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In 2020, the prevalence of exposure in bars was estimated at 22%, 10 percentage points above the 2017 estimate and at 16% in restaurants, 13 points above the 2017 prevalence.4 To date, a causal relationship has been established between ETS exposure and mortality from lung cancer, ischemic heart disease, sudden infant death syndrome, chronic obstructive pulmonary disease (COPD) and cerebrovascular disease, although the data from the latter two are inconclusive.5 The latest study of the mortality burden attributable to ETS exposure in Spain estimated 1028 deaths in never-smokers in 2011, a similar figure to the previous study conducted in 2002.6,7 That was 20 years ago, and ETS-attributable mortality (AM) in Spain has not been recalculated since then