1. Tobacco Use

2. Cigarette Smoke Cigarettes Cigarettes Contain 43 known carcinogens Contain 43 known carcinogens Cyanide, formaldehyde, and arsenic Cyanide, formaldehyde, and arsenic Also contain poisonous chemicals used in insecticides Also contain poisonous chemicals used in insecticides Paint, toilet cleaners, antifreeze, and explosives Paint, toilet cleaners, antifreeze, and explosives

3. A Toxic Mixture Secondhand smoke is considered a Group A carcinogen –most dangerous class Secondhand smoke is considered a Group A carcinogen –most dangerous class Tar – a thick, sticky, dark fluid produced when tobacco burns Tar – a thick, sticky, dark fluid produced when tobacco burns Destroys cilia- tiny hair like structures that protect against infection Destroys cilia- tiny hair like structures that protect against infection Damages air sacs – absorb O2 and rid the body of C02 Damages air sacs – absorb O2 and rid the body of C02 Destroys lung tissue – making lungs less able to function Destroys lung tissue – making lungs less able to function Damages lungs = bronchitis, pneumonia, emphysema, and cancer Damages lungs = bronchitis, pneumonia, emphysema, and cancer

4. A Toxic Mixture Cont… Carbon Monoxide – colorless, odorless, and poisonous gas Carbon Monoxide – colorless, odorless, and poisonous gas Found in cigarette smoke Found in cigarette smoke Replaces oxygen in blood which remove the tissues and cells of oxygen Replaces oxygen in blood which remove the tissues and cells of oxygen Increases risk or high blood pressure, heart disease, and hardening of the arteries Increases risk or high blood pressure, heart disease, and hardening of the arteries

5. Pipes and Cigars Present major health risks Present major health risks Cigars contain significantly more nicotine and produce more tar and carbon monoxide than cigarettes do Cigars contain significantly more nicotine and produce more tar and carbon monoxide than cigarettes do 1 cigar contains as much nicotine as a pack of cigarettes 1 cigar contains as much nicotine as a pack of cigarettes Increased risk of developing cancers of the lip, mouth, and throat Increased risk of developing cancers of the lip, mouth, and throat

6. Smokeless Tobacco The two main types of smokeless tobacco in the United States are chewing tobacco and snuff. The two main types of smokeless tobacco in the United States are chewing tobacco and snuff. Smokeless tobacco is not a safe alternative to smoking cigarettes. Smokeless tobacco is not a safe alternative to smoking cigarettes. Smokeless tobacco use can cause cancer, oral health problems, and nicotine addiction. Smokeless tobacco use can cause cancer, oral health problems, and nicotine addiction. Chewing tobacco comes in the form of loose leaf, plug, or twist Chewing tobacco comes in the form of loose leaf, plug, or twist Snuff is finely ground tobacco that can be dry, moist, or packaged in sachets Snuff is finely ground tobacco that can be dry, moist, or packaged in sachets

7. Smokeless Tobacco Continued…. Cancer Cancer Smokeless tobacco contains 28 cancer-causing agents (carcinogens). Smokeless tobacco contains 28 cancer-causing agents (carcinogens). Smokeless tobacco is a known cause of human cancer; it increases the risk of developing cancer of the oral cavity. Smokeless tobacco is a known cause of human cancer; it increases the risk of developing cancer of the oral cavity. Oral Health Oral Health Smokeless tobacco is also strongly associated with leukoplakia—a precancerous lesion of the soft tissue in the mouth that consists of a white patch or plaque that cannot be scraped off. Smokeless tobacco is also strongly associated with leukoplakia—a precancerous lesion of the soft tissue in the mouth that consists of a white patch or plaque that cannot be scraped off. Smokeless tobacco is associated with recession of the gums, gum disease, and tooth decay. Smokeless tobacco is associated with recession of the gums, gum disease, and tooth decay. Nicotine Addiction Nicotine Addiction Smokeless tobacco use can lead to nicotine addiction and dependence. Smokeless tobacco use can lead to nicotine addiction and dependence. Adolescents who use smokeless tobacco are more likely to become cigarette smokers. Adolescents who use smokeless tobacco are more likely to become cigarette smokers.

8. Teen Tobacco Use Rates of smoking among teenagers are still higher than those of adults Rates of smoking among teenagers are still higher than those of adults Heavily influenced by: Heavily influenced by: TV, movies, advertising, and by what their friends do and say TV, movies, advertising, and by what their friends do and say Don’t think much about the future Don’t think much about the future

9. Teens and Tobacco Nearly all first use of tobacco occurs before high school graduation Nearly all first use of tobacco occurs before high school graduation 54% of high school students had tried cigarette smoking at some point 54% of high school students had tried cigarette smoking at some point People who do not start using tobacco when they are teens never start using it People who do not start using tobacco when they are teens never start using it Almost 90% of adult smokers became addicted to tobacco at or before the age of 18 Almost 90% of adult smokers became addicted to tobacco at or before the age of 18

10. Teens and Tobacco Continued…… Common health problems teenagers experience Common health problems teenagers experience including coughing including coughing shortness of breath shortness of breath production of phlegm production of phlegm respiratory illnesses respiratory illnesses reduced physical fitness reduced physical fitness poorer lung growth and function poorer lung growth and function

11. Teens and Tobacco Continued…… Only 3 out of 100 high school smokers think they will be smoking in 5 years Only 3 out of 100 high school smokers think they will be smoking in 5 years Studies show - 60 out of 100 will still be smoking 7 to 9 years later Studies show - 60 out of 100 will still be smoking 7 to 9 years later Each Day Each Day More than 4,000 teens try their first cigarette More than 4,000 teens try their first cigarette 2,000 become regular, daily smokers 2,000 become regular, daily smokers 1000 will eventually die from a smoking-related disease 1000 will eventually die from a smoking-related disease

12. Teens and Tobacco Continued…… Tobacco users are more likely to use alcohol and illegal drugs than are nonusers Tobacco users are more likely to use alcohol and illegal drugs than are nonusers Tobacco Users are also: Tobacco Users are also: more likely to get into fights & Carry Weapons more likely to get into fights & Carry Weapons suffer from mental health problems such as depression and attempt suicide suffer from mental health problems such as depression and attempt suicide