2. Damage Inside and Out Module 3

3. Tobacco 101: Module 33 Damage Inside and Out Smoking and secondhand smoke harms the inside of the body. What does tobacco do to the inside of the body?

4. Tobacco 101: Module 34 4 Damage Inside and Out Smoking while pregnant can cause harm to the unborn as well as cause infant deaths. Smoking during pregnancy

5. Tobacco 101: Module 35 Damage Inside and Out Smoking can cause erectile dysfunction. Smoking and male erectile dysfunction

6. Tobacco 101: Module 36 Damage Inside and Out Women smokers have more facial wrinkling than nonsmokers do. Physical effects of smoking

7. Tobacco 101: Module 37 7 Damage Inside and Out Sudden blood clots, heart attacks, and strokes can be triggered by tobacco smoke. Even smoking a cigarette now and then is enough to hurt you. How long does it take to hurt my body? The poisons in smoke pose a danger right away.

8. Tobacco 101: Module 38 Damage Inside and Out Chronic Obstructive Pulmonary Disease (COPD) includes two main illnesses: emphysema; and chronic bronchitis. Cigarette smoking is the main cause of COPD. What is lower respiratory disease? Chronic lower respiratory diseases are diseases that affect the lungs.

9. Tobacco 101: Module 39 Damage Inside and Out Chemicals in tobacco smoke can start cells throughout your body on a path toward cancer. For example, here is how smoking causes dangerous bladder cancer.

10. Tobacco 101: Module 310 What if I had never picked up that first cigarette?

12. Tobacco 101: Module 312 What if he’d never picked up that first cigarette?

14. Tobacco 101: Module 314 Damage Inside and Out Slide 4: Centers for Disease Control and Prevention. 2005. “Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 1997–2001.” Morbidity and Mortality Weekly Report 54(25):625–628. Slide 5: Tengs, T. O., and N. D. Osgood. 2001. “The Link between Smoking and Impotence: Two Decades of Evidence.” Preventive Medicine 32(6):447–452. Slide 6: Centers for Disease Control and Prevention. 2002. “Women and Smoking: A Report of the Surgeon General.” Morbidity and Mortality Weekly Report 51(RR12):1–30. Slide 7: –U.S. Department of Health and Human Services. 2010. A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/pdfs/consumer.pdf http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/pdfs/consumer.pdf –North Carolina Department of Health and Human Services. 2011. “The North Carolina Smoke Free Restaurants and Bars Law and Emergency Department Admissions for Acute Myocardial Infarction.” http://www.tobaccopreventionandcontrol.ncdhhs.gov/smokefreenc/docs/TPCB-2011SFNCReport-SHD.pdf Slide 8: Womenshealth.gov. 2011. “Men’s Health: Chronic Lower Respiratory Diseases.” http://www.womenshealth.gov/mens/health/clrd.cfm http://www.womenshealth.gov/mens/health/clrd.cfm Slide 9: U.S. Department of Health and Human Services. 2010. A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/pdfs/consumer.pdf http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/pdfs/consumer.pdf Slides 10 and 12: North Carolina Health and Wellness Trust Fund. Tobacco Reality Unfiltered website. http://www.realityunfiltered.com/ References

15. Tobacco 101: Module 315 Damage Inside and Out Slides 1 and 2: Photographs courtesy of iStockphoto. Slide 3: Photograph courtesy of Jan Sandvik /Photos.com. Slide 4: Photograph courtesy of Images by Sterling (Sterling M. Fulton-Smith). Slide 5: Photograph courtesy of Jupiterimages/Photos.com. Slide 6: Photograph courtesy of Nicolas Holzapfel /Photos.com. Slide 7: Photograph courtesy of Comstock/Photos.com. Slide 8: Photograph courtesy of Fotosearch, LLC. Illustration courtesy of RTI International. Slide 9: Photograph courtesy of U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Slides 10-13: Photographs courtesy of North Carolina Health and Wellness Trust Fund. Photographs are used for illustrative purposes only, and any persons depicted are models. Photograph Credits

16. Prepared by Sterling Fulton-Smith, North Carolina Department of Health and Human Services; Sandhya Joshi, RTI International; Caley Burrus, Duke University; Ronny Bell, Maya Angelou Center for Health Equity; and Barri Burrus, RTI International. March 2012