1. The Health Risks of Tobacco Use

2. The Health Risks of Tobacco Use
More than __ percent of adult smokers started smoking before they were __ years old.

3. The Health Risks of Tobacco Use
More than 80 percent of adult smokers started smoking before they were 18 years old.

4. The Health Risks of Tobacco Use
More than 80 percent of adult smokers started smoking before they were 18 years old.
Though, it is illegal for anyone under the age of 18 to purchase or use tobacco.

5. The Health Risks of Tobacco Use
More than 80 percent of adult smokers started smoking before they were 18 years old.
Though, it is illegal for anyone under the age of 18 to purchase or use tobacco.
Consequences of underage tobacco use?

6. The Health Risks of Tobacco Use
More than 80 percent of adult smokers started smoking before they were 18 years old.
Though, it is illegal for anyone under the age of 18 to purchase or use tobacco.
Consequences of underage tobacco use?
Damage to physical health
Possible legal consequences ($50 fine for each violation, participation in a health promotion and risk reduction assessment program, community service, etc.)
Lose the trust of your parents and others
Negative effects on friendships and other relationships

7. What Makes Tobacco Addictive?

8. Nicotine

9. Nicotine
This substance, found in all tobacco products, is an addictive drug. Nicotine is a stimulant, meaning it increases the action of the central nervous system (CNS). The CNS controls all major organs; therefore, blood pressure and heart rate increase when you are under the influence of nictoine.

10. Carcinogens

11. Carcinogen: any substance that causes cancer.
Carcinogens
Carcinogen: any substance that causes cancer.

12. Carcinogens Carcinogen: any substance that causes cancer.
According to the American Cancer Society, tobacco smoke is made up of more than 7,000 chemicals, including over 70 known carcinogens.

13. Tar

14. Tar Tar: A thick, sticky, dark fluid produced when tobacco burns.
The tar in tobacco smoke damages a smoker’s respiratory system in several ways:

15. Tar Tar: A thick, sticky, dark fluid produced when tobacco burns.
The tar in tobacco smoke damages a smoker’s respiratory system in several ways:
Paralyzes and destroys cilia.
Destroys the alveoli, or air sacs, in the lungs.
Damages lung tissue.
Reduces lung function.
Raises susceptibility to lung problems such as bronchitis, pneumonia, emphysema, and lung cancer.
Raises risk for heart disease and other cancers.

16. Tar Paralyzes and destroys cilia.
Destroys the alveoli, or air sacs, in the lungs.
Damages lung tissue.
Reduces lung function.
Raises susceptibility to lung problems such as bronchitis, pneumonia, emphysema, and lung cancer.
Raises risk for heart disease and other cancers.

17. Tar Paralyzes and destroys cilia.
Destroys the alveoli, or air sacs, in the lungs.
Damages lung tissue.
Reduces lung function.
Raises susceptibility to lung problems such as bronchitis, pneumonia, emphysema, and lung cancer.
Raises risk for heart disease and other cancers.

18. Carbon Monoxide

19. Carbon Monoxide
Carbon Monoxide (CO): A colorless, odorless, and poisonous gas.
The human body absorbs CO more easily than oxygen.
Exposure to CO:

20. Carbon Monoxide
Carbon Monoxide (CO): A colorless, odorless, and poisonous gas.
The human body absorbs CO more easily than oxygen.
Exposure to CO:
Starves the body’s cells and tissues of oxygen.
It can also lead to problems with blood circulation (heart disease, high blood pressure, and hardening of the arteries).

21. Smokeless Tobacco

22. More harmful, less harmful, or equally as harmful as smoking?
Smokeless Tobacco
More harmful, less harmful, or equally as harmful as smoking?

23. Smokeless Tobacco
More harmful, less harmful, or equally as harmful as smoking?
Smokeless tobacco is equally as harmful as smoking. The nicotine and carcinogens in these products simply enter the body in a different way. Instead of entering the lungs, they are absorbed into the blood through the mucous membranes in the mouth or through the digestive tract.

24. Smokeless Tobacco
More harmful, less harmful, or equally as harmful as smoking?
Smokeless tobacco is equally as harmful as smoking. The nicotine and carcinogens in these products simply enter the body in a different way. Instead of entering the lungs, they are absorbed into the blood through the mucous membranes in the mouth or through the digestive tract.
Using smokeless tobacco can expose the body to nearly three times the amount of harmful chemicals it absorbs from a single cigarette.
Smokeless tobacco can cause a condition called leukoplakia.
Smokeless tobacco also causes cancers of the mouth, throat, larynx, esophagus, stomach, and pancreas.
Smokeless tobacco is as addictive as smoked tobacco.

25. Leukoplakia

26. Leukoplakia
Leukoplakia: Thickened, white, leathery-looking spots on the inside of the mouth that can develop into oral cancer.

