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Bar Workers' Health Improves Rapidly After Smoking Banned

October 10, 2006

• Adult Smoking Rates Show Slight Drop • Racial Disparities Increasing For Cancers Unrelated to Smoking • Not Enough Doctors Trained to Help Smokers Quit • Secondhand Smoke May Hurt Children More Than Adults • Bank Stopped From Enabling Online Tobacco Sales • Study Finds Big Tobacco Exploiting Ad Ban Loophole • Do Tobacco Firms Cut Menthol to Hook Young Smokers? • Wegmans, DeCicco Markets Ditch Cigarettes • Secondhand Smoke Linked To Hospital Admissions • Anti-Smoking Drug Chantix Linked to Seizures, Heart Problems, Diabetes • Congress Moves To Tighten Tobacco Controls • Toddlers Affected Most By Secondhand Smoke at Home • Tobacco 'Innovations' Aimed at Younger Smokers • Heart Attacks Drop After Smoking Ban in Italy • Physician Highlights Hazards of Bartending • Anti-Smoking Suit Targets Restaurants • Smoking Linked to Sleep Disturbances • States Challenge R.J. Reynolds Cigarette Ads • Smokers Cost Taxpayers $10 Billion • Secondhand Smoke a Serious Health Risk • Would Women Rather Smoke Than Get Fat? • Kroger Agrees to Curb Tobacco Sales to Minors • No More Free Smokes in California • Second-Hand Smoke Tied to Lower Test Scores • Secondhand Smoke Bad for Pets • Researchers Link Smoking To Dementia • Smoking Turns On Genes -- Permanently • Bill Targets Online Cigarette Sellers • UK Tries Nicotine Patches on Pregnant Smokers • More Toxins Found in Smokers' Children --- • More about Smoking & Health

Bar workers in Scotland showed significant improvements in respiratory symptoms and lung function within 2 months following a ban on smoking in confined public places, according to a study in the current issue of JAMA.

The researchers found that a total of 79.2 percent of the bar workers experienced respiratory or sensory symptoms before the introduction of the smoke-free policy earlier this year, whereas one month afterward, 53.2 percent reported these symptoms, a decline of 26 percent.

At two months after introduction of the smoke-free policy, this improvement was maintained, with 46.8 percent of participants reporting any symptom (a decrease of 32.4 percent from baseline). There were also improvements on certain measurements of lung function and reductions in serum cotinine (metabolized nicotine) levels. Asthmatic bar workers also had less airway inflammation and an increase in quality of life scores.

Exposure to secondhand tobacco smoke is a major worldwide public health issue. While the effects on individuals has been difficult to measure, a number of studies have established an increased risk of coronary artery disease, cerebrovascular disease and lung cancer, and the 2006 report by the U.S. surgeon general highlighted the causal relationship between secondhand smoke and premature death.

In addition, for patients with preexisting respiratory conditions such as asthma, secondhand smoke leads to poorer disease control and more frequent hospital admission.

As the harmful effects of secondhand smoke become more widely accepted, a number of countries have attempted to limit the health risks to the population at large by prohibiting smoking in public.

On March 26, 2006, Scotland introduced a legislative ban on smoking in enclosed public places. One group of people most likely to benefit from this legislation is bar workers, who are exposed to high levels of secondhand smoke as part of their occupation.

Daniel Menzies, M.B.Ch.B., and colleagues from Ninewells Hospital and Medical School, Dundee, Scotland, examined the effect of the recently introduced smoke-free legislation on bar workers' health in Scotland. The study, conducted in Tayside, Scotland from February through June 2006, initially included 105 nonasthmatic and asthmatic nonsmoking bar workers, of whom 77 completed the study.

The participants were evaluated for respiratory symptoms (wheeze, shortness of breath, cough, and phlegm) and sensory symptoms (red or irritated eyes, painful throat and nasal itch, runny nose, and sneeze), and also had pulmonary tests and blood tests performed before the ban and at 1 month and 2 months after the ban went into effect.

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