๐ŸšฌNHS/PHE Guidelines

Tobacco Smoke & Indoor Air Quality

Tobacco smoke is the most harmful indoor air pollutant in UK homes. Secondhand smoke contains over 7,000 chemicals including 70 known carcinogens, while thirdhand smoke residues pose ongoing risks for months after smoking.

79,000
UK Deaths/Year
Smoking-related deaths (NHS)
7,000+
Chemicals in Smoke
Including 70 carcinogens
Months
Thirdhand Smoke Duration
Residues persist on surfaces

Understanding Tobacco Smoke Pollution

Secondhand Smoke (SHS)

Secondhand smoke is the combination of smoke exhaled by smokers and smoke from the burning end of cigarettes. It contains higher concentrations of many toxins than inhaled smoke because it is not filtered.

  • โš ๏ธContains 4x more tar than inhaled smoke
  • โš ๏ธ6x more carbon monoxide from sidestream smoke
  • โš ๏ธParticles reach deep into lungs (PM2.5 and smaller)

Thirdhand Smoke (THS)

Thirdhand smoke is the residue left on surfaces, fabrics, and dust after smoking. It reacts with indoor pollutants to form new toxic compounds and can be absorbed through skin contact or ingestion.

  • ๐Ÿ“ŒPersists for weeks to months on surfaces
  • ๐Ÿ“ŒChildren at highest risk from crawling and mouthing
  • ๐Ÿ“ŒCannot be removed by ventilation alone

Health Effects

Immediate Effects

  • โ€ข Eye and throat irritation
  • โ€ข Coughing and wheezing
  • โ€ข Headaches and dizziness
  • โ€ข Asthma attacks triggered

Long-term Effects

  • โ€ข Lung cancer (30% higher risk)
  • โ€ข Heart disease (25-30% higher risk)
  • โ€ข Stroke and respiratory disease
  • โ€ข SIDS in infants

๐Ÿšธ Children at Higher Risk

Children breathe faster and have developing lungs. Exposure to secondhand smoke causes 165,000 new cases of respiratory illness in UK children yearly (RCP).

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Vaping & E-Cigarettes

While PHE considers vaping 95% less harmful than smoking, e-cigarette vapour still affects indoor air quality:

What Vaping Releases

  • โ€ข Ultrafine particles (PM0.1-PM2.5)
  • โ€ข Volatile organic compounds (VOCs)
  • โ€ข Propylene glycol and glycerin
  • โ€ข Trace heavy metals (nickel, lead)
  • โ€ข Flavouring chemicals (diacetyl)

PHE Recommendations

  • โ€ข Avoid vaping around non-vapers
  • โ€ข Never vape around children
  • โ€ข Ensure ventilation if vaping indoors
  • โ€ข Use in designated areas

Protection Strategies

๐Ÿ 

Create a Smoke-Free Home

The only effective way to eliminate secondhand smoke is to not smoke indoors. No ventilation system can adequately remove smoke particles.

๐ŸŒฌ๏ธ

HEPA + Carbon Air Purifiers

For homes with smokers or smoke infiltration from neighbours, HEPA filters remove particles while activated carbon absorbs odours and gases.

๐Ÿงน

Deep Cleaning for THS

After smoking cessation, wash all fabrics, repaint walls with encapsulating primer, replace carpets if possible, and clean HVAC ducts.

๐Ÿš—

Smoke-Free Vehicles

Since 2015, it has been illegal to smoke in a car with anyone under 18. Car interiors concentrate smoke to dangerous levels.

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Free: Indoor Air Quality Guide

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Frequently Asked Questions

How long does tobacco smoke stay in a room?

Tobacco smoke particles can remain in indoor air for 2-3 hours after smoking, but thirdhand smoke residues persist on surfaces for weeks to months, continuously releasing toxins into the air.

Can air purifiers remove cigarette smoke?

HEPA air purifiers can capture tobacco smoke particles effectively (85-99%), but activated carbon filters are essential for removing smoke odours and gases. Combination HEPA + carbon filters work best for smoke.

What is thirdhand smoke?

Thirdhand smoke is the residue from tobacco smoke that clings to walls, furniture, carpets, and other surfaces. It contains harmful chemicals that can be released back into the air or absorbed through skin contact, especially dangerous for children.

Is vaping safer for indoor air quality than smoking?

Vaping produces fewer particles than cigarettes but still releases ultrafine particles, heavy metals, and VOCs into indoor air. PHE considers it less harmful than smoking but recommends avoiding indoor vaping around non-vapers and children.

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  • โœ“ HEPA removes 99.97% of smoke particles
  • โœ“ Carbon filter absorbs gases and odours
  • โœ“ Essential for protecting non-smokers
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UK Smoking Facts

  • UK Adult Smokers12.9%
  • Children Exposed to SHS2 million+
  • NHS Cost of Smokingยฃ2.5B/year

Source: NHS Digital, ASH UK