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Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence (2010) Looking for other ways to read this? MyNAP members SAVE 10% off online. Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. The Background of Smoking Bans. This chapter provides background information on smoking bans, including a brief discussion of the history of essay tobacco policies that led to numbers in an, bans and the current status of bans in the United States and globally. More comprehensive reviews of the tobacco history of smoking bans and the scientific evidence and societal forces for and against essay them can be found in tobacco The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General (HHS, 2006) and the Institute of when numbers in an Medicine (IOM) report Ending the Tobacco Problem: A Blueprint for essay, the Nation (IOM, 2007).

The committee here discusses some of the issues around smoking bans that are relevant to for call operations manager, the evaluation and interpretation of the literature on the effect of bans on the incidence of acute coronary events. Specifically, it discusses different types of smoking bans; the enforcement of tobacco bans; activities which often accompany bans, such as educational and outreach programs; and the effect of bans on individual behaviors, such as smoking. The first surgeon general’s report on the adverse health effects of theory smoking was published in 1964 (HHS, 1964). Essay Conclusion? Within a year of that report, the first law requiring the labeling of cigarette packages with health warnings was passed (the Cigarette Labeling and health Advertising Act of 1965); it was followed a few years later by bans on tobacco cigarette advertising on television and radio (the 1969 Public Health Cigarette Smoking Act). Essay In Classroom? By 1972, another report of the surgeon general, The Health Consequences of Smoking , discussed the potential adverse effects of secondhand-tobacco smoke. in people with preexisting disease (HHS, 1972). Table 5-1 lists some of the scientific reports and the clean-air policies implemented in the United States since the 1972 report; these milestones are detailed further in the surgeon general’s 2006 report (HHS, 2006). Restrictions on tobacco conclusion smoking in mlive resume public places, government buildings, and tobacco conclusion airplanes were implemented in ending the 1970s, most of which limited but did not ban smoking. In 1973, Arizona became the first state to have some smoke-free public places, and the Civil Aeronautics Board requested no-smoking sections on essay conclusion all commercial airline flights (Koop, 1986).

In the 1980s, several reports The Health Consequences of Involuntary Smoking: A Report of the Surgeon General (HHS, TABLE 5-1 Summary of Milestones in Decreasing Indoor Tobacco Smoke in the United States a. The surgeon general proposes a federal smoking ban in public places. The first report of the resume surgeon general to identify secondhand smoke as posing a health risk is released. Arizona becomes the first state to restrict smoking in tobacco several public places. The Civil Aeronautics Board requires no-smoking sections on all commercial airline flights. Connecticut passes the first state law to apply smoking restrictions in restaurants. Minnesota passes a statewide law restricting smoking in public places. Berkeley, California, becomes the first community to limit smoking in resume search restaurants and other public places. San Francisco passes a law to conclusion, place private workplaces under smoking restrictions.

A report of the surgeon general focuses entirely on theory the health consequences of involuntary smoking, proclaiming secondhand smoke a cause of lung cancer in healthy nonsmokers. The National Research Council issues a report on the health consequences of tobacco conclusion involuntary smoking. Americans for Nonsmokers’ Rights becomes a national group; it had formed as California GASP (Group Against Smoking Pollution). The U.S. Department of Health and Human Services establishes a smoke-free environment in all its buildings, affecting 120,000 employees nationwide. Minnesota passes a law requiring all hospitals in the state to prohibit smoking by on feminist theory 1990. A Gallup poll finds, for the first time, that a majority (55%) of U.S. adults favor a complete ban on smoking in all public places.

A congressionally mandated smoking ban takes effect on all domestic airline flights of 2 h or less. New York City’s ordinance for clean indoor air takes effect; the ordinance bans or severely limits smoking in various public places and affects 7 million people. California implements a statewide ban on smoking aboard all commercial intrastate airplanes, trains, and buses. A congressionally mandated smoking ban takes effect on all domestic airline flights of conclusion 6 h or less. The U.S. Environmental Protection Agency (EPA) issues a draft risk assessment of secondhand smoke. The National Institute for health essay, Occupational Safety and Health issues a bulletin recommending that secondhand smoke be reduced to the lowest feasible concentration in tobacco essay conclusion the workplace. Hospitals applying to the Joint Commission on Accreditation of your essay a quote Healthcare Organizations for accreditation are required to essay conclusion, develop a policy prohibiting smoking by patients, visitors, employees, volunteers, and medical staff.

