http://www.jstc.or.jp/uploads/uploads/files/%20%20受動喫煙症診断基準vers
ion2%20.xlsx%281%29.pdf
Classification and diagnostic criteria of passive smoking diseases
by the Japan Society for Tobacco Control.
Version 2.1. 2022.3.21

exacerbated, recurred orrelapsed are also included.

Preamble: For non-smokers, passive
smoking referred to as second and third
hand smoking is considered. From passive
smoking, the smell or stench of tobaccosmoke occurs. Pathology caused by theuse of electronic cigarettes (nicotinevaporizers), heat-not-burn tobacco, andother new types of tobacco; and illnesses
from passive smoking are also included.
Next, patients who contracted specificdiseases due to exposure to passive
smoking and cases of illness from passive
smoking in which symptoms werediagnosis
level 0Normal。
For non-smokers, no chances of exposure
to passive smoking

level 1
No acute symptomsof illness frompassive smoking

No symptoms indicating a clinical history ofacute exposure to tobacco smoke.

level 2
No chronic
symptoms of illness
from passivesmoking

No symptoms from being chronicallyexposed to tobacco smoke.

Concerning classification ofillnesses and diagnostic criteria
from passive smoking, thepolicy formulated in 2005 by theJapan Society for Tobacco
Control, and the Diagnostic
Criteria Committee of Japan
Medical-Dental Association for
Tobacco Control
was completely revised inOctober 2016 by the Japan
Society for Tobacco Control.

symptoms and diseases

none

none (ex. live-in relatives whooften show a high concentrationof Cotinine)

none (ex. live-in relatives who
often show a high concentrationof Cotinine)level 3
Acute （recurrent)
illness from passivesmokingSymptoms started (were exacerbated)
after passive smoking exposure started(increased).
Symptoms of illness from passive smoking
stop (decrease) when passive smoking iseliminated (is reduced).
Symptoms are eliminated (are stabilized)in the long term without passive smoking.
Dizziness, nausea, fatigue, watery eyes,
conjunctivitis, rhinitis (nasal inflammation),coughing, pharyngitis (sorethroat), bronchitis, rash,headache, angina pectoris(chest pain), atrial fibrillation(irregular heartbeat), transientischemic (cerebral) attack, poorhealth, depression, et cetera
level 4Chronic (recurrent)
illness from passivesmoking

level 5
Severe illness frompassive smoking

Acute illnesses from passive smoking
repeatedly occur, and the duration ofpassive smoking exposure becomes
excessive, resulting in a continuation ofsymptoms and illnesses.

During the course of acute/chronic illness
from passive smoking, a fatal pathology or
another combined severe disorder results

Tobacco allergies, chemical
substance hypersensitivity
syndrome, atopic dermatitis,
bronchial asthma, diabetes(mellitus), metabolic syndrome(ex., blood pressure), atrial
fibrillation, myocardial
infarction, cerebral infarction(stroke), COPD, spontaneous
pneumothorax (collapsed lung),
pulmonary tuberculosis,
Alzheimer's disease,pneumonia in childhood,sinusitis, otitis media, asthma,
physical developmental
disorder, attention deficit
hyperactivity disorder (ADHD),
infant food allergy, pneumonia,
et cetera

Malignant tumors (especiallylung cancer, laryngeal cancer,
sinus cancer, cervical cancer,
et cetera), sudden Infant death
syndrome, subarachnoid
hemorrhage, cerebral
hemorrhage, cerebral infarction(stroke), myocardial infarction,
sudden cardiac death, COPD,
et cetera