Tobacco Documents Online

,' .TtJL-11-90 WED 1G :5,... C " B a ^.C'l f S:.: :P.A rr ,J r'_ iu-. 1June i? 11/ LaA '-=-; H DC FNV 1 RONMENTAi. TOBACCO SM©KE : A HANDBOOK FOR ASSESSMENT, MITIGATION, AND PREVENTION OF EXPOSURES James Ropace, EPA, and Donald Shopiand, OSH P _ p-9 ALiD I FI•fCE : The aud i ence for th i s hand book wou i d be dec i s i on-makers such as labor and management officials concerned with workplace exposures, public health officials and corporate medical directors who are concerned with making health policy recommondations, educators, industriai hygienists and safety officers, Indoor air pollution Investigators concerned with ETS in buildings, nnd legislators who are considering 4ecdisiation to restrict smoking tn workplaces, restaurants, and public access buildings. MATERIAL: The recent reports of the Surgeon General on invoiuntary Smoking and the National Academy of Science on Environmentmental Tobacco Smoke, as well as the forthcoming report by tARD on Passive Smoking will be summarized and organized according to the outline below. Other authoritative materiai will be added as appropriate. LEVEL OF PRESENTATION: At a technical level appropriate to the subject matter, but simplifieQ with graphics and sumnaries so that the material can be grasped by the wide audience described above, as for example, an article in Scientific American. AUTHORS: 8-12 selected experts will provide written chapters on I6M-compatibla f l oppy d i sks. i Authors to be h i red by EPA, OSH/CDC, NC I, NHLB f, PHS 1 PEER REVIEW: Peer review will be handled institutionally through NIH. A contractor w i i i convert a t l d i sks to a $ i ng l e system to produce a prof ess i on- aily-edited first draft for pger review by participating agencies. In the event some authors cannot prov i dg f l oppy copy, contractor w i l l prov i de data entry. i Dontractor to be h i red by E!'A l Peer-rev i ewed comments to be handled by ari editorial board, with members designated by part3cipatins organizations. tFxecutive reviewers may be hiredl PRODUCTION: A second conctractor will produce camera-ready copy for printing, inciudtng final reproductions of ait graphits. First printing wiit be done by EPA. (Contractor to be hired by OSHI DETA i LED OUTL i NE W I Tii AUTHORS AND ES'i• I MATED PACE S i, HEALTH EFFECTS OF TOBACCO SMOKE ioverv i aw wr i tten by OSH: Author: Shop l and i A. HEALTH EFFECTS AT HIGH DOSES 120 pp: 0SH. Shopland) i. The diseases of smoking, emphasis on low smoking rates a. Cancer: doso-rospc>nse, effect of duration and Intensity of smoking. b. Heart Disease c. Lung Disease d. Pregnancy w ti it Public Health Imp3ications: ag$Tspecific tnortatity, productivity fOss