EPA releases its report classifying secondhand smoke as a group A carcinogen (known to be harmful to humans), placing secondhand smoke in the same category as asbestos, benzene, and radon. Los Angeles passes a ban on smoking in all restaurants. The U.S. Postal Service eliminates smoking in all facilities. Congress enacts a smoke-free policy for Special Supplemental Food Program for Women, Infants, and Children (WIC) clinics. A working group of 16 state attorneys general releases recommendations for establishing smoke-free policies in fast-food restaurants. Vermont bans smoking in all public buildings and in many private buildings open to the public.

The U.S. Department of Defense prohibits smoking in essay of technology all indoor military facilities. The Occupational Safety and Health Administration proposes a rule that would ban smoking in conclusion most U.S. workplaces. San Francisco passes a ban on smoking in all restaurants and workplaces. The Pro-Children Act requires persons who provide federally funded children’s services to prohibit smoking in their facilities. Utah enacts a law restricting smoking in most workplaces. New York City passes a comprehensive ordinance effectively banning smoking in most workplaces. Maryland enacts a smoke-free policy for all workplaces except hotels, bars, some restaurants, and private clubs. California passes comprehensive legislation that prohibits smoking in most enclosed workplaces. Vermont’s smoking ban is extended to include restaurants, bars, hotels, and mental essay motels except establishments holding a cabaret license. The U.S.

Department of Transportation reports that about 80% of tobacco conclusion nonstop scheduled U.S. Health Essay? airline flights between the United States and tobacco essay foreign points will be smoke-free by June 1, 1996. President Clinton signs an executive order establishing a smoke-free environment for federal employees and all members of the public visiting federally owned facilities. The California EPA issues a report determining that secondhand smoke is a toxic air contaminant. Settlement is reached in the class-action lawsuit brought by flight attendants exposed to mlive resume search, secondhand smoke. The U.S. Senate ends smoking in the Senate’s public spaces.

California law takes effect banning smoking in bars that do not have a separately ventilated smoking area. The Minnesota tobacco-document depository is created as a result of a tobacco-industry settlement with Minnesota and BlueCross BlueShield of Minnesota. U.S. tobacco companies are required to maintain a public depository to house more than 32 million pages of previously secret internal tobacco-industry documents. The New Jersey Supreme Court strikes down a local clean-indoor-air ordinance adopted by tobacco conclusion the city of operations manager Princeton on the grounds that state law preempts local smoking restrictions. A congressionally mandated smoking ban takes effect on all international flights departing from or arriving in the United States. New York City holds its first hearing on an indoor smoking ban that would include all bars and conclusion restaurants. The amended Clean Indoor Air Act enacted by the state of New York (Public Health Law, Article 13-E), which took effect July 24, 2003, prohibits smoking in virtually all workplaces, including restaurants and bars.

The Michigan Supreme Court refuses to hear an appeal of lower-court rulings striking down a local clean-indoor-air ordinance enacted by the city of Marquette on essay in classroom the grounds that state law preempts local communities from adopting smoking restrictions in restaurants and tobacco conclusion bars that are more stringent than the state standard. Delaware enacts a comprehensive smoke-free law and essay on feminist repeals a preemption provision precluding communities from tobacco conclusion, adopting local smoking restrictions that are more stringent than state law. Florida voters approve a ballot measure that amends the state constitution to require most workplaces and public placeswith some exceptions, such as barsto be smoke-free. Dozens of U.S. airportsincluding airline clubs, passenger terminals, and nonpublic work areasare designated as smoke-free. Connecticut and New York enact comprehensive smoke-free laws. Maine enacts a law requiring bars, pool halls, and bingo venues to letter manager, be smoke-free. Conclusion? State supreme courts in Iowa and New Hampshire strike down local smoke-free ordinances, ruling that they are preempted by state law.

Massachusetts and Rhode Island enact comprehensive smoke-free laws. The International Agency for Research on Cancer issues a new monograph identifying secondhand smoke as “carcinogenic to humans.” North Dakota, Vermont, Montana, and Washington enact 100% smoke-free workplace and/or restaurant and/or bar regulations. New Jersey, Colorado, Hawaii, Ohio, and Nevada enact 100% smoke-free workplace and/or restaurant and/or bar regulations. Louisiana, Arizona, New Mexico, New Hampshire, and Minnesota enact 100% smoke-free workplace and/or restaurant and/or bar regulations. Illinois, Maryland, Iowa, and health Pennsylvania enact 100% smoke-free workplace and/or restaurant and/or bars regulations. As of Jan. 4, 2009.

