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Given the large number of workers in the construction industry, it is important to derive accurate and valid estimates of cancer risk, and in particular lung cancer risk. In most previous studies, risks among construction workers were compared with general populations including blue and white collar.


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Casino workers face a higher risk of heart disease and lung cancer because they work in buildings filled with tobacco smoke, suggests new research appearing in the August issue of the American Journal of Public Health.
He added that the only other groups exposed to similar amounts of smoke are bartenders — but many states have banned smoking in bars and restaurants.
Nonsmoking mandates at casinos remain rare in the United States.
As a result, gambling and smoking still have read more casino workers and lung cancer connection.
In the new study, Repace recruited volunteers to visit casino workers and lung cancer Pennsylvania casinos for 4 learn more here />After here visits, he measured the levels of a byproduct of tobacco smoke in the urine of eight subjects.
The levels were click here 10 times higher than average.
Repace also casino workers and lung cancer the air quality inside three casinos.
He found that the levels of two indicators of tobacco smoke — cancer-causing chemicals and particles small enough to inhale — were an average of four to six times higher inside than outside.
Death Rates Repace said the total number of casino workers in the state is expected casino workers and lung cancer soon reach 12,000.
Scientists expect that more than 90 percent of the deaths will be from heart disease, with the rest from lung cancer, which is uncommon in nonsmokers.
Repace said that an annual death rate of six per 10,000 is roughly five times the extra risk of death for mineworkers from Pennsylvania mine disasters.

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Construction workers in each of the four race/ethnicity groups also had significantly increased lung cancer risks. Compared to non-construction workers, construction workers were diagnosed at an earlier age, at a more advanced stage, and had significantly lower 3-year survival, though differences were modest.


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Tropicana Casino Owner and Operator Sued for Failure to Protect Workers against the Dangers of Secondhand Smoke.. now 48, was diagnosed with lung cancer in 2005 at the age of 47, even though he.


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Fighting For Smokefree Air: Secondhand Smoke in Casinos (8 min version)

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Secondhand Smoke: Risking Workers’ Health. Casino workers are at higher risk for SHS-related illness than other workers: The National Institute of Occupational Health and Safety (NIOSH) and the US Surgeon General found that occupational exposure to SHS increases workers’ risk of lung cancer and other diseases. 5, 6, 7


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Secondhand Smoke in Pennsylvania Casinos: A Study of Nonsmokers' Exposure, Dose, and Risk
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The Tragedy of Second Hand Tobacco Smoke Exposure: Cheryl Rose

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Restaurant and bar workers have the greatest risk of developing lung cancer and heart disease compared to other occupations. 5; Workers and volunteers in gaming facilities such as bingo halls are exposed to high levels of secondhand smoke despite the fact that casino patrons smoke at about the same rates as the rest of the adult population. 6


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Less than 2 hours of exposure to secondhand smoke in half of the casinos surveyed is enough to impair the heart's ability to pump blood, placing susceptible casino patrons and workers at acute.


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A worker can also be compensated for some illnesses and diseases that are the gradual result of work conditions, including heart conditions, lung disease and other diseases caused by chemical or other workplace exposures - as well as stress-related digestive problems. Proving Your Workers Compensation Claim


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A significant victory for casino employees was a workers’ compensation case in 2008 when an Atlantic City resort was found liable for secondhand smoke in connection with a dealer’s lung cancer.


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More than 40 years after former U.S. Surgeon General Jesse Steinfeld first exposed the potential health risks of secondhand smoke (SHS) in 1971, 1 and nearly 30 years after a subsequent Surgeon General’s report stated that SHS causes lung cancer and other diseases, 2 all U.S. workers still do not have the right to breathe smoke-free air.


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A significant victory for casino employees was a workers’ compensation case in 2008 when an Atlantic City resort was found liable for secondhand smoke in connection with a dealer’s lung cancer.


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Here I have written the answer for your doubt and for more information check out this . Secondhand Smoke: Risking Workers’ Health Casino workers are at higher risk for SHS-related illness than other workers: * The National Institute of Occupationa...


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Less than 2 hours of exposure to secondhand smoke in half of the casinos surveyed is enough to impair the heart's ability to pump blood, placing susceptible casino patrons and workers at acute.


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A significant victory for casino employees was a workers’ compensation case in 2008 when an Atlantic City resort was found liable for secondhand smoke in connection with a dealer’s lung cancer.


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Construction workers in each of the four race/ethnicity groups also had significantly increased lung cancer risks. Compared to non-construction workers, construction workers were diagnosed at an earlier age, at a more advanced stage, and had significantly lower 3-year survival, though differences were modest.


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An Atlantic City NJ casino card dealer employed at the Claridge Hotel who was exposed to second hand tobacco smoke was awarded workers' compensation benefits.NJ Judge Cosmo Giovinazzi awarded $150,00 for lost wages and medical benefits to a card dealer holding that second-hand tobacco smoke materially contributed to the employee's lung cancer.


