Cigarette Smoking

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Cigarette smoking is the greatest preventable cause of disease and premature death in the United States. Secondhand smoke causes numerous lung cancer deaths annually. Measures have been taken in both workplaces and public places to limit exposure to secondhand smoke. The economic cost of smokers to society is phenomenal. It includes monetary costs, lost workdays and shortened work lives. Many states are establishing and maintaining comprehensive tobacco-control programs to reduce tobacco use. They provide education to our youth to prevent them from ever starting and smoking cessation programs for individuals that currently wish to stop smoking. Education and support are known ways to eventually prevent smoking in the future.

Efforts to increase the public perception of the harmful effects of tobacco must utilize a comprehensive approach that affects policy development, education strategies and health care systems. Smoking is becoming more and more unfashionable as time goes on. There are many studies conducted showing that secondhand smoke is a health hazard to both the smoker and anyone that relies on the same air supply, not to mention the unpleasantness and discomfort it causes those that do not smoke. The Environmental Protection Agency reports that it is estimated that secondhand smoke that emerges from exhaling and burning cigarettes causes approximately 3,000 lung cancer deaths and 37,000 heart disease deaths in nonsmokers each year. (Nolo, 2002). According to a 1998 Gallop poll, 94% of Americans, including both smokers and nonsmokers, agree that companies should either ban or restrict smoking to properly ventilated areas. Another Gallop poll indicates that 95% of nonsmokers, and 69% of smokers, think California's ban on smoking in almost all workplaces is positive. Some companies are now refusing to hire anyone who admits to smoking on a job application because of higher healthcare insurance, absenteeism, unemployment insurance and workers' compensation insurance associated with these individuals. (Nolo, 2002). Those that do not smoke feel it is an infringement of what they consider to be a reasonable right not to have to breath other people's cigarette smoke while at work. During the 1970's the dangers of secondhand smoke were beginning to amass and a movement for nonsmokers emerged. When it was proven that secondhand smoke was harmful to nonsmokers who inhale it passively, (Koop, C. Everett et al. 1996), the public became less tolerant of smoking in the workplace as well as public places. Exposure to tobacco smoke remains a health hazard that is completely preventable. Many state and local laws for clean indoor air reduce but do not eliminate nonsmoker's exposure to secondhand smoke and smoking bans appear to be the most effective method of reducing exposure to secondhand smoke. Although there are no federal laws that directly control smoking in the workplace, (Nolo, 2002) many city and county ordinances ban smoking in the workplace. On the other hand, half of the states make it illegal to discriminate against those who smoke during non-working hours. However, many states protect employees from unwanted smoke on the job. Workplaces nationwide have gone smoke free to provide clean indoor air to protect employees. Tobacco smoke contains thousands of different chemicals (ASH, 2001) know to be carcinogens (cancer causing substances) that are released into the air as particles or gases. To date, workers have been awarded unemployment, disability and worker's compensation benefits for illness and loss of work due to exposure to secondhand smoke. Twenty states and the District of Columbia limit smoking in private worksites and forty-one states and the District of Columbia have laws restricting smoking in state government buildings. In 1997, President Clinton signed an executive order requiring federal buildings to become smoke-free. Simply separating smokers and nonsmokers...
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