2007, Number S2
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salud publica mex 2007; 49 (S2)
Involuntary exposure to tobacco smoke in public places in Mexico City
Barrientos-Gutiérrez T, Valdés-Salgado R, Reynales-Shigematsu LM, Navas-Acien A, Lazcano-Ponce E
Language: Spanish
References: 19
Page: 205-212
PDF size: 206.91 Kb.
ABSTRACT
Objective. Mexican legislation considers many public places as smoke-free spaces. However, no environmental tobacco smoke exposure assessment studies exist to evaluate compliance with governmental regulations and to identify opportunities for tobacco control. The main objective of this study is to quantify airborne nicotine concentrations in public places in Mexico City.
Material and Methods. During March 2004, nicotine passive monitors were allocated in a hospital, two schools, a public office building, an airport, seven restaurants, and three bars following a common protocol applied in other Latin American countries. Monitors were analyzed at the Johns Hopkins University, extracting the nicotine and quantifying it using nitrogen selective gas chromatography. Median concentrations of environmental nicotine were estimated by type of place and smoking restriction.
Results. Airborne nicotine was detected in all public places. The highest concentrations were observed in bars (6.01 µg/m
3), restaurants (0.69 µg/m
3), airport (0.21 µg/m
3), and public offices (0.10 µg/m
3). Nicotine exposure concentrations are similar to those previously observed in other capital cities of Latin America.
Conclusion. Nicotine levels in the airport and public offices reflect the lack of compliance with mandatory non-smoking official regulations in Mexico. High nicotine concentrations in bars and restaurants provide evidence for the need to advance smoke-free legislative action in these public and work places.
REFERENCES
US Department of Health and Human Services. The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. Atlanta, GA, USA, 2006. Disponible en: http://www.surgeongeneral.gov/library/secondhandsmoke/
World Health Organization. WHO Framework Convention on Tobacco Control. Geneva: WHO, 2003. Disponible en: http://www.who.int/tobacco/framework/en/
Goodman P, Agnew M, McCaffrey M, Paul G, Clancy L. Effects of the Irish smoking bar on respiratory health of bar workers and air quality in Dublin pubs. Am J Respir Crit Care Med 2007;75(8):799-750.
Gallus S, Zuccaro P, Colombo P, Apolone G, Pacifici R, Garattini S, et al. Effects of new smoking regulations in Italy. Ann Oncol 2006;17:346-347.
Moskowitz J, Lin Z, Hudes E. The impact of workplace smoking ordinances in California on smoking cessation. Am J Public Health 2000;90:757-761.
Abrams SM, Mahoney MC, Hyland A, Cummings KM, Davis W, Song L. Early evidence on the effectiveness of clean indoor air legislation in New York State. Am J Public Health 2006;96:296-298.
Ministerio de Salud Pública. Establecimiento de áreas de fumadores en restaurantes, bares y lugares de esparcimiento. Montevideo, Uruguay, 2005;168/005. Disponible en: http://www.presidencia.gub.uy/_web/decretos/2005/05/39_05%2004%202005_00001.PDF.
Legislatura de Puerto Rico. Ley para reglamentar la práctica de fumar en lugares públicos. San Juan, Puerto Rico, 2006; 66-2073. Disponible en: http://www.pulmon.org/Ley_Num_66.htm.
Legislatura de la Ciudad Autónoma de Buenos Aires. Ley de Control del Tabaco. Argentina: Ciudad Autónoma de Buenos Aires, 2005;1799. Disponible en: http://www.cedom.gov.ar/es/legislacion/normas/leyes/html/ley1799.html.
Ibáñez-Hernández N. Disposiciones jurídicas sobre la protección de los no fumadores en los estados de la República Mexicana. En: Primer Informe Sobre El Combate Al Tabaquismo. México Ante El Convenio Marco Para El Control Del Tabaco. Cuernavaca, México: Instituto Nacional de Salud Pública, 2005:149-159.
Navas-Acien A, Peruga A, Breysse P, Zavaleta A, Blanco-Marquizo A, Pitarque R, et al. Secondhand tobacco smoke in public places in Latin America, 2002-2003. JAMA 2004;291:2741-2745.
Hammond SK, Leaderer BP. A diffusion monitor to measure exposure to passive smoking. Environ Sci Technol 1987;21:494-497.
Ogden MW, Maiolo KC. Comparative evaluation of diffusive and active sampling systems for determining airborne nicotine and 3-ethenylpyridine. Environ Sci Technol 1992;26:1226-1234.
Nebot M, López MJ, Gorini G, Neuberger M, Axelsson S, Pilali S, et al. Environmental tobacco smoke exposure in public places of European cities. Tob Control 2005;14:60-63.
Mulcahy M, Evans DS, Hammond SK, Repace JL, Byrne M. Secondhand smoke exposure and risk following the Irish smoking ban: an assessment of salivary cotinine concentrations in hotel workers and air nicotine levels in bars. Tob Control 2005;14:384-388.
Schorp MK, Leyden DE. Distribution analysis of airborne nicotine concentrations in hospitality facilities. Environ Int 2002;27:567-578.
Navas-Acien A, Gómez-Mass CD, Durón HV, Alvarenga-Chinchilla E. Exposición ambiental a humo de tabaco en Tegucigalpa, Honduras. Rev Fac Ciencias Médicas Hondureña 2005;2:51-59.
Roa R, Luque H, Holder K, Chang A, Gonzalez I, Navas-Acien A, et al. Estudio de vigilancia de humo ambiental de tabaco. Panamá: Ciudad de Panamá. Serie Comunicación Científica del Ministerio de Salud, 2004; Vol. 2. Disponible en: http://ops-oms.org.pa/docs/tabaco.pdf.
Repace JL, Lowrey AH. An enforceable indoor air quality standard for environmental tobacco smoke in the workplace. Risk Anal 1993;13:463-475.