Hmaa No Smoking From A To Z11 01

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HMAA would like to ban smoking in indoor public places to reduce cardiovascular mortality such as due to heart attack and sudden cardiac death caused by passive smoking.

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  • This presentation reports results from an air monitoring study conducted in public venues in Hungary in 2008. The air monitoring equipment used assess the amount of small particles, below 2.5 microns, found in the environment. The inhalation of small particles is correlated with adverse respiratory and cardiac health outcomes. Tobacco smoke consists mainly of small particles, below 2.5 microns, and is thus the number one source of indoor air pollution. This study compares the level of indoor air pollution in locations in Hungary where smoking was observed with levels found outdoors and in indoor locations where smoking was not present.
  • We measured pollution levels in 6 pubs, 5 restaurants, 10 cafes, and 20 other locations in Budapest and Zalakarous between January and August this year.
  • We measured pollution levels in 6 pubs, 5 restaurants, 10 cafes, and 20 other locations in Budapest and Zalakarous between January and August this year.
  • The protocol we used was simple. We used a small air monitor called the Sidepak to measure the amount of pollution in real time continuously in different locations. We attempted to stay in each sampled location for 30 minutes. We counted up the number of people smoking in the venue and used a sonic measuring device to give us measurements of the dimensions of the indoor environment.
  • Here is a clear look at the data averaged across the three groups. In places where smoking is allowed, no restrictions we see an average pollution level of 155; in the places where smoking and non-smoking sections exist the pollution levels are lower, but still well above the hazard level of 15 microns. The average pollution level in the smoke-free locations was 5 microns, well within the EPA standard <15 microns.
  • We measured pollution levels in 6 pubs, 5 restaurants, 10 cafes, and 20 other locations in Budapest and Zalakarous between January and August this year.
  • We measured pollution levels in 6 pubs, 5 restaurants, 10 cafes, and 20 other locations in Budapest and Zalakarous between January and August this year.
  • We measured pollution levels in 6 pubs, 5 restaurants, 10 cafes, and 20 other locations in Budapest and Zalakarous between January and August this year.
  • This study documents high, and unsafe levels of indoor air pollution in numerous public indoor venues in Hungary. We also show that if smoking were banned indoors, the levels of indoor air pollution would decline by 90% or more. Reducing exposure to indoor air pollution from tobacco smoke will prevent heart attacks, respiratory problems such as asthma, and cancer. All citizens in Hungary deserve protection from tobacco smoke pollution.
  • This study documents high, and unsafe levels of indoor air pollution in numerous public indoor venues in Hungary. We also show that if smoking were banned indoors, the levels of indoor air pollution would decline by 90% or more. Reducing exposure to indoor air pollution from tobacco smoke will prevent heart attacks, respiratory problems such as asthma, and cancer. All citizens in Hungary deserve protection from tobacco smoke pollution.
  • Hmaa No Smoking From A To Z11 01

    1. 1. No smoking from A to Z The HMAA’s anti-tobacco campaign in Hungary RETURN Meeting Nov 6, 2010, Budapest Eszter Bodnár, MD - HMAA Hungary Chapter President Tamás Peredy, MD - HMAA Past President Sándor Matolcsy, MD – HMAA Past President Dávid László Tárnoki, MD Ádám Domonkos Tárnoki, MD
    2. 2. HMAA anti-tobacco campaign  HMAA anti-tobacco conference 2008 Budapest  Delegation to the ministry of health  First Hungarian indoor air pollution study  Letter to the prime minister May 2010 – to strengthen indoor public smoking law  Annual HMAA Student Conference Balatonfüred – section dedicated how to prevent and treat smoking  Teaching secondary school students about the harmful effects of smoking and secondhand smoking (30-40% of students 14-18y/o smoke!, 30% exposed to secondhand smoking)
    3. 3. HMAA anti-tobacco conference 2008 Budapest  300 participants from Hungary and abroad (USA, Canada)  Multispecialty Conference ( public health, cardiology, pulmonology, pediatrics, internal medicine, psychiatry, primary care, oncology etc..)  World-famous lecturers: Cummings KM (leader of USA anti-tobacco campaign), Fong G (leader of Canadian campaign)  Teamwork for changing Hungarian smoking policies
    4. 4. HMAA delegation in the Ministry of Health HMAA delegation (25 August, 2008):  Laszlo L. Mechtler, M.D., President of HMAA  Tamás Peredy, M.D., President – Elect HMAA  László Csáthy, M.D. HMAA Board Member  K. Michael Cummings, PhD, MPH, leader of American anti-tobacco campaign  Prof. Geoffrey Fong, MD, leader of Canadian anti-tobacco campaign  Declaration issued by the Minister of Health  Result: Minister of Health expressed to support to change the law to protect non-smokers and initiate lecture series in elementary schools and high schools
    5. 5. Ádám and Dávid Tárnoki, MD – First Hungarian Indoor Air Monitoring Study 2008  Minimum of 30 minutes spent in each venue – 40 locations  PM2.5 levels were more than an order of magnitude higher in places where smoking was observed compared to smoke free venues.  Smoking was commonly observed in places where smoking was prohibited. If smoking were banned indoors, the levels of indoor air pollution would decline by 90% resulting in rapid improvement in public health (heart attacks, respiratory problems – COPD, cancer)
    6. 6. Figure 6 Average PM2.5 Levels Observed in Various Workplace Venues in Hungary, 2008 155 94 5 0 100 200 Smoking Observed: Not smoke-free Smoking Observed: Smoke-free in separate sections No Smoking Observed: Smoking prohibited MeanPM2.5(μgrams/m 3 ) 15 EPA maximum safe exposure (15 μg/m3)
    7. 7. Publications  Tárnoki Á, Tárnoki D, Travers M, Hyland A, Dobson K, Mechtler L, Cummings K. Tobacco smoke is a major source of indoor air pollution in Hungary’s bars, restaurants and transportation venues. Clinical and Experimental Medical Journal 2009;3(1):131-138.  A.D.Tarnoki, D.L.Tarnoki, M.J.Travers, A.Hyland, K.Dobson, L.Mechtler, K. M.Cummings: Hungarian Indoor Air Quality Study. Hung Med J (Orv Hetil), 2010;151(6):213-219
    8. 8. Tobacco  Contains over 4000 toxic materials including 200 cancer-related agents…
    9. 9. Diseases thanks to tobacco
    10. 10. Mortality causes
    11. 11. Mission  Assisting in the adoption of the WHO Anti-Tobacco laws in Hungary  Decreasing the percent of Hungarian MD’s that smoke – positive example  Promoting better health initiatives for all Hungarians  Increase awareness of the effects of tobacco during pregnancy and childhood.
    12. 12. Media coverage and interest in 2008  ATV news  MTV – Az Este  Duna TV news  Index.hu news  Dental  Haon  Lanchid radio  HirTV  Betegszoba.hu  Euroastra  Hazipatika.com website  Medicalonline  Ministry of Health  Hungarian Television  Tudobeteg.hu respiratory website
    13. 13. Thank you for your attention! Hungarian Medical Association of America www.hmaa.org

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