of the shorter cigarette rod. However, with increasing air
dilution carbon monoxide is selectively reduced compared to tar and carbon
dioxide (18, 20, 23). - -
Rickards and Owens (20) also have observed the same relationships with line-
perforated cigarette paper, a tobacco wrapper with minute perforations along the
length of the cigarette rod. A representative sampling of data, using various tech-
niques of air dilution, is shown in Table 3. The estimated degree of ventilation is
determined by comparing the CO delivery with that of an appropriate control
cigarette. The control cigarettes in this study were all made with a cigarette
wrapper of similar porosity- and permeability. This also allows one to make com-
parisons between the three different air-dilution techniques. As the table shows,
the reduction in CO delivery is greater than the decrease in tobacco burned during
pufl-ing. due to the particular air-dilution technique. For example, where the venti-
lation of a cigarette is 5290, the CO reduction is 67%. The effect on carbon dioxide
delivery however is not as clear-cut. - -
It is possible that a decrease in CO may arise from both the decrease in tobacco
I
~ ,
I
TABLE 3
REPRESENTATIVE DATA OBTAINED BY USING VARIOUS TECHNIQUES OF AIR DILUTION
Sample Ventilation -
(S'c) - - CO
(mg) -_ CO.
(mg) i
Filter cigarette A 22 10.6 35.1
perforated tip - -
Filter cigarette A
13.6
43.5
unperforated
Percentage of unventilated
79
81
Cigarette B with open 43 - 8.7 30.7
perforated tip -
Cigarette B 17.2 52.3
unperforated
Percentage of unventilated
50.6
58.8
Cigarette C with line- 52 5.6 30.4
perforated paper
Cigarette C without
17.1
57.4
line perforations
Percentage of unventilated -
33
51.3
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WORKSHOP: CARti@N INONOXIUI:-AND CVD
I
burned during puffing and the decrease in pyrolytically formed CO asscTciated with
a decreased air flow rate over the surface of the burning cone-and a corresponding
reduced rate of heating in the oxidation of the carbonaceous residue.
The tobacco wrapper also can affect the CO yield by a mechanism not directly
attributable to the ventilation effects. That is, it can be manipulated to affect the
amount of tobacco burned during puffing by its influence on static burn rate.
Figure 6, reproduced from a paper by titattina and Selke ( l5), describes the effects
of the various paper treatments on CO yield. With the citrate additive, the ex-
pected trend is increased yield of CO per puff with increased static burn or to-
bacco consumed per puff. As shown in the figure the increased number of puffs at
the lower static burn rates causes-a general increase on a per-cigarette basis. The
unusual finding in this study is the rapid increase in CO yield on increasing phos-
phate additives in the paper. Although the authors do not-suggest a mechanism for
the high yield of CO from such treated paper, it is possible that the phosphate-
treated paper results in an interference by phosphate in the air oxidation of the
carbonaceous residue to carbon dioxide. The combined increase of CO + CO: is
on the order of 10%, in line with the decrease in burn rate of the cigarette.
Recent studies by Baker and co-workers (3, 4) examined the effects of paper
permeability. As a result of these studies, a better understanding of the diffusion
process was obtained. Specifically, they -concluded that diffusion is a-dynamic
three stage process: radial diffusion through the tobacco-rod, diffusion through the
paper cover, and diffusion away from the outer surface of the paper. By measuring
the diffusion rates they concluded that the diffusion rate through the paper v.as
about twice that of diffusion through the cigarette rod. In addition, they noted that
the gas composition at any given position inside the cigarette is dependent on the
net chemical production of the gas and the net rate of diffusive and convective
flow_ through any particular region.
~
CARBON NtC`.OXIDE CEIIVERV rs. FREE BURN TIME
O
LL
~
a
O
260- F 0 CRRATE
0 cr.OSP1,4ATE
0 U`JTRE4TYED 0
2d0 9 ALU:':NU:dCMCaiOE
UREA d 6YtNO ACIDS
O
220[ .
:.0
ooeyf
0
0
a
~
0
O
v v
e o
e
e ee ~ e%
0
s 9 to 11 12
- MiNUTES PER 40 NM
Fto. 6. Carbon monoxide delivery vs free burn time (bfattina and Selke. 1975) (15).

