I% .8 . .......... THE RELATIONSHIP BETWEEN TOBACCO PYROLYSIS AND HEALT14 C=) 00 C71, CN BATCo document for Province of British Columbia 14 April 1999 717LE Thermodynamic and Kinetic Variables in Tobacco Pyrolysis and their Influence an the Relationship Between Smoking and Health AUTHdRS J. A. E. Bell NIASc. , PhD Senior Research Eng. International Nickel Company of Canada, Limited, J. Roy Gordon Rescarch Laboratory, Clarkson, Ontario. D. H. Laing Senior Technologist, University of Toronto, Department of Metallurgy and Material Science, Toronto, Ontario. ACKINOWLEDGMENTS None co BATCo document for Province of BritiSh Columbia 14 April 1999 Thorn-todynarnic and Kint-tic Variables in Tobacco Pyrolysis and thoir influence on the Relationship between Smoking and lbealth. J. A. E. Bell, PhD D. H. Laing ABSTRACT Statistical analysis of recent data on the mortality rates of pipe, cigar and cigarette smokers showed that the mortality ratio of smokers could be best described in terms of the dose rate (volume of si-nokc per day), length of exposure and toxicity of the smoke. When the toxicity of cigarette smoke was defined as one, the toxicity of pipe smoke was found to be 0. 07 . 11 and of cigar smoke 0. 28 t . 13. No reasonable explanation of this difference in toxicity has been proposed. A hypothesis that the toxicity of the smoke is controlled by the com- bustion conditions during pyrolysis of the tobacco is advanced. The mode of the combustion of cigarettes, pipes and cigars and some of the chemical properties of their smoke were studied. Substantial differences between the composition of their respective gaseous constituents and that of their particulate phase is demonstrated. There appears to be a quantitative link between the optical tar density and the toxicity of the smoke to mortality. It is also demonstrated that by altering the combustion characteristics of a cigarette that the pro- perties of the smoke can be changed so that the expected mortality ratio of male cigarette smokers aged 45 to 65 should be reduced from 2. 1 to less than 1. 1 for an average daily dose of 28 cigarettes at 25 cc/puff with an average age of starting to smoke of 19 years. CO CP% CP% BATCo document for Province of British Columbia 14 April 1999 int.- oduct ion Bell A statistical analysis of recent observations (1), (2), (3) and (4) on the influence of pipe, cigar and cigarette smoking on health is undertaken in the appendix. This analysis showed that the toxicity of pipe smoke was 15 times lower than the toxicity of cigarette smoke, and that cigar smoke was 3 times less toxic at the same smoke dose rate and length of exposure. No really satisfactory expla nation of this difference in toxicity has been advanced and it is hypothesized in the appendix that the toxicity of the smoke is controlled by the combustion conditions of the pyrolysis of the tobacco. This portion of the paper describes an experimental investigation of the influence of the pyrolysis conditions of the tobacco on the properties of the smoke. C:) C) CD CC) C)N ON CO BATCo document for Province of BritiSh Columbia 14 April 1999 -3- Description of Tests The combustion of tobacco is a complex process Bell involving both destructive distillation and oxidation reactions. T\.,.-o maJor phases are present in the smoke - a gaseous phase and a liquid particulate phase. From thermodynamic consid- erations it is well known that the time - temperature relation- ships which exist during the combustion are the important variables governing the composition of both the particulate and gaseous phases. In order to minimize the influence of tobacco type on the combustion mode, the same tobacco was employed in the pipe as in the cigarette. The measurements on cigars, of course, precluded the possibility of the use of the same tobacco. Chromel- Alurnel (0. 006 " Diameter) thermocouples were used to continually record the time- temperature relationships in the combustion of the tobacco. Readings of the maximum temperature attained during the draw cycle are difficult to obtain, and admittedly even the temperature during the idle (no puff) cycle shown in Table I are low because fine enough thermocouples were not employed (5). The temperature differences are however, quite significant. In the cigarette the maximum temperature of over 7300C in the fire ball occurs at a point approximately 0. 