Environmental Health Problem

Environmental Health Problems,
Signs and Remedial Action
From "Indoor Air Pollution." Co-sponsored by:
The American Lung Association (ALA),
The Environmental Protection Agency (EPA),
The Consumer Product Safety Commission (CPSC), and
The American Medical Association (AMA)

Key Signs/Symptoms in Adults ...

rhinitis/pharyngitis, nasal congestion, persistent cough
conjunctival irritation
headache
wheezing (bronchial constriction)
exacerbation of chronic respiratory conditions

... and in Infants and Children

asthma onset
increased severity of, or difficulty in controlling, asthma
frequent upper respiratory infections and/or episodes of otitis media
persistent middle-ear effusion
snoring
repeated pneumonia, bronchitis

Diagnostic Leads

Is individual exposed to environmental tobacco smoke on a regular basis?
Test urine of infants and small children for cotinine, a biomarker for nicotine

Remedial Action

While improved general ventilation of indoor spaces may decrease the odor of environmental tobacco smoke (ETS), health risks cannot be eliminated by generally accepted ventilation methods. Research has led to the conclusion that total removal of tobacco smoke - a complex mixture of gaseous and particulate components - through general ventilation is not feasible.³

The most effective solution is to eliminate all smoking from the individual's environment, either through smoking prohibitions or by restricting smoking to properly designed smoking rooms. These rooms should be separately ventilated to the outside.⁴

Some higher efficiency air cleaning systems, under select conditions, can remove some tobacco smoke particles. Most air cleaners, including the popular desk-top models, however, cannot remove the gaseous pollutants from this source. And while some air cleaners are designed to remove specific gaseous pollutants, none is expected to remove all of them and should not be relied upon to do so. (For further comment, see Questions That May Be Asked - Can Other Air Cleaners Help?)

For more information on the effects environmental tobacco smoke, please refer to
this page: Environmental Tobacco Health Effects

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