JUL-1 1-'90 WED 1 G-S~2 C & E WASH DC , _2, P _ 10 B, HEALTH EFFECTS AT LOW DOSES (40 pp: NDI; NHLBI; EPA1 1. Effects of ETS on chronic diseases in healthy papuiations: a, Lung Cancer, Other Cancers tNCt: Pechacek:: Burns; Sametl 20 pp. b. Coronary Heart Disease iNHIBt: Morosco: 5 pp.i c. Respiratory Sympfians, Infections, Lung Dlseass and Jung function INH(.81: Morosco: 5 pp1 fI. Effects of ETS on High Risk populations: asthmatics, childrnn, High risk poputations, pro-existing disease states, hyper-allergics. ( 3o pp Hu ! ka? t 11. RISK ASSESSMENT OF ETS (5-10 pp: EPA, NftL: Ropace & Lowrsyl A. LUNG CANCER (Preamble: what is dorte for other carcinogens: Anderson paperJ s. TOTAL MORTALITY C. WORKPLACE PRtJDUCT ! V! TY II1, flIAGNOSIS OF EXPOSURES TO ENViRONINENTAL TOBACCO SMOKE 140 pp; EPA, Rep~ce A. EVIDENCE FOR PANDEMIC EXPOSURE: FIELD STUDIES OF ETS. B. 5VIDENCE FOR DOSE: SUMMARY OF NICOTINE, COTININE STUDIES SHO3+/ING C. I MPDRTANCE OF HOME AND 1VORKPI,ACE : CURRENT EXPOSURE PRODAB ! L l.T I Ea GENERATION, FATE, AND TRANSPORT OF ETS. 0. EXPOSURE AND DOSE ESTIMATION I. Mc3de 3 s(Ftepz:ce and l,owrey 1 11. Mon t tort hg: Area mon i tot^ i ng, persona ! man i tor i ng, b t flchem i ca 1 IE('A: 15 pp: Spengter; Hammond; Leaderer; L,ewtasD E. MEASUREMENT TECHNIQUES (EPA: 25 pp: Leadererl I. Indivldual Constituents: RSP, Ntcotine, 00, others. F. CONSTITUENTS OF ETS tOSH: Shopland: Hoffmann, 5 ppl IV. MITIGATION OF EXPOSURES TO ENVIRONMENTAL TOBACCO SMOKE t45 pp) & Lowr A. LIMITS IMPOSED BY COMPORT AND ODOR CONSIDERATIONS (Acute) (EPA: Leaderer, 20 P E3. VENT I L,AT ION AND A I FZ CLEAN 1 NG FOR EXPOSURE REDU~'.,T JON (Repace & Lowrey, Lead erer i C. EFFICACY OF SPATIAL AND TENPpRAL SEPARATION, esp In Restaurants (F?epace & Lowre 0. EFFICACY OF SOURCE CONTROL (Repaco & Lowrey! E« WHAT CONSTITUTES REASONABLY SMOKE-FREE AIR? (Repace & Lowrey)

'-JL1L-11-g9 4lED 1b:5'-3, C a P WHSH DC V, PREVENTION OF EXPOSURES TQ ENVIRONMENTAL TOBACCO SMOKE [100 pP] A. REVIEW OF LEGISLATIVE APPROACHES Ta SMOKING RESTRICTIONS 1. STATE LEG I SLAT1 flN t USH : Don Garner l t Thr+s m i d 1987 : 50 pp 1 2. LOCAL CASE HISTORlES: MAJOR CITIES (N.Y., S.F., LA, Cambridge MA) tMark Perfischuk: 10 ppi 0. WORKPL ACE SMOKING POLICIES (C1Di'''HP; 70 pp i 1. CASE STUDIESt tAnne Klafhaber. Mike Ericsan/Nancy Ragati) [20 ppl C. ECONt}Mi I C RAT 10NA1..E FOR WORKPLACE SMOK i NG RE STR i CT I QNS t 20 pp , Marv J n Kr i ste D. SMOKING AREAS IN RESTAURANTS: ARE THEY PRACTICAL? t5 pp EPAI E. SCHOOL, DAY CARE, & HEALTH CARE POLICIES (10 pp, OSH: Hulkal F. POLICIES OF AiRLiNES/AIRPORTS, OTHER TRANSPORT 115 pp, ???? Yates, AS1v1A1 G. SMOK I NG f N THE HDME : REC(}MME NDAT I DNS FOR PARENT5 AND SPDi.3SE S WHO SMOKE I Repace I Shop l and 1 15 pp 1 H. REACTION TO RE STR 1 CT !ONS ON SM09{ 1 A!{~a I N PtlBl. I C & { N THE WORKPLACE 1. GENERAL PUBLIC 2Dpp tDSH: Roper, ALA, Ti, BNA, OSH, GOPHP SlJRVEY51 2. ORGAN ! ZEt3 LABOR 15 pp f NNL81 s Syd ney Parlcer? 3 3. TOBACCO INDUSTRY 5 pp tShopland/Repacel V 1. LEGAL AND SQC 14i.OG I CAL i SSllE S I N THE WORKPLACE (30 pp : Matt Meyers 4 M i ke Perts Vi l. ATTiTUDi=S Ot= RELIGIOUS GROUPS ??? Y! 1!. INFORMATION RESOURCES. SOURCES, PEOPLE, ORGANIZATIONS iEf A, OSIi; 10 ppi I. Government ~ 2. Ma,}ar voiuntar3es/health organizations 3. Pollcitat © N ~ 4. Private Q ~ 5, Technical O O N F i NANC t AL RE SC3LiRCE 5; EPA OSH/CDC NC E NHL8i QOPt•iP