TOBACCO Tobacco use is the leading preventable cause of disease, disability, and death in the United States

What is it? More than 7,000 harmful/poisonous chemicals found in tobacco Main ADDICTIVE chemical is NICOTINE Carcinogen-cancer causing chemical Some ingredients of tobacco products include Tar Carbon-monoxide Ammonia

How is it used? Smoked by cigarette, cigar or pipe Bidis Hookah Chewed Popular among teens-colorful packaging, flavor choices Contain even more nicotine Hookah Water pipe smoking Typically flavored and just as many toxins as a cigarette A recent study found that a typical hookah session delivers approximately 125x the smoke 25x the tar, 2.5x the nicotine, and 10x the carbon monoxide as smoking a cigarette Chewed

STREET NAMES Cigarettes Smokeless Tobacco Chew Cigs Dip Butts Spit Smokes Smokeless Tobacco Chew Dip Spit Snuff

SHORT-TERM EFFECTS Nicotine is shaped like acetylcholine and attached to brain receptors Acetylcholine=chemical neurotransmitters that carry messages between brain cells Increased HR, BP and Breathing Also releases extra dopamine causing a feeling of pleasure Effects come and go within seconds Smoked or chewed, nicotine is one of the most highly addictive drugs used in today’s society.

LONG TERM-EFFECTS Accounts for about 1/3 of all cancer deaths Brain/body tolerance builds quickly to causing quick and easy addiction Accounts for about 1/3 of all cancer deaths Harms every organ in the body Leukemia Cataracts Pneumonia Increase risk for heart disease/heart attack Decreased stamina for exercise Brown/discolored teeth Aged skins Harm to unborn child Linked to about 90% of all cancer cases Cancers of the mouth, pharynx, esophagus, cervix, kidney, ureter and bladder

Stay Calm and Say NO to TOBACCO Tobacco use (both smoked and smokeless tobacco use) is the leading preventable cause of death in the United States. 16 Million people suffer with a serious illness cause by smoking each year. On average, smokers die 10 years early than nonsmokers The nicotine in smokeless tobacco may increase the risk for sudden death from a condition where the heart does not beat properly (ventricular arrhythmias)

SECOND HAND SMOKE Smoked exhaled by person Smoke from burning tobacco Eliminating smoking in indoor spaces in the only way to fully protect nonsmokers from second hand smoke exposure Since 1964, 2.5 million nonsmokers have died from exposure to second hand smoke. Children: Ear infections Respiratory symptoms (ex: coughing, sneezing, shortness of breath Respiratory infections (ex: bronchitis, pneumonia) More severe/asthma attacks A greater risk for SIDS Adults: Cause Lung Cancer and Heart Disease Nonsmokers who are exposed to second hand smoke increase risk by 25-30%

NICOTINE/TOBACCO ADDICTION What are the facts? Treatment Options Nearly 35 million people make a serious attempt to quit each year. Most people relapse within 1 week without using treatment Most people (nearly 70%) who smoke, want to quit. Holding an average size dip in your mouth for up to 30 minutes gives you as much nicotine as smoking 3 cigarettes Within 24 hours of quitting, a person’s blood pressure decreases and they have less of a chance of having a heart attack Behavioral Therapy Over-the-counter medications Gum Patch Inhalers Prescription medications Zyban, Chantix E-cigarettes There are conflicting studies about whether or not these help smokers to quit.

E-CIGARETTES (VAPOR CIGARETTES) WHAT ARE THEY? E-cigarettes are designed to deliver nicotine without other chemicals produced by burning tobacco leaves Puffing on the mouthpiece of the cartridge activates a battery-powered inhalation device (called vaporizer) Vaporizer heats the liquid inside the cartridge. The heated liquid turns into an aerosol (vapor) which users inhale. As of May 2018, the FDA now regulates E- cigs Must be 18 with ID, more information for the government to work with, can regulate what goes on the labels and must follow certain rules.

E-CIGARETTES (VAPOR CIGARETTES) RISK FOR TEENS Aerosol (vapor) contains known cancer-causing and toxic chemicals, and particles from the vaporizing mechanism. The nicotine in the e-liquids readily absorbs into the bloodstream. E-Cigarettes exposes the lungs to a variety of chemicals (toxic metal, high levels of nickel and chromium. E-Cigarettes have been reported as the “gateway” to other smokable products. Liquid in e-cigarettes can cause nicotine poisoning if someone drinks, sniffs, or touches it. Recently there has been a surge of poisoning cases in children under age 5

THE FACTS MORE THAN 16 MILLION AMERICANS ARE LIVING WITH A DISEASE CAUSED BY SMOKING. CIGARETTE SMOKING IS RESPONSIBLE FOR MORE THAN 480,000 DEATHS PER YEAR IN THE UNITED STATES, INCLUDING MORE THAN 41,000 DEATHS RESULTING FROM SECONHAND SMOKE EXPOSURE THAT IS 1,300 DEATH EVERY DAY!