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首页> 外文期刊>International Journal of Environmental Research and Public Health >Second Hand Smoke Exposure and Excess Heart Disease and Lung Cancer Mortality among Hospital Staff in Crete, Greece: A Case Study
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Second Hand Smoke Exposure and Excess Heart Disease and Lung Cancer Mortality among Hospital Staff in Crete, Greece: A Case Study

机译：希腊克里特岛医务人员中的二手烟暴露与过量心脏病和肺癌死亡率：案例研究

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Exposure to secondhand smoke (SHS) is a serious threat to public health, and a significant cause of lung cancer and heart disease among non-smokers. Even though Greek hospitals have been declared smoke free since 2002, smoking is still evident. Keeping the above into account, the aim of this study was to quantify the levels of exposure to environmental tobacco smoke and to estimate the attributed lifetime excess heart disease and lung cancer deaths per 1000 of the hospital staff, in a large Greek public hospital. Environmental airborne respirable suspended particles (RSP) of PM2.5 were performed and the personnpel’s excess mortality risk was estimated using risk prediction formulas. Excluding the intensive care unit and the operating theatres, all wards and clinics were polluted with environmental tobacco smoke. Mean SHS-RSP measurements ranged from 11 to 1461 μg/m3 depending on the area. Open wards averaged 84 μg/m3 and the managing wards averaged 164 μg/m3 thus giving an excess lung cancer and heart disease of 1.12 (range 0.23–1.88) and 11.2 (range 2.3–18.8) personnel in wards and 2.35 (range 0.55–12.2) and 23.5 (range 5.5–122) of the managing staff per 1000 over a 40-year lifespan, respectively. Conclusively, SHS exposure in hospitals in Greece is prevalent and taking into account the excess heart disease and lung cancer mortality risk as also the immediate adverse health effects of SHS exposure, it is clear that proper implementation and enforcement of the legislation that bans smoking in hospitals is imperative to protect the health of patients and staff alike.
机译：二手烟（SHS）严重威胁公共健康，是非吸烟者肺癌和心脏病的重要原因。尽管自2002年以来希腊医院已宣布无烟，但吸烟仍然显而易见。考虑到上述因素，本研究的目的是量化在一家大型希腊公立医院中每1000名医务人员中环境烟草烟雾暴露的水平，并估算归因于终生的过度心脏病和肺癌死亡人数。进行了环境空气中PM 2.5 的可吸入空气悬浮颗粒（RSP）的测定，并使用风险预测公式估算了人员的过量死亡风险。除重症监护室和手术室外，所有病房和诊所均受到环境烟草烟雾的污染。根据面积的不同，SHS-RSP的平均测量值范围为11至1461μg/ m 3 。开放病房平均为84μg/ m 3 ，而管理病房平均为164μg/ m 3 ，因此肺癌和心脏病的患病率为1.12（范围0.23–1.88），病房每40年有1000名管理人员，分别有11.2名（范围2.3-18.8）和2.35名（范围0.55-12.2）和23.5名（范围5.5-122）。最后，在希腊医院中普遍存在SHS暴露，并考虑到过度的心脏病和肺癌死亡风险以及SHS暴露对健康的直接不利影响，很明显，正确实施和执行了禁止在医院吸烟的法律必须保护患者和医护人员的健康。

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