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Repace is with Repace Associates Inc, Bowie, MD, and the Department of Public Health and Family Medicine, Tufts University School of Medicine, Boston, MA.
Correspondence should be sent to James L.
Repace, MSc, Repace Associates Inc, 101 Felicia Ln, Bowie, MD, 20720 e-mail:.
I assessed air pollution, ventilation, and nonsmokers' risk from secondhand smoke SHS in Pennsylvania casinos exempted from a statewide smoke-free workplace law.
I measured respirable suspended particles RSPsparticulate polycyclic aromatic hydrocarbons PPAHsand carbon dioxide inside and outside casinos; measured changes in patrons' urine cotinine after casino visits; and assessed SHS impact on workers and patrons, using exposure—response models, air quality standards, and odor and irritation thresholds.
PPAH and RSP concentrations in casinos were, on average, 4 and 6 times, respectively, that of outdoor levels despite generous ventilation and low smoking prevalence.
SHS infiltrated into nonsmoking gaming areas.
Patrons' urine cotinine increased 1.
SHS-induced heart disease and lung cancer will cause an estimated 6 Pennsylvania casino workers' deaths annually per 10 000 at risk, 5-fold the death rate from Pennsylvania mining disasters.
Casinos should not be exempt from smoke-free workplace laws.
Casino gambling is a popular pastime.
Twenty-five percent of the adult US population—54 million people 21 years or older—visited casinos in 2007, with the average gambler making 7 visits a year.
Secondhand smoke SHS is endemic in casinos; only 8 of 23 states, plus Puerto Rico, have 100% smoke-free commercial casinos or racinos combination casinos and racetracks.
The gaming and tobacco industries have adamantly opposed smoke-free casinos, promoting ventilation alternatives instead.
Even brief SHS exposure increases the risk of heart attack or cancer.
Casino workers have complained to the National Institute for Occupational Safety and Health NIOSH about exposure to SHS and have filed lawsuits alleging injuries from SHS.
A dosimetry study of 18 nonsmoking patrons of an Upper Midwest casino showed that exposure to SHS for an average of this web page />SHS is highly irritating; nearly three fourths of nonsmokers are disturbed by smoky air.
In a study casino workers and lung cancer Junker et al.
Although Pennsylvania's Clean Indoor Air Act makes smoking illegal in restaurants, office buildings, schools, sports arenas, theaters, bus and train stations, and most bars, an exemption permits smoking in up to 50% of gaming floors.
Field studies of SHS are effective in promoting smoke-free workplace legislation.
The work reported in this article was part of a Stanford University study that investigated air quality in casinos.
I report on SHS atmospheric and biomarkers and ventilation in August 2007 in 5 Pennsylvania casinos: the Mohegan Sun Wilkes-Barre casino workers and lung cancer, Philadelphia Park BensalemHarrah's ChesterThe Meadows Meadowlandsand Presque Isle Downs Erieall built between 2006 and 2007.
I addressed the following research questions: 1 What were the levels of air pollution from RSPs and PPAHs inside Pennsylvania casinos relative to the outside?
Exposure was defined as the atmospheric SHS concentration that contacts a person's boundary.
Dose was defined as the inhaled, absorbed, and metabolized body fluid concentration of cotinine, the metabolite of SHS nicotine.
Exposure and dose were related by a pharmacokinetic model.
METHODS In Pennsylvania, I conducted area-monitored SHS exposure for 3 casinos Mohegan Sun, Philadelphia Park, and Harrah's and dose of SHS in 8 patrons for 3 casinos The Meadows, Philadelphia Park, and Presque Isle Downswith 1 casino in both the area-monitored and dose portion of the study.
Each area-monitored casino was sampled once, and measurements for burning cigarette density, carbon dioxide as an index of ventilation, and pollutant concentration were obtained.
Casinos were not informed of the monitoring, to prevent bias or interference.
Models were used to generalize air quality measurements and to transform dose into personal exposure.
Health and welfare effects for casino patrons and workers were assessed through the use of odor and irritation thresholds, air quality standards, and exposure—response models.
Room dimensions, person counts, average number of burning cigarettes, and times of entry and departure were recorded.
Local clinics processed and shipped samples.
Cotinine analyses were provided by E.
Giesbrecht of the Center for Addiction and Mental Health, University of Toronto, Ontario.
Volunteers were requested to avoid SHS for 1 week prior to casino visits.
Postvisit urine samples were collected on the following day.
Ventilation and Air Exchange Rates The American Society of Heating Refrigerating and Air Conditioning Engineers ASHRAE prescribes ventilation rates based on building use e.
Since 2005, before any of these casinos were built, ASHRAE has casino workers and lung cancer ventilation rates only for nonsmoking premises, citing numerous government reports linking SHS exposure to disease.
Ventilation rates per occupant relate to air exchange rates the number of times in 1 hour that the air in a room is completely replaced with outside air as follows: assuming a 14-foot ceiling, the ASHRAE 62—2001 default air exchange rate C v for a casino at maximum design occupancy is calculated as: Predicted Prevalence of Active Smoking The percentage of gamblers who smoke is less than or equal to the percentage of smokers in the adult population.
The estimated prevalence of smoking in Pennsylvania among those aged 18 years or older ranges from 23% to 29% for the various regions of Pennsylvania and averages 25%.
Thus, for a large group of adults encountered at random in a Pennsylvania casino, about 25% might be expected to be smokers.
