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Passive smoking caused 1.66 million deaths globally in 2023

A new study in The Lancet Public Health highlights the widespread impact of secondhand smoke on non-smokers.

AI-assisted coverage comparison, editor-supervised · How this was made

Published
Passive smoking caused 1.66 million deaths globally in 2023

What this story says

  • Passive smoking was responsible for 1.66 million deaths globally in 2023, according to a study in The Lancet Public Health.
  • Globally, 2.71 billion non-smokers were exposed to tobacco smoke in 2023, including 767 million children aged 14 and under.
  • Heart disease was the leading cause of death from passive smoking, accounting for approximately 537,000 fatalities.
  • In Spain, about half of non-smokers are exposed to tobacco smoke in outdoor leisure areas, such as terraces.

Who covered it

Left 19%(8)Centre 39%(12)Right 42%(14)

Percentages are shares of the 34 outlets carrying a published leaning rating. 54 of the 88 outlets we know ran this story carry no rating and are not counted in them. Coverage measured .

Trust

42/100

Craft

61/100

Hype

41/100

88 sources · methodology

A study published in The Lancet Public Health reported that passive smoking caused 1.66 million deaths worldwide in 2023. The research indicated that 2.71 billion non-smokers were exposed to tobacco smoke globally in the same year. Children aged 14 and under represented 767 million of those exposed. Heart disease was identified as the primary cause of death linked to passive smoking, with an estimated 537,000 fatalities, followed by chronic lung disease and stroke.

The study, which analysed data from 1990 to 2023 across 204 countries and territories, found that lung cancer was not the leading cause of death from passive smoking, ranking fifth with approximately 161,000 deaths. The illnesses attributed to passive smoke cost 44.8 million years of healthy life. In Spain, research from the Spanish Society of Pulmonology and Thoracic Surgery found that approximately half of non-smokers are exposed to tobacco smoke on terraces and in outdoor leisure areas. A separate Spanish study linked second-hand smoke to 4,970 deaths from heart disease and lung cancer between 2016 and 2021.

Disagreement on exposure decrease

Cubadebate and Prensa Latina reported that there was a 22.2 percent decrease in the number of passive smokers, while other reports did not mention this figure.

Omissions in coverage

None of the right-rated digests mention the specific breakdown of deaths by cause (heart disease, chronic lung disease, stroke, lung cancer) that was detailed in the Euro Weekly News full report. None of the centre-rated digests mention the specific breakdown of deaths by cause. None of the left-rated digests mention the specific breakdown of deaths by cause, with the exception of Euro Weekly News which provided this detail in its full report.

Still developing. We have re-checked which outlets are covering this 5 times, most recently on 8 Sept 2026, 18:00, and will add the sides that appear.

How each side covered it

Our own reading of the reporting listed below, written from the outlets’ articles rather than quoted from them. The reasoning is set out on our methodology page.

Left

8 rated outlets

  • Left-rated reports focused on the global death toll and the number of people exposed to passive smoke. Euro Weekly News, in its full report, detailed the situation in Spain, noting that half of non-smokers are exposed on terraces and in outdoor leisure areas. It also highlighted that a government bill to extend smoke-free rules to terraces and other public spaces was still awaiting parliamentary approval. Liberation and La Presse reported the 1.6 million death figure and the 2.7 billion exposed, with La Presse also mentioning the increasing prevalence in Africa and the Middle East. El Pais stated that tobacco causes more than 1.6 million deaths of passive smokers every year and that the percentage of people exposed recedes but still affects more than 2.7 billion people. HuffPost It mentioned that tobacco remains a main cause of disease and that many non-smokers exposed to passive smoke were part of an estimated 8 million people who died in 2023 for smoking-related diseases.