GORI AND ELLIS
The extent to which air can-in(iltrate the paper or channel between the burning
cone and the paper also seems to be a significant factor affecting the combustion
products (22). Terrell and Schultz noted that c-hanging the permeability of the
paper, changing the effective-length of the cigarette, or reorienting the-packing of
the tobacco within the cigarette, provides the means for regulating this channeling
effect. Perforation holes either in the paper wrapper or in the filter of a filtered
cigarette accomplishes a similar effect; less air is drawn through the combustion
zone thereby lowering the average burn temperature as well as providing a greater
number of puffs. -
Thus, recent studies have shown that the mainstream CO yield is a function of
the amount of tobacco burned during puffing, the concentration of the pyrolytic
precursors, the heating rate of the tobacco during puffing, and the permeability of
the wrapper toward outward diffusion of CO. Modification of these parameters
may lead to reduced yields.of CO. Condensation or adsorption of the gas on the
filter or unburned tobacco column does not occur to any significant degree and is
not a variable affecting the CO yield.
With good reason, one might ask how effectively these studies have been re-
duced to practice. Using the technology available, cigarette yields of tar as well as
CO of less than 10 mg tar and 10 ml CO have been obtained in several cigarette
brands. Interestingly, there seems ta be a remarkably good linear correlation
between tar yield and CO yields. This may be graphically demonstrated in Fig. 7 in
which CO yield is plotted against tar yield. Thus, as tar yields of manufactured
cigarettes have been declining in the last decade. CO levels appear to have de-
clined as well. What effects these reduced yields may have regarding smoking-
related diseases is still speculative; however, based-simply on a policy of pru-
dence, it is an encouraging trend. -
The National Cancer Institute has prepared and analyzed approximately 94
co
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8 771994294i423 1.38
R-SOUoRE6586~
J I812326
RES ERRDR
1.6~~71947731
MAX(a8S(REStDUnI)) 1.68
1.1838~2681 N -
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16.01 !6.38 )I.RR t1.Si 2.BY E 1
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FtG. 7. Correlation of tar yield and CO emission in a sample of commercial cigarettes.
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1
WORKSHOP: CARBON S(ONOXIDfi AND C'VD
1
cigarette variations in four separate studies to define characteristics of less
hazardous cigarettes. In these four sets of experimental cigarettes, a standard
experimental- blend cigarette (SEB) was used for comparative purposes whose
composition was based on the 1970 sales-weighted averages of various tobacco
types including reconstituted tobacco sheet (R T S). In each ex-periment, the tobac-
cos used for preparing- the SEB cigarettes were from that year's crop. Table 4
describes those experimental cigarettes with at least a 25% reduction in CO deliv-
ery, compared with the SEB delivery,-on a-per-puff basis.
In Series III, we have three examples where very high porosity paper and or an
air-dilution filter have reduced CO yield. You may also note that the combined
effect is greater than either that of-the very high porosity paper or the air-dilution
filter. In Series IV, two experimental blends, composed of 27% reconstituted
sheet with 60% calcium carbonate filler and 13rh additive, gave reduced delivery
of CO, literally due to a reduction in the amount of fuel per cigarette. Three
artificial tobacco substitutes in-Series IV also gave reduced CO yields comparable
to the deliveries shown in Series 11 and III experiments.
What about trends in the future? Paper permeability technology is likely to be as
important in the future as it has been to date.
