Smoking
Key Concerns
Smoking indoors poses serious health risks, particularly for older adults with pre-existing conditions like heart disease, asthma, or weakened immune systems. Secondhand smoke can linger in the air and settle on surfaces, exposing non-smokers including spouses and grandchildren to toxic chemicals long after the cigarette is extinguished. Even if an older adult doesn’t smoke, having a smoking spouse or family member in the home significantly increases their risk of respiratory infections, stroke, and exacerbation of chronic illnesses. In multi-generational homes, it also puts children at risk, compounding the health burden. Homes with poor ventilation make these risks even more severe.

Source
Even after the cigarette is put out, the danger isn’t gone. Tobacco smoke releases ultrafine particulate matter (PM), which includes toxic chemicals that remain suspended in the air and settle on surfaces like furniture, walls, bedding, and clothes. These particles, known as thirdhand smoke, don’t simply disappear they build up over time and react with indoor pollutants to form new harmful compounds. For non-smokers, especially older adults living with someone who smokes, this means continuous exposure through breathing, skin contact, and even ingestion from hand-to-mouth contact. The house may “seem” smoke-free, but the invisible particles stay behind, posing long-term respiratory, cardiovascular, and immune system risks. If your neighbors smoke, the apartment manager should be contacted and informed, as thirdhand smoke can still increase the chance of exposure to harmful chemicals. A single cigarette contains more than 7,000 chemicals, and at least 250 are known to be harmful, with more than 70 linked to cancer. The major ones include nicotine, tar, acetone, arsenic, carbon monoxide, and formaldehyde.

How to Limit & Avoid Risks Associated with Smoking
- Make your home a 100% smoke-free zone — even smoking near open windows or in separate rooms still exposes others.
- Encourage smoking outside and far from doors, windows, and shared spaces.
- Use air purifiers with HEPA and activated carbon filters to help reduce airborne particulate matter (though they cannot eliminate all risks).
- Wash hands, change clothes, and rinse mouth after smoking to reduce thirdhand smoke residue carried into shared areas.
- Avoid using indoor areas like garages or basements for smoking, as smoke can travel through vents and insulation.
- Ventilate your home regularly, but do not rely on fans or open windows alone to remove smoke particles.
- Educate household members about the dangers of secondhand and thirdhand smoke — especially its impact on vulnerable individuals.
- Support household members in quitting smoking, offering resources or referrals to cessation programs.
- Clean or replace soft furnishings regularly (e.g., curtains, cushions, rugs), as they absorb smoke residue.
- Test indoor air quality if smoking has occurred over a long period — lingering pollution can persist even after smoking has stopped.
Frequently Asked Questions
1. Is it safe to smoke in just one room of the house?
No. Smoke easily travels through vents, doorways, and walls. Even if confined to one room, harmful particles can spread throughout the entire home, affecting others who don’t smoke.
2. What is thirdhand smoke and why is it dangerous?
Thirdhand smoke is the residue left behind after smoking — it clings to furniture, walls, clothes, and skin. Over time, it can release harmful chemicals into the air and be absorbed through contact, especially affecting children and older adults.
3. Can air purifiers eliminate the risks of indoor smoking?
Air purifiers can reduce some airborne particles but cannot fully eliminate the toxic chemicals in tobacco smoke or thirdhand residue. The safest option is to keep all smoking completely outside the home.
4. If I don’t smoke but live with someone who does, am I still at risk?
Yes. Secondhand and thirdhand smoke exposure can affect non-smokers just as seriously, especially seniors. Living with someone who smokes indoors increases your risk of respiratory illness, heart disease, and stroke.
5. Is vaping safer than smoking indoors?
While vaping may produce fewer toxins than cigarettes, it still releases aerosols and chemicals that linger in the air and on surfaces. Vaping indoors can still harm people nearby, particularly those with lung conditions.
6. What’s the best way to protect an older adult from smoke exposure?
Make the home 100% smoke-free, encourage smoking outside and far from windows or doors, and clean frequently. Educating household members about the risks and supporting cessation efforts are also key.
References & Helpful Articles
- https://www.epa.gov/indoor-air-quality-iaq/secondhand-tobacco-smoke-and-indoor-air-quality
- https://www.epa.gov/indoor-air-quality-iaq/secondhand-smoke-and-electronic-cigarette-aerosols
- https://19january2021snapshot.epa.gov/indoor-air-quality-iaq/secondhand-smoke-and-smoke-free-homes_.html
- https://www.cdc.gov/nccdphp/priorities/tobacco-use.html
- https://www.fda.gov/tobacco-products/products-ingredients-components/cigarettes
- https://www.fda.gov/tobacco-products/public-health-education/health-effects-tobacco-use