6 cms ahead of the C:) (ZZ:) CO CN ON S-0 BATCo document for Province of BritiSh Columbia 14 April 1999 (3 a) Bcll TAB LE I Combustion Charac,~eristics and Smoke Produced from Principle Smoking Devices " (l) Avg.Cig. , 1 Cigar Pi e 9 COMD. Cig.4 Reconst. Cig.5 ortality Ratio Avera&e . (o 1.05 1. 1 ? Avera.e idle Te7.p.(2)*C 730 620 47o 720 61o Avg. Rate of Heating of Tobacco during puff cycie *C/sec. - 130 79 47 70 60 Gr=s of Tobacco burned per puff .024 .043 .009 .017 .015 Avg. Rate of Feating of Tobacco at Idle *C/min. at 0 Puffs/Min - 570 Neg. Neg. 290 Neg. 620 230 Neg 250 2 700 330 Neg: 480 8 510 250 Avg. Ilo. of Puffs Der Device - (std) 15 67 go 17 20 Velocity of Burning Interface in/min. at idle - .17 Decrease& Decrease .091 at 25 cc/sec. puffing 1-9 1.1 .25 .72 Gas Analysis in.% H2 2.5 3.0 .1-2 1.5 Normal Pluffing Conditions Co 4.7 4.0 .5-2 .5 3 02 13.5 8.o 8-14 12 C02 8.7 15.0 5 7 CH, .52 .5 .3 .8 -LATIVE OPTICAL TAR DENSITYM . :OMPARED ON PER PUFF BASIS ~00 40-50 3-8 20-30 11 CAMBRIDGE FILTER TEST 24 11 TOTAL PARTICULATE MATTER Mg ~lj AGe adjusted ratio of deaths of smokers to non-srokers. 2 Maximum temperature in fireball-normal smoking conditions. 3 Based on relative absorbance of solutions obtained by scrubbing smoke in methyl hydrate. Applies over entire visible spectrum. (4) Cigarette with tobacco longitudinally compressed and having a centrally located passage parallel to the longitudinal axis. (5) Cigarette rolled with a high tobacco density and a passage as in (4); (6) Pcrformcd in major Tobacco Co. Laboratory sample size = 100 cigarettes comparcd on equiv. puff basis. co BATCO document for Province of British Columbia 14 April 1999 -4- Bell , intcrface of the paper. The particulate phase in the burr, ing smoke is not produced near this maximum temperature zone an,i the particulate phase of the smoke becomes gaseous if heated over 5000C and substantially gaseous over 300 0C. Thus the maxin-itiri-i temperature in the fire ball can not be the primary factor controlling the composition of the particulate phase. Under uniform puffing conditions or at idle the rate heating of the tobacco is constant from approximately 1500C to 5000C i. e. the time versus temperature trace on a recorder is a straight line. The linearity of the time - temperature trace during puffing or idling is also shown by Touey and Mumpower (5). In the study of reaction rate kinetics and in irreversible thermo- dynarn,,c.c;. it is well known that the products from any reaction are controlled by the time and temperature variables. The only parameter reflecting a ti me - temperature relationship in smoking which can be measured in the 1500C - 5000C range is the rate of heating of the tobacco; and this parameter should be the major thermodynamic or kinetic variable controlling the particulate phase composition. The rate of heating of the tobacco found in various ways of smoking tobacco is shown in Table I as a function of the number of puffs per minute at idle and also during the puff CO 011 ON BATCO document for Province of British COIUMbia 14 April 1999 -5- Bell cycle. Each reading is averaged from 10 to 30 measurements covering a wide variety of brands. The rate of heating of the tobacco in dic range 1500C - 5000C will be more independent of the thermocouple size than the absolute temperature i-ricasurcment and th,- ;;ccuracy of the couples used in these experiments should be quite sufficient. The velocity of the burning interface is shown in Table 1 at idle and during puffing. as well as the mass of tobacco burned per puff cycle. The number of puffs per device was measured under standard conditions - the cigarette and cigar at two puffs per minute, and the pipe at eight puffs per minute. The puff rate during pipe smoking must be measured at a puff rate over two puffs per minute or the combustion of the tobacco will terminate as indicated in Table 1. Analysis