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