Air Quality

World Environmental Health Day Toolkit

World Environmental Health Day on September 26, 2016 GraphicSocial Media Toolkit for Environmental Health Day

World EH Day, September 26, 2016, NEHA will be working with IFEH to engage with the community on the issues of second and third hand tobacco exposure.

This toolkit provides a set of sample social media messages, animations and graphics, key data points and newsletter blurbs that participants and supporters of this campaign can use in their personal and institutional accounts to distribute and amplify messages.

World Environmental Health Day Talking Points

  • September 26, 2016 is World Environmental Health Day to recognize the importance of protecting the air we breathe, the food we eat, and the water we drink and play in.
  • People in all communities deserve these basic essentials – safe water, clean air, safe food – to enjoy a healthy life and live up to their full potential.
  • Communities benefit when qualified, trained, and competent environmental health professionals work with health care providers, officials, local leaders, and businesses to educate, monitor, and enforce standards for these critical air, food, and water necessities.
  • EH professionals work with communities to reduce exposure to toxins typically found in tobacco smoke through sampling, enforcement, and education.
  • Support smoke-free policies and the work of environmental health professionals who advocate for healthy communities.
  • Tobacco harms in more ways than one. Children and pets are particularly vulnerable to second and third hand smoke.

Learn More Tobacco and Environmental Health Implications

 


Social Media Messages 

10 Social Media Posts

  1. It's #WorldEHDay and @NEHAorg is bringing attention to the harmful effects of #ThirdHandSmoke and #SecondHandSmoke http://bit.ly/2bFzmLv
  2. DYK that #ThirdHandSmoke is the residue from nicotine attached to dust & indoor surfaces and is inhaled & absorbed via skin? #WorldEHDay
  3. #ThirdHandSmoke is most dangerous to infants, children & pets, retweet & bring awareness for #WorldEHDay http://bit.ly/2bVYCMt
  4. DYK that #ThirdHandSmoke is the residue from nicotine attached to indoor surfaces & absorbed via skin? #WorldEHDay http://bit.ly/2bVYCMt
  5. DYK: Arsenic, lead, and carbon monoxide are all found in #ThirdHandSmoke http://bit.ly/2bVYCMt
  6. As an EH Professional, you can be proud to help reduce the exposure of chemicals to the public from #ThirdHandSmoke http://bit.ly/2bVYCMt
  7. #WorldEHDay is raising awareness of the negative effects of tobacco use and environmental health http://bit.ly/2bFzmLv
  8. DYK: #SecondHandSmoke causes 41,000 deaths in the U.S. each year? Raise awareness for #WorldEHDay http://bit.ly/2c7XEM3
  9. DYK: That tobacco-related deaths will result in 10-million deaths annually by 2020. http://bit.ly/2bFzmLv #WorldEHDay #ThirdHandSmoke
  10. Smoking is on the decline, there is still work to be done. Thankfully, EH professionals are protecting the public. http://bit.ly/2c7XEM3

Newsletter Blurbs

World EH Day is a way of bringing together the global public and environmental health community to focus on an issue that needs attention and awareness. On September 26, 2016 we are partnering with the International Federation of Environmental Health and the National Environmental Health Association to raise awareness about second and third hand tobacco use as well the way EH professionals deal with tobacco use and exposure to environmental hazards. Check out the links to learn more.

Additional Resources 

National Environmental Health Association (NEHA):

American Public Health Association (APHA)

National Association of County and City Health Officials (NACCHO)

Green and Healthy Homes Initiative

CDC in conjunction with U.S. Environmental Protection Agency  

 

Graphics

World Environmental Health Day on September 26, 2016 Graphic   
World Environmental Health Day on September 26, 2016 Graphic

Inforgraphic: 88 Million Americans exposed to second hand smokeInfographic: 5.6 Million Children will die early because of smoking   

Infographic: 2.5 million have died from second hand smoke

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Infographic on group exposure to second hand smoke

 

 

      

Tobacco

Environmental Health and Tobacco

Tobacco use causes 20% of cancer deaths worldwide, and it is estimated that tobacco-related deaths will result in 10-million deaths annually by 2020. We've come a long way since the mid-1900's in understanding the negative health effects of tobacco to smokers.

