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Ord. 2164 <br /> Page 12 <br /> • A study published in the American Journal of Public Health found similar <br /> results to those identified in FDA testing and concluded that the electronic <br /> smoking devices tested demonstrated poor quality control, toxic <br /> contaminants, misrepresentation of the nicotine delivered and insufficient <br /> evidence of the overall public health benefit; and <br /> • A recent study found a total of 22 elements in vapors produced by <br /> electronic smoking devices, and three of these elements (lead, nickel, and <br /> chromium) appear on the FDA's "Harmful and Potentially Harmful <br /> Chemicals List"; and <br /> • Recent studies show that the aerosol emitted by electronic cigarettes contains <br /> 10 chemicals listed on the Proposition 65 list of chemicals known to the state <br /> to cause cancer, birth defects and reproductive harm;" and <br /> • Recent studies also show that the aerosol emitted by electronic cigarettes <br /> contains ultrafine particles that are inhaled and trapped in the lungs, <br /> absorbed by the blood stream and delivered to the brain and other <br /> organs; and <br /> WHEREAS, the confusion caused by the visual similarity between electronic <br /> smoking devices and traditional tobacco products may impact individuals and the <br /> owners of establishments seeking to comply with applicable smoke-free laws and will <br /> threaten the city's enforcement of these laws; and <br /> WHEREAS, secondhand marijuana smoke has been identified as a health <br /> hazard, as evidenced by the following: <br /> • The California EPA included marijuana smoke on the Proposition 65 list of <br /> chemicals known to the state of California to cause cancer; and <br /> • According to a 2009 California EPA study, marijuana smoke contains at <br /> least 33 known carcinogens and is associated with cancers of the lung, <br /> head and neck, bladder, brain, and testes; and <br /> • Based on the similar chemical composition of marijuana secondhand smoke <br /> and tobacco secondhand smoke, the well-established heart attack risk <br /> caused by exposure to tobacco secondhand smoke, and research <br /> demonstrating the negative effects of marijuana secondhand smoke on <br /> cardiovascular functions, a 2015 UCSF Division of Cardiology & <br /> Cardiovascular Research Institute report concluded that marijuana <br /> secondhand smoke and tobacco secondhand smoke likely have similar <br /> harmful effects on public health; and <br /> WHEREAS, there is no Constitutional right to smoke; and <br /> WHEREAS, the United States Department of Housing and Urban <br /> Development ("HUD") urges owners and management agents of HUD-assisted <br />