LAS VEGAS (AP) — Teresa Price was 22 when became a table-games dealer in 1978 on the Las Vegas Strip. At that time, cigarette and cigar smoking was allowed nearly everywhere — offices, restaurants, grocery stores, airplanes, even hospitals. Casinos were no exception.Today, nearly all workplaces in Nevada have gone smoke-free, but casino employees such as Price still work in smoky environments.In 2017, after 35 years of full- and part-time work, Price took a medical leave after being diagnosed with non-Hodgkin’s lymphoma and heart disease.Never a smoker herself and otherwise healthy and fit, Price blames second-hand smoke at work for her ailments.

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“I love the job and meeting new people every day,” Price, 63,. “But the environment is unhealthy.”Second-hand smoke has been shown to increase the risk of lung cancer and heart disease, and some research shows a link between second-hand smoke and non-Hodgkin’s lymphoma.

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No level of exposure is considered safe, according to the U.S. Surgeon General.Kanie Kastroll, a Las Vegas casino employee for 30 years and a volunteer organizer with the dealers’ union, UAW Local 3555, said she has seen colleagues like Price become sick with cancer or other conditions.“It’s one of the biggest complaints other than abusive guests that (the union) has,” Kastroll said. “When you’re sick, you get sicker, or you’re sicker longer.”Many casinos in Las Vegas have systems to remove smoke and circulate fresh air, said Dawn Christensen, a vice president at the Nevada Resort Association.

The only way to reduce health risks associated with second-hand smoke is to ban smoking or install completely separate filtration systems in entirely nonsmoking areas, said Maria Azzarelli, chronic disease prevention manager at the Southern Nevada Health District.Much of Nevada went smoke-free in 2006 when voters approved what became known as the Nevada Clean Indoor Air Act.For the first time, Nevadans and tourists could no longer smoke wherever there were slot machines, such as in grocery stores. But there were exceptions: bars; age-restricted taverns and saloons that don’t serve food; strip clubs and brothels; and casino floors.The Nevada Legislature revised the law to also allow smoking in tobacco-related private conventions and in bars and taverns that don’t allow minors.

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No revisions have been made since 2011.Because there is no law banning smoking in casinos, the only smoke-free casinos in state history became that way by choice.The American Nonsmokers’ Rights Foundation lists one as the Fernley Nugget, about 40 miles (64 kilometers) east of Reno.When it opened in 2011, the goal was to create a smokeless gambling environment, said Scott Tate, casino general manager. Since then, the Fernley Nugget has developed a devoted following of patrons and employees.“I’m not going to sit here and say I’m pro-smoke-free facilities,” Tate said.