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Secondhand smoke
A new study provides additional evidence to the long-held belief that secondhand smoke poses a health risk.
(PhotoDisc)
Casino Cough
Secondhand Smoke Is Real Cancer Risk, Casino Study Shows

By Marc Lallanilla
ABCNEWS.com

Dec. 22 — A few hours in a casino may cost you more than your paycheck. According to a new study, the amount of secondhand cigarette smoke in a casino or any other smoke-filled room may present a substantial cancer risk to nonsmokers.

Researchers at the University of Minnesota, Minneapolis, found elevated levels of a cancer-causing agent, NNAL, in the urine of nonsmokers after they spent just four hours in a commercial casino. Researchers also found elevated levels of cotinine, a byproduct of nicotine, in the samples. Both NNAL and cotinine are specific to tobacco and were not found in the nonsmokers' urine before their casino visit.

"This evidence could be dynamite," says Robert West, an epidemiologist at University College London. "It is one thing to know that one is breathing in carcinogens; psychologically it is another to know that one's own body has been contaminated by them."

The study, published today in Cancer Epidemiology Biomarkers and Prevention, provides additional evidence to the long-held belief that secondhand smoke poses a health risk. The research is also expected to add fuel to the drive for anti-smoking regulations in public spaces.

Research Offers Real-World Evidence of Exposure

In the study, Kristin Anderson, epidemiologist at the University of Minnesota's School of Public Health, analyzed urine samples of 18 volunteers before their visit to a casino in the upper Midwest. The volunteers, four men and 14 women, spent an average of 4.25 hours in the designated smoking area of the casino. Samples were also collected within 24 hours following the visit.

The samples taken after the casino visit showed a 112 percent average increase in NNAL. The average increase in the amount of cotinine following the casino visit was 456 percent.

Public health professionals note the study adds a real-world element to the evidence linking secondhand smoke to cancer. "The unique aspect of this research is that it simulates real-life exposure," says Andrew Hyland, epidemiologist with the Roswell Park Cancer Institute in Buffalo, N.Y.

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