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11/01/93 22 :39 1 301 983 38?8 FriILIF WITuFSVH, M .D . F'~~Z_ c li responses in healthy individuals . While acute ETS exposure may evoke respiratory responses in a subset of asthmatic individuals, a psychogenic basis for such responses has yet to be ruled out . As indicated earlier in this presentation, the issue of health effects of ETS has been examined by several scientific groups and has lead to reports . Several of these reports hae stated that ETS exposure is a health risk, with particular emphasis placed on risk of lung cancer in the nonsmoker and acu~e respiratory illness and impaired lung function and growth in children . The most recent report that has arrived at such conclusions is the 1992 U .S . Environmental Protection Agency (EP.A) Report on the Respiratory Health Effects of Passive Sraoking . How can one reconcile our conclusions with those arrived a by the EPA? To be frank, our analysis is more comprehensive, more thorough, and more balanced than that appearing in the EPA report . A review of that report will reveal inconsistencies in and disparities between the data reviewed and the conclusions implied or stated in the body of the report, as well as those implied or conveyed to the press•. It is evident from the ways 'n which data have been manipulated, explained away, or-interprete by the EPA, and the way in which dissenting opinions have been addressed, that there is in the EPA Report an unclear separatioll of objective science from political, social or other agendas, o preconceived notions. is, It is important that the issue of ETS be viewed in the context of indoor air pollution in general . One must keep in mind the fact that a number of less visible indoor air pollutan,`Ls present a much more significant health hazard than ETS, even though the latter attracts considerably more attention and emotion than the former . http://legacy.library.ucsf.edu/tid/wyk81f00/pdf 10
I 11/01/93 22 :38 1 301 983 3829 PHILIP WITORSCH, M .D. PAuE 16 TABLE 2 . STUDIES OF SPOUSAL SMoKIHG AND RISK OF LUPiG CANCER - ASIAN STUDIES http://legacy.library.ucsf.edu/tid/wyk81f00/pdf 15 7 . . ~ ~ ~ ~ ~ ~ ~ ~ W
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