of the gaseous phase composition was under- taken using normal gas chromatographic procedures and the results are shown in Table I. A detailed study of the particulate phase was not under- taken. Indeed, it is not possible to know which combination of compounds is important from a health standpoint. The major purpose of these tests was to indicate that alteration of the variables of combustion changes the properties of the particulate phase. CO ON C_ BATCo document for Province of British Columbia 14 April 1999 -6- Bell Total Particulate Matter (TPM) tests were carried out ;In a inajor Canadian tobacco company on conventional cigarettes an(i cigarettes modified by compression as described below. Both cigarettes had the sarne overall pressure drop and samples of 100 cigarettes were employed. The results had to be compared on a, per puff basis as the compressed cigarette burned longer ( see Table 1). Another indication of the hydrocarbons content of the smoke is what may be termed the optical tar density (OTD). The smoke from the smoking device was scrubbed by a given amount of a methyl hydrate (in these tests 25 cc's) and the absolute absorbance of the solution compared to pure methyl hydrate was measured on a recording spectophotorneter. The absorbance of the solution in the visible spectrum is directly proportional to the amount of coloured hydrocarbons in the smoke. Fortunately. the relative absorbance between all types of smoke studied is constant across the entire visible spectrum so that the absorbance of the solutions can be compared at any wave length in the visible spectrum. In Table I the relative absorbance measured at 450 millimicrons is shown on a scale with the value for smoke from the cigarette adjusted to a value of 100. The results were mea- sured after smoking each device to approximately a normal butt length and reported on a per puff basis. C=) C:) (ZD cx:) CN ON BATCo document for Province of BritiSh Columbia 14 April 1999 -7- Bell As noted in Table I the optical tar density in the smoke from the pipe and cigar is remarkably lower than the smoke from cicarettes. In addition it should be noted that the rate of heating in tiio tobacco is correspondingly lower. To further experimentally substantiate t1iis apparent relationship, cigarettes were altered to chanze the rate of heating of the tobacco. Compression of the tobacco and -Pfacing of a small longitudinal hole down the cigarette in order to secure proper Alrawing" characteristics appears to be the most effective method to produce the change. Cigarettes were compressed by 1/3 in a longituciinal direction without changing the cross sectional area or wrinkling the paper, pierced longitudinally by a 3/32 inch rod, and subjected to the same tests as the usual smoking devices and the results indicated in Table 1 under "Comp. " cigarette. Cigarette tobacco was also rerolled to a density 1/3 greater than normal cigarettes, pierced longitudinally, and tested as shown in Table 1 under "Reconst. '' cigarette. Discussion In the introduction it was postulated that the properties of the smoke from tobacco should depend on the thermodynamic and kinetic variables of the pyrolysis to which the tobacco is subjected. If this postulate is correct then there should be a quantitative C:) C:> GO CN C)N N.) 7-- '1 BATCo document for Province of British Columbia 14 April 1999 -8- Bell rciationship, between the smoke properties and these variables. The rate of heating of tobacco during the puff cycle was shown to be one of the r-nost important thermodynamic and kinetic properties. The -at,- of heating of the tobacco at idle could have been selected to nnake a similar demonstration. From Table 'I the mobt signifi,~ant 6 ifference in the smoke produced was shown to be the optical tar censity. Thus the relative optical tar density (ROTD) should bear a functional relationship to the rate of heating of the tobacco (HR) or: ROTO (HR) The amount of colourcd hydrocarbons per puff should also be ex- pected to be linearly related to the mass of tobacco burned per puff (M/P) thus: ROTD (H R) x (M / P) Statistical analysis of the results shown in Table I indicate that the simple best fit equation is:- ROTD -0 - 22 + 0. 