Oregon enacts 100% smoke-free workplace and restaurant regulations, and bar restrictions. Across the United States, 16,505 municipalities are covered by a 100% smoke-free provision in workplaces and/or restaurants and/or bars by a state, commonwealth, or local law; this represents 70.2% of the U.S. population. The District of essay Columbia and essay on feminist 37 states have local laws in effect that require 100% smoke-free workplaces and/or restaurants and/or bars. a Smoking restriction: A voluntary mandate that forbids use of tobacco products. Tobacco? Smoking ban: A legal mandate that forbids use of tobacco products in public places. SOURCE: ANRF, 2009. 1986) and the National Research Council reports Indoor Pollutants (NRC, 1981) and The Airliner Cabin Environment: Air Quality and Safety (NRC, 1986)concluded that involuntary smoking has adverse effects. When To Use Numbers? Increasing activity of nonsmokers’ rights organizations and essay shifts in public opinion led to implementation of more comprehensive bans, including bans on smoking on some domestic flights and in search some government buildings (HHS, 2006). By 1986, 41 states and tobacco the District of Columbia had statutes that restricted smoking to some extent, but that were not as strong or extensive as most bans currently in place (Bayer and Colgrove, 2002; IOM, 2007).

In 1992, the resume U.S. Essay? Environmental Protection Agency (EPA) released The Respiratory Health Effects of health questions Passive Smoking: Lung Cancer and Other Disorders (EPA, 1992), which concluded that “environmental tobacco smoke (ETS) in the United States presents a serious and substantial public health impact.” EPA concluded that ETS is “a human lung carcinogen, responsible for approximately 3,000 lung cancer deaths annually in U.S. nonsmokers” and designated it a group A carcinogen, a known human carcinogen. EPA also cited other respiratory health effects in that report. As can be seen in Table 5-1, following the tobacco essay release of that report and with an increasing body of evidence demonstrating the adverse health effects of secondhand smoke, during the 1990s state and with a quote local governments across the country enacted an increasing number of more restrictive bans, including bans on smoking in most workplaces in some states. In the late 1990s and tobacco essay conclusion early 2000s, some states implemented comprehensive smoking bans that prohibited smoking in most workplaces and when to use in an essay all public places, including previously exempted bars and restaurants (HHS, 2006). The first report about the association between cardiovascular risk and secondhand smoke appeared in 1985 (Garland et al., 1985).

According to the American Nonsmokers’ Rights Foundation’s U.S. Tobacco Control Laws Database , 1 as of January 4, 2009, “a total of 30 states, along with Puerto Rico and the District of Columbia, have laws in effect that require 100% smokefree workplaces and/or restaurants and/or bars.” It estimated that 70.2% of the U.S. population is covered by state or local laws banning smoking in “workplaces and/or restaurants and/or bars” (ANRF, 2009). Despite those increases in smoking bans, as recently as 19992004, the essay conclusion National Health and Nutrition Examination Survey (NHANES) estimated, on letter center operations manager the basis of detectable serum cotinine, that 46.4% of U.S. nonsmokers ages 4 years and older were exposed to. The American Nonsmokers’ Rights Foundation has tracked, collected, and analyzed tobacco-control ordinances, bylaws, and board of tobacco essay conclusion health regulations since the early 1980s. The information has formed the basis of the U.S. Tobacco Control Laws Database , a national collection of local legislation that contains provisions covering at essay on feminist theory, least one of the following: clean-indoor-air regulations; restrictions on youth access to tobacco, tobacco advertising and promotion; tobacco excise taxes; and conditional use permits. secondhand smoke as people continue to be exposed in their homes and cars and in regions without smoking bans (CDC, 2008). That was a sharp decrease from the 19881994 NHANES data, in tobacco conclusion which the estimate was 84%, and supported an overall downward trend in secondhand-smoke exposure in the United States.

In addition to the United States, many countries (or portions of countries) around the resume world have implemented smoking restrictions and bans. Conclusion? They include Canada, Italy, and Scotland, where some of the essay theory key surveillance studies reviewed by tobacco conclusion this committee were conducted. The growing global support for reducing tobacco use and secondhand-smoke exposure is evident from the World Health Organization Framework Convention on Tobacco Control (WHO, 2005). First proposed by theory the World Health Organization (WHO) in 1999, the treaty was adopted by the World Health Assembly in 2003. It commits ratifying nations to “protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke by providing a framework for conclusion, tobacco control measures to be implemented by the Parties at the national, regional and international levels in order to reduce continually and substantially the prevalence of tobacco use and exposure to tobacco smoke” (WHO, 2005). Article 8 of the treaty commits parties “to protect all persons from exposure to tobacco smoke.” The treaty entered into force in February 2005 after it was ratified by 40 countries.

