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hookah smoking since 1997. Dr. Loffredo further reports <br />that: "People think the water absorbs the toxins, and that is <br />true to some extent if the toxins are water soluble, but tar <br />isn't, and tar contains the carcinogens. We believe that, <br />compared to the typical cigarette smoker, waterpipe smokers <br />are exposed to larger total amounts of nicotine, carbon <br />monoxide and certain other toxins. And because the <br />tobacco is burning at a lower temperature, it is more <br />tolerable to inhale deeply, and in fact you need more force to <br />pull air through the high resistance of the water pathway. <br />That means the tobacco smoke can be penetrating deeper in <br />a person's respiratory tract than cigarette smoke does. The <br />damage could be even worse than seen in cigarette <br />smokers, but we haven't done studies long enough to <br />quantify the true cancer risk." <br />10. According to Dr. Loffredo, another concern is that hookah <br />use may represent a loophole around city and state laws <br />banning smoking in public places. <br />11. While California Labor Code section 6404.5 generally bans <br />indoor smoking at restaurants and bars, it exempts smoking <br />inside retail or wholesale tobacco shops and private <br />smokers' lounges. Many hookah bar owners claim they are <br />tobacco retailers and state law does not clearly repudiate <br />this claim. This allows tobacco smoking inside <br />establishments where people work, eat and drink. Hookah <br />smoking is not a safe alternative to smoking tobacco. <br />Smoking hookah pipes has been reported to cause oral, <br />esophageal and lung cancer, as well as heart disease, <br />chronic bronchitis and of course, nicotine addiction. <br />12. According to a report authored by Dr. Kamlesh Asotra, <br />Ph.D., for the University of California Tobacco Related <br />Disease Program, hookah parlors create unique problems of <br />second hand smoke, due to the increased presence of <br />carbon monoxide (CO), which is present both in the tobacco <br />smoke and the burning of charcoal indoors to ignite the <br />tobacco. Dr. Asotra reports that "It is becoming increasingly <br />clear that, like tobacco smoking, mainstream hookah smoke <br />and second-hand hookah smoke cause deleterious effects <br />on reproductive systems in men and women and produce <br />genotoxic, mutagenic, and teratogenic effects on babies of <br />smoking parents." Many commercial tenant spaces in Santa <br />Ana share a ventilation system with other spaces within the <br />Ordinance No. NS-XXX <br />11 B-3 Page 3 of <br />