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6. 1. E. - Page 20 According to the UCSF Center for Tobacco Control Research and Education: Infants and small children are likely to have more exposure to THS than adults because THS contaminates house dust and surfaces. Infants and children spend more time on the floor, have frequent hand to mouth behaviors, explore objects in the environment with their mouth, put non-food items in their mouths, engage in active play at home, and breathe in more dust -contaminated air than adults, in relation to their body size. 25 Electronic Cigarette Aerosol (or Vapor) Electronic Smoking Devices (ESDs or e -cigarettes) emerged in the U.S. in 2007, as alternatives to smoking tobacco and marijuana. Use of e -cigarettes is commonly referred to as "vaping." They quickly became popular, in part due to efforts of manufacturers to attract young buyers through tactics such as bubblegum and fruit flavorings. 26 While e -cigarettes and similar devices do not produce tobacco or marijuana smoke, the vapor they emit is also harmful. It contains particulates, propylene glycol or vegetable glycerin, nicotine (in the case of tobacco), metals and other toxins. 27 San Mateo County Health System's Responses to Secondhand Smoke Tobacco Prevention Program In 1988, the California Tobacco Tax and Health Protection Act (Prop. 99) was passed by the voters, creating a statewide, comprehensive tobacco control program. Prop. 99 levied a twenty -five -cent tax on tobacco products and placed new restrictions on the sale of tobacco. With the revenue generated by this initiative, the County established the Tobacco Prevention Program (TPP) in 1989 as part of the statewide network to educate the community on tobacco -related health and policy issues. 2' The TPP's 2014-2017 Program Goals and Interventions 29 included: • Reducing exposure to secondhand smoke by implementing smoke-free multiunit housing policies • Engaging youth in tobacco control and amending tobacco retail ordinances to broaden the definition of tobacco product • Reducing the availability of tobacco by eliminating tobacco sales in pharmacies/health care settings 25 "Frequently Asked Questions," University of California San Francisco. Center for Tobacco Control Research and Education. California Consortium for Thirdhand Smoke website, accessed June 7, 2018. https://tobacco.ucsf.edu/frequently-asked-questions-0#Who-has-highexexposure-risk-of-THS 26 Samantha Weigel. "County may ban flavored tobacco, including menthol." San Mateo Daily Journal, January 20, 2018. <hgps://www. smdailyj oumal. com/news/local/county-may-ban-flavored-tobacco-including-menthol/article_a54ccc9c-fd9f- 11e7-8baa-ab201dac2a50.html> 27 "Recreational Vaping 101: What is Vaping?" National Center on Addiction and Substance Abuse website, accessed June 7, 2018. https://www.centeronaddiction.or /� e-cigarettes/recreational-vaping/what-vapig 28 Official of the San Mateo County Health System: interview by the Grand Jury. 29 "San Mateo County Tobacco Prevention Program 2014-2017 Program Goals and Interventions," County of San Mateo Health System website, accessed June 7, 2018. haps://www.smchealth.orglsites/main/files/file-attachments/2014- _2017 priorities.pdf 2017-2018 San Mateo County Civil Grand Jury