Download or read book Assessing the Exposure and Health Risks of Secondhand Smoke in Restaurants and Bars by Workers and Patrons Evaluating the Efficacy of Different Smoking Policies in Beijing Restaurants and Bars written by Ruiling Liu and published by . This book was released on 2012 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exposure to secondhand smoke (SHS) is harmful and hazardous to the health of the general public. A large body of research has been conducted in this topic, and great efforts have been made to prevent people from being exposed to SHS. Legislation on restricting smoking in workplaces and many public places has also been increasing. However, tobacco industries have been fighting against smoking bans in restaurants and bars with multiple strategies, which has led to the current situation that smoking bans in restaurants and bars usually lag behind other environments in many countries. As of January 2012, a total of 66 nations worldwide have enacted a 100% smoke-free law in workplaces and hospitality venues, while only 46 of the 66 include both restaurants and bars, and more than 90% of the world population can't enjoy smoke-free restaurants and bars. In addition, tobacco industries have made continuing efforts to remove existing smoking bans, and such efforts are sometimes successful. For example, as of October 2011, 15 U.S. municipalities that had adopted effective smoke-free laws subsequently repealed, weakened, or postponed them due to such efforts. This dissertation aims to quantify SHS exposure and the attendant health risks, morbidity and mortality, among restaurant and bar servers and patrons, to provide scientific evidence on whether SHS exposure in restaurants and bars can be ignored and whether restaurants and bars should be exempted from smoking bans. The dissertation consists of seven chapters. Chapter 1 presents the general background, Chapters 2 and 3 focus on quantifying SHS exposure in restaurants and bars by workers and patrons; Chapter 4 evaluates the efficacy of different smoking policies adopted to reduce SHS exposure in restaurants and bars in Beijing China; and Chapters 5 and 6 assess the excess heath risks, morbidity and mortality, due to SHS exposure in restaurants and bars, and the last chapter summarizes the findings and conclusions from the previous five chapters. The study in Chapter 2 applies multiple approaches to assess restaurant and bar servers' and patrons' exposure to SHS two years after the implementation of the governmental smoking restriction in Beijing, 2010. Of the 79 restaurants and bars monitored in the study, 37 (47%) nominally prohibited smoking, and 14 (18%) restricted smoking to designated sections. A total of 121 visits were made during peak-patronage times, and smoking was observed in 26 (51%) of these nominal nonsmoking venues or sections. Patrons were exposed to a median (interquartile range IQR) of 27 (4-93) ug/m3 of fine particulates derived from SHS (SHS PM) and a median (IQR) of 1.53 (0.69-3.10) ug/m3 of airborne nicotine during their visits. For servers, continuous real-time sampling of SHS PM and sequential area sampling of airborne nicotine, for more than 24 hours in two restaurants, showed obvious spikes of SHS concentrations during peak-patronage times, and SHS concentrations remained high during intervals between peak-patronage times or in evenings due to staff smoking. Servers were exposed to a median (IQR) of 2.62 (1.22-5.40) ug/m3 of airborne nicotine during their day-time working hours by one-day active personal sampling, and 1.83 (0.92-3.21) ug/m3 of airborne nicotine during a whole week by week-long passive sampling. Nonparametric Kruskal-Wallis rank tests of SHS concentrations by different nominal smoking policies showed statistically significant difference of peak-patronage-time SHS PM and airborne nicotine concentrations, while no statistically significant differences of one-day average nicotine concentration by active area or personal sampling, or of week-long average nicotine concentration by passive sampling. Comparison of results by different sampling approaches showed that both measured SHS PM and airborne nicotine concentrations were significantly related to observed active smoker activities. A slope of 17 ug/m3 of SHS PM per one ug/m3 of nicotine was observed. Time-weighted nicotine concentrations by one-hour peak-patronage time area sampling were higher than those by one-day area sampling and by week-long area sampling; and results of peak-patronage-time sampling could explain about half of the variance of the results by the latter two sampling approaches. One-hour peak-patronage-time area nicotine sampling results were very close to one-day personal nicotine sampling results. Thus, peak-time area sampling is a feasible and also a reasonably accurate way to access patrons' exposure to SHS during their short-term visits and servers' exposure during their full shifts. Chapter 3 develops and evaluates a mass balance model to predict SHS concentrations in restaurants and bars in China during peak-patronage times. The model is based on field data from an intensive study, with field monitoring of SHS concentrations in a representative sample of Minnesota restaurants and bars during representative peak-patronage times, and field data from existing studies of Chinese restaurants and bars. The model could predict SHS PM concentrations reasonably well, but not so well for airborne nicotine concentrations. Using the model and Monte Carlo simulation, the mean (SD) of simulated SHS PM concentrations was predicted to be 135 (182) ug/m3, 90 (129) ug/m3, and 49 (79) ug/m3 in restaurants with smoking allowed everywhere, designated smoking sections of restaurants, and designated nonsmoking restaurants, respectively. Predicted SHS concentrations in bars were about two times as in restaurants with the same smoking policy. These predicted concentrations were used to assess the health risks for both servers and patrons in Chapter 6. Chapter 4 uses field data collected in three previous studies from 2006 to 2008 and the study conducted in 2010, which is presented in Chapter 2, to evaluate the efficacy of different smoking policies adopted in Beijing restaurants and bars during this time period. There were significant overlaps of sampling venues included in each year. In 2006, all voluntary smoking bans in restaurants and bars were completely self-motivated by owners, and in 2007, they were encouraged by the government. Less than 20% of restaurants and bars prohibited or restricted smoking in 2006 or 2007. This indicates that both the self-motivated and governmental encouraged voluntary smoking bans are rarely adopted; thus, voluntary smoking bans cannot protect people from SHS exposure in restaurants and bars. When the Beijing government started to require smoking restrictions in restaurants and bars in 2008, more than 80% of venues did so as required; in these venues, the active smoking rate of patrons decreased, while no significant changes were observed in venues without any policy changes. However, some venues stopped prohibiting or restricting smoking two years later in 2010, resulting in less than 60% restaurants and bars nominally prohibited or restricted smoking, showing non-continuous enforcement by the government and decreasing compliance by venue owners. Though SHS PM concentrations in Beijing restaurants and bars decreased after the governmental smoking restriction in both 2008 and 2010, compared to those in 2006 and 2007, this happened in all the venues followed up with, regardless of the policy changes. In 2010, two years after the smoking restrictions, both SHS PM concentrations and active smoking rates in restaurants and bars were higher than in 2008, regardless of the changes in smoking policy. The similarity of SHS levels experienced by servers of restaurants and bars with different nominal smoking policies during their full shifts in 2010 also showed poor enforcement and compliance of the restrictions two years after the implementation. Chapters 5 and 6 estimate the health risks and excess morbidity and mortality caused by SHS exposure in restaurants and bars in Minnesota, in the U.S., and in China. Intensive field monitoring of SHS exposure in a representative sample of 65 Minnesota restaurants and bars, for multiple times in each venue, showed that more than 80% of patrons were exposed to SHS concentrations above the threshold of eye and nasal irritation during more than 80% of their visits. Patrons' and servers' lifetime excess risk (LER) of lung cancer death (LCD) due to SHS exposure in restaurants and bars in both Minnesota and in China was well above the acceptable level of 1x10-6. And this was true even for patrons who visited designated nonsmoking sections only for about 1.5 hours a week in their lifetime. The LER can be much higher for patrons who visit restaurants and bars more often, or for patrons who also visit smoking sections or venues allowing smoking everywhere. As for servers, their LER of LCD or asthma initiation (estimated for Minnesota and U.S. restaurant and bar servers only) could be higher than the significant risk of 1x10-3, considered an unsafe level by the U.S. Occupational Safety and Health Administration (OSHA). In the population level, SHS exposure in restaurants and bars was estimated to cause three LCDs and 32 ischaemic heart disease (IHD) deaths per year among the general nonsmoking population, and 53 new asthma cases per year among nonsmoking servers in Minnesota, 214 LCDs and 3001 IHD deaths per year among the general nonsmoking population, and 1420 new asthma cases per year among nonsmoking servers in the U.S. This death toll was predicted to be 1325 LCDs and 1525 IHD deaths a year in China. In all, restaurants and bars are major employers, and they are also important public places for the general population. This dissertation shows that both servers and patrons are exposed to high concentrations of SHS in restaurants and bars, and the attendant health risks, morbidity, and mortality are too significant to be ignored. Thus, to protect people from the health hazards of SHS exposure, restaurants and bars should not be exempted from ...

