Smoking 400,000 Accidents 94,000 2 nd Hand Smoke 38,000 Alcohol 45,000 HIV/AIDS 32,600 Suicide 31,000 Homicide 21,000 Drugs 14,200 CONSEQUENCES OF TOBACCO-USE: PREVENTABLE CAUSES OF DEATH

TOBACCO KILLS MORE AMERICANS EACH YEAR THAN ALCOHOL, COCAINE, CRACK, HEROIN, HOMICIDE, SUICIDE, CAR ACCIDENTS, FIRES AND AIDS COMBINED: (Chart of health effects- to be scanned in)

TOBACCO FACTS & STATS

85% of teenagers who smoke two or more cigarettes completely, and overcome the initial discomforts of smoking, will become regular smokers. In a study of high school seniors, only 5% of those who smoked believed they would still be smoking two years after graduation. In fact, 75% were still smoking eight years later. One-third to one-half of young people who try cigarettes go on to be daily smokers.

TOBACCO COSTS Every pack of cigarettes sold in the U.S. costs the community $7.18 in medical care costs and lost productivity IHS estimates $200 million is spent each year to treat tobacco related diseases $75 billion in direct medical costs associated with tobacco use each year in U.S. $82 billion unrealized due to loss of productivity as a result of tobacco abuse

TOBACCO COSTS A pack a day habit… 1 Year = $1, Years = $16, Years = $33,600

NICOTINE: HARD HABITS TO QUIT Poisonous More addictive than cocaine and heroin So powerful that farmers can’t use it to kill insects Legal addiction Use results in emotional dependence  Mood leveler  Users rely on it to control emotional responses to everyday life

NICOTINE On a milligram for milligram basis, is 10 times more potent than heroin as an addictive substance Smoking is an over-learned behavior Pack/day smoker estimates  6 doses (puffs)/cigarette  20 cigarettes per day  = 43,800 doses per year! Few behaviors occur more often...  Breathing  Blinking

WHAT IS A CIGAR?  A cigar has larger amounts of tobacco than a cigarette  A cigar is tobacco rolled up in a tobacco leaf  A cigar does not have a filter

SMOKELESS TOBACCO COSTS Chew, Snuff, plug, leaf, and dip are all forms of smokeless tobacco. If you hold the average-sized dip in your mouth for 30 minutes you get as much nicotine as you would from 2-3 cigarettes. One can of Copenhagen is equal to 3 packs of cigarettes Snuff dippers consume on average 10 times more cancer-causing substances (nitrosamines -- chemicals from the curing process) than cigarette smokers

SMOKELESS TOBACCO EFFECTS Tooth Abrasion Gum Disease Gum Recession Heart Disease and Stroke Cancer in the mouth, pharynx (voice box), esophagus and pancreas.

CONSEQUENCES OF CHEWING TOBACCO: Leukoplakia Oral Cancer

SECOND HAND SMOKE Smoke breathed out by a smoker and smoke from the burning end of cigarettes, cigars, pipes Composed of nearly 4,000 different chemicals and over 150 toxins including carbon monoxide

SECONDHAND SMOKE:

SECOND HAND SMOKE & CHILDREN 38% of children aged 2 months to 5 years are exposed to SHS in the home. Up to 2,000,000 ear infections each year Nearly 530,000 doctor visits for asthma Up to 436,000 episodes of bronchitis in children under five Up to 190,000 cases of pneumonia in children under five

SECOND HAND SMOKE & CHILDREN Coughing and wheezing Asthma Sore throats and colds Eye irritation Hoarseness

SECOND HAND SMOKE & PREGNANCY Pregnant women exposed to ETS 6 hours a day pass carcinogens to the blood of unborn ETS for 2 hours a day causes 2 times risk of low birth weight Miscarriage Prematurity Low birth weight Sudden Infant Death Syndrome (SIDS)

FETAL DAMAGE: Fetal Smoking Syndrome: Birth defects Premature stillbirth Low birth weight Prone to Sudden Infant Death Syndrome Lowered immune capacity

ARTERIOSCLEROSIS & ATHEROSCLEROSIS: Healthy arteryDamaged artery

HEART ATTACK: Quitting smoking rapidly reduces the risk of coronary heart disease Torn heart wall: R esult of over-worked heart muscle Smokers are twice as likely as Nonsmokers to have a heart attack

STROKE: This brain shows stroke damage, which can cause death or severe mental or physical disability

EMPHYSEMA: Healthy lungEmphysematic lung Symptoms Include  Shortness of breath  Chronic cough  Wheezing  Anxiety  Weight loss  Ankle, feet and leg swelling  fatigue

LUNG CANCER: THE UNCONTROLLED GROWTH OF ABNORMAL CELLS IN ONE OR BOTH LUNGS Lung cancer kills more people than any other type of cancer

PERIPHERAL VASCULAR DISEASE

LARYNGEAL CANCER Symptoms: Persistent hoarseness Chronic sore throat Painful swallowing Pain in the ear Lump in the neck Over 80% of deaths from laryngeal cancer are linked to smoking

DENTAL PROBLEMS: Above : Cavities Below: Gingivitis Overall poor oral health Common Consequences : Stained teeth Gum inflammation Black hairy tongue Oral cancer Delayed healing of the gums

What’s in Tobacco?  Tar: black sticky substance used to pave roads  Nicotine: Insecticide  Carbon Monoxide: Car exhaust  Acetone: Finger nail polish remover  Ammonia: Toilet Cleaner  Cadmium: used batteries  Ethanol: Alcohol  Arsenic: Rat poison  Butane: Lighter Fluid CHEMICAL BOX:

IF SMOKING IS SO BAD FOR US, WHY DO WE START?

CIGAR USE: USING BEAUTY AND FAME TO PROMOTE A DIRTY, DEVASTATING HABIT

WHEN YOU QUIT… Within 20 Minutes:  Blood pressure drops to normal  Pulse rate returns to normal  Body temperature of hands and feet increases to normal Within 8 Hours:  Carbon Monoxide level in blood drops to normal  Oxygen level in blood increases to normal  Smoker's breath disappears Within 24 Hours:  Your chance of a heart attack decreases. Within 48 Hours: Nerve endings start to re-grow Your ability to smell and taste is enhanced

WHEN YOU QUIT… Within 72 Hours:  Bronchial tubes relax making it easier to breathe.  Lung capacity increases making it easier to do physical activities  Within 2 weeks - 3 months:  Circulation improves  Walking becomes easier  Lung function increases up to 30 % Within months:  Coughing, sinus congestion, fatigue, shortness of breath decrease  Energy level increases  Cilia re-grow in lungs, increasing the ability to handle mucus, clean lungs, reduce infection

WHEN YOU QUIT… Within One Year:  Risk of coronary heart disease is half that of a smoker Within Two Years:  Heart attack risk drops to near normal Within 5 Years:  Lung cancer death rate for average pack-a-day smoker decreases by almost half  Stroke risk is reduced  Risk of mouth, throat and esophageal cancer is half that of a smoker

WHEN YOU QUIT… Within 10 Years:  Lung cancer death rate is similar to that of a person who does not smoke.  The pre-cancerous cells are replaced. Within 15 Years:  Risk of coronary heart disease is the same as a person who has never smoked.