1. What products are available… that are considered TOBACCO products?

2. Types of Tobacco Cigarettes Chewing tobacco/snuff/dip Pipe tobacco Cigars Herbal cigarettes All of these forms are hazardous to your health!! Each contains nicotine (this is the addictive drug that is found in all forms of tobacco) Tobacco can be sold to persons 18 and older, selling tobacco to anyone under 18 is illegal!

3. Nicotine Low doses act as a mild stimulant and muscle relaxant. High doses act as a powerful nerve poison. 60 milligrams of nicotine will kill someone 1-2 milligrams are inhaled when a cigarette is smoked

4. NICOTINE The Addictive Element Almost all people who start smoking start as a teenager! Nicotine affects both your brain and your body which then leads to physical dependence and addiction. Nicotine addiction leads people to long term smoking, trying to quit smoking (just like alcohol) is difficult and the symptoms of withdrawal are very unpleasant.

5. CIGARETTES How many chemicals are in cigarette smoke? 4000+ How many of those are carcinogens? 40+ Carcinogens are the chemicals or agents that cause cancer.

6. TYPES OF CARCINOGENS Cyanide (poisonous gas used to develop photographs) Formaldehyde (substance used to preserve dead bodies) Lead (a dangerous metal) Vinyl chloride (a flammable gas used to make plastic products) Tar (sticky, black substance that coats the inside of your airways) Carbon Monoxide (a gas that blocks oxygen from getting to the blood stream) Ammonia (chemical found in bathroom cleaners)

7. SNUFF and Chewing Tobacco Snuff contains 2 to 3 times more nicotine than cigarette smoke. 8 dips per day has the same amount of nicotine that about 30 cigarettes do. Snuff and chewing tobacco contain different carcinogens than cigarettes. Arsenic, nickel, benzopyrene, polonium How does it work?

8. HERBAL CIGARETTES Examples include: cloves, bidis, kreteks, and HOOKA What is HOOKA? Are herbal cigarettes safer, the same, or worse than regular cigarettes? Herbal cigarettes are not safer - they are just as bad! There is never a safe form of tobacco!!

9. EFFECTS of NICOTINE Nicotine enters the body very quickly when using tobacco. These effects of nicotine start almost immediately in the bloodstream… Stimulates the brain reward system. Increases heart rate and blood pressure. Increases breathing rate. Increases blood-sugar levels. Stimulates the vomit reflex. Constricts blood vessels (cold feet and hands). Dulls senses (smell, taste, etc).

10. SHORT TERM EFFECTS CONT… Carbon monoxide is present and blocks oxygen from getting into the bloodstream. Tar coats alveoli reducing O2 exchange Chemicals in dip damage the inside of your mouth which leads to open sores and mouth cancer Increases the impact of allergies. Decreases your ability to be active. Paralyze cilia (can no longer keep irritants out of airways) Other short term effects include: Clothes stink, black specks on your teeth, having to spit due to chewing tobacco and snuff, yellow teeth, smoke leaves nasty film on car windows, stains your fingers, bad breath, foul odor.

11. LONG – TERM EFFECTS Addiction Not being able to live without it. Bronchitis When mucus and inhaled particles build up deep within the lungs, which gives the person a chronic cough. Breathing then becomes very difficult. Emphysema Respiratory disease in which air cannot move in and out of the lungs – alveoli collapse. COPD A combination of Chronic Bronchitis and obstructive emphysema.

12. LONG – TERM EFFECTS CONT. Heart Diseases KILLS nearly 170,000 each year. Because of blocked and clogged arteries, people die of heart attacks, blood clots, and strokes. Cancer Several kinds are associated with smoking Lung, pancreas, bladder, cervix, mouth, and throat. Reduces immune system function More colds, cough, etc. Premature aging

13. Causes of Death (smoking) 4% - Stroke (reduced oxygen to the brain) 7% - Other Cancers 17% - Other diagnoses accidents, ex. Sudden infant death syndrome (secondhand smoke), house fires 20% - Chronic lung disease 21% - Heart Disease 31% - Lung Cancer Cigarette Smoking kills more than 400,000 people in the U.S. each year.

