Specific Questions to the Committee
The Centers for Disease Control and Prevention requested that the IOM convene an expert committee to assess the state of the science on the relationship between secondhand smoke exposure and acute coronary events. Specifically, the committee was to review available scientific literature on secondhand smoke exposure (including short-term exposure) and acute coronary events, and produce a report characterizing the state of the science on the topic, with emphasis on the evidence for causality and knowledge gaps that future research should address.
In conducting its work the committee was to address the following questions:
In response to CDC’s request, IOM convened an 11-member committee that included experts in secondhand-smoke exposure, the pharmacology and pathophysiology of secondhand smoke, clinical cardiology, epidemiology (including cardiovascular epidemiology), and statistics. The committee met three times, including two open information-gathering sessions at which the members heard from stakeholders and researchers, conducted an extensive literature search, and reviewed relevant publications. The committee reviewed both pathophysiologic and epidemiologic studies, and considered the findings of a 2006 report by the surgeon general of the U.S. Public Health Service, The Health Consequences of Involuntary Exposure to Tobacco Smoke.
Inherent in the committee’s charge was the evaluation of three sets of relationships: