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Zhang B et al. – Smoking on patios was common. With increasing numbers of lit cigarettes per 1000 ft2 of patio area, there were increases in geometric mean PPAH levels, 4.7 (2.4), 9.1 (3.7), 16.9 (2.9), 19.1 (3.0) and 27.0 (2.9) ng/m3 on patios. Mixed model analysis showed that PPAH levels increased significantly with number of lit cigarettes per patio area. High levels of fine particle PPAH on patios may be associated with sustained vascular injury. Complete smoking bans including outdoor workspaces are needed to adequately protect hospitality workers from secondhand smoke.

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