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even relatively brief exposure can trigger a heart attack, according to a report by the Institute of Medicine

[107] A 2017 United States Department of Health and Human Services report stated, "We detected the presence of metals, such as chromium, lead, copper, and nickel on surfaces in the shop

However, we were told by a researcher at a specialist laboratory and an expert from Socit Marocaine des Tabacs (both of whom requested to remain anonymous) that it is not applied

Mike Dunleavy vetoed it, citing his opposition to any new taxes

For an example of a Health Equity Impact Assessment for Tobacco 21, see Multnomah County, Oregons example