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Citation

Fernández E, López MJ, Gallus S, Semple S, Clancy L, Behrakis P, Ruprecht A, Gorini G, López-Nicolás ?, Radu-Loghin C, Soriano JB, Castellano Y, Fu M, O'Donnell R & Dobson R (2020) Tackling second-hand exposure to tobacco smoke and aerosols of electronic cigarettes: the TackSHS project protocol [Abordando la exposición a las emisiones del tabaco y de los cigarrillos electrónicos: protocolo del proyecto TackSHS]. Gaceta Sanitaria, 34 (1), pp. 77-82. https://doi.org/10.1016/j.gaceta.2019.07.002

Abstract
Objective The TackSHS project aims to comprehensively elucidate the impact that exposure to second-hand smoke (SHS) from cigarettes and second-hand aerosols (SHA) from electronic cigarettes have on the respiratory health of the European population according to socioeconomic characteristics and other determinants. Method The TackSHS project involves a series of coordinated studies carried out by 11 academic and public health organisations from six European countries. The project will investigate: a) the determinants of SHS and SHA exposure assessed at the individual level (surveys on representative general population samples) and in common environments (environmental sampling in specific settings); b) the overall disease burden, mortality and morbidity attributable to such exposure; and c) its economic impact in terms of direct health care costs. The project will also examine specific acute respiratory health changes in healthy individuals and patients with respiratory diseases exposed to SHS and SHA. In addition, the project will examine the effectiveness of a novel intervention to reduce SHS exposure in households where smoking is permitted. All these studies are inter-related and involve collaborative coordination among the participant organisations. Conclusion The comprehensive, integrated approach of the TackSHS project will enable a significant step forward from the current status quo in the understanding of the impact of SHS and SHA exposure on health and provide the basis for health policy recommendations to help European countries to further reduce the harm caused by SHS and SHA exposure.

Keywords
Second-hand smoke; Passive smoking; Electronic cigarette; Electronic nicotine delivery systems; Aerosols; Second-hand aerosols; Respiratory health; Burden of disease; Economic impact

Notes
Additional co-authors: Montse Ballbè, Beladenta Amalia, Olena Tigova, Xavier Continente, Teresa Arechávala, Elisabet Henderson, Alessandra Lugo, Xiaoqiu Liu, Cristina Bosetti, Enrico Davoli, Paolo Colombo, Sheila Keogan, Shashsa Li, Elizabeth Breslin, Hannah Byrne, Anna Tzortzi, Constantine Vardavas, Vergina Konstantina Vyzikidou, Stephanie Teloniatis, Gerasimos Bakelas, George Mattiampa, Roberto Boffi, Cinzia De Marco, Alessandro Borgini, Chiara Veronese, Martina Bertoldi, Andrea Tittarelli, Giulia Carreras, Barbara Cortini, Simona Verdi, Alessio Lachi, Elisabetta Chellini, Marta Trapero-Bertran, Daniel Celdrán Guerrero, Dominick Nguyen, Polina Starchenko, Julio Ancochea, Tamara Alonso, María Teresa Pastor, Marta Erro, Ana Roca, Patricia Pérez

Journal
Gaceta Sanitaria: Volume 34, Issue 1

• Published version