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Editorials |

Smoking and EmphysemaSmoking and Emphysema: Beyond the Cigarette: Looking Beyond the Cigarette

David M. Mannino, MD, FCCP
Author and Funding Information

From the Department of Preventive Medicine and Environmental Health, University of Kentucky College of Public Health.

CORRESPONDENCE TO: David M. Mannino, MD, FCCP, Department of Preventive Medicine and Environmental Health, University of Kentucky College of Public Health, 111 Washington Ave, Lexington, KY 40536; e-mail: dmannino@uky.edu


CONFLICT OF INTEREST: D. M. M. has served as a consultant for Boehringer-Ingelheim GmbH, GlaxoSmithKline, AstraZeneca, Novartis AG, Merck & Co, and Forest Pharmaceuticals, Inc and has received research grants from GlaxoSmithKline; Novartis AG; Boehringer-Ingelheim GmbH; Forest Pharmaceuticals, Inc; and Pfizer Inc. He is also compensated by Up-to-Date, has served as an expert in tobacco-related cases, and is on the board of the COPD Foundation.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(5):1126-1127. doi:10.1378/chest.15-1454
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The relation between cigarette smoking and the development of emphysema and COPD has been well documented.1,2 Although not all smokers develop disease, among long-term smokers nearly 50% will have evidence of obstruction on spirometry.3 Other forms of smoke inhalation, such as exposure to biomass smoke from cooking or heating, are also linked to the development of COPD.4,5 Although there are several important differences between these exposures, a key one is intent: Cigarette smokers are intentionally exposing themselves to high levels of particulate pollution, whereas those exposed to biomass smoke are not doing this intentionally.

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