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Environmental Tobacco Smoke: Measuring Exposures and Assessing Health Effects (1986)
Commission on Life Sciences (CLS)

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. "Appendix D: Risk Assessment- Exposure to Environmental Tobacco Smoke and Lung Cancer." Environmental Tobacco Smoke: Measuring Exposures and Assessing Health Effects. Washington, DC: The National Academies Press, 1986.

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Environmental Tobacco Smoke: Measuring Exposures and Assessing Health Effects

TABLE D-2 Estimated Ranges for the True Relative Risks (RR) in “Exposed” and “Unexposed” Subjects

Rate Ratioa

Group

β4/β1

All

0.0124

0.225

1.8

1.3

“Exposed”

1.41–1.87b

(321)–(113)d

1.41–1.87c

(321)–(113)

1.43–1.72

(321)–(113)

1.43–1.64

(321)–(113)

“Unexposed”

1.09–1.45

(321)–(113)

1.09–1.45

(321)–(113)

1.10–1.34

(321)–(113)

1.11–1.27

(321)–(113)

1.14

“Exposed”

1.19–1.35

(321)–(113)

“Unexposed”

1.04–1.18

(321)–(113)

aAssume causal summary rate ratio.

bRange of RR over 30 exposure histories and three values of β4/β1.

cRange of RR over 30 exposure histories.

dExposure histories (a, b, c) at which minimum and maximum, respectively, occur [see Table D-1 for definition of exposure histories (a, b, c)].

of the countries in which epidemiologic studies were conducted, we repeated the analysis using the overall summary rate ratio of 1.14 from the U.S. studies. In this case the overall range in the estimates of the true relative risk was 1.19 to 1.35 in the “exposed” and 1.04 to 1.18 in the “unexposed.”

D-2 THE CARCINOGEN-EQUIVALENT NUMBER OF ACTIVELY SMOKED CIGARETTES INHALED DAILY BY PASSIVE SMOKERS: COMPARISONS OF EPIDEMIOLOGIC WITH DOSIMETRIC ESTIMATES

In this section we attempt to estimate the number of cigarettes, d0, that would have to be actively smoked to deliver to the lung of the smoker a dose of active carcinogen equal to the daily pulmonary dose of carcinogen (attributable to ETS) of an average adult nonsmoker with a nonsmoking spouse. Roughly speaking, d0 is the (lung) carcinogen-equivalent number of (actively smoked) cigarettes inhaled daily by an average adult nonsmoker with a nonsmoking spouse.

Under the assumptions of Method 2, we saw that knowledge of β4/β1 and of the relative exposure histories of “exposed” and “unexposed” study subjects was sufficient to estimate the true

Page
301
Front Matter (R1-R8)
Contents (R9-R14)
Executive Summary (1-12)
1 Introduction (13-22)
Part I: Physicochemical and Toxicological Studies of Environmental Tobacco Smoke (23-24)
2 The Physicochemical Nature of Sidestream Smoke and Environmental Tobacco Smoke (25-53)
3 In Vivo and In Vitro Assays to Assess the Health Effects of Environmental Tobacco Smoke (54-62)
Part II: Assessing Exosures to Environmental Tobacco Smoke (63-64)
4 Introduction (65-68)
5 Assessubg /Exposures to Environmental Tobacco Smoke in the External Environment (69-100)
6 Assessing Exposures to Enviromental Tobacco Smoke Using Questionnaires (101-119)
7 Exposure-Dose Relationship for Environmental Tobacco Smoke (120-132)
8 Assessing Exposures to Environmental Tobacco Smoke Using Biological Markers (133-160)
Part III: Health Effects Possibly Associated with Exposure to Environmental Tobacco Smoke by Nonsmokers (161-162)
9 Introduction (163-165)
10 Sensory Reactions To and Irritation Effects of Environmental Tobacco Smoke (166-181)
11 Effects of Exposure to Environmental Tobacco Smoke on Lung Function and Respiratory Symptoms (182-222)
12 Exposure to Environmental Tobacco Smoke and Lung Cancer (223-249)
13 Cancers Other than Lung Cancer (250-256)
14 Cardiovascular System (257-268)
15 Other Health Considerations in Children (269-276)
Appendixes (277-278)
Appendix A: Guidelines for Public and Occupational Chemical Exposures to Materials that are Also Found in Environmental Tobacco Smoke (279-283)
Appendix B: Method of Combining Data From Studies of Environmental Tobacco Smoke Exposure and Lung Cancer (284-288)
Appendix C: Adjusments to Epidemiologic Estimates of Excess Lung Cancer in Persons Exposed to Environmental Tobacco Smoke (289-293)
Appendix D: Risk Assessment- Exposure to Environmental Tobacco Smoke and Lung Cancer (294-338)