14. Dangers Of Secondhand Smoke The smoke can linger in the air for hours. Secondhand smoke kills 3,000 non-smokers every year in the U.S. 1 non-smoker for every 8 smokers die. Increased risk for asthma, heart disease, and cancer. Secondhand smoke causes headaches, nausea, and dizziness. Kids of smokers are effected too, do they deserve to live with that? Probably not!

15. Tobacco and Pregnancy Smoking affects the unborn child the same way it affects the mother. Smoking while pregnant can lead to miscarriage, premature birth and low birth weight. Higher risk of SIDS (sudden infant death syndrome) Smoking causes developmental difficulties in the brain Non-Smoking pregnant mothers face the same dangers by inhaling secondhand smoke as well Passive smoking contributes to more than 150,000 cases of bronchitis, and pneumonia in babies

16. Why oh Why Tobacco?? Family and Friends Lifestyle choice and upbringing, if your parents did it, it may seem normal for you to do it, same goes for the friends which you hang around with. Misconceptions Messages about the dangers are not believed, see others who have done it for years with no problems Advertising Same thing as alcohol, make it look cool, make it look appealing, make it look alright to do. Curiosity Problem solving Weight loss, stress reducer, etc. Rebellion Tell me I shouldn’t and I will!

17. Tobacco and Society Financial burdens Tobacco costs to a family include: buying them, lost wages due to illnesses, medical bills, funeral costs Tobacco costs to society include: businesses paying for health care costs, medical care that cannot be afforded by the smoker alone, accidental fires caused by cigarettes, using taxpayers money to fight usage. Loss of family members/loved ones

18. The numbers… In 2011 states collected roughly 25.3 billion dollars from taxes and settlements but only spent 2% of that on tobacco control. Tobacco companies spent 9.94 billion in advertisements for their products. Tobacco use costs the US 193 billion annually and 10 billion on issues with those affected by secondhand smoke.

19. REASONS TO QUIT Smoking is UNHEALTHY. Smoking is EXPENSIVE. Smoking looks UNATTRACTIVE. Smoking damages YOUR BODY. Smoking has you paying for your own DEATH! SMOKING STINKS!

20. QUITTING QUITTING is NOT EASY Quitting on your own requires desire, dedication, and determination. Withdrawal symptoms include nervousness, irritability, and difficulty sleeping. NRT (nicotine replacement therapy) Nicotine patches, and nicotine gum

21. No one said it was easy… Approximately 69% of smokers reported that they wanted to quit. 52% of smokers attempted to quit and failed. *stats from 2010

22. HAVE A PLAN TO QUIT Set a date to quit by Get rid of all tobacco products that you have in your possession Change your habits Exercise, engage in other activities, look at your diet is necessary Set goals Celebrate when you reach those small milestones Success makes quitting easier Get support Support groups and friends who don’t smoke will make things easier

23. SKILLS TO REFUSE Be Honest Say “I Don’t Smoke!” Give A Reason “I Don’t want to smell all nasty!” Suggest an alternative “Why don’t we do this instead?” Strength in numbers Only 19.3% of U.S. adults are smokers

24. BENEFITS OF BEING TOBACCO FREE Healthier lives Will live much longer Lower or no risk of lung cancer, or any other cancer, or bronchitis or emphysema Fewer colds or sore throats Less likely to have stained teeth, bad breath, or chronic gum disease Able to taste food Saving money Not exposing loved ones to secondhand smoke There’s a much better chance you won’t die young!

25. Life Without Tobacco Within ½ hour after quitting your heart rate will fall back to normal. 8 hours later you will get rid of the carbon monoxide in your bloodstream and have normal oxygen levels. A few days later, your sense of smell and taste will improve. A few months later, your lung health will improve and you will reduce you risk of lung cancer. Life is better without it!

26. Sooo…tell me this… If smokers know smoking is bad for them, why do they continue to smoke?Addiction Each day more than 3,800 children under the age of 18 smoke their 1 st cigarette – 1,000 of them will smoke daily.