Objectives: Passive smoking has been demonstrated in many situations.
We designed an experimental protocol to measure passive smoking in the
coaches of the French high-speed train (TGV) and to attempt to identi
fy interindividual variability in sensitivity. Methods: Ten healthy no
n-smokers (5 males, 5 females) volunteered to avoid exposure to tabacc
o smoke for the duration of the study. On three separate occasion they
were subjected to a 5-hour trip in the smoking coaches of the French
TGV (south-east line). Twelve-hour urine samples were collected before
each trip and over the following 72 hours. Urinary cotinine was measu
red in each fraction. Results: Significant levels of urinary cotinine
were found for a prolonged period in these passive smokers. Eliminatio
n of the tobacco by-product was similar to the level observed in subje
cts smoking 2 to 5 cigarettes per day. The kinetics of cotinine elimin
ation was reproducible from one trip to another for any given individu
al, however significant interindividual variability was observed despi
te normal liver function in all. Conclusion: Measurement of urinary co
tinine is potentially useful in non-smokers who are involuntarily expo
sed to tobacco smoke and who wish to know the extent of their exposure
.