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Exposition chronique involontaire à la fumée de tabac dans l'environnement (ETS, aussi la fumée secondaire)...

Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.

IDRF-ENVIRONMENTAL-SECONDHAND-SMOKE-LUNG-PREVENTION
TypeSignal d’alerte
Étatreviewed 2026-05-18 | pending_clinical_signoff
MaladiesDIS-NSCLC
SourcesSRC-NCCN-BCELL-2025 SRC-NCCN-NSCLC-2025

Origine du drapeau rouge

DéfinitionChronic involuntary exposure to environmental tobacco smoke (ETS, also "secondhand smoke" or "passive smoking") with household or workplace exposure duration ≥10 years. ETS is an IARC Group 1 carcinogen (Monograph 83, 2004; reaffirmed multiple times) and a US Surgeon General-confirmed cause of lung cancer in non-smokers (2006 + 2014 reports). Meta-analyses (Hackshaw 1997; Stayner 2007): adult non-smoker household ETS exposure raises lung-cancer risk by ~20-25% (RR ~1.20-1.25); workplace ETS exposure similar magnitude. Childhood / in-utero ETS exposure has additional long-term lung- cancer + childhood-asthma signals. Mechanisms: sidestream smoke contains many of the same carcinogens (PAHs, nitrosamines, aromatic amines, benzene, heavy metals) as mainstream smoke; combustion- particle inhalation drives oxidative + inflammatory injury; KRAS/EGFR mutation enrichment in passive-smoke-exposed...
Direction cliniqueenquêter
Catégorieautres

Logique de déclenchement

{
  "any_of": [
    {
      "finding": "household_ets_exposure_ge_10y",
      "value": true
    },
    {
      "finding": "workplace_ets_exposure_ge_10y",
      "value": true
    },
    {
      "finding": "spouse_active_smoker",
      "value": true
    },
    {
      "finding": "in_utero_or_childhood_ets_exposure",
      "value": true
    }
  ],
  "type": "lab_value"
}

Notes

Prevention-persona RedFlag for chronic ETS exposure (household / workplace ≥10y). IARC Group 1 + US Surgeon General-confirmed cause of lung cancer in non-smokers. risk_category=occupational is closest enum match — schema lacks an explicit 'environmental' enum. Distinct from active-smoking RF. Engine routes to PreventionPlan recommending exposure elimination (cohabitant smoking cessation / workplace smoke-free policy enforcement / personal mitigation) + USPSTF screening eligibility check + symptom-triggered evaluation. STUB pending two-Clinical-Co-Lead signoff per CHARTER §6.1 dev-mode.

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Indication