Brian Mayhew lights up a cigarette at the Riverside Café in Winfield. Unlike many areas around the state and nation, Putnam County still allows bar and restaurant patrons to light up -- a stance that drew a failing grade in a recent American Lung Association report.

Riverside Café employee Rosey Arbaugh thinks business would be hurt if the county's smoking rules were made tougher. Kanawha County health officials, however, say that county's smoking ban did not hurt businesses.