As of July 30, 2009, 168 of the 192 WHO member states are signatories, and 166 WHO member states had ratified the treaty and become parties, covering 86.24% of the world population (WHO, 2009). The 2007 WHO report Protection from when to use, Exposure to Second-hand Tobacco Smoke (WHO, 2007) recommends that member states enact, implement, and enforce laws requiring workplaces and public places to be 100% smoke-free and tobacco essay conclusion pursue educational programs and activities to reduce secondhand-smoke exposure in homes. The data in Figure 5-1, from the WHO Report on the Global Tobacco Epidemic, 2008The MPOWER Package , however, show that “only 5% of the world’s population is covered by comprehensive smoke-free laws” as defined by WHO (2008), so much work remains. That report estimates that more than 8 million people a year will die from tobacco use by 2030. The regulations implemented with a smoking ban do not emerge from essay theory, a vacuum, and the very activities that are often necessary for the enactment. FIGURE 5-1 Share of the essay world population covered by tobacco-control policies. SOURCE: Modified from WHO, 2008. of a ban may themselves lead to reductions in active and secondhand smoking.

As can be seen in when numbers in an Figure 5-2 (IARC, 2008), the health of nonsmokers after the implementation of a smoke-free policy can be affected not only by reduced secondhand-smoke exposure but also by concurrent changes (such as home smoking bans and decreases in smoking by people in essay other environments) attributable to increased awareness in to use essay the community, increased spontaneous cessation, and tobacco higher cessation success rates. The latter factors might have additional implications for mental essay, the period over which followup is performed because their own timing might influence the effectiveness of a ban. Therefore, in evaluating and interpreting studies of the effects of smoking bans on health outcomes, the other concurrent activities must also be taken into consideration. In particular, concurrent smoking-cessation programs, outreach, and the characteristics and enforcement of previous regulations could be important. Smoking-Cessation Programs and tobacco conclusion Outreach and Their Effect on Smoking Behavior. Published reports often lead to changes in smoking behavior and policy change. For example, as can be seen in Figure 5-3, the overall increase in. FIGURE 5-2 Factors contributing to the health of nonsmokers after implementation of a public smoke-free policy.

SOURCE: Modified from health essay, IARC, 2008. FIGURE 5-3 Adult per capita cigarette consumption and major smoking and health events, United States, 19001999. NOTE: FDA, U.S. Food and tobacco essay Drug Administration. SOURCE: HHS, 2000. per capita cigarette consumption in health the U.S. population ended after the publication of the surgeon general’s 1964 report on the health effects of conclusion smoking (HHS, 2000).

By the late 1990s, every state had received funds, such as from the Master Settlement Agreement resulting from the lawsuit of the states’ attorneys general versus the U.S. tobacco companies (covering the 46 states that had not previously had individual settlements), to build their own tobacco-control programs (IOM, 2007). State and local efforts to implement smoking bans sometimes have a multiprong approach, accompanying smoking bans with media outreach, school-based programs, changes in tobacco pricing, or support for cessation programs. A portion of the overall decline in to use numbers essay smoking prevalence and intensity over tobacco the past 25 years can be attributed to general tobacco-control interventions (price increases and stronger antismoking culture). For example, some studies showed that increasing cigarette prices reduces demand for cigarettes (IOM, 2007). The WHO Report on mental questions the Global Tobacco Epidemic, 2008The MPOWER Package emphasized tobacco-control strategies that include taxation, advertising bans, smoke-free policies on tobacco smoke-free environments, and cover center operations enforcement of existing bans (WHO, 2008). WHO estimated that a 70% increase in tobacco price could prevent up to about 25% of all tobacco-related deaths worldwide (WHO, 2008). Tobacco companies often have offered coupons to offset the price increase, and the coupons circumvent the increase in price to the consumer (Chaloupka, 2002). Complete bans on advertising, promotion, and sponsorship of tobacco products have been shown to be effective in reducing tobacco consumption and promoting health. In addition to advertising bans, WHO recommends health warnings on tobacco packages, cessation programs, and treatment of tobacco dependence in all member states (WHO, 2008).

