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American Journal of Epidemiology Vol. 93, No. 6: 457-462
Copyright © 1971 by The Johns Hopkins University School of Hygiene and Public Health

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CIGARETTE SMOKING AND ACUTE NON-INFLUENZAL RESPIRATORY DISEASE IN MILITARY CADETS

J. F. FINKLEA1, VICTOR HASSELBLAD1, S. H. SANDIFER2, D. I. HAMMER1 and G. R. LOWRIMORE2

1Division of Health Effects Research, Bureau of Criteria and Standards, Air Pollution Control Office, Environmental Protection Agency Durham, North Carolina
2Section of Preventive Medicine, Medical University of South Carolina Charleston, South Carolina

Reprint requests to: Ecological Research Branch, DHER, BCS, APCO, 411 West Chapel Hill St., Durham, North Carolina 27701.

Finklea, J. F. (ERB, DHER, APCO, 411 W. Chapel Hill St., Durham, N.C 27701), V. Hasselblad, S. H. Sandifer, D. I. Hammer and G. R. Lowrimore. Cigarette smoking and acute non-influenzal respiratory disease in military cadets. Amer J Epidem 93: 457–462, 1971.—Acute upper and lower non-influenzal respiratory illness, but not enteric or traumatic illness, was significantly more frequent among cigarette smokers than nonsmokers. Outpatient and hospital acute upper respiratory incidence rates for heavy smokers (> one pack per day) were 1.3 times those of nonsmokers. Acute lower respiratory disease rates for heavy smokers were twice those of nonsmokers. In each case, both lighter cigarette smokers, and cigar, pipe and ex-smokers exhibited intermediate rates. An index of severity, the ratio of hospital incidence rates to outpatient rates, was similar for smokers and nonsmokers in each illness category. Cigarette smokers comprised 34.5% of the 1,848 volunteers in this study.

adolescence; morbidity; respiratory tract infection; smoking


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