1. Health Effects of Substance Abuse Dr. Deepinder Singh M.D.(Hom)

2. Addiction One Disease-Many Problems Health Family Social Economic Legal

3. Prevalence of Drug abuse 66% OF SCHOOL GOING CHILDREN ARE ABUSING GUTKA 7 OUT OF 10 COLLEGE STUDENTS HAVE ABUSED ONE OR OTHER DRUG 3 OUT OF 10 GIRLS HAVE ABUSED ONE OR OTHER DRUGS 20 LAKH PEOPLE ARE REGULAR DRUG USERS IN PUNJAB ONLY HOSTLERS MORE PRONE TO ADDICTION

4. Prevalence of Drug abuse…... PER HEAD CONSUMPTION OF ALCOHOL IS HIGHEST IN PUNJAB PRELIMINARY STUDY BY HEALTH DEPT. PUNJAB SAYS MORE THAN 40% YOUTH IN 15-25 AGE GROUP ARE ADDICTS ABOUT 48% FARMERS & LABOURERS ARE DRUG ADDICTS 70% households are affected by drug abuse in Punjab

5. Alcohol Is a depressant drug that affects the central nervous system. When consumed, it goes to the stomach and small intestine where it directly enters the blood stream without being digested. Alcohol in the bloodstream circulates to the brain in about 30 seconds.

7. Health Consequences of Alcohol Use Increased risk of cardiovascular diseases (Coronary Heart Disease, Stroke, Hypertension) Increased risk of cancer: (liver, stomach, colon, pancreas, breast, mouth, throat) Impaired immune system Malnutrition Reproductive problems

9. DISEASES CAUSED BY ALCOHOL Stomach Gastritis Peptic Ulcer Cancer Liver Fatty degeneration of the liver Alcoholic hepatitis Cirrhosis Pancreas Acute pancreatitis Chronic pancreatitis Blood Folic Acid deficiency anaemia Decreased WBC Production …….

10. Behavioral Consequences of Alcohol Use Contributes to unsafe sex and increased risk of AIDS Contributes to risky behavior and accidental death Contributes to 50% of all motor vehicle fatalities

11. Alcohol Content in Drinks Beer: 4% alcohol X 12 oz =.48 oz alcohol Wine: 12% alcohol X 4 oz =.48 oz alcohol Whiskey: 40% alcohol X 1.25 oz =.50 oz alcohol All three have the same alcohol content despite different volumes

12. Social Consequences of Alcohol Use on Campus 80% of campus vandalism involved alcohol 70% of violent behavior on campus involved alcohol 75% of men involved in acquaintance rape were under the influence of alcohol

13. ALCOHOL-Health effects LIVER OF Alcoholic

14. Heart of Alcoholic

16. Tobacco Causes Cancer

22. Paan Masala & Gutkha  SUBMUCOUS FIBROSIS -MOUTH OPENINIG IS RESTRICTED  CANCER OF MOUTH  CANCER OF TONGUE  CANCER OF JAWS  CANCER OF GUMS  CANCER OF NASOPHARANYX  SWALLOW SALIVA EXTRACT CAUSING CACER OF OTHER PARTS OF BODY

23. Cancer Of Lips

25. GUM ULCER

26. CANCER OF MOUTH

27. Effect on the Family Alcohol and drug use have genetic influences èDomestic violence èChild abuse èImpaired family relationships èDysfunctional family responses èMarital conflict - abuse, separation, divorce

28. THANKS