27. Electronic Cigarettes
More harmful, less harmful, or equally as harmful as smoking a traditional cigarette?

28. Electronic Cigarettes
More harmful, less harmful, or equally as harmful as smoking a traditional cigarette?
Likely just as harmful as traditional cigarettes.
E-Cigs, or “Vaping”, contains no tobacco; however:

29. Electronic Cigarettes
More harmful, less harmful, or equally as harmful as smoking a traditional cigarette?
Likely just as harmful as traditional cigarettes.
E-Cigs, or “Vaping”, contains no tobacco; however:
E-Cigarettes still deliver nicotine to the user.
These devices claim to create a water-based vapor. That vapor emitted contains many of the same harmful chemicals that are found in tobacco smoke.

30. Electronic Cigarettes

31. Short-Term Health Effects

32. Short-Term Health Effects
Brain chemistry changes.
Respiration and heart rate increase.
Breathing during physical activity becomes difficult.
Endurance decreases.
May cause an irregular heart rate.
The sense of taste is dulled.
Appetite decreases.
Bad breath.
Yellowed teeth.
Smelly hair, skin, and clothes.

33. Long-Term Health Effects

34. Long-Term Health Effects
Chronic bronchitis.
Emphysema.
Lung cancer (Nearly 90 percent of lung cancer deaths are caused by smoking!)
Coronary heart disease.
Stroke.
Arteriosclerosis.
Increased risk of heart attack and stroke.
Greater risk of heart disease.
Weakened immune system.

35. Long-Term Health Effects

36. Average price for a pack of cigarettes in Michigan: _____.
Financial Costs
Average price for a pack of cigarettes in Michigan: _____.

37. Financial Costs
Average price for a pack of cigarettes in Michigan: $6.90.
Updated: January 3, 2017.

38. Financial Costs
Average price for a pack of cigarettes in Michigan: $6.90.
If you smoked 1 pack per day, you would spend $2, in one year.

39. Financial Costs
Average price for a pack of cigarettes in Michigan: $6.90.
If you smoked 1 pack per day, you would spend $2, in one year.
Tobacco-related illness costs the United States about $193 billion each year.

40. The Most Effective Way…
So… what is the most effective way to avoid the negative effects of all tobacco use?

41. The Most Effective Way…
So… what is the most effective way to avoid the negative effects of all tobacco use?
Don’t use tobacco in the first place.

42. Choosing to Live Tobacco Free
Why do some teens choose to use tobacco?

43. Choosing to Live Tobacco Free
Why do some teens choose to use tobacco?
Peer pressure
Media influence
False beliefs
Weight control.
Stress management.
Makes them seem mature and independent.
“Everybody is doing it.”

44. Choosing to Live Tobacco Free
Negative outcomes of teen’s choice to use tobacco:

45. Choosing to Live Tobacco Free
Negative outcomes of teen’s choice to use tobacco:
Harms physical appearance.
Reduces the body’s capacity for physical activity.
Can increase stress levels.
Makes them dependent on an addictive drug.

46. Choosing to Live Tobacco Free
Factors that have contributed to reduced teen tobacco use:

47. Choosing to Live Tobacco Free
Factors that have contributed to reduced teen tobacco use:
Tobacco legislation
No-smoking policies
Family values
Positive peer pressure
Understanding of health risks

48. Choosing to Live Tobacco Free
Factors that have contributed to reduced teen tobacco use:
Tobacco legislation
No-smoking policies
Family values
Positive peer pressure
Understanding of health risks
According to the CDC, 82 percent of high school students nationwide do not smoke.

49. Michigan Law

50. Michigan Law
It is illegal for anyone under 18 to purchase and use tobacco products.

51. Michigan Law
It is illegal for anyone under 18 to purchase and use tobacco products.
Possible penalties for violation or attempted violation of the law:
Fine (up to $50)
Participation in health promotion/risk reduction program (you pay for it)
Community service (up to 48 hours; increases with multiple violations)

52. Benefits of Living Tobacco-Free

53. Benefits of Living Tobacco-Free
Improved cardiovascular endurance.
Improved lung function.
Reduced long-term risk for disease.
Freedom from dependence on an addictive substance.
Reduced stress.
Improved confidence in social situations.
Become a healthy role model for others.

54. Strategies for Avoiding Tobacco

55. Strategies for Avoiding Tobacco
Surround yourself with positive influences.
Reduce peer pressure.
Be prepared with refusal skills.

56. Reasons For Quitting

57. Reasons For Quitting Risk of health problems Cost Legal consequences
Can lead to other risky behaviors
Freedom from the control of nicotine
To become a healthy role model for others

58. What to expect? Nicotine withdrawal:
Quitting Tobacco Use
What to expect?
Nicotine withdrawal:

59. Quitting Tobacco Use What to expect?
Nicotine withdrawal: The process that occurs in the body when nicotine, an addictive drug, is no longer used.

60. Nicotine Withdrawal

61. Nicotine Withdrawal Symptoms: Irritability Difficulty concentrating
Anxiety
Sleep disturbances
Cravings for tobacco

62. Nicotine Withdrawal Symptoms: Irritability Difficulty concentrating
Anxiety
Sleep disturbances
Cravings for tobacco
Nicotine withdrawal symptoms, especially the powerful cravings, can make quitting a very difficult endeavor.

