1. Tobacco and Nicotine What is the most addictive drug in America? What is the addictive drug in tobacco? What effect does it have on the brain?

2. Nicotine What is it? Colorless and Odorless Drug Stimulates the CNS Causes both Physical and Psychological Dependence Where is it found? Cigarettes Cigars Dip Chew Snuff Pipe Tobacco Where is it found? Cigarettes Cigars Dip Chew Snuff Pipe Tobacco

3. General Facts 400,000 die a year in U.S. Almost one a minute 90% of smokers start before age 18 About 25% of U.S. adults smoke. About 21% of VA high school students smoke 50,000 die from second hand smoke Most advertising is directed at teens, also smoking in movies and TV

4. Short Term Effects of Smoking Yellow teeth, finger, and fingernails Bad breath “Hairy tongue” High cost Coughing (6 times more common) Wrinkles (premature aging) Yellow walls and ceilings

5. Life Threatening Problems Heart Disease – #1 cause of early death – 760,000 deaths a year – Smoking enlarges and weakens the heart – Smoking causes arteries to clog up

6. What are some Life Threatening Problems associated with smoking? Cancer Emphysema Stroke Cancer Emphysema Stroke

7. Life Threatening Problems Emphysema – Mostly caused by smoking – Air sacs in lungs are destroyed – Always short of breath – May need oxygen to get around – Never gets better, only gets worse – Transplant in extreme cases – Millions have it. – 15,000 die each year

8. Life Threatening Problems Lung Cancer – 90% caused by smoking – Low survival rate – Uncontrolled growth in lungs that spreads – Not usually found until late stages – Treatment: Removal, Radiation, Chemotherapy

9. Life Threatening Problems Stroke – Clogged artery in brain – Mostly caused by smoking – One of leading causes of death – If you don’t die, you can be paralyzed on one side

10. Life Threatening Problems Beurger’s Disease – Only in smokers – Causes poor circulation in feet, hands – May lead to tissue death and amputation – Gets worse the more you smoke

11. Secondhand Smoke Can cause cancer in nonsmokers. Can cause SIDS(Sudden Infant Death Syndrome) Low birth weight and respiratory infection in children Can cause cancer in nonsmokers. Can cause SIDS(Sudden Infant Death Syndrome) Low birth weight and respiratory infection in children

12. Life Threatening Problems Voice Box Cancer – Voice box removed and other nearby tissue – Breathe through hole in throat – Cannot taste food, blow nose – Must remove mucus through hole in neck – Must talk by burping – Cancer could spread

13. How much does it cost to smoke? One pack costs- $4.54 Packs of cigarettes bought or smoked by kids each year17.8 million Annual health care costs in Virginia directly caused by smoking $2.08 billion Calculate how much it would cost you to smoke one pack a day for the next 5 years. One pack costs- $4.54 Packs of cigarettes bought or smoked by kids each year17.8 million Annual health care costs in Virginia directly caused by smoking $2.08 billion Calculate how much it would cost you to smoke one pack a day for the next 5 years.

15. What else could you do with that money?

16. Tobacco Ads

17. Tobacco companies spend over $12 billion dollars a year on advertising. That’s about $34 million a day. Why do they spend so much money?

18. Stay Smoke Free