Download or read book Secondhand Smoke Exposure and Cardiovascular Effects written by Institute of Medicine and published by National Academies Press. This book was released on 2010-02-21 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data suggest that exposure to secondhand smoke can result in heart disease in nonsmoking adults. Recently, progress has been made in reducing involuntary exposure to secondhand smoke through legislation banning smoking in workplaces, restaurants, and other public places. The effect of legislation to ban smoking and its effects on the cardiovascular health of nonsmoking adults, however, remains a question. Secondhand Smoke Exposure and Cardiovascular Effects reviews available scientific literature to assess the relationship between secondhand smoke exposure and acute coronary events. The authors, experts in secondhand smoke exposure and toxicology, clinical cardiology, epidemiology, and statistics, find that there is about a 25 to 30 percent increase in the risk of coronary heart disease from exposure to secondhand smoke. Their findings agree with the 2006 Surgeon General's Report conclusion that there are increased risks of coronary heart disease morbidity and mortality among men and women exposed to secondhand smoke. However, the authors note that the evidence for determining the magnitude of the relationship between chronic secondhand smoke exposure and coronary heart disease is not very strong. Public health professionals will rely upon Secondhand Smoke Exposure and Cardiovascular Effects for its survey of critical epidemiological studies on the effects of smoking bans and evidence of links between secondhand smoke exposure and cardiovascular events, as well as its findings and recommendations.

