1. 11.1 Tobacco

2. What is Nicotine?
The highly addictive drug found in all tobacco products that causes users to keep coming back
What is a Carcinogen?
Any chemical or agent that causes cancer.
What is Tar?
A sticky, black substance in tobacco smoke that coats the airways & that contains many carcinogens.
What Does Carbon Monoxide Gas Do?
It blocks oxygen from getting into the bloodstream.

3. What Are 6 Types Of Tobacco Products?
Cigarettes
Chewing Tobacco
Snuff (dip)
Pipe Tobacco
Cigars
Herbal or Flavored Cigarettes (includes Marijuana)

4. What Are 6 Dangerous Chemicals Found In Tobacco Smoke?
Cyanide
- A poisonous gas used to develop photos
Formaldehyde
- A substance used to preserve corpses
Lead
- A metal that leads to brain damage & birth defects
Vinyl Chloride
- A flammable gas used to make plastic products
Carbon Monoxide
- A gas that blocks oxygen from getting into the blood stream – leads to brain damage & birth defects
Ammonia
- A chemical found in bathroom cleaners

5. What Are 4 Carcinogens Found In Smokeless & Other Forms Of Tobacco?
In addition to tar & nicotine, smokeless forms of tobacco contain:
Arsenic – a poison often used to kill rats
Nickel – a metal
Benzopyrene – a component in pitch or coal
Polonium – gives off radiation

6. Why Are Herbal Or Flavored Cigarettes Not A Healthy Choice?
They contain tobacco & a flavor that makes them taste better to teens.
Herbal & Flavored Cigarettes Include:
Cloves
Bidis
Kreteks

7. Summary
What would you tell a friend who thinks smoking herbal cigarettes is safe?
What are four chemicals found in tobacco products that also have other uses in society (i.e. cleaners, poison, etc.)? Name their uses.
Would you expect any of these chemicals to be healthy for you based on their other uses? Why or why not?

8. 11.2 The Dangers Of Using Tobacco

9. What is Emphysema?
A respiratory disease in which air cannot move in & out of the lungs easily
What is Sidestream Smoke?
Smoke from the tip of a cigarette, cigar, or pipe
What is Mainstream Smoke?
Smoke inhaled & then exhaled by a smoker
What is Environmental Tobacco Smoke?
Second-hand smoke – a combination of exhaled mainstream & sidestream smoke

10. What Are The Short-Term Effects Of Tobacco?
Stimulates the brain reward system
Increases heart rate
Increases breathing rate
Increases blood-sugar level &
Stimulates the vomit reflex

11. What Are The Long Term Effects Of Tobacco Use?
Addiction
Nicotine stimulates the brain reward system, and changes the way the brain functions.
Bronchitis & Emphysema
A respiratory disease in which air cannot move in & out of the lungs
Heart & Artery Disease
Nearly 170,000 people die each year from this side effect of smoking.
Cancer
Cigarettes contain carcinogens that cause several types of fatal cancer.
Lung cancer kills more people each year than any other form of cancer.

12. What Other Damage Does Tobacco Use Cause?
Ulcers in the stomach & small intestines,
Reduces the stomachs ability to neutralize acid, & causes acid to build up leading to ulcers,
Dull skin & loss of elasticity (wrinkles),
Clothes, hair, & body smell like an ashtray
Stained teeth & fingers,
Receding gums, & sores in mouth (dip), &
Dulled sense of taste & smell.

13. What Is Immune System Suppression?
Chemicals in tobacco reduce the activity of the immune system cells & makes smokers more vulnerable to disease & cancer.

14. What Are The Effects Of Secondhand Smoke On A Nonsmoker?
Lung cancer caused by secondhand smoke kills over 3,000 nonsmokers in the U.S. each year
Reduced heart function, headaches, nausea, & dizziness
Children of smokers have more respiratory infections, asthma & ear infections than children of nonsmokers.

