The Challenges of Limiting Exposure to THS in Vulnerable Populations

Research on active smoking and secondhand smoke exposure has led to policy changes to protect individuals from the adverse health impacts of tobacco smoke. Despite the extensive literature on tobacco, only recently has there been recognition that long-lived tobacco smoke components (known as "thirdhand smoke" or THS) in indoor environments where smoking has taken place may have adverse health consequences. This paper describes THS and addresses the challenges of limiting exposure to THS in vulnerable populations (e.g., nonsmokers and young children). We conducted a limited survey of key stakeholders in the Los Angeles area to better understand approaches to address THS in the real estate and automobile industries. Most respondents indicated concerns about past smoking for property value and reported using various techniques to eliminate THS. We consider examples of other pollutants as case studies, including radon, asbestos, and lead, to help frame policy directions for THS. Based on the information collected from stakeholders and the case studies, we offer policy approaches to managing THS.