225 x ( (HR) 2 x (M/P) ) + 10.8 This equation is shown graphically in Figure 1. along with the experimentally determined points. The probability that there is no statistical correlation between ROTD and (HR) 2 x M/P is less than 1 in 100. The standard error of the best fit equation is 10. 8 and the correlation coefficient between ROTD and (HR)2 x (M/P) C= CO CDN ON N-) BATCo document for Province of BritiSh Columbia 14 April 1999 -9- Bell is 0. 976 (a pericct correlation is I . 0). The above equation also satisiics the criteria that when the tobacco is not burning. i. e. M/P = 0 or HR = 0. then ROTD = 0. The relative optical tar density per puff is only an .:n- dicativc property of the particulate phase. From thermodynamic reasoning it is possible to assert that there will be similar rnath- eniatical relationships between the combustion variables i. e. the rate of heating of the tobacco. HR, and any of the compositional variables. Thus. the conclusion is of general validity that the composition of smoke produced by tobacco pyrolysis is dependent upon the thermodynamic variables of the pyrolysis and the hypothesis propounded in the introduction is substantiated. In the appendix the best fit equation which fits all of the mortality data of all male smokers aged 45 to 65 was found to be: MR = .93 + .03 2 (TOXICITY) (DOSE RATE x 10-4) 1/3 X (55 - AS) where:- MR = Morlatily ratio (ratio of deaths of smokers to non- smokers of the same age) DOSE RATE = cc of smoke inhaled per day AS = age started smoking. c0 C71, BATCo document for Province of BritiSh Columbia 14 April 1999 -10- Bell The best values of the toxicity were found to be; for cigarette smoke - 1. 00 1 .07 (defined). for pipe smoke - 0. 07 11 and for cigar smoke - 0. 28 13. 1 f the optical tar density issuing from the smoking device per puff signUicantly affects the inorLctliLy ratiu uf the smoker then there should be a relationship between the relative tar density and the toxicity. This comparison is indicated in .able 2. Thus with a high degree of confidence it can be stated that the toxicity of the smoke is equal to the relative optical tar density. CD CD CD CO 01*1 Cy- BATCo document for Province of BritiSh Columbia 14 April 1999 -10a- Bell TABLEZ Comparison of the Relative Optical Tar Density to the Relative Snioke Toxicity Device Relative Optical Tar Density/100 Relativt: Simoke Toxicity Cigarette 1.00 1.00 .07 Cigar 0.40 to 0.50 0.28 13 Pipe 0.03 to 0.08 0.07 + I I Reconst. Cigarette 0. 11 7 Z" I co CT- C- rl.> c0 BATCO document for Province of BritlSh Columbia 14 April 1999 - 11 - Bell The optical tar density is only one indication of the potential hoalth hazard to the smoker and a more general hy- pofficsis that the smoke toxicity is a function of the thermodynamic variables alone is more fitting. Since a relationship between the rate oi heating and the burning rate with the optical tar density %vas shown to exist at the 99% confidence level and since the optical tar density is directly related to the smoke toxicity it is possible to state with a large degree of confidence that there is a relation- ship between the health hazard or toxicity of smoking and the thermodynamic and kinetic variables of the pyrolysis of tobacco. In addition, it can be asserted that the important variables control- ling the composition of the particulate phase are the rate of heating of the tobacco and the rate of burning of the tobacco. It is inter- esting to note that if cigarettes were produced so that they exhibit similar properties to those shown in columns 4 and 5 of Table I then the expected mortality ratio of male cigarette smokers aged 45 to 65 with an average daily dose rate and length exposure would be lowered from 2. 1 to 1. 1. Summary As shown in the appendix cigarette smoking is a serious health hazard while pipe and cigar smoking is not. No evidence has been advanced which can explain this difference as discussed in the C=:> (7 N ON NO 1-0 BATCo document for Province of BritiSh Columbia 14 April 1999 -12- Bell appendi.