On 22 August 1985 a fire occurred on a Boeing 737 jet airliner at take off at Manchester Airport. One hundred and thirty seven passengers and crew were on board. Fifty two passengers died on the aircraft, 85 escaped. Most survivors had minor physical injuries, but 15 required admission to hospital because of smoke inhalation and two of these had severe burns. At presentation only one survivor required ventilation but within 12 hours a further five required ventilation. Although initially patients suffering from smoke inhalation may seem relatively well, lung function may deteriorate rapidly in the first 24 hours.Careful organisation and regular practice ofprocedures to deal with a major accident are essential to be able to respond adequately to such an event.
Objective: To assess the attitude and practices of adolescents regarding water-pipe smoking (WPS) in a predefined 'perceived' high risk group of youth 12-18 years of age in the Detroit metropolitan area. Methods: This was a cross-sectional survey (conducted March1 st through June 30 th , 2008) in which participants completed a self-reported questionnaire, which included demographics, WPS, other types of smoking, and their perception about the hazards of WPS. Results: A total of 272 [85% response rate (272/320] surveys were completed. One hundred and sixty seven (61%) were WPS "users". Fifty-six (22%) used WPS at home, 34 (13%) at coffee shops, 74 (29%) at both locations, and 3 (1%) at other locations. Relative to non-users, WPS users were more likely to be cigarette smokers (OR = 1.7, unadjusted OR = 2.5, p < 0.05), to have someone else in the household who uses WPS (OR = 2.2), to believe that WPS is safe (OR = 1.4, unadjusted OR = 2.0) and that WPS is less harmful than cigarettes (OR = 1.2 unadjusted OR = 1.6, p<0.05). In addition WPS use was associated with less likelihood of believing that one may acquire an infection (OR = 0.9) and that the toxicity of the inhalants was equivalent to cigarette smoking (OR = 0.8). Conclusions: WPS represents a growing public health issue for adolescents in the US. Aggressive education of adolescents is essential in combating the misperception associated this form of smoking.
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