CIGARETTE
MARIJUANA
VAPE
CIGARILLO
HOOKAH

Secondhand Smoke Is Harmful

Your risk is on the rise

Secondhand smoke exposure has skyrocketed over the last two years

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Increase in Secondhand Marijuana Exposure*

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Increase in Secondhand Vape Exposure*

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Over 50% of Californians are still exposed to secondhand tobacco smoke.*

California Department of Public Health, California Tobacco Control Program. Online California Adult Tobacco Survey, 2018. Sacramento, CA: California Department of Public Health, California Tobacco Control Program; 2018.

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Vuong TD, Zhang X, Roeseler A. California Tobacco Facts and Figures 2019. Sacramento, CA: California Department of Public Health; May 2019.

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THE EFFECTS OF EXPOSURE

Select from the harms below to explore how secondhand smoke can lead to some severe health consequences.

There are 70 cancer-causing chemicals in secondhand cigarette smoke.*

Secondhand smoke from cigars, cigarillos, and cigarettes all contain cancer-causing chemicals like lead and benzene.*

Secondhand marijuana smoke contains cancer-causing chemicals like cadmium and chromium.*

Secondhand vape contains cancer-causing chemicals like formaldehyde and nickel.*

Secondhand hookah smoke contains several toxic chemicals known to cause lung, bladder, and oral cancers.*

Secondhand smoke from cigarettes and cigarillos can cause lung disease.*

Children with asthma exposed to secondhand tobacco smoke can have more frequent and more severe asthma attacks.*

Childhood secondhand smoke exposure is associated with lung disease in adulthood.*

Secondhand vape contains high concentrations of fine particles. Breathing in fine particles can worsen respiratory illnesses such as asthma.*

Secondhand vape contains fine and ultrafine particles, which can travel deep into the lungs and lead to tissue inflammation.*

Secondhand smoke exposure delivers enough nicotine to the brain to alter its function.*

Children exposed to secondhand marijuana smoke have detectable levels of THC, a psychoactive chemical that can alter brain and nervous system function, in their system.*

Secondhand smoke from cigarettes and cigarillos can cause strokes in nonsmokers.*

Secondhand hookah smoke contains toxic agents that can cause clogged arteries, which can lead to stroke.*

Secondhand smoke from cigarettes and cigarillos can cause heart disease.*

Emerging science suggests that secondhand marijuana smoke can harden and narrow the arteries, which can lead to heart attack.*

Secondhand hookah smoke contains toxic chemicals that can cause clogged arteries, which can lead to heart attack.*

Cancer

 

Centers for Disease Control and Prevention. Quitting smoking. cdc.gov. Page updated February 1, 2017. Accessed January 4, 2019

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National Institutes of Health, National Cancer Institute. Monograph 9: Cigars: Health Effects and Trends. Bethesda, MD: National Institutes of Health, National Cancer Institute. February 1998.

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Moir D, Rickert WS, Levasseur G, et al.  A comparison of mainstream and sidestream marijuana and tobacco cigarette smoke produced under two machine smoking conditions. Chem Res Toxicol. 2008;21:494-502. doi: 10.1021/tx700275p

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California Department of Public Health, California Tobacco Control Program. State Health Officer’s Report on E-Cigarettes: A Community Health Threat. Sacramento, CA: California Department of Public Health; 2015.

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Lung Harm

 

Goniewicz ML, Knysak J, Gawron M, et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control. 2014;23(2):133–139. doi:10.1136/tobaccocontrol-2012-050859

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Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One. 2013;8(3):e57987.

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Sleiman M, Logue JM, Montesinos VN, et al. Emissions from Electronic Cigarettes: Key Parameters Affecting theRelease of Harmful Chemicals. Environ. Sci. Technol. 2016 Sep 6;50(17):9644-51. doi: 10.1021/acs.est.6b01741

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Glantz SA. 9 chemicals identified so far in e-cig vapor that are on the California Prop 65 list of carcinogens and reproductive toxins [blog post]. UCSF Center for Tobacco Control Research and Education. Published July 20, 2013. Accessed August 19, 2019. 

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Centers for Disease Control and Prevention. Hookahs. cdc.gov. www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm. Page reviewed January 17, 2018. Accessed September 19, 2019.

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U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. 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, 2014.

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National Cancer Institute. Secondhand Smoke and Cancer. cancer.gov. https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/second-hand-smoke-fact-sheet. Reviewed December 4, 2018. Accessed May 15, 2019.

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Centers for Disease Control and Prevention. Health Effects of Secondhand Smoke. cdc.gov. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/index.htm. Reviewed January 17, 2018. Accessed May 16, 2019.

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U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006. 

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Diver WR, Jacobs EJ, Gapstur SM. Secondhand Smoke Exposure in Childhood and Adulthood in Relation to Adult Mortality Among Never Smokers. Am J Prev Med. 2018;55(3):345-352. doi: 10.1016/j.amepre.2018.05.005.

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National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems; Eaton DL, Kwan LY, Stratton K, editors. Public Health Consequences of E-Cigarettes. Washington (DC): National Academies Press (US); 2018 Jan 23. doi: 10.17226/24952

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Centers for Disease Control and Prevention. Particle pollution. cdc.gov. https://www.cdc.gov/air/particulate_matter.html. Reviewed April 1, 2014. Accessed August 22, 2019. 

