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Secondhand Smoke: Health Risks & Prevention

By Dr. Vivek Nangia in Pulmonology

Mar 17 , 2025 | 2 min read

Secondhand smoke (SHS), also called passive or environmental tobacco smoke, consists of smoke from the burning end of a cigarette, cigar, or pipe, along with the smoke exhaled by a smoker. Although most people understand the health risks of smoking, fewer realise that secondhand smoke can be equally harmful, especially to vulnerable groups like children, pregnant women, and those with respiratory issues.

Secondhand smoke has over 7,000 chemicals, including at least 250 harmful toxins and around 70 known carcinogens. These harmful substances include nicotine, carbon monoxide, formaldehyde, benzene, arsenic, ammonia, and hydrogen cyanide. When secondhand smoke is inhaled by non-smokers, they are exposed to the same dangerous chemicals that a smoker inhales, increasing their risk of various health problems.

Breathing in secondhand smoke poses a significant health risk, as it can cause serious illnesses in non-smokers. One of the most severe risks is an increased likelihood of developing heart disease. According to the Centers for Disease Control and Prevention (CDC), SHS exposure increases the risk of heart disease by about 25-30% in non-smokers. It may harm blood vessels, increase blood pressure, and trigger heart attacks and strokes.

Lung cancer is another major risk associated with secondhand smoke. Even for those who have never smoked, prolonged exposure can significantly increase their chances of developing lung cancer. The American Cancer Society estimates that SHS exposure causes thousands of deaths each year among non-smoking adults.

Inhaling secondhand smoke can aggravate respiratory issues like asthma and chronic obstructive pulmonary disease (COPD). Non-smokers who live with smokers often report increased coughing, phlegm production, chest discomfort, and a higher frequency of respiratory infections.

Children are particularly vulnerable to the effects of secondhand smoke because their lungs and immune systems are still developing. Babies exposed to SHS before or after birth are at a greater risk of sudden infant death syndrome (SIDS). Expectant mothers exposed to secondhand smoke are at a greater risk of delivering babies with low birth weight, which can lead to complications such as developmental delays and weakened immune systems.

Breathing in secondhand smoke raises the risk of respiratory infections like bronchitis and pneumonia in young children. It can also cause frequent and severe asthma attacks, making it harder for children with asthma to manage their condition. Exposure to secondhand smoke (SHS) has also been linked to a higher risk of middle ear infections, which can lead to hearing issues and might need medical treatment.

Conclusion

Being exposed to secondhand smoke can lead to significant health problems for both smokers and those around them. The risks of heart disease, lung cancer, respiratory problems, and complications in children highlight the need for stronger public health policies and increased awareness. The best way to protect non-smokers is to create smoke-free environments, ensuring everyone can breathe clean, healthy air.


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