1. Ms. Bushong

2. Stains Teeth, gum disease, tooth loss Fingers turn yellow Ages and wrinkles skin Lung cancer, emphysema, hard to breathe High blood pressure, heart attack, stroke Reduces oxygen in blood making physical activity difficult

3. While first-hand smoke is that inhaled directly by the smoker and second-hand is the smoke exhaled (and inhaled by others), third- hand smoke is the residue from second-hand smoke.

4. Forms of Tobacco Smoke Cigarettes Cigars Pipes Smokeless Chew Snuff Snus

5. 1. Cigarettes Wrapped in paper 600 added addictive ingredients 4000 chemicals in tobacco smoke 30+ cancer causing agents (called carcinogens) Nicotine – addictive ingredient in cigarettes 2. Cigars Wrapped in tobacco leaf Large cigars may contain more than a half an ounce of tobacco. This is as much tobacco as a whole pack of cigarettes. It can take from 1 to 2 hours to smoke a large cigar. 3. Pipes is the practice of tasting or inhaling the smoke produced by burning a substance, most commonly tobacco, in a pipe. It is the oldest traditional form of smoking.

6. 3 Main Forms 1. Chew – tobacco that is placed on the inside of the cheek and is absorbed into the bloodstream through the mouth 2. Snuff 1. European: ground tobacco (powder) that is inhaled through the nose 2. American: similar to chewing /dipping tobacco 3. Snus – often confused with Snuff. This is usually placed under the upper lip and doesn’t require spitting. Snus can be found in loose or pouch forms. *ALL forms of smokeless tobacco can cause cancer. These are NOT better choices than cigarettes. They can ALL lead to health issues.

7. SMOKELESS TOBACCO CAUSES: Halitosis Bad Breath Leukoplakia white wrinkled skin patches in the mouth Cancer associated with smokeless tobacco oral (mouth) and pharynx Nicotine is the same addictive ingredient in smokeless tobacco as in smoke tobacco (cigarettes)

8. Smokeless tobacco can cause bad breath and tooth decay as well as sores in the mouth that can become cancerous Secondhand smoke has been linked to lung cancer and heart disease; in children, it can cause asthma, pneumonia, bronchitis, and respiratory infections

9. Stage 1 First Use: Trying a cigarette for the first time Stage 2 Occasional Use: Smokes at certain times with certain people Stage 3 Regular Use: Smokes every weekend or at the same time every day Stage 4 Addiction: feels the need to smoke and may need help to quit

10. Give reasons for saying “no” Use nonverbal behavior Avoid people who are bad influences