15. How Does Smoking Affect A Fetus?
Smoking during pregnancy can cause:
Miscarriage
Premature birth
Low Birth weight
Babies in homes of smokers have a higher risk of:
Sudden Infant Death Syndrome (SIDS)
Developmental Difficulties
Nicotine Dependency

16. Summary
1. Should people be allowed to smoke? Why or why not? 2. Should people be allowed to smoke around children, the elderly, sick people? 3. Is it fair to forbid adults to smoke? 4. Should smoking be banned in all public areas & only allowed within a smokers own home?

17. 11.3 A Tobacco Free Life

18. What is Nicotine Replacement Therapy (NRT)?
A form of medicine that delivers small amounts of nicotine to the body to help a person quit using tobacco.

19. What Are 5 Reasons People Use Tobacco?
Family & Friends
- You are around smoke if people around you smoke
Misconceptions
- Don’t know or don’t believe the truth about tobacco.
Advertising
- Targets youth - The message:
- Smoking makes you sexy/mature/popular etc.
Curiosity
- People wonder what the hype is about so they try it & get hooked
Rebellion
-Teens will do it just because adults say not to.

20. What Are 3 Ways Tobacco Affects The Family & Society?
1. Cost to Family
Over $1,500 to buy tobacco/year
Lost wages due to illness
Medical bills
Funeral costs
2. Cost to Society
$138 billion dollars/year in medical care for non-insured people who can’t afford to pay costs
Businesses often pay part of insurance costs
Accidental fires caused by careless smokers

21. 3. Tobacco & The Law
A person selling tobacco to anyone under age 18 faces fines or imprisonment.
Teens who purchase tobacco face fines or community service.

22. If You Hear This – You Can Say This
“Come on; just try one.”
“Smoking is sexy.”
“Don’t be so paranoid. These are made from cloves, so they’re healthy.”
“Dipping makes you look as cool as a sports star.”
“Everyone else is smoking.”
“Isn’t that how you got addicted?”
“There’s nothing sexy about smelling like an ashtray.”
“They have tobacco, so they’re still bad for you.”
“I don’t think I’ll look cool with brown spit.”
“So, not smoking makes me unique? I like being unique.”

23. What Are 3 Skills For Refusing Tobacco?
Be Honest
Be direct, don’t attack, say no without hurting your friendship
2. Give a reason
You have so many reasons to live a healthy life, share them with someone who wants you to smoke to explain why you don’t want to.
3. Suggest an alternative…

24. Beliefs vs. Reality “Smoking makes me look more mature.”
“Smoking makes me look sexy.”
“I can stop whenever I want.”
“All the cool kids smoke.”
Smoking can make you look older because smoking damages your skin.
Smokers get stained teeth, receding gum lines, bad breath, wrinkled skin, & stained fingers
Cigarettes are addictive. 3,000 teens start smoking every day; most will not be able to stop
Does being hooked on tobacco really seem that cool?

25. What Are The Benefits Of Being Tobacco Free?
Getting fewer colds, sore throats, & asthma
Not coughing when not sick
Less likely to have yellow teeth, bad breath, or chronic gum disease
Being able to smell & taste your food
Not smelling like smoke
Not exposing loved ones to 2nd hand smoke
Not having black bits of tobacco in your teeth &
Not having to carry around a cup for spit

26. What Are 5 Tips For Quitting?
1. Decide You CAN Do It
Use a tool like Nicotine Replacement Therapy or chewing gum to curb the desire to smoke
2. Get Started
Set a date, make a plan & stick to it
3. Change Your Habits
Start healthy habits to replace your negative ones.
4. Set Goals
Then keep them & celebrate when you do.
5. Get Support
There are many support groups that can help you quit.

27. Summary What are three reasons people begin using tobacco?
What are two ways tobacco use affects families & society?
What is a strategy a person can use to make quitting smoking easier?
How can you provide support & encouragement to someone who is trying to quit smoking?
Why is it difficult to stay tobacco free?