the tackshs project: tackling secondhand tobacco smoke and e-cigarette emissions: exposure...

The TACKSHS project:

Tackling secondhand tobacco smoke and e-cigarette

emissions: exposure assessment, novel interventions,

impact on lung diseases and economic burden in diverse

European populations

María José López, Esteve Fernández

September 2015

The TackSHS project:

Funded by the European Commission (Call: H2020 Research and Innovation Framework Programme)

Duration: 4-year project

Starting date: 2nd November 2015

10 partners from 6 countries

Coordinated by the Catalan Institute of Oncology

WP1. Coordination & Management

Advisory Board Consultants

WP2.

Environmental assessment

of SHS in private and

outdoor settings

WP3.

Survey on SHS and

electronic cigarettes

WP4.

Intervention to

reduce exposure

in homes

WP9.

Attributable

mortality

WP10.

Economic

burden of SHS

WP11. Policy recommendations & Dissemination

WP8.

Assessment of

passive exposure

to e-cigs vapors in

real-life conditions

WP5.

Effects SHS on lung

diseases

WP6.

Acute effects of SHS

and e-cigs vapors on

lung diseases

WP7.

Methods of

measurement of

SHS and e-cigs

vapors

Tackling

SHS

WP1. Coordination & Management

Advisory Board Consultants

WP2.

Environmental assessment

of SHS in private and

outdoor settings

WP3.

Survey on SHS and

electronic cigarettes

WP4.

Intervention to

reduce exposure

in homes

WP9.

Attributable

mortality

WP10.

Economic impact

on health

WP11. Policy recommendations & Dissemination

WP8.

Assessment of

passive exposure

to e-cigs vapors in

real-life conditions

WP5.

Effects SHS on lung

diseases

WP6.

Acute effects of e-cigs

vapors on respiratory

systems

WP7.

Methods of

measurement of

SHS and e-cigs

vapors

Tackling

SHS

WP2: Environmental assessment of SHS exposure in

private settings and outdoor settings

Vulnerable groups exposed in private venues

-Elderly people

-People with diseases or disabilities

-Children:

-More vulnerable to physiological effects of SHS

- Less protective immune system

- Child’s breathing rate higher than adult’s

- Often sit near or on parents (or caregivers), so closer to thesource of SHS

Socioeconomic pattern

Pisinger et al. Social disparities in children’s exposure to secondhand smoke at home: a repeatedcross-sectional survey. Environmental Health, 2012.

Should smoking in outside public spaces be banned?

WP2: Environmental assessment of SHS exposure in

private settings and outdoor settings

Environmental measurement of SHS in non-regulated settings

Settings: homes, cars, children playgrounds, terraces ofcafeterias and restaurants…

12 selected European countries (representing geographical, legislative and cultural variations across Europe) : Albania, Bulgaria, the Czech Republic, France, Germany, Hungary, Italy, Latvia, Poland, Romania, Spain and UK

SHS measurement: environmental nicotine & PM2.5

PM2.5 monitor

Air pump

Sampler to measure

nicotine

WP2: Environmental assessment of SHS exposure in

private settings and outdoor settings

WP2:

Some potential issues to discuss…

Settings?

Markers? (PM might not be suitable for outdoors…)

Seasonality?

Sampling & sample size?

Thanks!

Objectives:

• To analyze the determinants of the exposure of the European population

to secondhand smoke using self-report exposure through questionnaires (WP3)

and objective environmental markers (WP2);

• To characterize the attitudes towards smoke-free measures and

secondhand smoke exposure and the associated perception of risk of the general

population and vulnerable populations (WP3);

• To assess the morbidity and mortality from chronic lung diseases and

cardiovascular diseases due to secondhand smoke exposure in the European

population, with emphasis on disadvantaged and vulnerable groups (WP9), and to

evaluate the economic burden of these exposures (WP10);

• To design, implement, and evaluate new interventions to reduce

secondhand smoke exposure in vulnerable populations (WP4); with emphasis on

finding methods to increase the uptake of smoke-free homes and cars;

• To characterize secondhand tobacco smoke exposure and exposure to

electronic cigarettes emissions in patients with chronic lung diseases (WP5)

and healthy subjects (WP6);

• To develop feasible, sensitive, and cost-effective methods for secondhand

tobacco smoke and electronic cigarette emissions assessment (WP7);

• To systematically review the scientific published literature on secondhand

exposure to electronic cigarette emissions and assess these emissions in real-

life conditions (WP8);

• To disseminate the findings, new interventions, and policy recommendations

produced by the project through a final project conference for stakeholders

and policy makers, together with scientific publications and press stories for the

general public (WP11);