%. The only possible reason was shown to be a variation of smoke composition produced by different burning conditions in the cigarette. pipe and cigar. Some of the chemical properties of the cigarette, cigar anc' pipe smoke were stucied and a large difference was found. For instance, the optical tar density of cigarette smoke was found to be 20 times higher than in pipe smoke. A direct relationship between the optical tar density and the toxicity for all t~rpes of smokers was established. Thus it can be concluded that: - the greater health hazard of cigarette smoking corn- pared to pipe and cigar smoking derives from a different smoke composition, and that: - the optical tar density is an important index of the health hazard or smoke toxicity. The amazing difference in optical tar density between pipe and cigarette smoke was shown to depend quantitatively on the rate of heating of the tobacco and the rate of burning during combustion. By altering the construction of a cigarette it was possible to approach the burning conditions in the pipe. Smoke from the altered cigarettes had optical tar densities similar to that of pipe smoke. From these observations it can be concluded that: CD CO C711 BATCo document for Province of BritiSh Columbia 14 April 1999 -13- Bell the combustion conditions control the smoke composi- tion. anc! that: - cigarettes can be altered so that the smoke and corn- bustion conditions are substantially the same as pipes and that: - the modified cigarettes should be 10 times less toxic than conventional cigarettes and should not represent a health hazard. It is important to note even if a filter were produced which could remove all of the coloured hydrocarbons or tar from the sT-noke it would not be possible to claim that the smoke re- presented no health hazard or even that it was "safer". Until all of the potentially hazardous components and groups of com- ponents are discovered (a very formidable undertaking) the only method of producing a "safe" cigarette is to correct the combus- tion variables. which are responsible for producing the hazardous substances. so that they are similar to those of a known safe method of smoking. From thermodynamic considerations it is then possible to claim that such an altered cigarette would be I Is afe C=> CO ON BATCo document for Province of BritiSh Columbia 14 April 1999 _14- Rcf(- rcnc cs (1) Advisory Con-,mittc to the Surgeon (,eneral on Srnoking and Health, U. S. A. Public Health Service Publication #1103. (2) E. C. Hammond Smoring in Relation to the Death Rates of One Million Men and Women, National Cancer Institute Monograph No. 19 127-204, 1966. Bell (3) E. C. Hammond Smoking in Relation to Mortality and Morbidity, Journal of the National Cancer In stitute Vol. 32, No. 5. May 1964. (4) E. C. Hammond and L. Garfinkel The Influence of Health on Smoking Habits, National Cancer Institute Monograph, No. 19, P. 269-285, 1966. (5) G. P. Tauey and R. C. Mumpowder Measurement of the Combustion-Zone Temperature of Cigarettes, Tobacco Vol. 144, No. 8, PP. 18-22, 1957. c0 CN (7 N 7 :7' BATCo document for Province of BritiSh Columbia 14 April 1999 -15- Appendix Beli Statistical Analysis of Mortalitv Rates of Cigarctte, Pipe and Cigar Smokers A proper correlation between the mortality rates of cigarette, pipe, and cigar smokers as a function of the three exposure variables, amount smoked, depth of inhalation, and ge at which smoking started, has not been carried out. The purpose of this appendix is to develop the best fit equations -elating the mortality ratio and the exposure variables. Such an analysis permits a comparison between the toxicity of smoke from cigars, pipes and cigarettes. In addition, the possibility of explaining the mortality ratios in terms of a more conventional dose rate and length of exposure concept is investigated. For a proper investigation the mortality rate should be tabulated as a function of two of the exposure variables at -zvery level of the third variable. For instance,the mortality rate of cigarette smokers as a function of the number of cigarettes smoked per day and the depth of inhalation should be shown for every age