Health Effects

  • Tobaccos smoke contains more than 7,000 chemicals. Hundreds are toxic and about 69 can cause cancer. 
  • Smoking is the leading cause of preventable death in the U.S. and causes over 438,000 deaths per year.
  • Secondhand smoke causes 41,000 deaths in the U.S. each year from heart disease and lung cancer.
  • While smoking is on the decline for both adults and students, there is still work to be done.

What Environmental Health Professionals are Doing

Environmental Health professionals conduct a variety of activities to control tobacco exposure, such as:

  • Investigate - Complaints and sample environments that may have unhealthy levels.
  • Enforce - Many municipalities across the county prohibit smoking in public places, so EH professionals enforce local codes, ordinances, and statutes restricting tobacco use. While there are not well-established exposure limits for tobacco smoke, there are many exposure limits for specific chemicals within tobacco smoke. Some of these chemicals have exposure limits for occupational settings.
  • Educate - Environmental Health agencies provide many educational resources and programs in awareness and tobacco cessation. They spearhead health campaigns to prevent illness and injury. Read about what local environmental health agencies are doing for their communities. 

Emerging Issues


NEHA Resources


Additional Resources

American Public Health Association (APHA)

Tobacco Use and Secondhand Smoke Exposure is High in Multiunit Housing Fact Sheet from CDCCenters for Disease Control (CDC) in conjunction with U.S. Environmental Protection Agency  (EPA)

Green and Healthy Homes Initiative

National Association of County and City Health Officials (NACCHO)

 

Webinar: Addressing Environmentally Triggered Asthma in Tribal Communities

Webinar: Addressing Environmentally Triggered Asthma in Tribal Communities

Tuesday, September 20, 2016

1:30–3:00 p.m. EDT

 

Participants will learn about

  • asthma basics, including environmental triggers;
  • how medical and environmental professionals can make positive changes together;
  • the importance of partnerships in addressing asthma; and
  • successful efforts to manage environmental asthma triggers in tribal communities.

 

Presenters

Second Hand Smoke

 Surgeon General’s Inforgraphics on Second Hand SmokeSecond Hand Smoke 

Second hand smoke occurs when someone uses and exhales tobacco products such as cigarettes, cigars, or pipes, and the smoke is then inhaled involuntarily by others.

Health Effects

  • Tobacco smoke contains more than 7,000 chemicals, including hundreds that are toxic and about 70 that can cause cancer.
  • Since 1964 it is estimated that 2.5 million deaths are attributed in the U.S. to health problems caused by exposure to secondhand smoke.
  • Globally, more than a third of all people are regularly exposed to the harmful effects of smoke.
  • Separating smokers and nonsmokers within the same air space may reduce, but does not eliminate, exposure of nonsmokers to tobacco smoke. 
  • Tobacco residue remains in the area even after the smoker has left the area. This residue is referred to as third hand smoke or residual smoke and also poses health risks to those who are exposed.
  • In the U.S., secondhand smoke causes approximately 3,000 lung cancer deaths annually among nonsmokers. 
  • Secondhand smoke exposure increases the risk for lung cancer by 30 percent in nonsmokers.

Seniors and Children Are Especially Susceptible

  • In the U.S., secondhand smoke exposure causes an estimated 150,000 - 300,000 annual cases of bronchitis and pneumonia.
  • Exposure risk of sudden infant death syndrome (SIDS) is 2.5 times greater for infants exposed to secondhand smoke. 
  • Second hand smoke is responsible for 40-60% of asthma cases for children between two months and two years of age.
    For children with established asthma, second hand smoke causes additional episodes and increases its severity.

Do You Smell Smoke?

Used by permission ©(2016) American Lung Association.


What Environmental Health Professionals are Doing

Environmental Health professionals conduct a variety of activities to control tobacco exposure, such as:

  • Investigate - Complaints and sample environments that may have unhealthy levels.
  • Enforce - Many municipalities across the county prohibit smoking in public places, so EH professionals enforce local codes, ordinances, and statutes restricting tobacco use. While there are not well-established exposure limits for tobacco smoke, there are many exposure limits for specific chemicals within tobacco smoke. Some of these chemicals have exposure limits for occupational settings.
  • Educate - Environmental Health agencies provide many educational resources and programs in awareness and tobacco cessation. They spearhead health campaigns to prevent illness and injury. Read about what local environmental health agencies are doing for their communities. 