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Schripp T, Markewitz D, Uhde E, Salthammer T. Does e-cigarette consumption cause passive vaping? Indoor Air. 2013;23(1):25-31. doi: 10.1111/j.1600-0668.2012.00792.x

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Schober W, Szendrei K, Matzen W. Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers. Int J Hyg Environ Health. 2014;217(6):628-37. doi: 10.1016/j.ijheh.2013.11.003.

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Brain Harm

 

Brody AL, Mandelkern MA, London ED, et al. Effect of secondhand smoke on occupancy of nicotinic acetylcholine receptors in brain. Arch Gen Psychiatry. 2011;68(9):953–960. doi:10.1001/archgenpsychiatry.2011.51. 

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Wilson KM, Torok MR, Wei B, et al. Detecting biomarkers of secondhand marijuana smoke in young children. Pediatr Res. 2017;81(4):589–592. doi:10.1038/pr.2016.261

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U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. 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, 2014. Printed with corrections, January 2014.

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Centers for Disease Control and Prevention. Hookahs. cdc.gov. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm. Reviewed January 17, 2018. Accessed August 19, 2019.

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U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. 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, 2014. Printed with corrections, January 2014.

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Heart Harm

 

U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. 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, 2014. Printed with corrections, January 2014.

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Wang X, Derakhshandeh R, Liu J, et al. One Minute of Marijuana Secondhand Smoke Exposure Substantially Impairs Vascular Endothelial Function. J Am Heart Assoc. 2016;5(8):e003858. Published 2016 Jul 27. doi:10.1161/JAHA.116.003858

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U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. 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, 2014. Printed with corrections, January 2014.

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SMOKEFREE AIR STARTS WITH YOU

The first step is knowing what policies protect your family from secondhand smoke in your city

How’s your city doing?

Select your city from the list below to find out the strength of its smokefree policies.*

Marijuana

CA State Law: Marijuana is banned anywhere tobacco is banned, plus it is banned in public places. To find out more about your community’s marijuana policies, contact your local health department.

American Lung Association in California. : California Local Grades. Sacramento, CA: American Lung Association in California. 2019.

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TAKE ACTION TODAY

Stop secondhand smoke from putting your family and community at risk

View Quick Tips

Get tips on how to protect yourself and your loved ones from toxic secondhand smoke.

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Report a secondhand smoke issue

Contact your local health department to report a complaint about being exposed to secondhand smoke or to receive further assistance on an issue you’re experiencing.

Send an email, make a difference.

Reaching out to your mayor can create change. Enter your name, choose your city, and we’ll connect you to the right email to make sure your letter makes the most impact.

I'm
Living in
Dear Mayor ,

I’m concerned about the rapidly escalating amount of toxic secondhand smoke in the air from vaping, marijuana, and cigarettes. It’s practically everywhere like in places such as public parks, restaurant patios, shopping centers, transit stops, recreational faciliites, and sidewalks. The problem is only getting worse in large part to the rise of vaping and marijuana use in California. According to the California Adult Tobacco Survey, e-cigarette secondhand exposure increased more than 65% in two years, and marijuana secondhand smoke nearly doubled! As you may already know, the U.S. Surgeon General has said there is no safe level of exposure to secondhand smoke. This is the reason I’d like to encourage you to enact new and stricter smokefree policies in public and private spaces across our community.

As a resident of our city, I believe everyone has the right to breathe clean air. Yet I find myself constantly exposed to toxic secondhand smoke. Any exposure can be harmful, especially to children, older adults, and people with a disability. The consequences of secondhand smoke exposure are severe and can lead to fatal health issues such as cancer, stroke, serious respiratory illnesses and heart disease.

I’m asking for your leadership in addressing the rise of secondhand smoke in our city. You have my full support to limit the number of places people are allowed to smoke and I encourage the enforcement of such rules. I think we can all agree that it would make our city a healthier, more enjoyable place to call home.

Thank you for implementing and supporting strong smokefree policies throughout our community. As a resident, I feel a tremendous amount of pride knowing that you’ve put laws in place to keep me and my family safe from toxic secondhand smoke exposure. Your tireless work has earned our city an A on the American Lung Association’s State of Tobacco Control Report. It’s a cumulative grade based on factors such as the number of places designated smokefree and strengthening the definition of “smoke”, “smoking” or “tobacco products” to include new products, like e-cigarettes, in our community’s secondhand smoke policies.

However, we must stay vigilant as the tobacco industry continues to create new ways for people to smoke or vape. In just the last two years alone, exposure to secondhand vape and marijuana have risen dramatically across California, which makes protecting these policies even more important. Smokefree air is a fundamental right and it’s one that can often be taken for granted.

Congratulations on receiving the A, and please keep up the incredible work. Smokefree laws create strong, healthy communities. You’ll always have my support in expanding and enforcing smokefree policies in our city.

Sincerely,

New York: Here Is The First State To Ban Flavored E-Cigarettes

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Additional resources to take action

Learn More - Protect your family

Protect your family

Exposure to all types of secondhand smoke is dangerous. Get the resources and information you need to stay safe and protected at all times.

Learn More - Protect your family
Learn more - California leads the way with smokefree spaces

California leads the way with smokefree spaces

Extraordinary progress has been made in the fight for smokefree air, but the rise in vape and marijuana use means there’s more we must do.

Learn more - California leads the way with smokefree spaces

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