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Dauer Chronic Disease Conference Roanoke, VA April 5, 2005 Secondhand Smoke (SHS) 1986 Surgeon Generals Report: SHS identified as a cause of disease in non-smokers 1993 EPA Report: SHS designated as a Class A (known human) carcinogen Contains over 4,000 substances, more than 40 are known carcinogens Secondhand Smoke (SHS) Health effects in nonsmoking adults: lung cancer heart disease Health effects in children: Asthma Ear infections Bronchitis and pneumonia Sudden Infant Death Syndrome (SIDS) Secondhand Smoke (SHS) Latest Cal EPA causal effects data: Low birthweight Pre-term delivery Nasal sinus cancer Breast cancer Altered vascular properties California EPA draft report: Workplace Restrictions Significant increases since 1985 - Immediate work area bans (allowed in designated common areas indoors): 38% (1985) 67% (1993) Total indoor bans: 3% (1986) 71% (2002)

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The effects of any drug also depend on the amount taken

Each pouch contains a packet of papers