Every worker deserves to breathe smokefree air. Casino, bar, and restaurant workers are 
: SECONDHAND SMOKE: more exposed to toxic secondhand smoke in their jobsite compared to other segments 
of the U.S. workforce. In addition, 75% of regular casino goers want smokefree casinos. 


b The Surgeon General concluded: 


e There is no risk-free level of secondhand smoke? 


Cleaning the air, creating separate smoking sections, and ventilating buildings cannot 
eliminate exposure to secondhand smoke.” 


e Heating, air conditioning and ventilation systems alone cannot eliminate 
exposure to secondhand smoke? 


© 100% smokefree workplace policies are the only effective way to eliminate 
secondhand smoke exposure in the workplace? 


Secondhand smoke can cause: ! 


| 


Heart disease Lung Cancer Respiratory disease 


Exposure to secondhand smoke causes an estimated 41,000 deaths from 
lung cancer and heart disease among adults each year in the United States. 


Smoke-free Policies: 


@ Improve Air Quality © Reduce Secondhand Smoke Exposure 
e Improve Health e Reduce Smoking 
‘ © Receive Public Support © Result in High Levels of Compliance 


U.S. Department of : 
sl ll www.cdc.gov/tobacco 


Control and Prevention 
CS$304509-A 


National Institute for Occupational Safety and Health (NIOSH) 


NIOSH recommends establishing smokefree areas that protect from secondhand 
smoke and electronic cigarette emissions including:® 


ary 


HOTEL 


& CASINO 


© 


All indoor areas All areas immediately outside building All work vehicles 


without exceptions entrances and air intakes 


Tips from Former Smokers Story: 


LET FUTURE Nathan “I never smoked a day in my life!” 


lent Nathan, a Native American and member of the Oglala Sioux tribe, never smoked 


DANGERS OF cigarettes. For 11 years, he worked at a casino that allowed smoking. Secondhand 
SECONDHAND .; 
SMOKE smoke contains dangerous chemicals. The exposure to secondhand smoke 

: caused him to develop allergies and serious infections that triggered asthma 
attacks, eventually causing permanent lung damage called bronchiectasis. 


Nathan's lung damage led to his death on October 17, 2013. He was 54. 


REFERENCES 


1 Tynan, M. A., Wang, T. W., Marynak, K. L., Lemos, P., & Babb, S. D. (2019). Attitudes Toward Smoke-Free Casino Policies Among US Adults, 2017. 
Public Health Reports. https://doi.org/10.177/0033354919834581. 


2 U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon 
General—Executive Summary. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center 
for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006. 


3 U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 
Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic 
Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. 


4 U.S. Department of Health and Human Services. A Report of the Surgeon General: Secondhand Smoke: What It Means to You. Atlanta: U.S. 
Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and 
Health Promotion, Office on Smoking and Health, 2006. 


5 NIOSH [2015]. Current intelligence bulletin 67: promoting health and preventing disease and injury through workplace tobacco policies. 
By Castellan RM, Chosewood LC, Trout D, Wagner GR, Caruso CC, Mazurek J, McCrone SH, Weissman DN. Morgantown, WV: U.S. Department 
of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS 
(NIOSH) Publication No. 2015-113, http://www.cdc.gov/niosh/docs/2015-113/.