However, only one third of the smokers would be expected to be observed smoking cigarettes at any given time.
Predicted Active Smoker Density SHS levels are directly proportional to smoker density.
Imagine a bathtub in which water is running in and draining out at such a rate that the water level remains constant.
At the longstreet casino and time, India ink is poured in uniformly, turning the water black.
To clarify the water while keeping its level in the tub constant, water ingress and egress must be increased by the same amount; the https://demonlife.ru/and/johnny-casino-and-the-secrets-download.html will then become a shade of gray.
The lightest gray obtainable i.
The tub water can never regain its pristine state while ink is still pouring in.
The ink pouring rate is analogous to the smoking rate, the water flow rate is analogous to the air exchange rate, and the amount of water in the tub is analogous to the space volume.
The shade of gray i.
This is the essence of the Active Smoker Model, which calculates the amount of RSP pollution from SHS in the air.
The units of SHS RSP are micrograms per cubic meter of air; the numerical constant incorporates the surface adsorption rate adding 30% to the ventilation ratethe smoking rate, and the emission rate of RSP from SHS and has units of microgram-hours per burning cigarette.
Thus, the predicted concentration of RSP from SHS for a Pennsylvania smoking casino, assuming ASHRAE 2001 default occupancy and ventilation and Pennsylvania's smoking prevalence, is calculated as: Because both D s and C v contain volume in the denominator, SHS RSP casino depends on the ratio of the and 2 1 slot rate to the removal rate and is volume independent.
This result serves as a prediction of expected casino total RSP concentrations under ASHRAE standard conditions, and it generalizes the results of the field study to casinos having different occupancies, volumes, smoker densities, or air exchange rates.
The corresponding expected SHS nicotine concentrationis: Carbon Dioxide and Per-Occupant Ventilation Rates Design ventilation rates can be compared with actual ventilation rates by measuring the difference between the CO 2 concentrations in the casinos and outdoors.
ASHRAE standard 62-2001 specifies an equation for C s, the equilibrium CO 2 concentration in parts per million ppm in a building.
If equilibrium is not present i.
Relationship Between Markers Dosimetry captures personal breathing zone exposure to SHS much better than area monitors, because dosimetry incorporates exposure concentration, duration, proximity, and respiration rate.
I used dosimetry to assess SHS risk.
Measured indoor and outdoor levels of respirable suspended particles RSPs at the Mohegan Sun, Philadelphia Park, and Harrah's casinos: Pennsylvania, 2007.
Measurements were taken on August 15 at the Mohegan Sun late Wednesday morning and Philadelphia Park mid-afternoon Wednesdayand on August 31 at Harrah's Friday evening.
Casino Area, ft 2 Ceiling Height, ft Volume, m 3 No.
People Present, Mean SD a Average No.
People Per 1000 ft 2 No.
Ellipses indicate that ASHRAE does not specify values for these parameters.
Observations were made on August 15 from 11:20 am to 12:15 pm in the nonsmoking section and 11:41 am to 12:15 pm in the smoking section.
The maximum occupancy was 910 people.
Observations were made on August 15 from 3 pm to 4 pm.
The maximum occupancy was 1950 people.
Observations were made on August 31 from 8 to 9:30 pm.
The maximum occupancy was 2750 people.
All casino smoking areas were heavily polluted, with time-averaged RSPs higher than those outdoors by a factor of approximately 11 for Mohegan Sun, 6 for Philadelphia Park, and 3.
The concentration in the Mohegan Sun's nonsmoking area was 37% higher than were outdoor concentrations.
When the ratios of either the arithmetic or geometric mean concentrations of RSPs from SHS to PPAHs from SHS for each of the 3 casinos were compared, the ratio for Harrah's was lower than were those of the other casinos ; the reason for this anomaly is unknown.
Concentrations in the smoking sections are shown for all 3 casinos and for the nonsmoking section at the Mohegan Sun only.
Smoker Prevalence, Occupancy, and Ventilation The 3-casino average observed prevalence of active smoking was 6.
Because, as explained in the Methods section, total smoking prevalence is expected to be 3 times the prevalence of observed active smoking, estimated average smoking prevalence for the 3 casinos is 3 × 6.
For the 3 casinos for which area occupancy was recorded, Mohegan Sun had an occupancy level of only 19% of the maximum, Philadelphia Park averaged only 25% of the maximum, and Harrah's was at maximum occupancy.
Occupancies were not measured in the cotinine study.
All casinos exceeded the ventilation rate per occupant recommended by ASHRAE Standard 62-2001.
Cotinine-Estimated Respirable Suspended Particle Levels shows total RSP and PPAH personal breathing zone exposure, that is, cotinine-derived RSPs from SHS based on the urine cotinine of volunteers plus estimated background RSPs, which were estimated from Pennsylvania's PM 2.
Participants 1—6 visited the casinos on August 13; participant 7 visited the casino on August 20.
The estimated personal breathing zone concentration of RSPs from SHS was calculated using ; the median increase in urine cotinine for all volunteers was 1.
For postexposure urine cotinine collected after 11 hours, the measured dose was adjusted for the decay of cotinine.
Outdoor RSP levels were not recorded in the biomarker study.
Outdoor background RSP levels, estimated from the Pennsylvania PM 2.
Odor and Irritation From Secondhand Smoke Log-probability analysis not shown indicated that all of the RSPs measured in the smoking areas of the 3 casinos exceeded the Junker et el.
With respect to irritation, the 3 casino smoking areas exceed the Junker et al.
