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Is the smokers exposure to environmental tobacco smoke negligible?
Environmental Health 
2010,
9
:5 doi:10.1186/1476-069X-9-5Maria Teresa Piccardo (mariateresa.piccardo@istge.it)Anna Stella (anna.stella@istge.it)Federico Valerio (federico.valerio@istge.it)
ISSN
1476-069X
Article type
Research
Submission date
16 June 2009
Acceptance date
29 January 2010
Publication date
29 January 2010
Article URL
http://www.ehjournal.net/content/9/1/5This peer-reviewed article was published immediately upon acceptance. It can be downloaded,printed and distributed freely for any purposes (see copyright notice below).Articles in
Environmental Health 
are listed in PubMed and archived at PubMed Central.For information about publishing your research in
Environmental Health 
or any BioMed Central journal, go tohttp://www.ehjournal.net/info/instructions/ For information about other BioMed Central publications go tohttp://www.biomedcentral.com/ 
Environmental Health
 © 2010 Piccardo
et al.
, licensee BioMed Central Ltd.This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0),which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 
-1-
Isthesmokersexposuretoenvironmentaltobaccosmokenegligible?
MariaTeresaPiccardo
1§
*,AnnaStella
1
*,FedericoValerio
1*
1
EnvironmentalChemistryLaboratory,NationalcancerResearchInstitute,Genoa.L.goRosannaBenzin.10,16132Genoa,Italy*Theseauthorscontributedequallytothiswork
§
CorrespondingauthorEmailaddresses:MTP:mariateresa.piccardo@istge.itAS:anna.stella@istge.itFV:federico.valerio@istge.it
 
-2-
Abstract
Background
Veryfewstudieshaveevaluatedtheadverseeffectofpassivesmokingexposureamongactivesmokers,probablyduetotheunprovenassumptionthatthedoseoftoxiccompoundsthatasmokerinhalesbypassivesmokeisnegligiblecomparedtothedoseinhaledbyactivesmoke.
Methods
Inacontrolledsituationofindooractivesmoking,wecompareddailybenzo(a)pyrene(BaP)dose,estimatedtobeinhaledbysmokersduetothemainstream(MS)ofcigarettestheyhavesmoked,tothemeasuredenvironmentaltobaccosmoke(ETS)theyinhaledinanindoorenvironment.Forthisaim,were-examinedourpreviousstudyondailypersonalexposuretoBaPofthirtynewsagents,accordingtotheirsmokinghabits.
Results
DailyBaPdoseduetoindoorenvironmentalcontaminationmeasuredinsidenewsstands(trafficemissionandETSproducedbysmokernewsagents)waslinearlycorrelated(p=0.001R
2
=0.62)withestimatedBaPdosefromMSofdailysmokedcigarettes.Insmokersubjects,thepercentageofBaPdailydoseduetoETS,incomparisontomainstreamdoseduetosmokedcigarettes,wasestimatedwith95%confidenceinterval,between14.6%and23%forfullflavourcigarettesandbetween21%and34%forfullflavourlightcigarettes.
Conclusions
Duringindoorsmoking,ETScontributiontototalBaPdoseofthesamesmoker,maybenotnegligible.Thereforebothactiveandpassivesmokingexposuresshouldbeconsideredinstudiesabouthealthofactivesmokers.
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