Nine out of 10 pediatricians say cigarette smoke is the greatest environmental contributor to the number and/or severity of diseases and conditions among their patients, according to a 1999 Periodic Survey of Fellows.

When asked to rate various environmental hazards, 91 percent of pediatricians said cigarette smoke greatly affects their patients' health. More than half of pediatricians (57 percent) said molds in the home have a great effect on their patients' health; one-third (34 percent) named cockroaches in the home; and 26 percent named lead as a serious health hazard. Other environmental hazards were thought to have a smaller impact on patients' health: 16 percent of pediatricians said carbon monoxide, 15 percent said ozone and 14 percent said pesticides greatly contribute to the number or severity of conditions among their patients.

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