Effect of passive smoking on health

Sirs,

Notoriously the impact of environmental tobacco smoke on health remains
under dispute. In my opinion, this issue will last controversial for long
time, untill we shall decide to consider not only EBM, but also, as I
suggest unheeded, SPBM, i.e., “Single Patient Based Medicine”. In fact,
although unfortunately overlooked all around the world, Biophysical
Semeiotics Constitutions do really exists, as I referred in my earlier
Rapid Response http://bmj.com/cgi/eletters/324/7348/0/h#22477, as well as
on my HONCode site 233736,
http://digilander.libero.it/semeioticabiofisica; Biophysical-Semeiotic
Constitutions). Certainly, in individuals whithout Oncological Terrain
(Constitution) cancer will surely not occur, even in lasting presence of
passive tobacco smoke. In a few word, we can now-a-day easily recognize at
the bed-side subjects with particular constitution(s), who can be involved
by defined diseases under environmental tobacco smoke. Therefore,
statements such as “A substantial increased risk of chronic obstructive
pulmonary disease could result from exposure to environmental tobacco
smoke” are valid if we can precisely examine the “single” subject
presenting with well-defined inherited predispositions, evaluated properly
by means of Biophysical Semeiotics. For example, there is convincing
evidene that cigarette smoking is a risk factor for type 2 diabetes.

Cigarette smoking has been consistently associated with a relatively small
byt significantly increased risk of type 2 diabetes in both men (2) and
women (3) in large prospective cohort studies. However, only individuals
with both “diabetic “ and “dyslipidemic” biophysical-semeiotic
constitutions can suffer from diabetes mellitus type 2, as allows me to
state a 46-year-long clinical experience (4, 5).

1) Smith GD. Effect of passive smoking on health BMJ 2003;326:1048-
1049 (17 May)

2) Rimmm EB., Chan J., Stampfer MJ., et al. Prospective study of cigarette
smoking, alcohol use, and the risk of diabetes in men. BMJ 1995; 310 555-
559.

3) Rimmm EB., Manson JE., Stampfer MJ., et al. A prospective study of
cigarette smoking and the risk of diabetes in women. Am.J Public Health
1993; 83:211-214.

4) Stagnaro S., Diet and Risk of Type 2 Diabetes. N Engl J Med. 2002 Jan
24;346(4):297-298. letter [PubMed –indexed for MEDLINE].

5) Stagnaro S., Stagnaro-Neri M. Valutazione percusso-ascoltatoria del
Diabete Mellito. Aspetti teorici e pratici. Epat. 32, 131, 1986.

Competing interests:  
None declared