1. Tobacco

2. Tobacco Products
Dissolvable Tobacco: This type of tobacco is finely processed to dissolve on the tongue or in the mouth. Varieties include strips, sticks, orbs and compressed tobacco
lozenges. They are smoke and spit free, are held together by food-grade
binders and look similar to a breath mint or candy.

3. Tobacco Products Bidis:
Bidis (pronounced "bee-dees") are small, thin hand-rolled cigarettes
imported to the United States primarily from India and other
Southeast Asian countries. They consist of tobacco wrapped in a
leaf and may be secured with a colorful string at one or both ends. Bidis can be flavored (e.g., chocolate, cherry, mango) or unflavored.
Bidi smoking is associated with an increased risk for oral, lung, stomach, and esophageal cancer and an increased risk for coronary heart disease and heart attacks, and risk for chronic bronchitis.
Bidis are carcinogenic. They have higher concentrations of nicotine, tar, and carbonmonoxide than conventional cigarettes sold in the United States, so are even more addictive
than cigarettes.

4. Tobacco Products Cigarettes:
A cigarette is a combination of cured and finely cut tobacco, reconstituted tobacco and other additives rolled or stuffed into a paper wrapped cylinder. Many cigarettes have a filter on one end.
More than 4,000 different chemicals have been found in tobacco and tobacco smoke. Among these are more than 60 chemicals that are known to cause cancer.
Studies have proven that smoking cigarettes causes cancers of the bladder, oral cavity, pharynx, larynx (voice box), esophagus, cervix, kidney, lung, pancreas, and

5. Tobacco Products Cigars, Cigarillos and Little Cigars:
Most cigars are made up of a single type of air-cured or dried
tobacco.
Regular cigars are larger than cigarettes and do not have a filter.
Little cigars or cigarillos are very similar in size and shape of
cigarettes, have filters and are filled with pipe tobacco. Little cigars
are often flavored (e.g., chocolate, cherry, apple, mango).
Cigars contain higher level of nicotine than cigarettes. For those
cigar smokers who inhale, the nicotine is absorbed through the
lungs as quickly as it is with cigarettes.
Studies have shown that cigar smoking is linked to cancers of the mouth, lips, tongue, throat, larynx, lung, pancreas and bladder cancer. Cigar smoking, like cigarette smoking, is also linked to gum disease, where the gums shrink away from the teeth. It also raises your risk that teeth will actually fall out.

6. Tobacco Products
Pipe
Pipes are often reusable and consist of a chamber or bowl, stem and mouthpiece. Tobacco is placed into the bowl and lit.
Pipe smoking has been shown to cause gum disease and tooth loss, cancer of the mouth, lip, tongue, throat, larynx, lung, pancreas, kidney, bladder, colon, and cervix as well as leukemia and diseases such as chronic obstructive lung disease, stroke, and coronary heart disease.
Pipe smoking can also cause "hairy tongue," furry-looking bumps on the tongue that can become stained by tobacco.

7. Tobacco Products Hookah
Hookah is a pipe used to smoke Shisha, a combination of tobacco and fruit
or vegetable that is heated and the smoke is filtrated through water.
According to a World Health Organization advisory, a typical one-hour
session of hookah smoking exposes the user to 100 to 200 times the
volume of smoke inhaled from a single cigarette.
Even after passing through water, tobacco smoke still contains high levels of toxic compounds,
including carbon monoxide, heavy metals and cancer-causing chemicals (carcinogens).
Hookah smoking also delivers significant levels of nicotine — the addictive substance in
tobacco.
Hookah smoking has been associated with lung, mouth and other cancers, heart disease
and respiratory infections.

8. Tobacco Products Smokeless Tobacco
The two main types of smokeless tobacco in the United States are
chewing tobacco and snuff. Chewing tobacco comes in the form of
loose leaf, plug, or twist. Snuff is finely ground tobacco that can be
dry, moist, or in sachets (tea bag-like pouches).
Most smokeless tobacco users place the product in their
cheek or between their gum and cheek. Users then suck on the
tobacco and spit out the tobacco juices, which is why smokeless
tobacco is often referred to as spit or spitting tobacco.
The nicotine in this tobacco is absorbed primarily through the skin in the mouth.
Smokeless tobacco contains 28 cancer-causing agents (carcinogens). It increases the risk of developing cancer of the oral cavity, is strongly associated with leukoplakia (a lesion of the soft tissue in the mouth that consists of a white patch or plaque that cannot be scraped off) and recession of the gums.

