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6.1.E. - Page 18 <br />formaldehyde, cyanide, carbon monoxide, ammonia, and highly addictive nicotine, as well as more <br />than 50 carcinogens. Since 1967, exposure to SHS has killed approximately 2.5 million nonsmokers of <br />all ages in the United States. 13 <br />In 2010, the U.S. Surgeon General confirmed that even occasional exposure to secondhand smoke is <br />harmful, and that low levels of secondhand tobacco smoke lead to impairment of the lining of the <br />blood vessels, which, in turn, can lead to heart attacks and stroke. 14 <br />According to the American Lung Association: <br />Secondhand smoke causes approximately 7,330 deaths from lung cancer and 33,950 <br />deaths from heart disease each year... Secondhand smoke is especially harmful to young <br />children. Secondhand smoke is responsible for between 150,000 and 300,000 lower <br />respiratory tract infections in infants and children under 18 months of age, resulting in <br />between 7,500 and 15,000 hospitalizations each year. It also causes 430 sudden infant <br />death syndrome (SIDS) deaths in the U.S. annually. 15 <br />Marijuana smoke, another source of secondhand smoke, is also toxic. It contains twice as much tar and <br />ammonia, eight times as much hydrogen cyanide, and many of the same chemicals and carcinogens as <br />tobacco smoke. Studies have shown that exposure to secondhand marijuana smoke impairs blood <br />vessel function temporarily. Moreover, recovery from impairment caused by marijuana takes longer <br />than from tobacco smoke, and repeated exposure to secondhand marijuana smoke can lead to long- <br />term blood vessel impairment. 16 <br />According to the American Nonsmoker's Rights Foundation: <br />Smoke is smoke. Both tobacco and marijuana smoke impair blood vessel function <br />similarly. People should avoid both, and governments who are protecting people against <br />secondhand smoke exposure should include marijuana in those rules. 17 <br />Approximately one in four nonsmoking Americans is subjected to secondhand smoke, including more <br />than one in three who live in rental housing. Exposure to SHS occurs primarily at home, especially for <br />children. An estimated 15 million children ages three to eleven are exposed to SHS.18 <br />13 The Health Consequences of Smoking 50 Years of Progress: A Report of the Surgeon General. Rockville, MD. 2014. <br />U.S. Public Health Service, Surgeon General website, accessed June 7, 2018. <br />https://www.surgeon enncral.gov/library/reports/50-years-of-process/exec-sumLnM.pdf . <br />14 "Fact Sheet: How Tobacco Smoke Causes Disease," A Report of the Surgeon General. Centers for Disease Control and <br />Prevention website, accessed June 7, 2018. < haps://www.cdc.gov/tobacco/data_statistics/s /rg 2010/pdfs/key-findings.pdfl <br />15,,Health Effects of Secondhand Smoke," American Lung Association website, accessed June 7, 2018. <br />http://www.lung.org/stop-smoking/smoking-facts/health-effects-o f-secondhand-smoke.html <br />16 ,Marijuana and Tobacco Use, Marijuana: The Basics," California Department of Public Health website, accessed June 7, <br />2018. <br />https://www.cdph.ca. ovagrams/CCDPHP/DCDIC/CTCB/CDPH%2ODocument%2OLibrary/ResearchandEvaluation/Fa <br />ctsandFi gore s/MJAndTobaccoUseFac%20 Sheet -CDP H-CTCP -5-2017.pdf <br />17 Matthew Springer, cardiovascular researcher and Associate Professor of Medicine, University of California, San <br />Francisco. "Secondhand Marijuana Smoke: Fact Sheet," American Nonsmokers' Rights Foundation website, accessed June <br />7, 2018. https://no-smoke.orglsecondhand-marijuana-smoke-fact-sheet/ <br />2017-2018 San Mateo County Civil Grand Jury 4 <br />