Download or read book WHO Report on the Global Tobacco Epidemic 2008 written by World Health Organization and published by World Health Organization. This book was released on 2008-02-11 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 2009- cataloged as a serial in LC.

Download or read book Secondhand Smoke written by and published by . This book was released on 2006 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessment of Exposures of New Zealand Hospitality Workers to Environmental Tobacco Smoke written by and published by . This book was released on 2001 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this project was to obtain an estimate of the exposure of non-smoking bar and restaurant workers in New Zealand to Environmental Tobacco Smoke (ETS) over the course of a typical work-shift. Three samples of non-smoking workers in Wellington city were recruited as participants. These samples were (1) staff who worked in hospitality premises (bars and restaurants) that permitted smoking by customers; (2) staff who worked in hospitality premises that did not permit customers to smoke; and (3) employees of Government departments and ministries.

Download or read book The Health Consequences of Involuntary Exposure to Tobacco Smoke written by and published by . This book was released on 2006 with total page 738 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Surgeon General's report returns to the topic of the health effects of involuntary exposure to tobacco smoke. The last comprehensive review of this evidence by the Department of Health and Human Services (DHHS) was in the 1986 Surgeon General's report, The Health Consequences of Involuntary Smoking, published 20 years ago this year. This new report updates the evidence of the harmful effects of involuntary exposure to tobacco smoke. This large body of research findings is captured in an accompanying dynamic database that profiles key epidemiologic findings, and allows the evidence on health effects of exposure to tobacco smoke to be synthesized and updated (following the format of the 2004 report, The Health Consequences of Smoking). The database enables users to explore the data and studies supporting the conclusions in the report. The database is available on the Web site of the Centers for Disease Control and Prevention (CDC) at http://www.cdc.gov/tobacco.