of started smoking for a given age group i. e. 40 to 69 years. However, the mortality rates (1), (2). (3) and (4) have not been so tabulated. Table 3 reference (3) shows the mortality of cigarette smokers as a function of the depth of inhalation and the amount smoked at the average age of starting to smoke (19 years). C-D ON CrN (-^i U-j BATCo document for Province of BritiSh Columbia 14 April 1999 -16- Bell --:-0:,i this table the best fit equation of the mortality ratio (easily calculatcd irorn the mortality rate) can be found by multinornial rogrossion. To convert the depth of inhalation which is expressed by 1), j2), (3) and (4) as nono, slight, moderate, or deep, to a more ma-,*-ematical form; the volume of air inhaled by smoking through a cic,arette filter was measured when ten male sub*ects were requested to give the above depths of inhalation ten times. The rounded off avorage values were; none - 14 cc, slight - 20 cc, moderate - 26 cc, and deep - 33 cc. It should be noted that it is physically impossible to inhale deeper without taking a larger volume of smoke into the 6 ody. While it can be argued that these values do not represent the population,they are al.most certainly more representative than the subjective classification by smokers into one of four depth of inhalation groups. Thus the best fit multinornial equation relating the mortality ratio, (MR), to the number of cigarettes smoked per day (NG), and the depth of inhalation (DR) at the average age of starting to smoke for men aged 40 to 69 was found to be, 2 + MR = .983 + .028(NC) + .0209(DR) - .00031(NC) 11 (1) where . 11 is the standard error. mortality ratio is the ratio of death rates of smokers to non-smokcrs in the same age group. CD CD C:=) CO 7- 1 ON C.14 -r~h- BATCo document for Province of BritiSh Columbia 14 April 1999 -17- Bell Each of tho above torms is significant at the 99% confidence level. T'he i-nialtiple correlation coefficient of this equation is . 97(a perfect correlation is 1. 0) and the F value for analysis of variance is 86. While equation (1) ii the best fit equation for this data it does not have a physicai interpretation. A more meaniful method of analyzing the results would be to postulate that the mortality rate was proportional to the "dose rate" of the smoke. Thus for cigarette smokers the daily dose rate would correspond to the number of cigarettes per day times the number of puffs per cigarette times the volurne inhaled per puff or,in other words,the volume of smoke inhaled per day. Analysis of the data in Table 3 reference (3) for rnale smokers ager! 40 to 69 indicates the best fit equation is of the form: -4 1/3 + M R 1. 0 1 + .983 (Dose Rate x 10 13 (2) where Dose Rate = (NC) x 15 x (DR) ccSmoke/Day. The multiple correlation coefficient for this relationship is . 96, the dependence with (dose rate) 1/3 is significant at a confidence level over 99. 99%, and F value for analysis of variance is 105. Three extra data points for all the cigarette smoking relationships at MR = 1. 0. DR = 0. NG = 0. were added as it is the best known point and represents the zero value for each variable. Thus expressing the mortality ratio as a function of the dose rate gives as good a fit to the data as the best fit multinomial equation. CO C7*1 Ln BATCO document for Province of BritiSh Columbia 14 April 1999 Bell As nientioned a proper multinornial regression on all z'-.ree exposure variables is not possible because the information :~ ;-.,)t tabtilatec! in a convonient form. However, the mortality -ates are expressed as a Ifunction of the three variables when the other two are averager-, ri), (2) and (3). A multinomial regression or, this grouped data is thus possible. If a comparison between smokers of cigars, pipes and cigarettes is to be made,it is necessary to consider the mortality of men over 45 years of age m orrier to have enough observations in each grouped data point. The mortality rates were calculated from tables presented in reference (2) in the age group 45 - 65 as this group contains a higher number of excess deaths from smoking than an older group. The mortality rates were normalized on the standard pop- ulation distribution (Table 1, Appendix of reference (Z)) as was done in that work. The average values for amount smoked. age started smoking and depth of inhalation were averaged from the appropriate tables in (2) over the 45 to 65 age group. The best fit equations were found to be: Male Cigarette Smokers Only Aged (45 - 65) MR = 3. 