Review series
Paediatric origins of adult lung diseases
4
Tobacco related lung diseases begin in childhood
P N Le SouëfDepartment of
Paediatrics, University of Western Australia, Princess Margaret
Hospital for Children, GPO Box D184, Perth, Western Australia 6001
Correspondence to: Professor P N Le Souëf peterles@paed.uwa.edu.au
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Introduction |
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Tobacco related diseases are the most important cause of respiratory morbidity and mortality in adults. Adult tobacco related respiratory disease may begin in childhood in two ways. Firstly, long term lung damage could occur due to passive exposure from tobacco products reaching the fetus via the placental circulation in utero, and through the air in infants and children. Secondly, most adult smokers begin to smoke while they are children so that factors associated with initiation of smoking and failure of cessation during childhood are of major importance in determining long term adult morbidity from active smoking. There are several strategies to minimise smoking that have been shown to be effective and these should be adopted by educational and governmental agencies. Tobacco companies have played a major role in promoting their products to children and in lobbying politicians to limit effective preventative strategies.
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Influence of passive smoke exposure on respiratory physiology and long term respiratory outcome |
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EFFECTS OF IN UTERO EXPOSURE
If the mother
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