Smokers' homes may be as polluted as worst cities: Study

Polluted air due to smoking has been
linked to heart disease, strokes and cancer.

Living with a smoker can be like breathing the air in the world’s most polluted cities, according to a new study from Scotland.

“The message is pretty simple really - smoking in your home leads to really poor air quality and results in concentrations of fine particles, that you can’t see, that would cause real concern to us if they were found outside,” said lead author Sean Semple, of the Scottish Center for Indoor Air at the University of Aberdeen.

Tiny particles 2.5 microns in diameter or smaller, known as PM2.5, can penetrate deep into the lungs and even enter the blood. They’ve been linked to heart disease, strokes and cancer.

“Making your home smoke-free is key to reducing your exposure to PM2.5; for non-smokers who live with a smoker the impact of implementing smoke-free house rules would reduce their daily intake of PM2.5 by 70 percent or more,” Semple told Reuters Health in an email.

Such tiny particles typically result from combustion. Outdoors, the primary sources are vehicle exhaust, power plants and wildfires. Indoors, wood-burning or coal-burning stoves, gas cooking and heating fires and tobacco smoke are the most common sources of PM2.5 in the air.

For outdoor air, the World Health Organization says the safe exposure limit for PM2.5 particles is an average of 25 micrograms, or 25 millionths of a gram, per cubic meter of air over a 24-hour period, or average annual levels of 10 micrograms per cubic meter.

The U.S. Environmental Protection Agency sets the 24-hour limit at an average of 12 micrograms.

Semple and his colleagues wanted to bring together two scientific communities: those involved in tobacco control work and those interested in outdoor air pollution and health.

“We think there is a lot that each can learn from the other,” he said.

Many studies have examined outdoor air pollution or indoor air quality in workplaces. But home is where most people spend the majority of their time, particularly small children and homebound elderly people, the researchers write.

By comparing indoor air pollution in the homes of smokers and non-smokers, then comparing that to the most polluted cities, they hoped to illustrate the perils of indoor tobacco smoke over a lifetime.

The study team looked at data from four separate studies that measured PM2.5 levels in 93 Scottish homes where people smoked and 17 homes that were smoke free.

On average, PM2.5 levels in smokers' homes were around 31 micrograms per cubic meter – 10 times greater than the average of 3 micrograms in non-smoking homes.

There was a wide range of smoke concentrations in the smokers’ homes, however, and in one quarter of them, the 24-hour averages were 111 micrograms.

Semple pointed out, “A considerable proportion of smokers’ homes had air pollution levels that were the same or higher than the annual average PM2.5 concentration measured in Beijing,” a heavily polluted city.

The study team estimates that over a lifetime, a non-smoker living with a smoker will inhale about 6 grams more particulate matter than a non-smoker living in a smoke-free home.

Semple said that isn’t much, but this amount is likely to "have a substantial effect on the risk of developing diseases of the cardiovascular and respiratory systems.”

Semple said smokers often express the view that outdoor traffic pollution is a bigger problem than second-hand smoke pollution in the home.

“What this work shows is that, for most people living outside of major heavily polluted mega-cities like Beijing or Delhi, outdoor air pollution is much, much lower than what is measured inside homes where someone smokes,” he said.

“We have a lot of data and it’s an established fact how bad secondhand smoke is,” said Lucy Popova, from the Center for Tobacco Control Research and Education at the University of California, San Francisco. “There’s no safe level of exposure to it.”

“Smoke-free rules help not only by reducing the particulate matters for non-smokers but it actually helps smokers to quit too,” said Popova, who was not involved in the Scottish study.

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“Research shows when you have smoke-free rules in your home, that motivates smokers to make more cessation attempts and decrease the number of cigarettes that they smoke.”

Source: Fox News

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Heavy kids exposed to air pollution have triple the risk for asthma

Photo: Arvibnd Balaraman

Obese children exposed to high levels of air pollutants were nearly three times as likely to have asthma, compared with non-obese children and lower levels of pollution exposure, report researchers at Columbia University Medical Center (CUMC).

Rates of childhood obesity and asthma have both increased dramatically in the past 30 years. The percentage of American children who are obese has increased from 7% in 1980 to 20% in 2008. Childhood asthma is up from 4% in 1980 to 10% in 2009. Rates are higher among urban minority populations.
The researchers followed 311 children in predominantly Dominican and African-American neighborhoods of New York City. They monitored indoor air in each child's home for two weeks at age 5 or 6, to measure exposure to a family of air pollutants, polycyclic aromatic hydrocarbons (PAH). The child's height and weight were measured and respiratory questionnaires were administered. In all, 20% were found to have asthma and 20% were categorized as obese based on body mass index.

The researchers found that high PAH exposure was associated with asthma only among obese children. In particular, the association was with the alkylated forms of PAH, which are emitted by vehicles and by cigarette smoke, cooking, incense, burning candles, and various other indoor air pollution sources. A two- to three-fold increase in asthma risk was seen among obese children exposed to high levels of the PAH chemicals 1-methylphenanthrene and 9-methylphenanthrene. Exposure to PAH or obesity alone did not predict asthma.

"Our results suggest that obesity may magnify the effects of these air pollutants, putting children at greater risk for having asthma," says lead author Kyung Hwa Jung, PhD, associate research scientist in the Department of Medicine at Columbia University College of Physicians and Surgeons.

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Research ties lightning to onset of migraines; may increase in pollution

Photo: freedigitalphotos.net

University of Cincinnati (UC) researchers have found that lightning may affect the onset of headache and migraines.

These results, published in the online edition of the journal Cephalalgia, are the first tying lightning to headache and could help chronic sufferers more efficiently anticipate headache and migraine arrival and begin preventive treatment immediately.

Geoffrey Martin, fourth-year medical student at UC, and his father Vincent Martin, MD, professor in the division of general internal medicine, UC Health physician and headache expert, led the study which showed that there was a 31 percent increased risk of headache and 28 percent increased risk of migraine for chronic headache sufferers on days lighting struck within 25 miles of study participant's homes.

In addition, new-onset headache and migraine increased by 24 percent and 23 percent in participants.

"Many studies show conflicting findings on how weather, including elements like barometric pressure and humidity, affect the onset of headaches," Geoffrey Martin says. "However, this study very clearly shows a correlation between lightning, associated meteorological factors and headaches."

Participants who fulfilled the criteria for International Headache Society-defined migraines were recruited from sites located in Ohio and Missouri and recorded their headache activity in a daily journal for three to six months.

During this time, the location where lightning struck within 25 miles of participant's homes as well as the magnitude and polarity of lightning current was recorded.

"We used mathematical models to determine if the lightning itself was the cause of the increased frequency of headaches or whether it could be attributed to other weather factors encountered with thunderstorms," says Vincent Martin. "Our results found a 19 percent increased risk for headaches on lightning days, even after accounting for these weather factors. This suggests that lightning has its own unique effect on headache."

He says that negatively charged lightning currents were also particularly associated with a higher chance of headache.

"There are a number of ways in which lightning might trigger headaches," he says. "Electromagnetic waves emitted from lightning could trigger headaches. In addition, lightning produces increases in air pollutants like ozone and can cause release of fungal spores that might lead to migraine."

"This study gives some insight into the tie between headaches or migraines, lightning and other meteorologic factors," says Geoffrey Martin. "However, the exact mechanisms through which lightning and/or its associated meteorologic factors trigger headache are unknown, although we do have speculations. Ultimately, the effect of weather on headache is complex, and future studies will be needed to define more precisely the role of lightning and thunderstorms on headache."