63. Nicotine Substitutes

64. Nicotine Substitutes
A product that delivers small amounts of nicotine into the user's system while he or she is trying to give up the tobacco habit.

65. Nicotine Substitutes
A product that delivers small amounts of nicotine into the user's system while he or she is trying to give up the tobacco habit.
Examples:
Gum
Patches
Nasal sprays
Inhalers
Some require a doctor’s prescription; others do not.

66. Nicotine Substitutes
A product that delivers small amounts of nicotine into the user's system while he or she is trying to give up the tobacco habit.
Examples:
Gum
Patches
Nasal sprays
Inhalers
Some require a doctor’s prescription; others do not.
Nicotine substitutes can help relieve the symptoms of nicotine withdrawal and wean a person off of their nicotine addiction.

67. Electronic Cigarettes

68. Electronic Cigarettes
Electronic cigarettes still contain the addictive substance nicotine; therefore, they are not effective at helping people overcome nicotine addiction.

69. Strategies For Quitting

70. Strategies For Quitting
Join a tobacco cessation program.
Prepare for the quit day.
Get support and encouragement.
Access professional health services.
Replace tobacco use with healthy behaviors.

71. Strategies For Quitting
Join a tobacco cessation program.
A course that provides information and help to people who want to stop using tobacco.
Prepare for the quit day.
Get support and encouragement.
Access professional health services.
Replace tobacco use with healthy behaviors.

72. Promoting a Smoke Free Environment

73. Promoting a Smoke Free Environment
Environmental tobacco smoke (ETS):

74. Promoting a Smoke Free Environment
Environmental tobacco smoke (ETS):
Air that has been contaminated by tobacco smoke.

75. Promoting a Smoke Free Environment
Environmental tobacco smoke (ETS):
Air that has been contaminated by tobacco smoke.
Also known as: “Secondhand Smoke”

76. Promoting a Smoke Free Environment
Mainstream smoke vs. Sidestream smoke

77. Promoting a Smoke Free Environment
Mainstream smoke vs. Sidestream smoke
Mainstream Smoke: The smoke exhaled from the lungs of a smoker.
Sidestream Smoke: The smoke from the burning end of a cigarette, pipe, or cigar.

78. Promoting a Smoke Free Environment
ETS Facts:

79. Promoting a Smoke Free Environment
ETS Facts:
More than 7,000 different chemical compounds are found in ETS.
More than 70 of these are proven carcinogens.
About 3,400 lung cancer deaths are caused by ETS yearly.

80. Risks of ETS to Unborn Children

81. Risks of ETS to Unborn Children
Constriction of blood vessels
Reduced oxygen levels in the blood due to carbon monoxide exposure
Increased risk of miscarriage or stillbirth
Increased risk of premature delivery
Increased risk of low birth weight
Increased risk of developmental disorders

82. Risks of ETS to Infants

83. Risks of ETS to Infants Growth and developmental problems.
Infants exposed to ETS after birth are twice as likely to die of SIDS (Sudden Infant Death Syndrome).
Severe asthma attacks.
Ear infections.
Respiratory tract infections.

84. Risks of ETS to Young Children

85. Risks of ETS to Young Children
Higher incidence of sore throats
Higher incidence of ear infections
Higher incidence of upper respiratory problems.
Weaker lungs / Slow lung development.

86. Risks of ETS to Young Children
Higher incidence of sore throats
Higher incidence of ear infections
Higher incidence of upper respiratory problems.
Weaker lungs / Slow lung development.
Smoking around young children sets a poor example, as well. Children of smokers are more than twice as likely to become smokers themselves.

87. How To Reduce The Effects of ETS

88. How To Reduce The Effects of ETS
If a family member smokes, encourage that person to quit.
Establish smoke-free areas in your home.
At home, make a rule that smokers must go outside.
Use an electronic air cleaner in your home, if possible.
Open windows to admit fresh air into your home.
If a visitor smokes, politely ask that person not to smoke inside your home.
Suggest meeting in public places where smoking is banned.
Whenever possible, express your preference for a smoke-free environment.

89. Michigan Law

90. Michigan Law
Beginning May 1, 2010, smoking is prohibited in most public places in Michigan. The law will cover any workplace and any food service establishment. This law covers public places, including, but not limited to, restaurants, bars, shopping malls, bowling alleys, concert halls, arenas, museums, mechanic shops, health facilities, nursing homes, education facilities, and child care centers.
The law was passed to preserve and improve the health, comfort, and environment of the people of the state by limiting exposure to secondhand smoke.

91. Promoting a Smoke Free Environment
U.S. Surgeon General’s Warning:

92. Promoting a Smoke Free Environment
U.S. Surgeon General’s Warning:
According to the U.S. Surgeon General, the only way to fully protect people from the dangers of ETS is to ban smoking in public places.

93. Hookah