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Published online October 19, 2009
PEDIATRICS Vol. 124 No. 5 November 2009, pp. e1017-e1044 (doi:10.1542/peds.2009-2120)
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TECHNICAL REPORT

Secondhand and Prenatal Tobacco Smoke Exposure

Dana Best, MD, MPH, Committee on Environmental Health, Committee on Native American Child Health, Committee on Adolescence

ABSTRACT

Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to start. This report discusses the harms of tobacco use and SHS exposure, the extent and costs of tobacco use and SHS exposure, and the evidence that supports counseling and other clinical interventions in the cycle of tobacco use. Recommendations for future research, policy, and clinical practice change are discussed. To improve understanding and provide support for these activities, the harms of SHS exposure are discussed, effective ways to eliminate or reduce SHS exposure are presented, and policies that support a smoke-free environment are outlined.

Key Words: tobacco • smoke • cigarette • environmental tobacco • nicotine • secondhand • smoke free • cigar • smokeless

Abbreviations: SHS—secondhand tobacco smoke • AAP—American Academy of Pediatrics • NRT—nicotine-replacement therapy


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