18 + . 0156(NC) - . 134(AS) + 00017(AS) + .00059(DR) + .087 (3) multiple correlation coeff. = . 99 F 126. 5 where AS = age started smoking. Co C-N 0,11 C7 \ BATCO document for Province Of BritiSh Columbia 14 April 1999 -19- Ma'.o C:,-,arette + Cicar Pioc Srnokers:~ A q ed (4 5 - 6 5) BclI 2.05 + .0101(NC) 113(AS) + .0363(DR) + .00023(NC) 2 2 + + .00171(AS) - .096 (4) multiple correlation coeff. 98 F =: 6 0. 5 'Ihe corresponding best iit dose rate equations are .\,Iale Cigarette Smokers Only Aced 45 - 65 -4 1/3 + MR = .93 + .032(NC x 15 x DR x 10 ) x (5 5 - ASI 13 (5), -,,,-'r-LereNC -, 15 x DR = doserate = volumesmoke/day multiple correlation coeff. = .97 F = 207. N.'alle Cigarette Plus Pioe and Cicar Smokers Aged (45 - 65) -4 1/3 MR = .92 + .0272 ((NIC) x 15 x (DR) x 10 x (5 5 - AS) + . 19 (6) multiple correlation coeff. = .91 F = 66. For pipe and cigar smokers there are not enough data points to cvaluate the best fit multinornial equations so only the mortality ratio as a function of the dose rate equations can be calculated. No data is available for the age started smoking for pipe and cigar smokers. Male Pipe Smokers Only Aged(45 65) MR = 1. 02 16 (7)) multiple correlation coeff. = .08 F = .01. ::,classified by number of cigarettes smoked per day co CITI, BATCo document for Province of BritiSh Columbia 14 April 1999 -20- CiL,ar Smokers Onlv Aced (45 - 65) Bell -3 113 + MR 82 + .208 (NtCIG x 60 x DR x 10 13 (8) v,-here INCIG = number of cigars per day MkLItiple correlation coeff. = .7 F = 1. 8Z. The average number of puffs per cigar is 60 and for pipeb 90 afi shown in Table (1) of this report. Discussion An excellent correlation (correlation coefficient 99) rclating the mortality ratio of cigarette smokers and the exposure variables of arnount smoked, depth or volume of inhalation, and age started smoking, has been found by multinornial regression. The mortality ratio is linearly related to the dose rate (volume of smoke per day) to the one third power times the average length of exposure to the smoke. Lf the mortality ratio of men who smoke cigars and pipes in addition to cigarettes is compared to that of men- who smoke only cigarettes by utilization of the respective best fit equations (3) and (4) an irftportant conclusion can be drawn. The best value of the mortality ratio for male cigarette smokers aged 45 to 65 at 24 cigarettes per day, an inhalation volume of 25 cc, and an age of started smoking of 19, is 2. 00 087,while the corresponding value for cigarette plus cigar and pipe smokers is 1. 80 096. C=> CD c::) CO CN CrI LI4 CO BATCO document for Province of BritiSh Columbia 14 April 1999 _21- Bell one of the two following conclusions can be made depending ,.-.'iethor the smokers smoked cigars and pipes concurrently with ~:,,~,arottos L)i*. at sonic unie.switchcd mode of smoking: Cigar and pipe smoking in addition to cigarette smoking pro-L'uces a sigrill"CajIL luwering of the mortality ratio of the smoker; 0 r: Cigar and pipe smoking did not induce mortality as readily as cigarette smoking over the period when those devices smoked. . The most important conclusion is derived from the analysis of pipe smoking; namely, pipe smoking is not dangerous .o health and there is no correlation between the dose rate or exposure and the mortality ratio. Cigar smoke is only slightly toxic and the relationship between the mortality ratio and the (lose rate is not highly significant. The lower mortality ratio of pipe and cigar smokers compared to cigarette smokers is often linked to a lower volume of inhalation. For example; 7076 of pipe smokers (45 to 65 years) inhale only approximately 1.4 cc per puff, 807c of cigar smokers inhale only 14 cc per puff, while the average cigarette smoker inhales approximately 25 cc per puff (see appendix of reference (2)). When converted in terms of dose rates the average daily dose of C71. C", BATCo document for Province of BritiSh Columbia 14 April 1999 -22- Bell these three modes of smoking are: cigarette - 11,000 cc/day, pipe - 11, 500 cc/day, cigar - 3, 000 cc/day. Calculation of the mortality ratio from equations (5, 7. 