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Air Nicotine and Saliva Cotinine as Indicators of Workplace Passive Smoking Exposure and Risk1
Authors:James L Repace  Jennifer Jinot  Steven Bayard  Karen Emmons  S Katharine Hammond
Abstract:We model nicotine from environmental tobacco smoke (ETS) in office air and salivary cotinine in nonsmoking U.S. workers. We estimate that: an average salivary cotinine level of 0.4 ng/ml corresponds to an increased lifetime mortality risk of 1/1000 for lung cancer, and 1/100 for heart disease; >95% of ETS-exposed office workers exceed OSHA's significant risk level for heart disease mortality, and 60% exceed significant risk for lung cancer mortality; 4000 heart disease deaths and 400 lung cancer deaths occur annually among office workers from passive smoking in the workplace, at the current 28% prevalence of unrestricted smoking in the office workplace.
Keywords:Salivary cotinine  environmental tobacco smoke  air nicotine  Monte Carlo modeling  passive smoking  workplace  lung cancer  heart disease  risk assessment
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