1. Secondhand Smoke A Health Hazard to Children Environmental Protection Agency American Academy of Pediatrics

2. 38 percent of children aged 2 months to 5 years are exposed to secondhand smoke in the home. 38 percent of children aged 2 months to 5 years are exposed to secondhand smoke in the home. Source: CDC

3. Secondhand Smoke Up to 2,000,000 ear infections each year Up to 2,000,000 ear infections each year Nearly 530,000 doctor visits for asthma Nearly 530,000 doctor visits for asthma Up to 436,000 episodes of bronchitis in children under five Up to 436,000 episodes of bronchitis in children under five Up to 190,000 cases of pneumonia in children under five Up to 190,000 cases of pneumonia in children under five Source: Pediatrics

4. Secondhand Smoke Smoke breathed out by a smoker Smoke breathed out by a smoker Smoke from the burning end of cigarettes, cigars, pipes Smoke from the burning end of cigarettes, cigars, pipes Composed of nearly 4,000 different chemicals and chemical compounds Composed of nearly 4,000 different chemicals and chemical compounds Benzene, nickel, carbon monoxide, ammonia and cyanide Benzene, nickel, carbon monoxide, ammonia and cyanide Source: National Research Council

5. Secondhand Smoke Miscarriage Miscarriage Prematurity Prematurity Low birth weight Low birth weight Sudden infant death syndrome (SIDS) Sudden infant death syndrome (SIDS) Source: AAP

6. Secondhand Smoke More upper respiratory infections More upper respiratory infections More bronchitis and pneumonia More bronchitis and pneumonia More ear infections and hearing problems More ear infections and hearing problems Higher rate of SIDS Higher rate of SIDS More cases of asthma More cases of asthma More severe symptoms in children who already have asthma More severe symptoms in children who already have asthma Source: AAP

7. Secondhand Smoke Coughing and wheezing Coughing and wheezing Sore throats and colds Sore throats and colds Eye irritation Eye irritation Hoarseness Hoarseness

8. Infants whose mothers smoked were 38 percent more likely to be admitted to the hospital for bronchitis and pneumonia. Infants whose mothers smoked were 38 percent more likely to be admitted to the hospital for bronchitis and pneumonia. Source: Lancet

9. Children younger than one year whose mothers smoked were almost four times as likely to be hospitalized. Children younger than one year whose mothers smoked were almost four times as likely to be hospitalized. Source: Acta Paediatr Scand

10. Infants with two parents who smoke were more than twice as likely to have had pneumonia and bronchitis. Infants with two parents who smoke were more than twice as likely to have had pneumonia and bronchitis. Source: Lancet

11. Children living in households where more than three packs of cigarettes were smoked per day were more than four times as likely to be hospitalized for placement of ear tubes. Children living in households where more than three packs of cigarettes were smoked per day were more than four times as likely to be hospitalized for placement of ear tubes. Source: JAMA

12. Asthma One out of thirteen children has asthma One out of thirteen children has asthma Asthma is a chronic disease of the passageways that carry air to the lungs Asthma is a chronic disease of the passageways that carry air to the lungs Asthma causes labored breathing, shortness of breath Asthma causes labored breathing, shortness of breath

13. Indoor Asthma Triggers Secondhand smoke Secondhand smoke Dust mites Dust mites Animal dander Animal dander Cockroaches Cockroaches Mold Mold

14. Pledge to keep a Smoke-Free Home Choose not to smoke in your home Choose not to smoke in your home Don’t allow others to smoke in your home Don’t allow others to smoke in your home Don’t allow smoking in your car Don’t allow smoking in your car Choose a smoke-free child care provider Choose a smoke-free child care provider Until you can quit, smoke outside Until you can quit, smoke outside

15. Secondhand Smoke A Health Hazard to Children To take the Smoke-Free Home Pledge call 1-800-513-1157. To take the Smoke-Free Home Pledge call 1-800-513-1157. EPA’s Indoor Air Quality Information Clearinghouse 1-800-438-4318. EPA’s Indoor Air Quality Information Clearinghouse 1-800-438-4318. EPA’s Secondhand Smoke Website – www.epa.gov/iaq/ets EPA’s Secondhand Smoke Website – www.epa.gov/iaq/ets