If dilution air flow through permeable cigarette paper can be increased suffi-
ciently, there may be a tendency to increase the proportion of outward diffusion
through the same porous openings. Since this outward diffusion of CO as well as
other gases should have no effect on smoker acceptance of the product. it might be
useful to provide a- major part of the total dilution through conventional filter
perforations, and then to experiment with papers ofgreater and greater permeabil-
ity, produced to retain mechanical strength by using either electrical or laser
technology, to generate the perforated paper (23). The goal would be to maximize
the diffusion portion of the diffusion:dilution process along the tobacco column,
TABLE 4
EXPERINIENTAL CIGARETTES Ci1TH Low' CO DELIVERY
Series Delivery/puff
(ml)
Description
1 1-23 - SEB 1. flue-cured laminae only
I II 0.60 Artificial tobacco substitute
II[ 1.22 SEB Ill, very high porosity paper
0.88 SEB 111. with dilution filter
0.64 SEB 111. with dilution filter and very high porosity
0.83 - - paper
ATS-A and SEB III, 30/70, dilution filter
0.52 ATS-B
IV 0.49 SEB IV, RTS (27z). 60S'o CaCO 13r'c additives
1.21 IPA-H_O azeotrope
Bright leaf %% ith full return of stems
1.22 Burley leaf with full return of stems
0.62 SEB IV, RTS (277c) 60% CaCO,
1.0d Pesticide-free treated tobacco (Virginia 115)
1.11 Pesticide-treated tobacco (Virginia 115)
-E-~-~~-
{

GORI AND ELLIS i
i
enhanced by the slower actual smoke flow rate produced by filter dilution, but still
not exceeding a level of dilution beyond consumer acceptability.
It can be seen that certain methods available to reduce CO yields may influence-
the levels of carbon dioxide while others may not. Methods of converting
monoxide to dioxide chemically obviously produce an inverse relationship, while
diffusion and dilution would-likely produce changes in the delivered portions of
both oxides and could reduce both. However, the_selection of methodology, such
as a judgment on the relative importance of each oxide or its effects on other
-
smoke components such as pH, must be made.
Morie (17) has reported very recently on a cigarette equipped with a vented
filter that gave lower CO levels than predicted by air dilution alone. The decrease
in CO levels resulted primarily from increased CO-diffusion through the cigarette
wrapper paper as the linear velocity of the mainstream smoke was lowered by
vents in the filter. Thus, the use of a vented filter and permeable paper may be an
excellent combination for decreasing the CO concentration in smoke.
Paper treatment is another alternative (14). The best CO:tar ratio is likely ob-
tained through chemically untreated wrapper paper although this paper gives an
unappealing ash (see Fig. 6).- Alternatives may be found to overcome this draw-
back. Furthermore, alternative wrappers may bring about the specific reduction of
CO by modifying the combustion process. Inorganic fillers for reconstituted to-
bacco sheet or other types of tobacco leaf may be possible, having advantageous
properties compared with the presently preferred inorganic fillers such as
bentonite-hydrated clays or calcium carbonate.
We must not look back on our achievements to date. -Methods should continue
to be developed for improving the tobacco, modifying tobacco sheet technology,
and developing improved high-permeability paper; improvement of smoke-
dilution devices and better fillers also should be encouraged. Technological
achievements have been encouraging in reducing CO levels in cigarette smoke and
they provide us with a sound foundation on which to build future improvements.
Clearly, although the specific role of CO in the pathogenesis of atherosclerosis is
not precisely defined, the reduction of this acutely toxic smoke component seems
to be a desirable and prudent objective. -
REFERENCES
1. Aronow, W. S., Introduction to smoking and cardiovascular disease, in "Proceedings of the Third
World Conference on Smoking and Health. Vol. 1, New York. June 2-5, 1976" (E. L. Wynder,
D. Hoffmann, and G. B. Gori. Eds.), pp. 231-236. DHEW Publication Nal (NIH) 76-1221,
1976.
2. Baker, R. R., Beitr. Tabnlf ~rsclr. 8, 16 (1975).
3. Baker, R. R.. Combustion and thermal decomposition regions inside a burning cigarette. Cunr-
bust. Flanre 30, 21-32 (1977).
4. Baker, R. R., and Crellin. R. A., The diffusion of CO out of cigarettes. Beitr. Tabakjorsch. 91,
131- 140 (1977).
5. Baker, R. R., and Kilburn, K. D.. Beirr. Trrhakfursch. 7, 79 (1973). -
6. Baxter, J. E., and Hobbs, M. E.-, Tob. Sci. 11, 65 (1967).
7. Brunnemann. K. D., and Hoffmann, D., Chemical studies on tobacco smoke. XXIV. A quantita-
tive method for carbon monoxide and carbon dioiide in cigarette and cigar smoke. J. C.hrou.
Sci. 12, 70-75 (1974).
8._Burton, H. R.. Beitr. Tabai,jorsch. 8, 78 (1975).
oP~ri9kfi
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