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32 e130-e131 Published Online First: 12 Sep 2021

While increases in smoke-free policies and awareness of environmental tobacco smoke (ETS) hazards have contributed to a substantial reduction in exposure in ETS in recent years, some children continue to experience extremely high levels of exposure. ETS is typically measured by the levels of cotinine, a nicotine metabolite, in childrens blood or saliva

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In addition to barring people from lighting up inside private homes, the Carlsbad ordinance also prohibits smoking on private balconies, porches, decks, patios and common areas that are not designated as smoking locations