Download or read book Assessing the Effects of Environmental Tobacco Smoke written by United States. Congress. Senate. Committee on Environment and Public Works. Subcommittee on Clean Air and Nuclear Regulation and published by . This book was released on 1994 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.

Download or read book Global Efforts to Combat Smoking written by Rajeev K. Goel and published by Routledge. This book was released on 2017-11-30 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tobacco is reported to be the second major cause of death in the world and there is ever-increasing interest in the costs of smoking, especially in the light of evidence of the health effects of second-hand smoke. This book brings together the findings of economists on the effectiveness of price and non-price policy initiatives to combat smoking and draws conclusions regarding the efficacy of the various policy measures. The authors evaluate the relative effectiveness of price-based smoking control policies (i.e. tax) in relation to non-price strategies (including advertising restrictions, sales restrictions, territorial restrictions and health warnings). They review evidence not only from the US but also from around the world, drawing important conclusions for developing countries where smoking is on the rise. The book will be essential reading for policy makers, health practitioners and researchers in health economics.

Download or read book Economic Effects of Smoking Bans on Restaurants and Pubs written by Barrie Craven and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United Kingdom has recently enacted smoking bans in public places such as restaurants and pubs. Public health advocates argue that bans are necessary because non-smokers need protection from second-hand smoke. Advocates also claim that bans do not exert harm on owners because of a vast empirical literature showing that restaurants and bars in the United States never suffer harm following bans. This paper examines whether these claims are true by developing a model within the Coasian framework whereby owners of businesses have incentives to deal with smoking disputes between smokers and non-smokers. Our model demonstrates that it is incorrect to argue that smoking bans are necessary because the private market has no method of attempting to solve smoking problems. It also predicts that bans exert different effects on different businesses: some will be unaffected while others will experience losses or gains. Our literature review reveals that predictions of differential effects are consistent with the empirical evidence.

Download or read book WHO Report on the Global Tobacco Epidemic 2009 written by World Health Organization and published by . This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of WHO reports on the global tobacco epidemic. Tracks the status of the tobacco epidemic and the impact of interventions implemented to stop it.

Download or read book WHO report on the global tobacco epidemic 2017 written by World Health Organization and published by World Health Organization. This book was released on 2017-08-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report "Monitoring tobacco use and prevention policies" tracks the status of the tobacco epidemic and interventions to combat it. The report finds that more countries have implemented tobacco control policies, ranging from graphic pack warnings and advertising bans to no smoking areas. About 4.7 billion people - 63% of the world's population - are covered by at least one comprehensive tobacco control measure, which has quadrupled since 2007 when only 1 billion people and 15% of the world's population were covered.

Download or read book WHO Report on the Global Tobacco Epidemic 2013 written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The continued success in global tobacco control is detailed in this year’s WHO Report on the Global Tobacco Epidemic, 2013. The fourth in the series, this year’s report presents the status of the MPOWER measures, with country-specific data updated and aggregated through 2012. In addition, the report provides a special focus on legislation to ban tobacco advertising, promotion and sponsorship (TAPS) in WHO Member States and an in-depth analyses of TAPS bans were performed, allowing for a more detailed understanding of progress and future challenges in this area."--Website summary.

Download or read book Evaluating the Effectiveness of Smoke free Policies written by IARC Working Group on Evaluating the Effectiveness of Smoke-free Policies and published by World Health Organization. This book was released on 2009 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents the evidence on the effectiveness of measures enforced at the societal level to eliminate tobacco smoking and tobacco smoke from the environments where exposure takes place. This volume offers a critical review of the evidence on the economic effects and health benefits of smoke-free legislation and the adoption of voluntary smoke-free policies in households.

