Japanese researchers in the early 1980’s were the first to publish comprehensive analyses of lung cancer risk in non-smoking women who were exposed to tobacco smoke generated by their husbands’ cigarette habits (e.g., here, here, here). Some of the studies were conducted by toxicologists and others by physician, epidemiologists and others. In the early 1970’s, researchers began publishing papers on the health effects of second-hand smoke. The American Lung Association estimates that 50,000 individuals in the U.S. Eliminating exposure to second-hand smoke saves lives. That hasn’t been the case and the Kaw Nation has public health on their side. Skeptics insisted that the policy would cause low revenues and the casino wouldn’t be viable. Just as the major restaurant associations vehemently argue against state and local bans on smoking, the Kaw Nation heard warnings that a smoke-free casino would be a bust. But the decision for the policy was not an easy one. It will draw patrons because of its smoke-free status. The Southwind casino opened this year and the tribe knows it is unique. Most of the casinos have smoke-free areas on the property, but only one casino, the Kaw Nation’s Southwind casino, is completely smoke-free. Gaming is the second largest industry in the state, with annual revenues of about $3.5 Billion.

There are 94 casinos in Oklahoma owned by 33 tribes. It read: “The only smoke-free casino in Oklahoma.” I wondered how it was possible for a rather sparsely populated locale could support what seemed like dozens of casinos. Billboard after billboard promoted one or more casinos in the State.

They didn’t advertise restaurants, gas stations, insurance firms or country stores.

As I drove heading north through the Sooner country, billboards line I-35. My summer road trip took me through the scenic State of Oklahoma.

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