Thus, both odor and irritation levels for nonsmokers were massively exceeded by the SHS in casino smoking areas.
In the nonsmoking area of the Mohegan Sun, the odor threshold was exceeded by factors ranging from 3 to more than 200, whereas the irritation threshold was exceeded for 99.
This may result in loss of nonsmokers' patronage.
Risk Calculation The estimated risk of SHS exposure for casino workers was calculated by transforming the RSPs from SHS derived from the casino patrons' cotinine into its equivalent SHS nicotine, and casino workers and lung cancer estimating risk with an exposure response model.
An exposure—response relationship relating a 40-year working lifetime average exposure to SHS nicotine to cumulative excess risk of coronary heart disease and lung cancer mortality is given by the expression: The combined excess risk of mortality from SHS exposure for nonsmoking workers exposed to an average exposure concentration, N, is then estimated by the equation: Pennsylvania's gaming industry will ultimately provide 12 364 direct employment positions.
Assuming that 75% are nonsmokers, there will be an estimated 5.
An estimated 91% of these deaths will be from coronary heart disease, and 9% from lung cancer.
DISCUSSION Mining is described as the most dangerous industry.
Sixteen Pennsylvania miners died in 15 disasters from 1995 to 2002, a rate of 1.
The estimated rate of worker deaths per year from SHS is about 5 times the average annual death rate for Pennsylvania miners in coal mine disasters.
By the workplace standards of the US Occupational Safety and Https://demonlife.ru/and/palace-station-casino-and-hotel.html Administration OSHAwhich employs a 45-year average time period, casino workers' risk from SHS-induced lung cancer and heart disease combined is 26 times the level indicating significant risk of material impairment health.
Pennsylvania's new clean indoor air law permits smoking in 25% to 50% of casino floors.
Confining smokers to a smaller area will increase the local smoker density in the smoking area and not protect nonsmoking areas from drifting or recirculated tobacco smoke.
By Air Quality Index standards, , 24-hour PM 2.
NIOSH recommended a ban on smoking in the casinos.
Risk Uncertainty The uncertainty in dose-based risk assessment is driven by uncertainty in exposure, dose, and dose—response.
Exposure uncertainty is driven by daily differences in SHS concentrations in a single casino and among casinos.
For the 3 casinos in this study, the standard deviation between casinos was about 25%.
Although the monitors provided readings every 10 seconds over several hours and 7 volunteers visited 3 casinos, only single days were measured, so that the results are less robust than if repeated sampling days in the same location had been performed.
NIOSH found a 50% variation in the personal exposures of casino workers, although the median nicotine concentration differed by less than 10% from the Active Smoker Model prediction, which predicted the average 3-casino total RSP to within 14%.
The lung cancer risk model used here for casino workers has an estimated uncertainty of less than 5%; mortality predictions of all credible published models differ by about 50%.
The largest uncertainty in measured cotinine is because of individual biological differences, which have been estimated to contribute 40% to the variance.
Thus, average risk uncertainty is estimated to be within ± 200% based on currently available data.
Additional casino measurements will provide better estimates.
Conclusions Despite ventilation rates per occupant 50% higher on average than those formerly recommended by ventilation engineers for smoking-permissible casinos, the average RSP concentration measured inside 3 Pennsylvania casinos in which smoking was permitted averaged 6 times that of outdoor levels; PPAH concentrations averaged 4 times outdoor casino workers and lung cancer, exposing both workers and patrons to harmful levels of air pollution.
In the only casino with a separate nonsmoking floor, considerable amounts of RSPs and PPAHs infiltrated the nonsmoking salon.
Based on measured RSP levels, SHS and the slot mobile and irritation thresholds were massively exceeded in smoking areas and considerably exceeded in 1 nonsmoking salon.
Using default values, the Active Smoker Model predicted combined RSP observations to within 14%.
Based on cotinine-derived RSP levels, SHS in Pennsylvania casinos produces an estimated excess mortality of approximately 6 deaths per year per 10 000 workers at risk, 5 times the rate at which Pennsylvania coal miners have died in mining disasters and 26 times OSHA's significant risk level.
Cotinine-derived PPAHs casino workers and lung cancer SHS increase workers' 24-hour exposure to PPAHs casino workers and lung cancer more than 5 times measured outdoor background levels.
Further research is needed to generalize exposures observed in this study to the casino industry as a whole.
It is clear, however, that Pennsylvania casino workers and patrons are put at significant excess risk of heart disease and lung cancer from SHS through a failure to include casinos in the state's smoke-free workplace law.
Financial support was provided by the Pennsylvania Alliance to Control Tobacco and from the Department of Civil and Environmental Engineering, Stanford University project contract 20327320; Human Exposure Analysis to Pollutants From Secondhand Smoke.
Funding originated from the Flight Attendant Medical Research Institute, Miami, FL.
Kulaga provided invaluable assistance with air quality and cotinine data collection and volunteer recruitment.
The cotinine study was approved by the Pennsylvania Alliance to Control Tobacco's institutional review panel.
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Accessed June 22, 2009.

