{"meta":{"status":200,"messages":[],"pagination":{"max":1,"offset":0,"count":1,"total":1,"pageNum":1,"totalPages":1,"sort":null,"currentUrl":"https://api.digitalmedia.hhs.gov/api/v2/resources/media.json?offset=0&max=1&ignoreHiddenMedia=1&format=json&id=643&newUrlBase=http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/protection/air_quality","nextUrl":null,"previousUrl":null}},"results":[{"content":"<body>\n <div class=\"syndicate\"> \n  <h1 autofocus=\"true\">Smokefree Policies Improve Air Quality in Hospitality Settings</h1> \n </div> \n <div class=\"syndicate\"> \n  <div> \n   <div> \n    <div> \n     <div> \n      <span></span> \n     </div> \n    </div> \n    <div data-sid=\"\"> \n     <div>\n       On This Page \n     </div> \n     <div> \n      <ul> \n       <li><a href=\"#selected-studies\">Selected Peer-Reviewed Studies</a></li> \n       <li><a href=\"#references\">References</a></li> \n      </ul> \n     </div> \n    </div> \n    <ul> \n     <li>Breathing secondhand smoke from cigarettes, cigars and other tobacco products that burn has immediate, harmful effects on health (see <a href=\"http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/index.htm\">Health Effects of Secondhand Smoke</a>).</li> \n     <li>Many studies show that comprehensive smokefree laws that prohibit smoking in all indoor areas of worksites and public places, including bars and restaurants, improve air quality and reduce exposure to secondhand smoke.<sup>1-14</sup></li> \n     <li>These studies usually measure levels of respirable suspended particulates, or RSPs, before and after a smokefree law is put in place to measure any change.</li> \n     <li>One specific type of RSPs that are assessed in these studies is 2.5 microns or less in diameter (PM<sub>2.5</sub>). \n      <ul> \n       <li>These particles are easily inhaled deep into the lungs.</li> \n       <li>They are released in large amounts when tobacco products, such as cigarettes and cigars, are burned.</li> \n      </ul> </li> \n    </ul> \n   </div> \n  </div> \n  <div> \n   <div> \n    <div> \n     <a name=\"Selected%20Peer-Reviewed%20Studies\" title=\"Selected Peer-Reviewed Studies\" href=\"http://www.cdc.gov\"> \n      <!-- --></a> \n     <h3>Selected Peer-Reviewed Studies</h3> \n    </div> \n    <div> \n     <div> \n      <h4>Hospitality Settings (e.g., Bars, Restaurants, and Casinos)</h4> \n      <table summary=\"Peer-reviewed studies and their results\"> \n       <caption>\n         Peer-Reviewed Studies and Their Results \n       </caption> \n       <thead> \n        <tr> \n         <th scope=\"col\">Studies in:</th> \n         <th scope=\"col\">Found that:</th> \n         <th scope=\"col\">Resulted in:</th> \n        </tr> \n       </thead> \n       <tbody> \n        <tr> \n         <th colspan=\"3\">United States and U.S. Territories</th> \n        </tr> \n        <tr> \n         <th scope=\"row\">Delaware, U.S. (2004)<sup>1</sup></th> \n         <td>Statewide<br> smokefree law</td> \n         <td>91% reduction in average PM<sub>2.5</sub> levels in 1 casino, 6 bars, and 1 pool hall studied in Wilmington</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Hawaii, U.S. (2008)<sup>2</sup></th> \n         <td>Statewide<br> smokefree law</td> \n         <td>90% reduction in average PM<sub>2.5</sub> levels in 15 bars and restaurants on different islands</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Minnesota, U.S.(2010)<sup>3</sup></th> \n         <td>Statewide<br> smokefree law</td> \n         <td>76% to 95% reduction in average PM<sub>2.5</sub> levels in 62 bars and restaurants studied in the Minneapolis/St. Paul metropolitan area</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">New York, U.S. (2004)<sup>4</sup></th> \n         <td>Statewide<br> smokefree law</td> \n         <td>84% reduction in average PM<sub>2.5</sub> levels in 20 bars, restaurants, and bowling alleys studied in Western New York</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Puerto Rico (2011)<sup>5</sup></th> \n         <td>Territorywide<br> smokefree law</td> \n         <td>88% reduction in average PM<sub>2.5</sub> levels in 10 