9. Tobacco Products Contain
Carcinogens: cancer-causing substances.
Tobacco contains-
Tar: a thick, sticky, dark fluid produced when tobacco burns.
Carbon Monoxide: another compound found in cigarette smoke, is a colorless, odorless, and poisonous gas.
Nicotine: the addictive drug found in tobacco leaves. Nicotine is a Stimulant.

10. What’s in a cigarette?
Cigarette smoke contains over 4,000 chemicals, including 60 known cancer-causing (carcinogenic) compounds and 400 other toxins.
Acetone – found in nail polish remover
Acetic Acid – an ingredient in hair dye
Ammonia – a common household cleaner
Arsenic – used in rat poison
Benzene – found in rubber cement
Butane – used in lighter fluid
Cadmium – active component in battery acid
Carbon Monoxide – released in car exhaust fumes
Formaldehyde – embalming fluid
Hexamine – found in barbecue lighter fluid
Lead – used in batteries
Napthalene – an ingredient in moth balls
Methanol – a main component in rocket fuel
Nicotine – used as insecticide
Tar – material for paving roads
Toluene - used to manufacture paint

11. Facts:
Each day, more than 3,200 people under 18 smoke their first cigarette, and approximately 2,100 youth and young adults become daily smokers.
 9 out of 10 smokers start before the age of 18,  and 98% start smoking by age 26.
1 in 5 adults and teenagers smoke.
In 2011, an estimated 19% of U.S. adults were cigarette smokers.
Approximately 18% of high school students smoke cigarettes.
In 2011, nearly 18% of high school boys were current cigar users.
 From 1964 to 2014, the proportion of adult smokers declined from 42.0% to 18.0%.
Source:

12. Short-Term Effects of Tobacco Use
Changes in brain chemistry
Increased respiration and heart rate.
Dulled taste buds and reduced appetite.
Bad breath and smelly hair, clothes, and skin.
Body craves more nicotine

13. Long-Term Effects of Tobacco Use
Chronic Bronchitis: buildup of tar in the lungs, causing chronic coughing and excessive mucus secretion.
Emphysema: a disease that destroys the tiny air sacs in the lungs making it hard to breathe.
Lung Cancer
Coronary Heart Disease and Stroke: Clogged arteries.
Other Cancers

14. Healthy Lung Vs. Smoker’s Lung

15. Cancer

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

17. Other Consequences
Legal Consequences: pay a fine for providing tobacco to minors.
Social Consequences: being excluded by nonsmokers.
Financial Consequences: using tobacco can become extremely expensive.

18. New CA tobacco laws
The 21-to-buy restriction and rules limiting where people can vape apply to everyone in the state of California except military personnel with an identification card. The bill stalled for six months while veterans’ organizations and Republican lawmakers fought to include the exemption. The new laws take effect on June 9, 2016.

19. How to avoid tobacco use…..
Choose friends who are tobacco free!
Avoid situations where tobacco products may be used.
Practice and use refusal skills (simple as “No thanks.”)

20. Consequences of Smoking While Pregnant
Premature delivery
Stillbirth
Low birth weight
Deformities

21. Withdrawls
Nicotine Withdrawal: the process that occurs in the body when nicotine, an addictive drug, is no longer used.
Nicotine Substitute: a product that delivers small amounts of nicotine into the body.

22. How to Quit……………. Prepare a date to quit. Get a support group.
Know health-related services in the community.
Use healthier alternatives (gum)
Change daily routines that may cause tobacco use.
Engage in physical activities.

23. Environmental Tobacco Smoke (ETS) or secondhand smoke: air that has been contaminated by tobacco smoke.
Secondhand smoke is also known as environmental tobacco smoke (ETS) or passive smoke. It is a mixture of 2 forms of smoke that come from burning tobacco: sidestream smoke (smoke that comes from the end of a lighted cigarette, pipe, or cigar) and mainstream smoke (smoke that is exhaled by a smoker). Even though we think of these as the same, they aren't. The sidestream smoke has higher concentrations of cancer-causing agents (carcinogens) than the mainstream smoke. And, it contains smaller particles than mainstream smoke, which make their way into the body's cells more easily.

24. How ETS effects others Respiratory infections Cancer Heart Disease
Asthma, Allergies