Second Hand Smoke from the workplace and bladder cancer

In a study by the Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China in 2018 there was substantial evidence that second hand smoke (SHS) had a 22% increased risk for bladder cancer. This means those worker’s exposed to SHS are at a much higher risk of bladder cancer.

Bladder cancer is the ninth most common cancer globally, with an estimated 430,000 new cases and 165,000 bladder cancer deaths in 2012.  A significant male predominance was observed, with male bladder cancer cases comprising three quarters of the total cases. Europe has among the highest incidence rates of bladder cancer in the world. The highest rate of incidence in men was recorded in Spain with age-standardized rate = 36.7 per 100,000 according to Cancer Registry Data. New bladder cancer diagnoses rose 1.5-fold between 1990 and 2013 with deaths rising 1.3-fold between 1990 and 2013.

Tobacco smoking has been widely acknowledged to be the most important risk factor for bladder cancer. Six studies reported an elevated risk of bladder cancer in lifelong nonsmokers who were exposed to SHS compared with those who had no SHS exposure but without significance, while others reported a null relationship. 

Conclusion

There was a statistically significant 22% increased risk of bladder cancer for lifetime SHS exposure in nonsmoking patients compared with unexposed nonsmoking population.

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