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Secondhand smoke (SHS) has the same harmful chemicals that people who smoke inhale. According to the U.S. Surgeon General, there is no safe level of SHS exposure, which contains at least 70 chemicals known to cause cancer and trigger heart attacks, asthma attacks, and respiratory illness. [i] ... in casinos, no one – even patrons – is safe from SHS exposure. Job-related exposure to SHS is a significant, but entirely preventable, cause of premature death among U.S. workers. [iv] , [v] , [vi] Among people who do not smoke: Exposure to secondhand smoke increases lung cancer risk by ... worker absenteeism, and experience lower worker productivity. [xxxviii] , [xxxix] , [xl] , [xli] , [xlii] , [xliii] , [xliv] , [xlv]   ACS CAN’s Position on Smoke-Free Casinos A 100% smoke-free law that includes casinos is the only way to keep all casino workers and patrons safe from ...