casinos studied in the San Juan metropolitan area</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Puerto Rico (2010)<sup>6</sup></th> \n         <td>Territorywide<br> smokefree law</td> \n         <td>84% reduction in average PM<sub>2.5</sub> levels in 32 restaurants and 96% reduction in average PM<sub>2.5</sub> levels in 23 pubs and discos studied in the San Juan metropolitan area</td> \n        </tr> \n        <tr> \n         <th colspan=\"3\"><span>Canada</span></th> \n        </tr> \n        <tr> \n         <th scope=\"row\">Ontario, Canada (2010)<sup>7</sup></th> \n         <td>Provincewide<br> smokefree law</td> \n         <td>83% to 87% reduction in average PM<sub>2.5</sub> levels in 23 coffee shops and 24 bars in Toronto and Windsor, Ontario</td> \n        </tr> \n        <tr> \n         <th colspan=\"3\"><span>Europe</span></th> \n        </tr> \n        <tr> \n         <th scope=\"row\">England (2008)<sup>8</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>96% reduction in average PM<sub>2.5</sub> levels in 35 bars, pubs, nightclubs, bingo halls, private-member clubs, cafes, and betting shops in 6 regions</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Greece (2012)<sup>9</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>81% reduction in average PM<sub>2.5</sub> levels in 43 bars, restaurants, and cafes in 5 regions</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Ireland (2007)<sup>10</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>83% reduction in average PM<sub>2.5</sub> levels in 42 pubs studied in Dublin</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Ireland (2005)<sup>11</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>75% to 96% reduction in average PM<sub>2.5</sub> levels in 9 pubs studied in Galway</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Italy (2005)<sup>12</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>64% reduction in average PM<sub>2.5</sub> levels after 1 year in 14 bars, 6 fast food restaurants, 8 restaurants, 6 video game parlors, and 6 pubs in Rome</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Scotland (2007)<sup>13</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>86% reduction in average PM<sub>2.5</sub> levels in 41 pubs in Aberdeen and Edinburgh and the Borders and Aberdeenshire council regions</td> \n        </tr> \n        <tr> \n         <th scope=\"row\">Spain (2010)<sup>14</sup></th> \n         <td>National<br> smokefree law</td> \n         <td>92% reduction in average PM<sub>2.5</sub> levels in 178 hospitality settings in 3 regions</td> \n        </tr> \n       </tbody> \n      </table> \n     </div> \n    </div> \n   </div> \n  </div> \n  <div> \n   <div> \n    <div role=\"tablist\"> \n     <div> \n      <a name=\"References\" title=\"References\" href=\"http://www.cdc.gov\"> \n       <!-- --></a> \n      <h3 role=\"tab\" href=\"#acc-panel-2\" data-toggle=\"collapse\" data-parent=\"#accordion-2\" aria-controls=\"acc-panel-2\" aria-expanded=\"false\"><button>References</button></h3> \n      <div role=\"tablist\" aria-labelledby=\"acc-header-2\"> \n       <div> \n        <ol> \n         <li>Repace J. <span><a title=\"Link to PDF file; link opens in new window; link to non-CDC site\" href=\"http://www.no-smoke.org/pdf/RepaceJOEMpaper_090904.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"org\">Respirable Particles and Carcinogens in the Air of Delaware Hospitality Venues Before and After a Smoking Ban<span aria-label=\"pdf icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span><span></span><span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span> <span>[<acronym title=\"Portable Document Format\">PDF</acronym>\u2013327 KB]</span>. Journal of Occupational and Environmental Medicine 2004;46(9):887\u2013905 [accessed 2014 Mar 11].</li> \n         <li>Pobutsky A, Krupitsky D, Kanja ML, Lipsher J.<span>. <a title=\"Link to PDF file; link opens in new window; link to non-CDC site\" href=\"https://www.ncbi.nlm.nih.gov/pubmed/18678206\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"gov\">Hawaii Air Quality Monitoring Assessment: Some Effects of Hawaii\u2019s Smoke-Free Work and Public Places Law<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Hawaii Medical Journal 2008;67(6):149\u201355 [accessed 2014 Mar 11].