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Clean Air Standards for Workplaces and Public Places Ordinance <br /> Page 4-Substitute Bill No. 24-12 <br /> Of exposure to secondhand smoke at outdoor bars and family restaurants in Athens, Georgia, using salivary <br /> cotinine,"Journal of Occupational and Environmental Hygiene 6(I1): 698-704, November 2009) <br /> Residual tobacco contamination, or "thirdhand smoke," from cigarettes, cigars, and other <br /> tobacco products is left behind after smoking occurs and builds up on surfaces and furnishings. This <br /> residue can linger in spaces long after smoking has ceased and continue to expose people to tobacco <br /> toxins. Sticky, highly toxic particulate matter, including nicotine, can cling to walls and ceilings. Gases <br /> can be absorbed into carpets, draperies, and other upholsteries, and then be reemitted (off-gassed) back <br /> into the air and recombine to form harmful compounds. (Singer, B.C.; Hodgson, A.T.; Nazaroff, W.W., <br /> "Effect of sorption on exposures to organic gases from environmental tobacco smoke (ETS)," Proceedings: <br /> Indoor Air 2002, 2002) <br /> Tobacco residue is noticeably present in dust throughout places where smoking has occurred. <br /> (Matt, G.E.; Quintana, P.J.E.; Hovel], M.F.; Bernert, J.T.; Song, S.; Novianti, N.; Juarez, T.; Floro, J.; Gehrrnan, <br /> C.; Garcia, M.; Larson, S., "Households contarninated by environmental tobacco smoke: sources of infant <br /> exposures," Tobacco Control 13(1):29-37, March 2004) <br /> Given the rapid absorption and persistence of high levels of residual nicotine from tobacco <br /> smoke on indoor surfaces, including clothing and human skin, this recently identified process <br /> represents an unappreciated health hazard through dermal exposure, dust inhalation, and ingestion. <br /> (Sleiman, M.; Gundel, L.A.; Pankow, J.F.; Jacob Iii, P.; Singer, B.C.; Destaillats, H., "Formation of carcinogens <br /> indoors by surface-mediated reactions of nicotine with nitrous acid, leading to potential thirdhand smoke <br /> hazards," Proceedings of the National Academy of'Sciences of the United Sates of America (PNAS) 107(15): <br /> 6576-6581, Fcbruary 8,2010) <br /> Unregulated high-tech smoking devices, commonly referred to as electronic cigarettes, or "e- <br /> cigarettes, "closely resemble and purposefully mimic the act of smoking by having users inhale <br /> vaporized liquid nicotine created by heat through an electronic ignition system. After testing a number <br /> of e-cigarettes from two leading manufacturers, the Food and Drug Administration (FDA) determined <br /> that various samples tested contained not only nicotine but also detectable levels of known carcinogens <br /> and toxic chemicals, including tobacco-specific nitrosarnines and diethylene glycol, a toxic chemical <br /> used in antifreeze. The FDA's testing also suggested "quality control processes used to manufacture <br /> these products are inconsistent or non-existent." ([n.a j, "Summary of results: laboratory analysis of <br /> electronic., cigarettes conducted by FDA," Food and Drug Administration (FDA), July 22, 2009; <br /> btW.L//www.fda-gov/NewsEvents/Publicl4calthFocus/ucmI 73146.htm <br /> Accessed on: October 22, 2009) <br /> E-cigarettes produce a vapor of undetermined and potentially harmful substances, which may <br /> appear similar to the smoke emitted by traditional tobacco products. Their use in workplaces and <br /> public places where smoking of traditional tobacco products is prohibited creates concern and <br /> confusion and leads to difficulties in enforcing the smoking prohibitions. <br /> The Society of Actuaries has determined that secondhand smoke costs the U.S. economy <br /> roughly $10 billion a year: $5 billion in estimated medical costs associated with secondhand smoke <br /> exposure and $4.6 billion in lost productivity. (Behan, D.F.; Eriksen, M.P.; Lin, Y., "Economic Effects of <br /> Environmental Tobacco Smoke," Society afActuaries, March 31,2005.) <br />