1. Tobacco
Tobacco

2. Tobacco Stats
70 million Americans use tobacco including 4 million adolescents
Each day 2000 teenagers become smokers and at least one-third of them will die prematurely due to tobacco

3. Interesting Facts on Smoking
About 1 out of every 5 deaths in the US can be attributed to tobacco products.
Every eight seconds, someone in the world dies due to tobacco.
1 out of 3 smokers are estimated to eventually die from a tobacco-related disease.

4. Interesting Facts on Smoking
Over 50,000 people a year die from secondhand smoke in the US alone.
Cigarettes are still the number one cause of fire-related deaths.
In the US, smoking causes about 445 new cases of lung cancer every day.

5. Interesting Facts on Smoking
Cigarettes are the #1 CAUSE OF PREVENTABLE DEATH IN THE U.S.,
They kill more people each year than
Aids, Alcohol, Drug Abuse, Car
Accidents, Homicides, Suicides, and
Fires Combined!
Cigarettes are the ONLY product legally sold that kills one in every
three of its customers!

6. Interesting Facts on Smoking
Every cigarette you smoke reduces your life expectancy by seven minutes or two hours and twenty minutes for each pack you smoke!
Smokers DIE AN AVERAGE OF 14 YEARS EARLIER than non-smokers!

7. Interesting Facts on Smoking
Men who smoke
increase the risk of developing impotency by 50%
while compounding other risk factors for erectile dysfunction

8. Interesting Facts on Smoking
Currently, about 22 million women aged 18 years and older and at least 1.5 million adolescent girls in the United States smoke cigarettes.

9. Interesting Facts on Smoking
Teenage women are the fastest growing group of new smokers in the U.S.
Smoking is much more deadly for women than men.
Women’s hormones increase the deadly affects.
Women are twice as likely to die from a smoking related disease.

10. Smoking Women have a tougher time quitting than men.
Researchers are trying to find out why.
Less than 2% of the millions of women who try quitting each year are successful.
• Women who smoke while taking oral contraceptives
dramatically increase the risk of complications and health risks including heart attack, blood clots and stroke.
• Smoking has a damaging effect on women's reproductive health and is associated with reduced fertility.

11. Smoking
Women who smoke during pregnancy subject themselves and their developing fetus and newborn to special risks,
including pregnancy complications, premature birth, low-birth weight infants, stillbirth, and infant mortality
One third of all Breast Cancer deaths are caused by smoking because cancer-causing chemicals accumulate in fatty tissue.
Smoking women have TRIPLE the rate of heart disease.
Smoking women age, wrinkle much faster and look older than nonsmokers

12. Smoking
Second hand smoke is the #1 CAUSE OF SIDS (Sudden Infant Death Syndrome)
• Smoking prevents as much as 25% of oxygen from reaching the placenta.
• Smoking is a leading cause of birth defects including mental retardation.
• Smoking accounts for 10% of all infant deaths.
• Over 30,000 CHILDREN develop ASTHMA each year due to second hand smoke

13. Bryan Curtis started smoking at 13, never thinking that 20 years later it would kill him and leave a wife and children alone.

14. Bryan wanted you to know…..
On the day of his death, his wife, Bobbie, and son, Bryan, keep a bedside vigil.

15. Celebrities Who Paid The Ultimate Price For Smoking
DYING FOR A CIGARETTE
Celebrities Who Paid The Ultimate Price For Smoking
Desi Arnaz Lung Cancer
Lucille Ball Lung Cancer & Emphysema
Peter Jennings Lung Cancer
Earl Woods (Father of Tiger Woods)
Lung Cancer

16. Dana Reeve Wife of Christopher Reeve Lung Cancer caused by Secondhand smoke. With family friend Robin Williams
Frank Sinatra Heart Attack & Lung Cancer He was buried With a pack of Camel cigarettes & a bottle of Jack Daniels in his casket
Duke Ellington
Lung Cancer

17. Why People Use Tobacco Nicotine Addiction Loss of Control
Modulator of everyday emotions
Loss of Control
3 of 4 smokers find they cannot quit
Makes it more difficult for smokeless users
See Box: “Nicotine Dependence: Are You Hooked?”
See Box: Assess Yourself
See Box: “Tobacco Use and Religion: Global Views”

18. Why People Use Tobacco Build up of Tolerance
Same effects build up over time, needing more cigarette to maintain the same original effects, which create dependence
Social and Psychological Factors
Habits are formed via ‘secondary reinforcers’
triggers which keep the user dependent upon tobacco