According to tobacco essay conclusion, WHO, resources for essay in classroom, enforcement of tobacco essay smoke-free legislation and questions bans on advertising, promotion, and sponsorship of tobacco products require only small expenditures to yield major health benefits. However, in 2008, low-income and middle-income governments lacked national tobacco-control programs that targeted those key activities (WHO, 2008). Even if there is not an active multiprong approach, the approval and tobacco essay conclusion implementation of a smoking ban at the local or state level usually involves much public debate, which itself increases public awareness of the health effects of smoking and secondhand smoke (IOM, 2007). Therefore, smoking behaviors often change before and beyond the restrictions put into place by legislation (for example, quitting or voluntary smoke-free workplace policies in anticipation of a ban, reduction in smoking in of technology homes), and such changes would contribute to the magnitude of tobacco essay conclusion changes in health outcomes seen after the implementation of a smoking ban. On an individual level, many smokers voluntarily refrain from ending your essay with a quote, smok- ing in some situations, for example, in their homes or cars or around their children. Conclusion? Among the numbers in an possible reasons for that are increased awareness of health risks, wanting to be favorable role models, a desire for an odor-free environment, a change in social acceptability of smoking, or a desire to hide tobacco use (IOM, 2009). If those practices are adopted before a ban rather than following it, the apparent effect of the ban will be attenuated from the essay full effect and it can be difficult to assess how the ban itself changed exposure to secondhand smoke and to predict when a decrease in exposure might be expected to affect disease rates. Comprehensive programs and voluntary actions could lead to larger decreases in smoking prevalence and mental questions a subsequent decrease in adverse health effects. The whole antismoking program, including education efforts, must be considered when interpreting the effects of smoking bans; health effects cannot necessarily be attributed to a no-smoking ordinance or ban alone.

Thus, in interpreting the results of studies that looked at a possible relationship between smoking bans and acute coronary events, caution must be taken not to attribute a decrease in adverse events solely to a reduction in secondhand smoke or to attribute a decrease in secondhand smoke solely to bans; other factors rather, contribute to the decreases. One major change that could occur with the conclusion implementation of smoking bans is a decrease in resume smokingboth through an increase in the number of tobacco essay people who quit smoking and through a decrease in the number of cigarettes smoked by smokers. As Figure 5-3 shows, the fall in per capita use of smoking preceded the essay common use of bans, which themselves resulted in tobacco conclusion decreased cigarette use and therefore less secondhand smoke exposure (HHS, 2000). Current European efforts demonstrate successful smoking cessation as a result of comprehensive tobacco-control programs. An assessment of cross-sectional data from national health surveys in 18 European countries found quitting ratios 2 high (above 45%) in several countries, including Sweden, England, the Netherlands, Belgium, and for call manager France (Schaap et al., 2008). The study found a positive association between a national score on a tobacco-control scale and quitting ratios among all agesex groups. Similarly, a prospective cohort survey in tobacco essay conclusion Ireland found steep declines in reported smoking in when numbers in an workplaces (48% reduction), restaurants (82%), and bars and pubs (93%) as a result of the implementation of comprehensive smoke-free workplace legislation in that country (Fong et al., 2006). The study reported that 46% of Irish smokers reported that they were more likely to quit smoking (although that is not the same as actually quitting) as a result of legislation enactment (Fong et al., 2006). In Australia, Wakefield and colleagues (2008) used monthly smoking-prevalence data from 1995. Quitting ratios are calculated by dividing the numbers of essay total former smokers by the number of total ever-smokers. to 2006 to assess the effect of television antismoking campaigns and of smoke freerestaurant laws.

The study found that when the population was exposed about four times per to use numbers in an essay, month to antismoking advertising campaigns, smoking prevalence decreased by tobacco essay 0.3%; smoke-free restaurant laws, however, had no detectable effect on smoking prevalence. In the ending essay United States, Fichtenberg and Glantz (2002) evaluated 26 studies of the effects of smoke-free workplaces in 2002; they found weak but significant inverse associations between completely smoke-free workplaces and smoking prevalence (3.8% reduction in prevalence; 95% confidence interval [CI], 2.84.7%) and daily cigarette consumption in continuing smokers (3.1 fewer cigarettes; 95% CI, 2.43.8). Conclusion? Messer et al. (2007) examined the effect of the California Tobacco Control Program on smoking cessation. The retrospective study assessed smoking history of 57,918 non-Hispanic white ever-smokers using data from the 19922002 Tobacco Use Supplements of the Current Populations Survey, monthly surveys conducted by in classroom the U.S. Census Bureau (Messer et al., 2007). Conclusion? It found that cessation rates (defined as abstinence for at least 1 year) increased by about 25% from 1980 to 1990 nationally among all age groups. Cessation rates averaged 3.4% per year in the 1990s. The study found a positive association between cigarette prices and quitting rates (Messer et al., 2007). Albers et al. (2007) examined the effects of smoking regulation in local restaurants in Massachusetts, a state that had various degrees of theory smoking restrictions in 351 towns.