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Entertainment industry workers, including bartenders and casino workers. Just working at a job with environmental hazards does not mean lung cancer will be covered by workers’ comp. The injury has to meet standards set by the Illinois Workers’ Compensation Commission.


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There is nothing lucky about developing a respiratory illness, lung cancer, or heart disease—especially if you are a healthy nonsmoker.
Results of new research conducted by the National Institute for Occupational Safety and Health NIOSH on secondhand smoke—the exposure of non-smokers to tobacco smoke—confirm that dealers at the casinos investigated were exposed to secondhand smoke.
Secondhand smoke, also called environmental tobacco smoke, is a combination of smoke given off by the burning end of a tobacco product and the smoke exhaled by the smoker.
Secondhand smoke is made up of approximately 4,000 chemicals, of which about 40 are known to cause cancers.
Longstanding NIOSH policy, consistent with and based on the U.
Any exposure to secondhand smoke increases the risk of lung cancer, other respiratory diseases, and heart disease.
Studies have shown that even low levels of secondhand smoke exposure can be harmful.
The only way to fully protect nonsmokers from secondhand smoke exposure is to completely eliminate smoking in indoor spaces.
Employees were selected to participate in the study if they reported that they did not use any tobacco products, did not live with someone who smokes inside their home, or were not exposed to secondhand smoke in any setting other than their job at the casino.
For comparison, a group of administrative and engineering staff who were not exposed to secondhand smoke at their casino job were included in the study.
Casino dealers were found to have increasing levels of NNAL in their urine over an 8-hour work shift showing that the cigarette smoke and a carcinogen are being taken up into their bodies.
NIOSH also conducted air sampling which found that components of secondhand smoke were present in the air of the three casinos.
Casino dealers had more respiratory symptoms than the administrative and engineering employees, but differences were not statistically significant.
Any modifications of the ventilation systems should be done in adherence with current guidelines.
In addition to scientifically confirming secondhand smoke exposure among the casino dealers, the results of this research also provide additional support for the use of NNAL as a marker of secondhand smoke exposure and will aid other researchers in future studies.
NIOSH would like to hear from you.
If your workplace has gone smoke-free, please tell us about the transition.
Were there specific steps taken that seemed to make the transition to a smoke-free environment easier?
The complete reports of the casino health hazard evaluations can be found at.
More information on the Health Hazard Evaluation HHE Program is available on the.
Information on the health effects of second hand smoke can be obtained from the and the.
Lieutenant Commander West of the United States Public Health Service is an epidemiologist assigned to NIOSH in the Division of Surveillance Hazard Evaluations and Field Studies.
These comments do not represent the official views of CDC, and CDC does not guarantee that any information posted by individuals on this site is correct, and disclaims any liability for any loss or damage resulting from reliance on any such information.
We never heard back from them but this very inexpensive device could be employed to significantly reduce the secondhand smoke by pressurizing the space and creating more ultra-clean air changes per hour.
Obviously, the best solution is non-smoking.
We have this being used to provide a focused ultraclean air zone over surgical procedures to dramatically reduce infections.
We would like to emphasize that the only way to eliminate the health hazards associated with secondhand smoke exposures from indoor environments is to ban smoking.
Note: References to a product or service does not constitute an endorsement of any commercial product by NIOSH or the U.
Do you have any results for formaldehyde concentrations in the smoking area?
If so, can you provide them, or a range?
The geometric means were 8.
PBZ concentrations for formaldehyde ranged from 2.
For more information, please review the full report at.
I was in Vegas recently and talked to a head bartender who had to have two of her waitresses quit recently.
One actually had three people come and pat her belly, then all three lit up right in her face.
Folks must think cocktail waitresses and their unborn are of a different class…….
I have made a preliminary analyis of your data and arrived at the following conclusions: 1.
EPA Air Quality Standard descriptor for PM2.
Correlating Atmospheric and Biological Markers in Studies of Secondhand Tobacco Smoke Exposure and Dose in Children and Adults.
JOEM 48: 181-194 2006.
I have been a casino dealer for over 20 years now and have watched as many of my non-smoking friends have died from cancer.
There are even more who have not died, but have been treated for various cancers.
All the while the casinos turn a blind eye and continue to pass out free tobacco products to the customers who are smoking less than 3 feet from my breathing space and blowing their smoke in my face.
I admit, I am a smoker.
But when I smoke, I do so when I choose to do so.
I do not smoke with every breath I take, nor through my nose and eyes.
I would like to quit smoking, but every day when I go into work my employer forces me to smoke throughout my shift.
This is like an alcoholic who wants to stop drinking, but their employer forces them to consume alcohol all day at work.
How do they quit?
I face the same dilemna.
Electronic Cigarettes could be an answer.
I have only worked in the casino for 2 years, and as a non-smoker have started experiences symptoms of a smoker.
I am appalled at the smoking situation, and can only compare it to asbestos.
Asbestos is PROVEN to cause asbestosis, lung cancer, mesothelioma, and digestive system cancers.
