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Attachment 1 3
<br /> ORANGE COUNTY BOARD OF HEALTH RULE
<br /> A RULE TO PROHIBIT SMOKING IN COUNTY AND TOWN BUILDINGS,
<br /> VEHICLES AND GROUNDS AND IN PUBLIC PLACES IN THE COUNTY OF
<br /> ORANGE, THE TOWNS OF CARRBORO, CHAPEL HILL, HILLSBOROUGH AND
<br /> THOSE PARTS OF MEBANE IN ORANGE COUNTY
<br /> WHEREAS, according to the Centers for Disease Control and Prevention (CDC),
<br /> Tobacco use and secondhand smoke exposure are leading preventable causes of illness
<br /> and premature death in North Carolina and the nation;I and
<br /> WHEREAS, in 2006, a report issued by the United States Surgeon General stated that the
<br /> scientific evidence indicates that there is no risk-free level of exposure to secondhand smoke
<br /> and that secondhand smoke has been proven to cause cancer, heart disease, and asthma
<br /> attacks in both smokers and nonsmokers;2 and
<br /> WHEREAS, the CDC advises that all individuals with coronary heart disease or known
<br /> risk factors for coronary heart disease should avoid all indoor environments that permit
<br /> smoking;3 and
<br /> WHEREAS, research indicates that, during active smoking, outdoor levels of secondhand
<br /> smoke may be as high as indoor levels and may pose a health risk for people in close
<br /> proximity (such as those sitting beside someone on a park bench or children accompanying
<br /> a smoking parent or guardian)4; and
<br /> WHEREAS, in air quality tests, concentrations of secondhand smoke in vehicles have been
<br /> found to be far greater than in any other micro-environments tested, including smoke-free
<br /> homes, smokers' homes, smoke-filled bars, and outdoor air-even with a vehicle's windows
<br /> open and its fan set on highs;and
<br /> 1 Centers for Disease Control and Prevention, Smoking and Tobacco Use Fast Facts,
<br /> http://www.cdc.gov/tobacco/data statistics/fact sheets/fast facts/#toll (last visited Oct. 7,2010).
<br /> s U.S.DEP'TOFHEALTH& HUMAN SERVS, THE HEALTH CONSEQUENCES OF INVOLUNTARY EXPOSURE TO
<br /> TOBACCO SMOKE: A REPORT OF THE SURGEON GENERAL 11, 14-16 (2006),
<br /> 3 http://www.surgeongeneral.gov/library/secondhandsmoke/report/index.html.
<br /> See id at 15; Centers for Disease Control and Prevention, Smoking and Tobacco Use Health Effects of
<br /> Secondhand Smoke,
<br /> http://www.cdo.gov/tobacco/data statistics/fact sheets/secondhand smoke/health effects/index htm (last visited
<br /> March 25,2011).
<br /> a Neil E.Klepeis, Wayne R.Ott, and Paul Switzer, Real-time Measurement of Outdoor Tobacco Smoke
<br /> .Particles, 57 J.AIR&WASTE MGMT.Ass 'N 522, 522(2007); Neil E.Klepeis, Etienne B. Gabel, Wayne R.Ott,
<br /> and Paul Switzer, Outdoor Ah,Pollution in Close Proximity to a Continuous Point Source, 43
<br /> ATMOSPHERICENV'T 3155,3165 (2009).
<br /> s Wayne Ott,Neil Klepeis&Paul Switzer,Air Change Rates of Motor Vehicles and In-Vehicle Pollutant
<br /> Concentrations from Secondhand Smoke,18 J.ExP05URE SCI.AND EVNTL.EPIDEMIOLOGY 312,312(2007),available at
<br /> http://tobaccosmoke.exposurescience.org/pub/reprints/Ott CarStudy.pdf;see also Ontario Medical Ass'n,
<br /> Backgrounder Tobacco Smoke Concentration in Cars,
<br /> https://www.oma.org/Resources/Documents/fTobaccosmokeConcentrationsinCars.pdf (last visited March 30,
<br /> Final
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