Emerging Issues


NEHA Resources

World Environmental Health Day - Celebrate with NEHA on September 26, 2016. This year's theme is tobacco control and NEHA is focusing specifically on the negative health effects of second and third hand smoke to both individuals and societies. Help us raise awareness of the environmental health implications of tobacco use. 

World Environmental Health Day Graphics with Infant and Puppy

Learn More about Third-Hand Smoke and Tobacco and Environmental Health.


Additional Resources

Secondhand smoke infographic on group exposureCDC Vital Signs 

 

Third Hand Smoke

The Hidden Hazard of Third Hand Smoke

Tobacco use causes 20% of cancer deaths worldwide, and it is estimated that tobacco-related deaths will result in 10-million deaths annually by 2020. We've come a long way since the mid-1900's in understanding the negative health effects of tobacco to smokers.

More recently, we've learned that second hand smoke also has deleterious consequences for those who are exposed to it. Yet, the concept of third hand smoke goes largely unnoticed even though a study in 1953 first identified the problem.

What is third hand smoke?

  • Third hand smoke is nicotine residue that remains on surfaces including walls, doors, drapery, carpets, clothes, furniture, flooring material, and acoustic tiles in ceilings. This pollutant also can be inhaled when it is re-emitted through dust in the air, and it can react with substances in the environment to create secondary pollutants on surfaces.
  • People, especially seniors and children, and pets are affected by this under-appreciated health hazard through skin exposure, dust inhalation and ingestion.
  • Some chemicals* found in third hand smoke are:
    -hydrogen cyanide (used in chemical weapons)
    -butane (used in lighter fluid)
    -toluene (found in paint thinners)
    -arsenic
    -lead
    -carbon monoxide
    -polonium-210, a highly radioactive carcinogen
  • Research demonstrates that tobacco smoke is a toxic substance with no safe level of exposure, and that the risks from exposure are largely dose related.

*Visit the CDC’s Agency for Toxic Substances and Disease Registry for information on health risks associated with these chemicals. 

Father smoking cigarette with baby in home, second and third hand smoke effects

Who is affected by third hand smoke?

  • Third hand smoke affects people who live in homes, hotels, or any indoor environment that was used long term by smokers. Even cars used by smokers can have third hand smoke residue.
  • Babies, toddlers, and children are at greater risk of negative health effects because:

1) they inhale 40 times more than adults

2) they have greater hand/object/mouth contact so they absorb proportionately more through ingestion

3) have greater absorption through their skin

  • Data show that individuals classified as low socio-economic status tend to live in more multi-unit housing where smoking may not be banned.
    If your neighbor smokes, it can get into your apartment through the ventilation system.
    Third hand smoke can be present in apartments even if they have been vacant for two months and are cleaned and prepared for new residents.

How can Environmental Health professionals help?

Third hand smoke is part of an individual’s built environment, which often they have little control over. Environmental health professionals seek to protect people against environmental factors that may adversely impact human health; they are instrumental in enforcing regulations and providing health education to limit third hand smoke exposure and associated disease outcomes.

Learn more about Tobacco and EH Professionals

Why have I never heard about third hand smoke before?

It took decades to develop the proponderance of evidence and prove that smoking causes lung cancer and a multitude of other adverse health effects. It took additional years to prove second hand smoke also kills.
It was only recently that scientists identified third hand smoke from tobacco combustion lingering on clothing, bedding, carpeting and furniture and attributed their contribution to adverse health effects.

 

What can be done to limit exposure of third hand smoke?

A 2010 study indicated that third-hand smoke accumulates in smokers' homes and persists even after homes have been vacant for two months and are cleaned and prepared for new residents.
This study also indicates that there is not much that can be done in terms of cleaning third hand smoke in affected places. Recommendations to minimize potential negative health effects are:

  • Avoid any indoor environment that was used long-term by smokers.
  • Insist that smokers go outdoors and do not smoke in homes or in cars.
  • Support smoking bans and enforcement of them.
  • In homes with long term smoke exposure consider replacing carpets, ventilation systems, furniture, etc.

While research needs to be done on how to clean up third hand smoke, it is best to simply avoid any indoor environment that was used long-term by smokers.


statewide smoke free laws for United States MapSmoke Free Places in the U.S.