The Environmental Protection Agency EPA was required by the Clear Air Act to produce regulations to regulate air pollutants hazardous to health.
These are called the National Emission Standards for Hazardous Air Pollutants.
Asbestos is one of these and regulating it was delegated to the Department.
Well, CIGERATTE SMOKE AND SECOND HAND SMOKE ARE PROVEN TO CAUSE LUNG CANCER AND OTHER ILLNESSES.
Why is it taken so long for the EPA to do something about it???
The smoke is one of the worst parts of the job to endure.
I constantly have teary eyes, headaches, and even get a cough from the smoke I am forced to deal with at work.
It should be illegal to smoke inside any building and the casinos should be held liable for any and all possible future ailments relating to the environment we are forced to work in.
I applaud your efforts to inform the public of these hazards we endure.
I hope it will bring about changes in the future.
We all deserve the right to breath clean air.
I have worked as a dealer in one of the casinos tested for almost 30 years.
When I started, I ran min-marathons and was an active athlete.
Today, I have serious bronchial asthma which I take 3 different medications for and miss work due to the smoke irritating my throat and lungs.
I have a chronic cough.
We have been told we cannot fan the smoke away from us even though there are players that blatantly blow it in our face and violations can indiana downs racetrack and casino in written documentation or termination.
There are chip racks with fans available but management has not seen fit to even get those for us, much less the fans mentioned in the first post on this blog.
Why is my health less important than everyone else in this country?
I know of over 50 people that have worked with me that have contracted cancer—most died!
The respiratory problems are off the chart!
Can you imagine the savings in health care?
With this report and the employees getting fed up — I can see many lawsuits coming!
I have been a casino dealer for over 30 years.
I have a spot on my lung which I get checked every year to determine whether there is any growth.
So far, so good.
It is the only horrible part of the job breathing in second hand smoke which is usually blown directly into the dealers face by disgruntled players.
Fans, can change the atmosphere of the whole casino.
Casinos seem to be special parties and receive mindless exemptions from the smoking bans.
A properly trained and conscientious firefighter would never think of entering into a similar smoke-filled environment without airway protection.
In the introductory post for this blog topic, Lt.
Please provide citations to permit interested readers of this blog to learn when and in please click for source context this NIOSH policy was initially established in a formal manner by NIOSH and when and in what context it was most recently reaffirmed in a formal manner by NIOSH.
Current Intelligence Bulletins CIBs are issued by the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention to disseminate new scientific information about occupational hazards, draw attention to a formerly unrecognized hazard, report new data on a known hazard, or disseminate information on hazard control.
Now that the NIOSH report is out, Smoke-Free Gaming is working aggressively to get more casino employees and casino patrons gamblers on board to get casinos smoke free.
We have learned that the health of the employees, whose health is gravely compromised from breathing secondhand smoke air pollution is of little or no concern to their employer.
Because casino management is known to fire them at will!
BUT, casinos listen to their customers so that is why we are doing all we can to get the gamblers who hate the smoke to join in our efforts.
Professional gamblers are mostly non smokers.
They are the ones who complained about the smoke and that is why the World Series of Poker, the World Poker Tour, etc.
We even have an online petition for employees, gamblers and everyone else to sign.
We hope the NIOSH report will be a tool for legal pursuits, more no-smoking policies and more clean indoor air laws.
This is a health issue!
Breathing is not a choice!
My wife and I went to the name removed casino in Conn 6 weeks ago.
I am an asthmatic, have been all my life.
We enjoy gambling there.
We usually go twice a year.
We stay in the so called no smoking room to gamble.
This last time we went,in order to pick up your car when you leave there, you have to go through a large smoking room.
I nearly died walking through this room, must have taken me 3 or 4 minutes.
By the time I got to the end, exit where the cars are, I was breathless, couldnt breath.
From that experience, I developed Chronic Bronchitis, and saw my doctor three times for medication, nebulizer and other lung help.
I was disabled with this Chronic Bronchitis for 6 weeks and am just starting to feel normal.
As much as I love the casinos, I am deathly afraid of returning check this out one.
I refuse to go through that nightmare again.
In my opinion, they should not allow smoking in any of those casinos.
Its like a slow death in there.
Casino workers face a higher risk of heart disease and lung cancer because they work in buildings filled with tobacco smoke.
You had to do a study with tax dollars to determine that casino dealers were exposed to second hand smoke?
Give us a break.
What happened to the land of the free?
W and the T.
U to work out a solution.
There must be a way to protect both health and revenue.
Large smoke free areas, better ventilation with Union inspectionall bronchial illnesses 100% covered with paid sick leave would be a good start.
There is no denying that both smoking and secondhand smoke are unhealthy.
However, having said that what about choice?
Casino employees choose of their own free will whether or not to work a casino.
Perhaps that is the highest paying job in the area which does not require a college education or skilled trade however that is still their choice; accept a lower paying job, move to another area or get an education.
Last time I check this was still a free country where we choose our own destiny.
Nobody is forced to work or gamble in a smoky casino environment.