Centre

12 rated outlets

  • Centre-rated reports highlighted the overall global figures for deaths and exposure. TVN, Lietuvos Radijas ir Televizija, Medical Xpress, Jornal Expresso, and Leprogrès all reported that nearly 1.7 million people died and over 2.7 billion were exposed, including 767 million children. Euronews specifically noted that 2.7 billion people were exposed, with 767 million being children, and stated that second-hand smoke causes serious health harm and is a leading cause of preventable death. Jornal Expresso also mentioned that in children, exposure caused 5.16 million respiratory infections.

Right

14 rated outlets

  • Right-rated reports focused on the headline figures of deaths and exposure. Vz.ru and Kurier reported that passive smoking resulted in more than 1.6 million deaths in 2023. Kurier also noted that 767 million children were exposed. Kronen Zeitung stated that 1.7 million people died and over 2.7 billion were exposed, including 767 million children, and that among the estimated eight million people who died in 2023 due to tobacco smoke worldwide, a portion were passive smokers. Iefimerida reported that 2.71 billion people were exposed, including 1.49 billion women and 767 million children under 15, and that second-hand smoke was responsible for 1.66 million deaths. India Today provided a specific figure for India, stating that 325,600 deaths were linked to second-hand smoke in 2023 and that exposure prevalence fell even as the number exposed rose to 444 million. Jyllands-Posten reported that passive smoking contributed to 1.7 million deaths in 2023 and that researchers called for stricter regulations on smoking in public places. Protothema reported that 2.7 billion people worldwide are exposed, including 1.49 billion women and 767 million children under 15.

Questions about this coverage

How did the left and right cover Passive smoking caused 1.66 million deaths globally in 2023?
Of the 34 outlets on this story carrying a published leaning rating, 19% are rated left, 39% are rated centre, 42% are rated right. Those percentages are shares of the rated outlets, not of every outlet that ran it, which was 88. The sections above set out what each side emphasised, in its own terms.
Is Passive smoking caused 1.66 million deaths globally in 2023 left or right?
Neither side dominates it. Of the 34 rated outlets on this story, 19% are rated left, 39% are rated centre, 42% are rated right, and no side holds the 70% this site would want before calling a field one-sided. A story is not left or right in any case; the outlets that carried it are what carry ratings.
Is the coverage of Passive smoking caused 1.66 million deaths globally in 2023 biased?
Passive smoking caused 1.66 million deaths globally in 2023 is one event reported by 88 outlets, and this page does not rate the story as biased or unbiased. What it publishes is the spread: which outlets ran it, where named rating organisations place each of them on the spectrum, and what each side chose to lead with. A leaning rating describes an outlet's record over time, not this article, and the two should not be run together.
Which outlets covered Passive smoking caused 1.66 million deaths globally in 2023?
88 that we know of, every one of them listed further up this page with a link to its own report and to what we hold on the publisher. Nothing here is a summary of somebody else's summary: the outlets are named so the original reporting can be read.
How many people died globally due to passive smoking in 2023?
According to a study published in The Lancet Public Health, passive smoking caused 1.66 million deaths worldwide in 2023. This figure represents fatalities among non-smokers exposed to tobacco smoke.
How many people were exposed to passive smoke globally in 2023?
The study found that 2.71 billion non-smokers were exposed to tobacco smoke globally in 2023. This includes a significant number of children.
What were the main causes of death from passive smoking?
Heart disease accounted for the largest number of deaths from passive smoking, with approximately 537,000 fatalities. Chronic lung disease and stroke followed, with lung cancer ranking fifth among the causes.
What is the situation regarding passive smoking in Spain?
In Spain, research indicates that about half of non-smokers are exposed to tobacco smoke in outdoor leisure areas like terraces. A Spanish study also linked second-hand smoke to nearly 5,000 deaths from heart disease and lung cancer between 2016 and 2021.

Read it at the source

88 outlets, grouped by the leaning a published rating gives them. Every headline links to the original; an underlined outlet name opens our profile of that publisher.

Left

8

Centre

12
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Right

14
Show 6 more

Not rated

54
Show 46 more

How did this read?

About the coverage, not about the story. We do not ask whether you agree with what happened — we have no honest use for that answer.

Passive smoking deaths 2023 | MediaBias News