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    "localId": "26413532",
    "label": "Tobacco Environmental Tobacco Smoke (ETS)",
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    "title": "Tobacco Environmental Tobacco Smoke (ETS)",
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        "Records of the Domestic Policy Council (Clinton Administration)",
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    "ocrText": "97704885767 TO 912022058313\nP.02/08\nMAY-04-98 10:10 From:CHAMBLEE IC\n7704887422\nT-704 P.02\nJob-200\n270\nExposure of Casino Employees to ETS Trout et al\nExposure of Casino Employees to\nTobacco-\nEnvironmental Tobacco Smoke\nETS\nDouglas Trout, MD, MHS\nn 1995 the National Institute for\nJohn Decker, MS\nI\nOccupational Safety and Health\nCharles Mueller, MS\n(NIOSH) received an employee re-\nJohn T. Bernert, PhD\nquest for a health hazard evaluation\n(HHE) concerning exposure to sec-\nJames Pirkle, MD, PhD\nond-hand (environmental) tobacco\nsmoke (ETS) among employees at a\nEnvironmental and medical evaluations were performed to evaluate\ncasino in Atlantic City, New Jersey.\noccupational exposure to environmental tobacco smoks (ETS) among\nIn response to this request, NIOSH\ncasino employees. Air concentrations of both nicoline and respirable dust\nperformed a field study to evaluate\nwere similar to those published in the literature for other non-industrial\nthe exposure of gaming floor em-\nindoor environments. The geometric mean serum catinine level of the 27\nployees to ETS using both environ-\nparticipants who provided serum samples was 1.34 nanograms per\nmental and biologic measures of ex-\nmilliliter (ng/mL) (pre-shift) and 1.85 ng/mL (post-shift). Both mea\nposure.¹\nsurements greatly exceeded the geometric mean value of 0.65 ng/mL for\nparticipants in the Third National Health and Nutrition Examination\nEnvironmental Tobacco Smoke\nSurvey (NHANES III) who reported exposure to ETS at work. This\nOccupational exposure to ETS is\nevaluation demonstrates that a sample of employees working in a casino\nrecognized as an important public\ngaming area were exposed to ETS at levels greater than those observed in\nhealth issue.2.³ NIOSH has deter-\na representative sample of the US population, and that the serum and\nmined that ETS poses an increased\nurine cotinine of these employees increased during the workshift.\nrisk of lung cancer, other lung dis-\nease. and possibly heart disease to\noccupationally exposed workers and\nrecommends eliminating or restrict-\ning tobacco use in the workplace.⁴\nAlthough many workplaces are\nadopting policies that restrict smok-\ning. occupational exposure to ETS\nremains a concern among some of\nthe 110 million Americans who work\noutside the home.⁵.⁶ Occupational\nETS exposures have not been evalu-\naled to the extent that home expo-\nsures have. In particular, there is\nvery little information available con-\nceming the exposure of casino cm-\nployees in the United States to ETS.\nFrom the Division of Surveillance. Hazard Evaluation and Field Studies, National Institute for\nIn this survey. vapor-phase nico-\nOccupational Safery and Health, Auanta. Ga, and Cincinnati. Ohio (Dr. Trout Mr Docker. Mr Mucller)\nand the Division of Environmental Health Laboratory Sciences. National Center for Environmental\ntine and respirable particulate were\nHealth, Atlanta. Ga (Dr Bemen Dr Pirkle). Centers for Disease Convol and Prevention.\nmonitored as marker substances for\nAddress correspondence to: Douglas Trous, MD. MHS. MOSH, 4676 Columbia Parkway. R-10.\nexposure to ETS. Vapor-phase nico-\nCincinnati, OH 45226.\nline, which accounts for approxi-\n1076-2752/98/4003-027033.00/0\nmately 95% of nicotine in ETS, is\nCopyright 0 by American College of Occupational and Environmental Medicine\ncurrently a widely accepted marker"
}