Casinos are a choice not a necessity!
It should be up to the owner of the establishment to decide whether or not to become smoke free.
We all have the freedom to choose and must live the repercussions of our decisions.
I have worked in a casino in Nevada for just over 2 years now.
Since I have started we have had approx.
This seems to be a very high number.
Also, we have had many illnesses as well.
This needs to be checked out.
Although we have not been able to speak with you to obtain more information about the casino workers and lung cancer with cancer and their exposures, the following information about occupational cancer clusters may be helpful to you.
A cancer cluster is an unusual concentration of cancer cases in a defined area or time.
In the United States, one in two men and one in three women will develop cancer over the course of their lifetime.
We also look to see whether cancer is occurring among employees in particular jobs or areas of the workplace.
Persons occupationally exposed to secondhand smoke are at risk of developing lung cancer, cardiovascular illness, and respiratory health effects.
As a result, NIOSH recommends eliminating tobacco use in the workplace.
Latency periods vary by cancer type, but usually are 15 to more info years, or longer.
Because of this, past exposures are more relevant than current exposures as potential causes of cancers occurring in workers today.
If you or your coworkers have been diagnosed with an illness potentially associated with exposure to secondhand smoke, you may wish to share our report with a health care provider and discuss the section of the report that documents the presence of a lung carcinogen over a work shift and reported respiratory health effects in the casino dealers.
Only a health care provider familiar with your or your coworkers specific medical and work history can make a determination as to whether an illness you are affected with is work-related.
For more information about occupational cancer and cancer cluster evaluations on the NIOSH website at.
You can also find information published by the National Cancer Institute about health effects related to exposure to secondhand smoke, at and in the U.
I hear the only cause for cancer according to fellow posters is cigarettes.
These casinos are on a very congested street, where it took 12 an hour to pass 1 casino.
Scary what smokers taxes are paying for, no wonder contraband is casino workers and lung cancer being seen as a crime; if this is science that the taxes are paying for.
PS: No mention that NNAL comes from potatoes, tomatoes, grain, eggplant; how do they account for that confounder?
Cool Blog, oddly enough I had read a article from september fourth two thousand and four that was remarkably similar to your post.
John and Sharon must be smokers.
I work in a casino and hate being expost to nasty stinky smoke.
I have been a casino dealer for a few years now in Detroit and I am hearing about this new cigarette that is going to be mandatory called the FSC Cigarette.
According to the website, these new cigarettes have more harmful chemical byproducts in them that make the cigarettes go out by themselves and also create more toxins in the smoke.
Does the government not realize that implementing these procedures not only affect smokers, but people exposed to second hand smoke as well!
I may be young, but being a casino dealer has always fasinated me.
However, losing a lung as not.
I fail to understand why a non-smoking environment is an issure.
Sure, you may lose your business with the smoking population, but may also gain a new population, of those who were hoping for a place to enjoy without worrying about having to involuntarily smoke.
Workers do have the free choice jack and the beanstalk slot mobile work in a smoke filled environment, but it may be their best option available.
Make it easier on everyone and ban smoking.
Those who must, cant live without and will just absolutely die at the fact that they can not smoke for a few hours, can simply step outside, and come back in when they feel they can handle such pressure!
And when I was pregnant twice I was shocked how many people still blew the smoke straight in my face, regardless of being pregnant.
No remorse of these people!
You would think these casinos would put up a non-smoking sign at least for the pregnant people nope.
I pray everyday that someday in my lifetime the casinos will all go smoke free!!!
Please lets all work together to go smoke free, so we can all be healthy!!
Thank goodness Ohio is a smoke-free state.
We are soon adding a few casinos.
Pros and cons of casino impact on communities aside, at least those who work in the casinos will not be exposed to the numerous toxic chemicals and carcinogens in second-hand and side-stream smoke.
When our state went smoke-free there was the usual gnashing of teeth and dire predictions of hundreds of bars and restaurants going under and the state losing hundreds of thousands in tax revenue; none of which came to pass.
I do not smoke it is unhealthy and whenever I go to a casino there are always people standing next to me smoking when I want to place a bet on the roulette table, I wish there were 2 seperate rooms for which one is smokefree to play.
As a casino worker, I was casino workers and lung cancer what rights do we have against second-hand smoke in an environment.
I have mixed feelings on this matter.
I can speak for most my my co-workers who rely on allergy medicines and have beeb prescribed inhalers.
Note-all workers are in good shape, as is a qualification to work in this field Quite frankly, this is very disappointing.
Personally, slotting fees and cons field of expetise is food-serving.
It is very dificult to let go to a job you enjoy and has given me such sinority.
Looking at the posts on site-Rose working 22 years at Station casinos died of lung cancer.
I really do not want to be on of the casino lost found and would like to retire at the age of 65!
Just wanted to express my concern.
ANy suggestion is greatly appreciated.
Longstanding NIOSH policy, consistent with and based on the U.
The most current U.
