It has by now become obvious that environmental tobacco smoke (ETS) ma
y pose a health risk to nonsmokers. Epidemiological data suggest that
exposure to ETS may increase the risk of developing lung cancer, cardi
ovascular disease, intrauterine growth retardation, predisposition to
chronic lung disease, and sudden infant death syndrome. The human popu
lations most at risk from ETS exposure appear to be neonates, young ch
ildren, and possibly the fetus while in utero. Experimental studies wi
th cigarette sidestream smoke (SS) have successfully duplicated severa
l of these disease conditions in laboratory animals, particularly the
effects of SS on fetal growth, lung maturation, and altered airway rea
ctivity. The availability of animal models may open the way to fruitfu
l experimental studies on mechanisms that help us to better understand
disease.