To find local ordinances, maps, and resources for smoke-free venues, visit No-Smoke.org

Many of the following indoor places in the U.S. have become smoke free:

  • Hospitals
  • Nursing Homes
  • Colleges and Universities
  • Correctional facilities
  • Hotels/motels
  • Airports
  • Major League Baseball, National Football League stadiums
  • Multi-Unit housing
  • Casinos and Gambling Facilities
  • Pharmacies (CVS)
  • Bars and restaurants
  • Workplaces

 

Many outdoor areas are becoming smoke free in the U.S. as well, such as:

  • Beaches
  • Public Transit spaces
  • Parks and zoos
  • Outdoor patios

Maps at http://www.no-smoke.org/goingsmokefree.php?id=519#maps

 
 
 

World Environmental Health Day

World Environmental Health Day on September 26, 2016 GraphicTobacco and Environmental Health Implications

Tobacco use causes 20% of cancer deaths worldwide, and it is estimated that tobacco-related deaths will result in 10-million deaths annually by 2020. We've come a long way since the mid-1900's in understanding the negative health effects of tobacco.  

NEHA celebrated World Environmental Health Day on September 26, along with the International Federation of Environmental Health (IFEH) and many other organizations to shed light on the important work of environmental health around the world. This year's theme is tobacco control and NEHA is focusing specifically on the negative health effects of second and third hand smoke to individuals and societies.
 
We invite you to raise awareness of World EH Day and the environmental health implications of the growth, sale, and use of tobacco products.

Learn More Tobacco and Environmental Health Implications


World EH Day Toolkit

Check out our toolkit for World EH Day resources you can use to help spread the word to others.

 


Thank You to Our World EH Day Partners

Accela
American Academy of Sanitarians
American Lung Association
American Public Health Association
Association of Food and Drug Officials
Association of Public Health Laboratories
Association of State and Territorial Health Officials
Children’s Environmental Health Network
Child Care Aware
Colorado Department of Public Health and Environment
Colorado State University
Council of State and Territorial Epidemiologists
Environment Colorado
Green & Healthy Homes Initiative
International Federation of Environmental Health
National Association of City and County Health Officials
National Center for Environmental Health Strategies
National Institute of Environmental Health Sciences
U.S. Centers for Disease Control and Prevention
U.S. Environmental Protection Agency
U.S. Food and Drug Administration
U.S. Housing and Urban Development

Tracking and Air Quality

Asthma is a disease that can affect your lungs and make breathing difficult.  In the United States, about 25 million people live with asthma. That’s about one out of every 12 people.  Asthma affects people of all genders, races and ages.  For some people, symptoms only appear when they are exposed to something that irritates their breathing.  Other people have a kind of asthma that makes breathing difficult all of the time. We know that there is a connection between exposure to air pollution and asthma symptoms. For example, many adults and children with asthma are more likely to have symptoms when ozone and particle pollution are in the air. The National Environmental Public Health Tracking Network is helping us understand the connection between outdoor air quality and asthma. By tracking asthma-related hospital admissions and the number of people reporting they live with asthma, the Tracking Network is helping identify high-risk groups and shaping asthma prevention efforts. 

What We Are Learning from the Environmental Public Health Tracking Network

Understanding the burden of asthma involves collecting data about people diagnosed and living with asthma and also collecting data about people who experience asthma attacks.  These data can then be analyzed and shared with key stakeholders.

  • The Tracking Network includes data about people who have been told by a physician that they have asthma and the number of hospital stays for asthma.
  • This information can provide estimates about the people who are affected by asthma and where they may receive care for asthma related issues.  These estimates can be used to plan and evaluate asthma control efforts.  Many of these asthma control efforts are coordinated by CDC’s National Asthma Control Program.
  • Data in the Tracking Network show that the number of asthma hospital admissions increased from 2007 to 2009 for several states reporting into the system. Having this information can alert public health and medical professionals to look for additional asthma prevention education opportunities.

Other Communication Tools

World EH Day

World Environmental Health Day on September 26, 2016 GraphicNEHA is planning to celebrate World Environmental Health Day on September 26, along with the International Federation of Environmental Health (IFEH) and many other organizations to shed light on the important work of environmental health around the world.

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