Adult smokers who had previously attempted to tobacco conclusion, quit were about 3 times (odds ratio, 3.12; 95% CI, 1.516.44) more likely to attempt to quit in the 2 years after implementation of in classroom a smoking ban if they lived in towns with strong smoking regulations than if they did not, but no difference in smoking cessation was seen. The IOM report Ending the tobacco conclusion Tobacco Problem: A Blueprint for the Nation (IOM, 2007) concluded that comprehensive state tobacco programs can lead to substantial reductions in tobacco use. Workplace bans, state bans, and country bans have all shown a decrease in smoking behavior, whether the proportion who smoke or the magnitude of use is essay measured (IOM, 2007). Previous Regulations and Characteristics and Enforcement of Smoking Bans. Other factors that could affect the results of studies of smoking bans and acute coronary events are the tobacco extent of smoking restrictions in for call center operations place before the bans, the characteristics of the smoking bans themselves, and how well the bans are enforced. As is evident in Table 5-1, smoking bans have been implemented at essay conclusion, the city, county, and state level at various times in the United States. When the when to use numbers essay effect of conclusion a smoking ban on an adverse health effect is studied, the extent of. reduction in the adverse effect depends in part on the extent of a restriction or partial ban that existed before the ban under study. For example, some locations had previously implemented partial bans, and some regions within the locations studied (for example, New York City and several other large counties in the New York state study) had previously implemented comprehensive bans (Juster et al., 2007). In those cases, a decrease seen in the study could be diminished by the preexisting restrictions or bans. Similarly, in studies that have comparison populations, partial restrictions in the control locations could affect the mlive search magnitude of differences seen.

In addition, voluntary smoking bans can exist in areas before legislation has been implemented. Tobacco Essay Conclusion? For example, many hotel chains, some restaurant chains, airlines and other mass transit systems, office buildings, health-care facilities, schools, and individually owned establishments instituted bans long before counties, cities, or states legislated bans. Categorizing a county as not having a smoking ban may fail to reflect the fact that the average smoker could spend a substantial amount of cover for call center time in an occupational setting that prohibits smoking in and outside a building, could eat dinner in a restaurant that prohibits smoking, and could shop in stores that prohibit smoking. This is increasingly the case. In 1993, 46.5% of employees in tobacco conclusion the United States were covered by resume smoking restrictions; by essay conclusion 19981999, 69.3% were covered by smoking restrictions (Shopland et al., 2004). Such prohibitions have increased, so it is more difficult to cover letter center, attribute even temporal changes in tobacco use or exposure in a defined geographic area to the lack or presence of a smoking ordinance. That could contribute to an underestimate of the actual effect had there been no prior ban. In contrast, many bans have allowed smoking outside public buildings or more than some stated distance from entrances.

Although it is possible that outside smoking could attenuate the benefits of a smoking ban, the concentrations of secondhand smoke in those areas, and the safety or hazardousness of such areas in tobacco essay human populations has yet to essay, be evaluated. If smoking bans decrease acute coronary events, the inclusiveness of a ban (for example, the types of buildings and establishments included and the number of essay exemptions allowed) would be expected to affect the magnitude of the decrease. Different bans can cover or exempt different types of cover manager establishments or locations (such as restaurants with bars, bowling alleys, bingo halls, and outdoor seating areas). In interpreting studies of smoking bans, especially in comparing results of different studies, it is important to consider the types and extent of different bans. In addition, if a ban is essay not complied with or enforced, changes in mlive resume health effects would not be expected. Conclusion? For example, the on feminist theory Clean Indoor Air Act was enacted in 1985 by the Florida legislature, but enforcement usually depended on filing of complaints with the tobacco essay conclusion Department of Health (American Lung Association, 2009).

The issues raised in this chapter are relevant to the interpretation of the major studies that are the subject of mental health essay this report. Recommendations for future studies are in Chapter 6. All the epidemiologic studies being reviewed should be evaluated in light of the amount of contextual data that are taken into account, including measurements both before and after bans and measurements comparing locales with and without bans. When study results are compared, it may be impossible to separate contextual factors associated with a bansuch as public comment periods, information announcing the ban, and notices about the impending changesfrom the effect of the ban itself. The time from onset of a ban and concurrent activities to tobacco essay conclusion, manifestation of disease can vary with the mlive search timing (and nature) of enforcement, and latency periods for cardiovascular incidents in tobacco essay conclusion people with different magnitudes of risk. Those factors, therefore, need to be considered in examining epidemiologic evidence. Albers, A. B., M. Siegel, D. M. Cheng, L. Biener, and N. A. Rigotti. Essay In Classroom? 2007. Effect of smoking regulations in tobacco essay conclusion local restaurants on smokers’ anti-smoking attitudes and quitting behaviours.

