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This Surgeon General's report returns to the topic of the health effects of involuntary exposure to tobacco smoke. The last comprehensive review of this evidence by the Department of Health and Human Services (DHHS) was in the 1986 Surgeon General's report, The Health Consequences of Involuntary Smoking, published 20 years ago this year. This new report updates the evidence of the harmful effects of involuntary exposure to tobacco smoke. This large body of research findings is captured in an accompanying dynamic database that profiles key epidemiologic findings, and allows the evidence on health effects of exposure to tobacco smoke to be synthesized and updated (following the format of the 2004 report, The Health Consequences of Smoking). The database enables users to explore the data and studies supporting the conclusions in the report. The database is available on the Web site of the Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/tobacco.
This booklet for schools, medical personnel, and parents contains highlights from the 2012 Surgeon General's report on tobacco use among youth and teens (ages 12 through 17) and young adults (ages 18 through 25). The report details the causes and the consequences of tobacco use among youth and young adults by focusing on the social, environmental, advertising, and marketing influences that encourage youth and young adults to initiate and sustain tobacco use. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco.
This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.
How much do you know about cigarettes and tobacco? Do you know where tobacco comes from originally? Do you know what happens to a person s body when they first start smoking? How much money do you think is spent on cigarettes each year? How many people smoke? What can you say if someone offers you a cigarette? For answers to these questions and many more, take a look inside.
Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.
Millions of Americans use e-cigarettes. Despite their popularity, little is known about their health effects. Some suggest that e-cigarettes likely confer lower risk compared to combustible tobacco cigarettes, because they do not expose users to toxicants produced through combustion. Proponents of e-cigarette use also tout the potential benefits of e-cigarettes as devices that could help combustible tobacco cigarette smokers to quit and thereby reduce tobacco-related health risks. Others are concerned about the exposure to potentially toxic substances contained in e-cigarette emissions, especially in individuals who have never used tobacco products such as youth and young adults. Given their relatively recent introduction, there has been little time for a scientific body of evidence to develop on the health effects of e-cigarettes. Public Health Consequences of E-Cigarettes reviews and critically assesses the state of the emerging evidence about e-cigarettes and health. This report makes recommendations for the improvement of this research and highlights gaps that are a priority for future research.
Data suggest that exposure to secondhand smoke can result in heart disease in 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 acute coronary events. The authors, experts in secondhand smoke exposure and toxicology, clinical cardiology, epidemiology, and statistics, find that there is about a 25 to 30 percent increase in the risk of coronary heart disease from exposure to secondhand smoke. Their findings agree with the 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 recommendations.
A highly controversial photography project that depicts children smoking, with the intention of highlighting the boundaries between aesthetic success and moral distress Illustrates the contrast between beauty and ugliness. On the one hand, smoking makes people ill, grey and wrinkled; on the other hand, it confers a certain aesthetic appeal Not intended to be a book to file away on your bookshelves, each of the photographs can be removed. Tear them out, send them to someone, or hang them on your wall, just make sure they are seen! Two years ago, Belgian photographer Frieke Janssens came across a YouTube video of a two year old Indonesian child chain smoking, totalling, on average, two packs a day. Recognising the many socio-cultural differences between the East and the West, the artist's plan to confront the Western viewer with such conflicting, surreal images grew and she departed on her new artistic mission. Smoking Kids is the title of Frieke Janssens' somewhat controversial photographic project. Fifteen children aged between four and nine pose in a startling adult way in front of the camera, each smoking a cigarette, cigar or pipe. Looking like they have stepped right out of a 1960's TV show adds a modestly theatrical, retro quality but also something whimsical and unreal to the images. The effect of these photos on the viewer has proven to be both overwhelming and diverse. Since their inauguration at the artist's representing Gallery Ingrid Deuss, Belgium, in 2011, the art world quickly responded with fascination and admiration for this bold series of photographs which resulted in consecutive exhibitions in Belgium, Russia and the USA. Simultaneously, the images travelled the Internet, appearing and reappearing on various blogs and forums where comments of disbelief and concern ruled the day. Unaware of the skillful Photoshop tricks applied to the photos, once again, people convicted this contemporary art to be shocking and manipulative, now even dragging children down the abyss of its sensation-focused ambitions. But, Janssens' photographs are really not that. Instead, they manage to hold an almost perfect balance between something that we consider to be ugly and wrong (the habit of smoking and children who have developed that habit) and an aesthetically pleasing image. Although many will condemn and frown upon the pictured action, Janssens' Smoking Kids is likeable, clever and thought-provoking, like all good art should be. The visual impact of a photograph can be potentially so intriguing that it has the capability of challenging our personal and shared critical opinion. AUTHOR: Frieke Janssens is a widely celebrated photographer of campaigns for diverse, nationally significant cultural institutions and projects. One of few successful contemporary photographers that have managed to stay faithful to her own artistic style and vision, she exploits her growing artistic talent and technical expertise to produce images that make a difference and that are truly intriguing.The perfection of the images, the careful selection of costume, hairstyles and accessories, the varied poses, the suggested emotions, the clever manipulations of the cigarette's smoke, proves her commitment to creating as perfect as possible and attention-grabbing images. 15 colour illustrations
Tobacco use by adolescents and young adults poses serious concerns. Nearly all adults who have ever smoked daily first tried a cigarette before 26 years of age. Current cigarette use among adults is highest among persons aged 21 to 25 years. The parts of the brain most responsible for cognitive and psychosocial maturity continue to develop and change through young adulthood, and adolescent brains are uniquely vulnerable to the effects of nicotine. At the request of the U.S. Food and Drug Administration, Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products considers the likely public health impact of raising the minimum age for purchasing tobacco products. The report reviews the existing literature on tobacco use patterns, developmental biology and psychology, health effects of tobacco use, and the current landscape regarding youth access laws, including minimum age laws and their enforcement. Based on this literature, the report makes conclusions about the likely effect of raising the minimum age to 19, 21, and 25 years on tobacco use initiation. The report also quantifies the accompanying public health outcomes based on findings from two tobacco use simulation models. According to the report, raising the minimum age of legal access to tobacco products, particularly to ages 21 and 25, will lead to substantial reductions in tobacco use, improve the health of Americans across the lifespan, and save lives. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products will be a valuable reference for federal policy makers and state and local health departments and legislators.