I would suggest contacting your local health department as a potential resource for information about smoking provisions yonkers and casino your area.
If you are experiencing health symptoms that you feel are related to your workplace, I recommend that you seek care from a health care provider who is trained in occupational medicine.
The owner even went as far to say to me that I was a young guy and I can handle it.
There were many situations were I had to cover my float and stop dealer during a game because I felt like passing out from all the smoke, and I was given warning letters for this.
That place was like hell for me to work.
Dear fellow libertarians, If there is one thing that we all ought to realize when talking about rights, it is this THERE ARE OFTEN CONFLICTS BETWEEN OPPOSING RIGHTS.
the palazzo resort and example, what would you say to smokers, who have children, smoking in their own private homes?
Of-course, the child may not always complain and may even take to early smoking.
Now, if nobody is complaining, there is no argument from rights, no question of conflict of rights.
We have to choose the right balance between opposing rights of different people keeping the larger picture in perspective — by trying to identify which things are gratuitous and which absolutely important good health, for example.
My husband is a dealer at one of the top casinos in Vegas.
There are those who say he should just find another job, but have they looked at the Las Vegas economy lately?
I have long thought that all indoor areas should ban smoking.
I even did a report on it in high casino workers and lung cancer />Why did our government let the casinos be exempt from the law that states smoking is illegal in enclosed public places?
I had perfect health up until the time I decided to take a job working in a casino.
Following such a dictum would indicate just click for source restaurants and fast food outlets that cook food with methods other than microwaves or boiling over electric ranges should be required to do so in a separate building as ventilation can never provide complete protection.
In terms of workers actually engaged in cooking, special respirators should be required of course, even if management initially objects.
Moving beyond mere cooking concerns, workers should also clearly be protected from involuntary exposure to carcinogenic UV radiation while on the job.
Sun exposure is neither an inherent nor a necessary part of the dining experience, particularly not for the workers who might serve in waiting or cleaning operations in such areas.
I should hope that NIOSH applies their concerns fairly in these regards.
Indians Casinos are different soveriegn lands but Casinos in the US somehow one day will be subject to a major class action law suit with the knowledge of what we currently know of smoking and cigs.
Get a life smokers your lossers.
Those of you who dislike being in a casino with smoking in Las Vegas, or Atlantic City need to WRITE to the casino hotels!
The only way we will get rid of smoking in casinos is when the patrons request it.
If they can stop smoking in the pubs in Ireland, and elsewhere in Europe, we in the U.
Actually workers in casinos are prone to diseases because it has plenty of smokers smoking while gambling.
I have been working at a casino for the past 3 yrs and am concern about developing some form of cancer.
I make decent money and it would be almost impossible to find another job that pays this well.
We cannot tell you what your individual risk is for developing cancer as this is affected by many factors such as dose, intensity, duration of exposure and other non-tobacco related risk factors such as diet, physical activity, and genetics.
We encourage you to discuss your individual exposure risk profile with your health care provider and share concerns with your employer.
There is sufficient scientific evidence to conclude that populations involuntary exposed to tobacco smoke have an elevated risk of developing lung cancer, according to the 2006 U.
In addition, second hand smoke has immediate adverse effects on the cardiovascular system and respiratory tract.
Engineering approaches, including current and advanced dilution ventilation or air cleaning technologies should not be relied upon to control health risks from indoor tobacco smoke exposure.
The only means of effectively eliminating health risks associated with indoor tobacco smoke exposure is to ban smoking activity.
I have two sister-in-laws here in california that always have flu like illnesses.
Or at least look at your concern from a realistic perspective.
As a nonsmoker you have about 4 chances in a thousand of getting lung cancer.
According to the EPA Report, even in the poorly ventilated and smokey work conditions of the 1950s and 60s, your chances of eventually getting lung cancer after 40 straight years of work would only go up by about 19%: i.
I am wondering though if you have any specific comment on the measurements gathered in the NIOSH report that this blog entry concentrates on.
I will note below what the levels were measured at and then compare them to the OSHA type PELs Permissible Exposure Limits and TLVs Threshold Limit Values that are designed to ensure worker safety.
For example, sunshine and ethyl alcohol are both carcinogenic.
Similarly, although ethyl alcohol is highly volatile roughly 100,000,000 mcg evaporate from a single martini into the air workers breathe in a single hour the remedy does not seem to be eliminating alcoholic beverages from restaurants where families gather to eat healthy foods.
So I am puzzled by the concentration on tobacco smoke.
Can you clarify it for me, or point out any errors in my numbers above or my reasoning?
The blog summarized findings and recommendations from a health hazard evaluation conducted at the request of workers at three casinos.

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Casino workers are exposed to high levels of secondhand smoke (SHS) at work, yet remain at risk of being excluded from smoke-free legislation around the world. If the prime motivation for smoke-free legislation is the protection of workers, then a workforce experiencing ill-health associated with.


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