Health Officers: Naziatul Azrina Nik Nareiani “TAK NAK ROKOK” Presentation

An alarming fact “…More than 10,000 Malaysians die from smoking-related illnesses every year … … every day about 50 teenagers below the age of 18 start smoking and most of them become hardcore smokers …” … every day about 50 teenagers below the age of 18 start smoking and most of them become hardcore smokers …” Source: The Star. (Aug 27, 2001). Source: The Star. (Aug 27, 2001).

Do you realize… No. and Percentage of School Student Smoking YearNo. of SampleNo. of Student Smoking Percentage of Sample % % % % Source: Report on Discipline of School Student in Malaysia Ministry of Education

Our Finding Study on smoking and its effects Interview with an ex-smoker

Biography Male Male 28 years old 28 years old Started smoking at age 16 Started smoking at age 16 More than 5 years of smoking habit More than 5 years of smoking habit

The first time… I was with my friends in school, my friends were smoking and persuaded me to smoke. I was with my friends in school, my friends were smoking and persuaded me to smoke. I rejected but they called me a “Coward” I rejected but they called me a “Coward” I didn’t want to smoke, but I wanted to show that I was not a coward….. I didn’t want to smoke, but I wanted to show that I was not a coward….. I Could not say ‘NO’

In the trap… Initially, I only smoked after my parents went out of the house, after school and in parties. Initially, I only smoked after my parents went out of the house, after school and in parties. As time past by, I started smoking frequently. I used to start and end my day with a puff. As time past by, I started smoking frequently. I used to start and end my day with a puff. I used to get an urge to smoke in the morning, after meals, during recess time, after school, …..anytime!! I used to get an urge to smoke in the morning, after meals, during recess time, after school, …..anytime!!

What next? Bad skin Bad skin My teeth turned yellow My teeth turned yellow Foul smell in my breath Foul smell in my breath My mood was bad mostly and I got agitated easily My mood was bad mostly and I got agitated easily I had frequent quarrels with siblings and parents I had frequent quarrels with siblings and parents I lost interest in studies I lost interest in studies

Came to my senses I can never forget that day – A visit to my uncle in the hospital. He was suffering from lung cancer. I can never forget that day – A visit to my uncle in the hospital. He was suffering from lung cancer. He was a heavy smoker for the past 20 years. He was regretting “Why I couldn’t say NO?” He was a heavy smoker for the past 20 years. He was regretting “Why I couldn’t say NO?” A question appeared in my mind - “Would I suffer like him in future?” A question appeared in my mind - “Would I suffer like him in future?” The answer was “YES”…………. The answer was “YES”…………. I must stop smoking

What did I do? I apologized to my parents I apologized to my parents I asked for help from counselor I asked for help from counselor I set a quit date and threw away my cigarettes I set a quit date and threw away my cigarettes I kept away from those friends who smoke I kept away from those friends who smoke I had to be patient with the withdrawal symptoms – where I had headache, sore throat, dry mouth, lack of energy; I could think of nothing else but smoking I had to be patient with the withdrawal symptoms – where I had headache, sore throat, dry mouth, lack of energy; I could think of nothing else but smoking I kept myself busy to get over the feeling of smoking I kept myself busy to get over the feeling of smoking I started concentrating on my studies I started concentrating on my studies

My advice for young generation Don’t start SMOKING or else, you will regret……

Analysis by Health Officer

Why did he start smoking? Curiosity Curiosity Peer pressure Peer pressure Family Influence Family Influence Portraying “macho” and cool personality Portraying “macho” and cool personality Media influence - Cigarette advertisement Media influence - Cigarette advertisement

Why was his health affected? Bad Skin Bad Skin –Smoking restricts blood vessels. Therefore, it prevents oxygen and nutrients from getting to the skin. This makes the skin pale and unhealthy. Yellow teeth and bad breath Yellow teeth and bad breath –Tar present in the cigarettes stains a smoker's teeth with brownish-yellow colour which also causes bad breath.

Why was he changed? Bad mood Bad mood –Due to lack of nicotine in smokers’ body, he/she becomes anxious, agitated and restless. Quarrels with parents and siblings Quarrels with parents and siblings –Due to bad mood, lack of interest in studies and increase in demand of pocket money.

Our Learning Smoking does not only causes health problems but also strain the family relationships. Smoking does not only causes health problems but also strain the family relationships. We have to avoid smoking in order to have healthy life style. We have to avoid smoking in order to have healthy life style.

How can we help to reduce smoking in the community? Organize anti-smoking campaign Organize anti-smoking campaign Form a task force to educate community from time-to-time Form a task force to educate community from time-to-time Impose higher fine to students who are guilty of smoking Impose higher fine to students who are guilty of smoking Counsel students who are trapped in the deadly trap Counsel students who are trapped in the deadly trap

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