</li> \n         <li>Bohac DL, Hewett MJ, Kapphahn KI, Grimsrud DT, Apte MG, Gundel LA<span>. <a href=\"https://www.ajpmonline.org/article/S0749-3797(10)00527-1/abstract\" target=\"_blank\" rel=\"noopener\" data-domain-ext=\"org\">Change in Indoor Particle Levels After a Smoking Ban in Minnesota Bars and Restaurants<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. American Journal of Preventive Medicine 2010;39(6 Suppl 1):S3\u20139 [accessed 2014 Mar 11].</li> \n         <li>Centers for Disease Control and Prevention<span>. <a href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5344a3.htm\">Indoor Air Quality in Hospitality Venues Before and After Implementation of a Clean Indoor Air Law\u2014Western New York, 2003</a></span>. Morbidity and Mortality Weekly Report 2004;53(44):1038\u201341 [accessed 2014 Mar 11].</li> \n         <li>Marin HA, Diaz-Toro EC<span>. <a href=\"https://pubmed.ncbi.nlm.nih.gov/22263298/\" target=\"_blank\" data-domain-ext=\"gov\">Reduced Exposure to Secondhand Smoke at Casinos in Puerto Rico After the Implementation of a Workplace Smoking Ban in 2007: A Pre-Post Design<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Puerto Rico Health Science Journal 2011;30(4):182\u20137 [accessed 2014 Mar 11].</li> \n         <li>Marin HA, Diaz-Toro EC <span>. <a href=\"https://pubmed.ncbi.nlm.nih.gov/20799516/\" target=\"_blank\" data-domain-ext=\"gov\">The Effect of the Smoke-Free Workplace Policy in the Exposure to Secondhand Smoke in Restaurants, Pubs, and Discos in San Juan, Puerto Rico<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Puerto Rico Health Sciences Journal 2010;29(3):279\u201385 [accessed 2014 Mar 11].</li> \n         <li>Zhang B, Bondy SJ, Chiavetta JA, Selby P, Ferrence R. <a href=\"https://www.tandfonline.com/doi/full/10.1080/15459620903476322\" target=\"_blank\" rel=\"noopener\" data-domain-ext=\"com\">The Impact of Ontario Smoke-Free Legislation on Secondhand Smoke in Enclosed Public Places<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a>. Journal of Occupational and Environmental Hygiene 2009;7(3):133\u201343 [accessed 2014 Mar 11].</li> \n         <li>Gotz NK, Van Tongeren M, Wareing H, Wallace LM, Semple S, MacCalman L. <a href=\"https://academic.oup.com/jpubhealth/article/30/4/421/1510782\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"com\">Changes in Air Quality and Second-Hand Smoke Exposure in Hospitality Sector Businesses After Introduction of the English Smoke-Free Legislation<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a>. Journal of Public Health 2008;30(4):421\u20138 [accessed 2014 Mar 11].</li> \n         <li>Vardavas CI, Anagnostopoulos N, Patelarou E, Minas M, Nakou C, Dramba V, et al. <span><a title=\"link opens in new window; link to non-CDC site\" href=\"http://online.liebertpub.com/doi/abs/10.1089/jamp.2011.0949\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"com\">Five-Year Trends of Second-Hand Smoke Exposure in Greece: A Comparison Between Complete, Partial, and Prelegislation Levels<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Journal of Aerosol Medicine and Pulmonary Drug Delivery 2013;25(6):349\u201354 [accessed 2014 Mar 11].</li> \n         <li>Goodman P, Agnew M, McCaffrey M, Paul G, Clancy L. <a href=\"https://www.atsjournals.org/doi/full/10.1164/rccm.200608-1085OC\" target=\"_blank\" rel=\"noopener\" data-domain-ext=\"org\">Effects of the Irish Smoking Ban on Respiratory Health of Bar Workers and Air Quality in Dublin Pubs<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a>. American Journal of Respiratory and Critical Care Medicine 2007;175(8):840\u20135 [accessed 2014 Mar 11].</li> \n         <li>Mulcahy M, Byrne MA, Ruprecht A. <span><a title=\"link opens in new window; link to non-CDC site\" href=\"http://www.aerzteinitiative.at/PM2.5PubsGalway.