A Systematic Review of Research to Determine Toxicity of Involuntary Tobacco Smoking as Compared to First Hand Smoking and if Chronic Involuntary Tobacco Smoking during Childhood Causes Skeletal Diseases Later in Life

Cadmium, Lead, Polycyclic Aromatic Hydrocarbons, Osteoarthritis, Osteopenia, Osteoporosis, Bone Disease, Passive Smoking

Authors

  • Michael J. Bobzien
    Michael@mail.com
    Occupational Therapist, Apalachicola, Florida, United States , United States

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A healthy adult life depends on a healthy childhood.  Toxic exposures during childhood impact human 
development and negatively impact adulthood.  It is important to be aware of the impact of toxic exposures children may be 
exposed to.   A child will breath up to 3 times the volume per body weight compared to an adult and take in the same ratio of 
airborne toxicants.  A child’s organs and immune system are not fully developed to offer protection from airborne and residual 
toxins compared to an adult.  Children have limited options to escape toxins if they are in the home.  Thus, children are the 
most susceptible to the effects of toxins in their environment and should be protected from such exposures.  Comprehensive 
literature review utilizing google scholar searching the terms; secondhand smoke, tobacco smoke, passive smoking, cadmium, 
lead, mercury, polycyclic aromatic hydrocarbons, osteoporosis, osteoarthritis, and arthritis. Results: Tobacco Smoke exposure 
is the greatest toxic exposure risk a child faces in a home environment.  Tobacco Smoke exposure starts in the womb when 
the embryo embeds in the mother’s uterus and connects to their mother’s blood flow.  Tobacco smoke contains many 
osteotoxic, nephrotoxic, cytotoxic, and genotoxic chemicals that significantly alter genetic material in the developing fetus 
and child having long term consequences. Involuntary smoking is more of a health risk than active smoking.  Children in the 
home environment are more vulnerable to the toxins produced by active smokers even if the smoking takes place when the 
child is not physically in the home.  The child’s toxic exposure has long-term health effects leading to poor bone health and 
skeletal diseases later in life.  As parents and members of the general public we need to implement safeguards to protect 
children in the home from involuntary tobacco smoking.