1. * Imagine that everyone in this room is a smoker. * Half go to one side * Half go to the other * What do you think this represents?

2. * Half of all smokers will die early * Cigarettes are the only legally available product which if used as the manufacturer intended, will KILL HALF of all its users. * 1 in 4 smokers will die in middle age

3. * What percentage of lung cancer do you think is caused by smoking? All other cases of lung cancers Lung cancer caused by smoking

4. * Around 90% of cases of lung cancer are caused by smoking or passive smoking

5. * Survival rates – what percentage of lung cancer patients are still alive 5 years after diagnosis? Still alive after 5 years Dead within 5 years

6. * 22 go to one side, 3 go to the other * Less than 10% of lung cancer patients are still alive 5 years after diagnosis * Just over 70% of people with lung cancer die within a year of being diagnosed

7. * Try and represent how many adults you think smoke in Guernsey * One or two people direct the class to represent the statistic Adult smokers Adult non- smokers

8. * Only 16% of adults in Guernsey are smokers * Which means that more than 80% of Guernsey adults are smokefree!

9. L.I. To understand more about addiction and passive smoking

10. Nicotine is a clear, naturally occurring liquid which is found in several different types of plant. Tobacco has the highest concentration. What is the most dangerous thing about nicotine? Nicotine

11. The most dangerous thing about nicotine is how addictive it is In its pure form, nicotine doesn’t have many adverse effects on the body. The really dangerous thing is all the other chemicals you breathe in because of a smoker’s addiction! Can you name some of these chemicals? Nicotine

13. Nicotine is generally recognised to be one of the most addictive of all drugs. Users can quickly become dependent on its effects. It can take just a couple of cigarettes for the brain to become addicted. If someone suddenly stops taking nicotine, they usually experience prolonged withdrawal symptoms such as anxiety and mood swings. As a result the habit is hard to break. Nicotine

14. The nicotine reaches the brain within 7 seconds It is one of the fastest acting of any drug! Once it reaches the brain, the brain releases endorphins and dopamine

15. This all happens in 7 seconds! Your brain stops being able to naturally produce dopamine and endorphins, become dependent on nicotine to do this for it. Increased activity occurs here

16. NRT – Nicotine Replacement Therapy. Helps to gradually wean a smoker off nicotine

17. * Being ADDICTED means that smokers end up harming themselves. * It also means that many smokers put others at dangers by smoking around them * This is called PASSIVE SMOKING – also known as Second Hand Smoke or Environmental Tobacco Smoke http://www.youtube.com/watch?v=Tk35E5 TtVFs

18. * A smoker only inhales 15% of the smoke from a cigarette. 85% of the smoke from the cigarette ends up in the air * Passive smoking has an impact on everyone who is exposed to tobacco smoke – young & old, people & animals, smokers & non- smokers

19. * Pick out one card at a time * Decide whether you think this is a short term or a long term risk of passive smoking * Place where on the body it would affect * Short term = something that happens at the time, or shortly afterwards * Long term = something that can happen years after being exposed to passive smoke

20. * Which parts of the body seem most likely to be affected by passive smoking? * Were there any diseases you were particularly surprised by? * Why does being in a smoky environment lead to non-smokers getting diseases that you normally associate with smokers?

21. * Discuss each question in your group * When I raise my hand you must be silent within 3 seconds * We will then discuss each answer

22. * Why are babies, children and/or pets particularly at risk of passive smoking?

23. * Why are smokers still in danger from passive smoking?

24. * What level of exposure to passive smoke is safe?

25. * Will opening a window whilst smoking reduce the effects of passive smoking? Why?

26. * A person inside a smoky car is exposed to how many times more toxins than someone sat in a smoky bar? * 3 times * 7 times * 11 times

27. * Someone sat in a car with a smoker with breathe in 11 times more toxins than someone sat in a smoky bar * Why do you think it’s so much more smoky inside a car?

28. * What can smokers do to protect others from the effects of passive smoking?

29. * “It is said that the individual must be free to choose (whether he wishes to smoke). But he is not free; with a drug of addiction the option is open only at the beginning” * McKeown (1979) * Do you have any other questions?

31. E-cigarettes Keep HIGH levels of nicotine in the body so keep smokers addicted to nicotine. Were designed to allow smokers to ‘smoke’ inside, NOT to help them quit E-cigarettes DO NOT help smokers to quit smoking! Alternative to regular smoking, but not a way to stop nicotine addiction