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"at\">How Does the Irish Smoking Ban Measure Up? A Before and After Study of Particle Concentrations in Irish Pubs<span aria-label=\"pdf icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span><span></span><span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>.<span>[<acronym title=\"Portable Document Format\">PDF</acronym>\u201357.8 KB]</span> Indoor Air 2005;15(Suppl 11):86 [accessed 2014 Mar 11].</li> \n         <li>Valente P, Forastiere F, Bacosi A, Cattani G, Di Carlo S, Ferri M, et al. <span><a title=\"link opens in new window; link to non-CDC site\" href=\"http://tobaccocontrol.bmj.com/content/16/5/312.abstract?etoc\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"com\">Exposure to Fine and Ultrafine Particles From Secondhand Smoke in Public Places Before and After the Smoking Ban, Italy 2005<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Tobacco Control 2007;16(5):312\u20137 [accessed 2014 Mar 11].</li> \n         <li>Semple S, Creely KS, Naji A, Miller BG, Ayres JG. <span><a title=\"link opens in new window; link to non-CDC site\" href=\"http://tobaccocontrol.bmj.com/content/16/2/127.long\" target=\"_blank\" rel=\"noopener noreferrer\" data-domain-ext=\"com\">Secondhand Smoke Levels in Scottish Pubs: The Effect of Smoke-Free Legislation<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a></span>. Tobacco Control 2007;16:127\u201332 [accessed 2014 Mar 11].</li> \n         <li>Lopez MJ, Fernandez E, Perez-Rios M, Martinez-Sanchez JM, Schiaffino A, Galan I, et al. <a href=\"https://pubmed.ncbi.nlm.nih.gov/23100458/\" target=\"_blank\" data-domain-ext=\"gov\">Impact of the 2011 Spanish Smoking Ban in Hospitality Venues: Indoor Secondhand Smoke Exposure and Influence of Outdoor Smoking<span aria-label=\"external icon\" role=\"img\"></span><span alt=\"\" aria-hidden=\"true\"></span></a>. <span>[<acronym title=\"Portable Document Format\">PDF</acronym>\u2013398 KB]</span>Nicotine and Tobacco Research 2013; 15(5):992\u20136 [accessed 2014 Mar 11].</li> \n        </ol> \n       </div> \n      </div> \n     </div> \n    </div> \n    <div> \n     <a href=\"#\">Top of Page</a> \n    </div> \n   </div> \n  </div> \n </div>\n <script type=\"application/ld+json\">{\"@context\":\"http://schema.org\",\"@type\":\"Article\",\"headline\":\"Smoke-Free Policies Improve Air Quality - Smoking &amp; Tobacco Use\",\"datePublished\":\"2013-38-11T21:38:02Z\",\"description\":\"Secondhand Smoke Fact Sheets.\",\"about\":\"health effects, prevention, youth, industry, statistics, products, policies, tobacco, smokeless, smoking, smokefree, data, air, cessation, improve, quality, publications, stop smoking, secondhand smoke, quit smoking\",\"audience\":\"\",\"dateCreated\":\"2013-38-11T21:38:02Z\",\"dateModified\":\"2016-48-24T00:48:43Z\",\"sourceOrganization\":\"Centers for Disease Control and Prevention\"}</script>\n</body><div class='syndicate'><span><Strong>Syndicated Content Details:</strong></span><br/><span>Source URL: <a href='http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/protection/air_quality/index.htm'>http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/protection/air_quality/index.htm</a></span><br/><span>Source Agency: <a href='http://www.cdc.gov'>Centers for Disease Control and Prevention (CDC)</a></span><br/><span>Captured Date: 2013-12-11 21:38:02.0</span><br/></div><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=643&mediaType=html&sourceUrl=http%3A%2F%2Fwww.cdc.gov%2Ftobacco%2Fdata_statistics%2Ffact_sheets%2Fsecondhand_smoke%2Fprotection%2Fair_quality%2Findex.htm&userId=-1&sourceId=6&sourceAcronym=CDC&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe><noscript><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=643&mediaType=html&sourceUrl=http%3A%2F%2Fwww.cdc.gov%2Ftobacco%2Fdata_statistics%2Ffact_sheets%2Fsecondhand_smoke%2Fprotection%2Fair_quality%2Findex.htm&userId=-1&sourceId=6&sourceAcronym=CDC&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe></noscript>","description":"Secondhand Smoke Fact Sheets.","id":643,"mediaType":"Html","name":"Smoke-Free Policies Improve Air Quality - Smoking & Tobacco Use","sourceUrl":"http://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/protection/air_quality/index.htm"}]}