hen youWsmoke,

the smoke is more harmful
to your family than it is to you!

Diseases caused by passive smoking (examples)
For adults

StrokeLung cancer
Ischemic heartdiseaseThe causal link between passive smoking and disease is scientiﬁcally clear.
The cigarettes you smoke hurt not only you, but more than that, your family
and others around you.
For the sake of your own health as well as the health of those around you,quit smoking now.
■ Parental smoking and risk of sudden infant
death syndrome (SIDS)
631.6

2110Systolic blood pressure

4

Neither parent
smokes

One parentsmokes

Ministry of Health,Labour and Welfare
Smoking and HealthReport fromthe Committee
on the Health Effectof Smoking, 2016

118

4.7

The risk is approximately 4.7 times
higher when both parents smoke.
This is reported to be higher
than the risks associated withartificial nutrition and sleeping
on one's stomach.

For fetuses（mmHg）

Mortality rate(assuming the case where both parents do not smoke as 1)

5Asthma
Sudden infant
death syndrome
Middle ear infection

Delayed growth
Low birth weight■ Passive smoking and the risk ofblood pressure in Japanese women(Times)

For children

116.2
116

114

112

110

Both parentssmoke

113.1

None

Yes: only at homeWhether or not there is passive smoking

Ministry of Health and Welfare, Research on Mental and Physical Disorders, 1998
Study on Childcare Environment Factors of Sudden Infant Death Syndrome

Methods: Investigation of the association between passive smoking and blood pressurelevels measured at home in 579 nonsmoking Japanese women (aged 35 years or older)(Compiled from Seki, M. et al.: J Hypertens 28(9): 1814, 2010 [L20110418057] )■ Passive smoking and risk of cognitive impairment (international data)
1.8
1.6

1.08

1.4
Odds ratio

1.2
1.0

1.44

[ ]: 95% confidence interval
Trend p=0.02(logistic regression model)

1［0.78〜1.48］

1.13［1.07〜1.94］［0.81〜1.56］

0.8
0.6
0.4
0.2
0LowestMild
Moderate
Degree of passive smoking*Highest*The degree of passive smoking is classified into the following four groups according to the concentration of cotinine (a metabolite of nicotine) in saliva
0.0-0.1 ng/mL: lowest, 0.2-0.3 ng/mL: mild, 0.4-0.7 ng/mL: moderate, 0.8-13.5 ng/mL: highest
Subjects: 4,809 nonsmokers aged 50 years or older
Methods: Investigation of the association between the degree of passive smoking and cognitive function
Multivariate analysis (corrected for age, gender, education, sensory perception on examination , ethnicity, work with hands, net worth,smoking history, obesity, alcohol consumption, physical inactivity, and depressive symptoms)
Compiled from Llewellyn, D. et al.: BMJ 338, b462, 2009

Smoking outside a room with family members, smoking under aventilation fan, smoking on a balcony... none of these will completely
separate smoking.
Nicotine and chemicals soak into clothing and hair, and your breath
continues to emit toxins for 45 minutes or more after smoking.
The concentration of nicotine in indoor air in a home where family
members smoke outdoors can be three times higher, and theconcentration of nicotine in children's urine can be seven times higher.
In addition, even with air purifiers, only the particulate component oftobacco smoke can be removed, and gaseous substances arereleased back into the air, leaving more than 90% of the toxic
substances in the air unpurified.

■ Parental Smoking and Urinary Cotinine Concentrations in Children(Times)

Urinary cotinine concentrations

Mistakes
in Smoking Separation

16

14
12
10
8
6
4
20

Non-smoking

Indoorsmoking

Door open
Under
Door open Door closed
Under ventilation fan Outdoors
Outdoors
ventilation Outdoors
fan, etc.

Johansson, A. et al.: Pediatrics 113, e291-295, 2004
(From the collection of slides on smoking and health, produced by the Committee on Tobacco Control and Prevention,
formerly the Japanese Society of Internal Medicine Board of Certified Internal Medicine Specialists )