Download or read book Food at Work written by Christopher Wanjek and published by International Labour Organization. This book was released on 2005 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume establishes a clear link between good nutrition and high productivity. It demonstrates that ensuring that workers have access to nutritious, safe and affordable food, an adequate meal break, and decent conditions for eating is not only socially important and economically viable but a profitable business practice, too. Food at Work sets out key points for designing a meal program, presenting a multitude of "food solutions" including canteens, meal or food vouchers, mess rooms and kitchenettes, and partnerships with local vendors. Through case studies from a variety of enterprises in twenty-eight industrialized and developing countries, the book offers valuable practical food solutions that can be adapted to workplaces of different sizes and with different budgets.

Download or read book World Development Report 2009 written by World Bank and published by World Bank Publications. This book was released on 2008-11-04 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rising densities of human settlements, migration and transport to reduce distances to market, and specialization and trade facilitated by fewer international divisions are central to economic development. The transformations along these three dimensions density, distance, and division are most noticeable in North America, Western Europe, and Japan, but countries in Asia and Eastern Europe are changing in ways similar in scope and speed. 'World Development Report 2009: Reshaping Economic Geography' concludes that these spatial transformations are essential, and should be encouraged. The conclusion is not without controversy. Slum-dwellers now number a billion, but the rush to cities continues. Globalization is believed to benefit many, but not the billion people living in lagging areas of developing nations. High poverty and mortality persist among the world's 'bottom billion', while others grow wealthier and live longer lives. Concern for these three billion often comes with the prescription that growth must be made spatially balanced. The WDR has a different message: economic growth is seldom balanced, and efforts to spread it out prematurely will jeopardize progress. The Report: documents how production becomes more concentrated spatially as economies grow. proposes economic integration as the principle for promoting successful spatial transformations. revisits the debates on urbanization, territorial development, and regional integration and shows how today's developers can reshape economic geography.

Download or read book Research Methods in Health Promotion written by Laura F. Salazar and published by John Wiley & Sons. This book was released on 2015-03-09 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt: The bestselling textbook to understanding health research, updated and expanded Research Methods in Health Promotion provides students and practitioners with essential knowledge and skills regarding the design, implementation, analysis, and interpretation of research in the field of health promotion. Now in its second edition, this bestselling textbook has been updated with more recent research methodologies and additional information on sampling, participatory and survey research, and qualitative data analysis. The entire research process is covered, with specific points relating to both qualitative and quantitative research. By breaking the daunting process of research into simple and well-defined steps, this user-friendly text encourages students to think about research as a sequential process and provides explanations that facilitate better understanding of each step in the research process. A separate set of chapters cover the more quantitative methodological areas including designs, measurement, sampling, and data analysis in depth, giving readers the understanding they need to apply in practice. This book also provides applied chapters that illustrate the practical aspects of the research process, along with other critical information including grant writing and scientific writing. Evaluate the ethics, design, analysis, and interpretation of research Identify and understand the key components of research studies Analyze and interpret the results of experimental and survey research designs Understand the process of publishing a research report and constructing a grant proposal Research Methods in Health Promotion is ideal for both undergrad and graduate methods courses in health promotion and public health.

Download or read book Introducing Intercultural Communication written by Shuang Liu and published by SAGE. This book was released on 2010-11-09 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Books on intercultural communication are rarely written with an intercultural readership in mind. In contrast, this multinational team of authors has put together an introduction to communicating across cultures that uses examples and case studies from around the world. The book further covers essential new topics, including international conflict, social networking, migration, and the effects technology and mass media play in the globalization of communication. Written to be accessible for international students too, this text situates communication theory in a truly global perspective. Each chapter brings to life the links between theory and practice and between the global and the local, introducing key theories and their practical applications. Along the way, you will be supported with first-rate learning resources, including: • theory corners with concise, boxed-out digests of key theoretical concepts • case illustrations putting the main points of each chapter into context • learning objectives, discussion questions, key terms and further reading framing each chapter and stimulating further discussion • a companion website containing resources for instructors, including multiple choice questions, presentation slides, exercises and activities, and teaching notes. This book will not merely guide you to success in your studies, but will teach you to become a more critical consumer of information and understand the influence of your own culture on how you view yourself and others.