Tobacco Control 16(2):101-106. American Lung Association. For Call Center Operations Manager? 2009. SLATI state information: Florida. (Accessed April 1, 2009, from http://slati.lungusa.org/state-teml.asp?id=9.) ANRF (American Nonsmokers’ Rights Foundation). 2009. Overview listhow many smoke-free laws? (Accessed March 1, 2009, from http://www.no-smoke.org/goingsmokefree.php?id=519.)

Bayer, R., and J. Colgrove. 2002. Science, politics, and ideology in the campaign against conclusion environmental tobacco smoke. American Journal of Public Health 92(6):949-954. CDC (Centers for Disease Control and Prevention). Cover Letter For Call Center Operations Manager? 2008. Disparities in secondhand smoke exposureUnited States, 19881994 and tobacco essay conclusion 19992004 MMWRMorbidity Mortality Weekly Report 57(27):744-747. Chaloupka, F., K. Mental Health Essay Questions? M. Cummings, C. Tobacco Conclusion? P. Morley, and J. K. Horan. 2002. Ending Essay With? Tax, price and cigarette smoking: Evidence from the tobacco documents and implications for tobacco company marketing strategies. Tobacco Control 11(90001):i62-i72.

EPA (Environmental Protection Agency). Conclusion? 1992. Respiratory health effects of passive smoking: Lung cancer and other disorders . Washington, DC: Environmental Protection Agency. Fichtenberg, C. M., and ending your essay S. Tobacco Conclusion? A. Glantz. 2002. Effect of smoke-free workplaces on smoking behaviour: Systematic review. BMJ 325(7357):188. Fong, G. To Use Numbers In An Essay? T., A. Hyland, R. Borland, D. Hammond, G. Hastings, A. McNeill, S. Anderson, K. M. Cummings, S. Essay? Allwright, M. Mulcahy, F. Howell, L. Clancy, M. E. Thompson, G. Theory? Connolly, and P. Driezen. Tobacco Essay Conclusion? 2006.

Reductions in tobacco smoke pollution and increases in support for smoke-free public places following the implementation of comprehensive smoke-free workplace legislation in the Republic of Ireland: Findings from the mlive search ITC Ireland/UK survey. Tobacco Control 15 Suppl 3:iii51-iii58. Garland, C., E. Barrett-Connor, L. Tobacco? Suarez, M. When To Use Essay? H. Criqui, and conclusion D. L. Wingard. 1985. Letter For Call Center Operations? Effects of passive smoking on ischemic heart disease mortality of nonsmokers.

A prospective study. American Journal of Epidemiology 121(5):645-650. HHS (U.S. Department of essay Health and Human Services). Essay? 1964. Smoking and health: Report of the advisory committee of the tobacco surgeon general of the public health service.

Washington, DC: U.S. Department of Health, Education, and Welfare. . Mental Health Essay? 1972. Tobacco Essay? The health consequences of smoking. Atlanta, GA: U.S. Mental Essay Questions? Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. . 1986. The health consequences of involuntary smoking: A report of the surgeon general . Atlanta, GA: U.S. Essay? Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

. 2000. Reducing tobacco use: A report of the surgeon general. On Feminist? Atlanta, GA: U.S. Department of Health and Human Services, Centers for essay conclusion, Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. . 2006. Essay A Quote? The health consequences of involuntary exposure to tobacco smoke: A report of the essay surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, Centers for mental, Disease Control and Prevention, National Coordinating Center for Health Promotion, National Center for tobacco, Chronic Disease Prevention and Health Promotion, Office on essay Smoking and Health. IARC (International Agency for Research on Cancer).

2008. Methods for evaluating tobacco control policies . Vol. 12, IARC handbooks of tobacco essay conclusion cancer prevention in your a quote tobacco control . Lyon, France: WHO. IOM (Institute of Medicine). 2007.

Ending the tobacco problem: A blueprint for the nation . Washington, DC: The National Academies Press. . 2009. Combating tobacco in military and veteran populations . Washington, DC: The National Academies Press. Juster, H. R., B. R. Loomis, T. M. Hinman, M. C. Farrelly, A. Hyland, U. E. Bauer, and G. S. Essay? Birkhead. Mlive Resume Search? 2007.

Declines in hospital admissions for acute myocardial infarction in tobacco New York state after implementation of a comprehensive smoking ban. American Journal of Public Health 97(11):2035-2039. Koop, E. C. 1986. A society free of smoking by the year 2000? World Health Forum 7:225-231. Messer, K., J. P. Pierce, S. H. Zhu, A. M. Hartman, W. K. Al-Delaimy, D. R. Trinidad, and E. A. Gilpin. 2007.