19. The Source of Physiologically Active Compounds
Particulate phase (small
particle compounds)
Nicotine, Water
Tar (phenol, cresol, benzo
pyrene, DDT)
Contains 43 chemicals linked
to cancer
Gaseous phase (gas compounds)
carbon monoxide (CO)
carbon dioxide, ammonia, hydrogen cyanide, isopyrene, acetone, arsenic
Many of these chemicals are considered carcinogens

21. What’s what?
Clove cigarettes – 40% ground cloves (the spice) & 60% tobacco; contain higher levels of tar, nicotine and carbon monoxide
Cigars – 23 poisons & 43 carcinogens; double the risk of heart attack & stroke
Bidis – handrolled flavored “joints”; 3xs more carbon monoxide & nicotine and 5xs more tar than cigarettes

22. Relationship Between Cigarette Smoking and the Following Conditions
Cardiovascular Disease and Carbon Monoxide
Impairment of oxygen transport
Cardiovascular Disease and Nicotine
Myocardial infarction risk
Sudden cardiac death risk
Development of Angina Pectoralis
Increase of Platelet Adhesiveness

23. Cancers
Lung
Mouth
Throat
Pancreatic
Kidney & Bladder
Photo of squamous cell carcinoma
* Evidence suggests that after one year without smoking, the risk of lung cancer decreases substantially

24. What are COLD’s? Chronic Bronchitis Pulmonary Emphysema
inflammation/infection of air passageways
Pulmonary Emphysema
destruction of the alveoli
Cilia destruction
hair-like projections which assist mucus movement
See Figure 11-3 on other Respiratory Damage caused by smoking
Chronic Obstructive Lung Disorders

25. Selected Health Concerns from Cigarette Smoking
Male Infertility
Depression
Neurological disorders
Endocrine system problems
GI tract diseases
Immune system
Oral Health
Complications in OB/GYN
Lung disease
Cancer risk
Heart disease
Peripheral Vascular disease
Skin changes
Orthopedic problems
Rheumatologic problems
See Box: “Gender and Tobacco Use”

26. 85% of the smoke in a room comes from side-stream smoke
Second-hand Smoke
Mainstream
smoke exhaled by smoker
Side-stream
smoke from the burning product
Environmental smoke
diluted smoke in the air
85% of the smoke in a room comes from side-stream smoke

27. Environmental (ETS) Effects
Up to 70% of nonsmokers subjected to Environmental Smoke develop some form of irritation or health ailment
Environmental smoke causes 3,000 lung cancer deaths annually
60,000 deaths from heart disease are associated with ETS
Infants are 23 times more likely to die from SIDS when exposed to ETS
Children and infants becomes vulnerable to respiratory disorders and reduced lung function

28. Smoking and Pregnancy Infertility Problem pregnancies Low birth weight
Premature labor/delivery
Miscarriage risk doubles

29. Benefits of Quitting Taste returns back to normal
The concept of “smell” improves
Breathing becomes easier
Decrease risk of heart and lung disease
More energy and alertness
Financial savings
See Table 11-2 on immediate health benefits of quitting

30. The Cost of Smoking Avg. cost of a pack of cigarettes = $4.32
Pack-a-day smoker =
$30.24 per week
$1,600 per year
A 40 yr. old who quits smoking & puts the savings into a 401(k) earning 9% a year would have an extra $250,000 by age 70!!!
Smokers pay higher insurance

31. The Cost of Smoking Lose money on resale of automobiles and homes
Spend extra on dry cleaning and teeth cleaning
Lose jobs or face discrimination
Cost the economy $94 billion in lost productivity
$89 billion spent on public and private health care combined

32. Options for Quitting
Strategies involving the benefits of behavioral and pharmacological interventions:
“Cold Turkey” method
Medication – new treatment “Chantix”
Non-tobacco sources of nicotine products (e.g. suckers, gums, straws, sprays, drops)
Smoking cessation programs
Support groups
Regular exercise program
See Box: Critical Consumer
See Box: “Smoking Cessation Products”

33. The Truth About Smokeless Tobacco
This is a picture of an 18 year old boy before and after he had most of the inside of his face and neck removed in an attempt to rid him of cancerous growths. He had been using snuff for only 6 years.The operations weren't successful; the cancer killed him.
See Figure 11-4 on the use of Clove Cigarettes and Bidis

34. The “skinny” on spitting
An average dip or chew for 30 min. = as much nicotine as 4 cigarettes
Smokeless tobacco contains 10xs the amount of carcinogens found in cigarettes
Users of smokeless tobacco are 50xs more likely to develop oral cancers than nonusers

35. The price of dipping…
Need we say more????

36. Website Resources for Tobacco