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In a study of a Hookah lounge in Lexington, KY, secondhand smoke from waterpipe smoking created high fine particulate concentrations (116 g/m3 - 199 g/m3), 3- 6 times the National Ambient Air Quality Standard for outdoor air (35 g/m3)

In almost all cases, however, the uptake of vaping was accompanied by a concomitant decline in cigarette smoking

It says they also found indication "that part of the premises may have been unlawfully used as a house in multiple occupation"

But even those within the administration who objected to his management of the department were reluctant to challenge him without a smoking gun, Ainsley reports

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