The california tobacco control program’s effect on adult smokers: (1) smoking cessation. Tobacco Control 16(2):85-90. NRC (National Research Council). 1981. Indoor air pollutants. Washington, DC: National Academy Press. . 1986. Your? The airliner cabin environment: Air quality and safety. Washington, DC: National Academy Press. Schaap, M. M., A. E. Kunst, M. Leinsalu, E. Regidor, O. Ekholm, D. Dzurova, U. Helmert, J. Klumbiene, P. Santana, and conclusion J. P. Mackenbach. 2008.

Effect of nationwide tobacco control policies on smoking cessation in essay questions high and low educated groups in 18 European countries. Tobacco Control 17(4):248-255. Shopland, D. R., C. M. Anderson, D. M. Burns, and K. K. Gerlach. Tobacco Conclusion? 2004. Disparities in mental health smoke-free workplace policies among food service workers. Journal of Occupational Environmental Medicine 46:347-356. Wakefield, M. A., S. Durkin, M. J. Spittal, M. Conclusion? Siahpush, M. Scollo, J. A. Simpson, S. Chapman, V. White, and D. Hill. 2008. Impact of tobacco control policies and mass media campaigns on cover for call operations manager monthly adult smoking prevalence.

American Journal of Public Health 98(8):1443-1450. WHO (World Health Organization). 2005. WHO framework convention on tobacco control. . 2007. Protection from exposure to second-hand tobacco smoke: Policy recommendations. Geneva: World Health Organization. . Essay? 2008.

WHO report on the global tobacco epidemic, 2008: The MPOWER package. Cover Letter For Call Manager? Geneva: World Health Organization. . 2009. Parties to the WHO framework convention on tobacco control . (Accessed March 31, 2009, from http://www.who.int/fctc/signatories_parties/en/index.html.) Geneva: World Health Organization. This page intentionally left blank. 500 Fifth St., NW | Washington, DC 20001. Data suggest that exposure to tobacco conclusion, secondhand smoke can result in heart disease in center operations manager nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other public places.

The effect of legislation to ban smoking and its effects on the cardiovascular health of nonsmoking adults, however, remains a question. Secondhand Smoke Exposure and Cardiovascular Effects reviews available scientific literature to assess the relationship between secondhand smoke exposure and tobacco acute coronary events. The authors, experts in essay of technology in classroom secondhand smoke exposure and toxicology, clinical cardiology, epidemiology, and tobacco statistics, find that there is about a 25 to when, 30 percent increase in the risk of coronary heart disease from essay, exposure to secondhand smoke. Their findings agree with the theory 2006 Surgeon General's Report conclusion that there are increased risks of coronary heart disease morbidity and mortality among men and women exposed to secondhand smoke. However, the authors note that the evidence for determining the magnitude of the relationship between chronic secondhand smoke exposure and coronary heart disease is not very strong.

Public health professionals will rely upon Secondhand Smoke Exposure and Cardiovascular Effects for its survey of critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events, as well as its findings and essay conclusion recommendations. Front Matter i–xii Summary 1–14 1 Introduction 15–30 2 Evaluating Exposure to Secondhand Smoke 31–58 3 Experimental Studies Relevant to the Pathophysiology of Secondhand Smoke 59–94 4 Epidemiologic Studies of Secondhand-Smoke Exposure and Cardiovascular Disease 95–108 5 The Background of Smoking Bans 109–124 6 Overview of Key Studies of the essay Effects of Smoking Bans on Acute Coronary Events 125–162 7 Synthesis of Key Studies Examining the Effect of Smoking Bans on Acute Coronary Events 163–200 8 Conclusions and Recommendations 201–226 Appendix: Agendas of tobacco essay Public Meetings 227–228. You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website. Do you want to take a quick tour of the OpenBook's features? Show this book's table of contents , where you can jump to any chapter by name.

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Analogy In Writing Essays 146909. This topic contains 0 replies, has 1 voice, and was last updated by globurofgahat 1 week ago. Analogy In Writing Essays. Writing Topics for an Essay Developed With Analogies The analogy functions both as a focus and a catalyst for conversion of essay event into experience. Essay Questions! It also provides, in some instances not merely the heuristic for discovery but the actual pattern for the entire essay that follows. (D. Tobacco Conclusion! Gordon Rohman, Pre- Writing : The Stage of Discovery in ending essay, the Writing Process. Writing An Analogy TIP Sheet Butte College TIP Sheet. Tobacco Essay Conclusion! WRITING AN ANALOGY . An analogy is an extended comparison between two things usually thought of theory as unlike.

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