8) at equivalent dose rates clearly indicate at a confidence level of better than 99. 9% that the lower mortality ratio of pipe and cigar smokers cannot primarily be caused by a small depth of inhalation or dose rate. ,\o 6ata is available for the age started smoking of pipe and c1 gar smokers so the effect of this variable cannot be checked. However, even if the average age of starting to smoke cigarettes was 24 years instead of 19 years the same conclu6i0n would result. A more fundamental way of expressing the data is to calculate the relative toxicity of pipe and cigar smoke compared to cigarette smoke. If the toxicity of the smoke is defined by the equation: MORTALITY RATIO (MR) = a + b (TOXICITY) (DOSE; RATE) 1/3 x (LENGTH OF EXPOSURE) then the relative toxicity of pipe and cigar smoke can be easily calculated from a comparison of the respective martality ratio versus dose rate equation (5, 7, 8). Let the toxicity of cigarette smoke be 1. 0; then the mortality ratio for all male smokers aged 45 to 65 is expressed by the equation: c0 C\ CD BATCO document for Province of BritiSh Columbia 14 April 1999 -23- Bell .93 + .032(TOXICITY)(CC SMOKE/DAY x 10-4 )1/3 x (5 5 - AS) (9) where AS is the age started smoking. Comparison of eqn. (9) with eqn. (7) and (8) yields the following toxicity values. DEVICE SMOKED TOXICITY OF SMOKE CIGARETTE 1.0 + .07 (Defined) CIGAR .28 + . 13 PIPE . 07 + .11 Placing the appropriate toxicity value in equation (9) allows the calculation of the mortality ratio of a male smoker ages 45 to 65 for any smoking device. Conclusions The mortality ratio of cigarette smokers is highly corrclated (multiple correlation coefficient = .97) to the dose rate of the smoke (volume of smc?ke inhaled per day) and the length of exposure to the dose. The increase in mortality ratio with dose rate is large for cigarette smokers and represents a doubling of the death rate of male smokers from 45 to 65 at average dose rates. The mortality ratio of pipe smokers is independent of the dose rate of the smoker. c::> CD c0 C71, ON BATCo document for Province of BritiSh Columbia 14 April 1999 -24- Bell The mortality ratio of cigar smokers is correlated to the dose rate oi the smoke but the increase in mortality with dose rate is not large. The mortality ratio of cigarette smokers who also sr-..o.'-,c pipc_- and c1gars is significantly 1,:~wer than smokers who smoke only cigarettes at the same cigarette smoke dose rate and length of exposure. - The lower mortality ratio of pipe and cigar smokers compared to cigarette smokers cannot be explained by a differ- ence in amount smoked, depth of inhalation. or age started smoking. If the relative toxicity of smoke from a cigarette is defined as 1. 0 then the toxicity of pipe smoke is 0. 07 11 and cigar smoke .28 13. No factors mentioned in current reports on smoking and health (1). (2), (3) and (4) can satis- factorily account for the lower toxicity of pipe and cigar smoke. The only hypothesis which might satisfactorily explain the smoke toxicity differences is a difference in smoke composition produced by different combustion conditions in the pipe, cigar and cigarette. It is somewhat disturbing that this hypothesis has not apparently, received the widespread attention which it would appear to merit. CD CD BATCo document for Province of BritiSh Columbia 14 April 1999 100 90 So 70 60 50 40. 30 - CL 20- 0 10/ PIPE 0 0 100 200 300 400 (RATE OF HEATING OF TOBACCO) 2 x MASS/PUFF 2 (,C/SEC) x GM/35ML VOL co C71- CrI, Z-11. BATCo document for Province of British Columbia 14 April 1999 LEGEND FIGURE: I The relationship between the colourcd Hydrocarbons yielded per puff and the Thermodynamic and Kinetic Variables of Tobacco Pyrolysis. CO CN CYN 4 ~- BATCo document for Province of BritiSh Columbia 14 April 1999