The Indian Journal of Pediatrics

, Volume 85, Issue 4, pp 295–299 | Cite as

Children Deserve Smoke Free World

  • R. Remesh Kumar
  • P. R. Jayakumar
  • R. Krishna Mohan
Review Article


Tobacco smoke, active or passive exposure was the major cause of preventable morbidity and mortality in the world during twentieth century and will continue to be the same in the twenty-first century also if the current trends continue. Both active and passive smoking are having significance in relation to child health. Exposure starts antenatally from placenta to the fetus and later phases through passive exposure to experimental and regular smoking and ultimately addiction and habitual smoking. Evidences are in favour of causal relationship with intrauterine growth restriction, sudden infant death syndrome, decreased pulmonary function, increased risk for respiratory tract infection, otitis media, wheeze, asthma, neurobehavioral disorders, cleft palate and triggering pathogenesis of fetal and childhood onset of adult diseases, especially pulmonary and cardio vascular diseases. All these facts stress the importance of behavioral changes in the population as well as stringent public health measures and legislation for ensuring smoke free work places, public places and households for children. M POWER- Package by WHO is a novel global initiative taking us closer to the target of achieving tobacco free environment for children in the near future.


Preventable mortality Second hand smoke Developmental origin of adult diseases Cancer Sudden infant death syndrome Advocacy Legislation 



JPR: Manuscript preparation; KM: Manuscript finalising. Dr. T. U. Sukumaran, Prof. & HOD, Pushpagiri Institute of Medical Sciences, Tiruvalla, Kerala will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest


Source of Funding



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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Department of PediatricsN.S.S. Medical Mission HospitalPathanamthitta Dist.India
  2. 2.Department of NeonatologyGovernment Medical College HospitalKottayamIndia
  3. 3.Department of PediatricsKerala Government Health ServicesKozhikodeIndia

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