1. True of false?  The nicotine in cigarettes causes cancer.  False – nicotine is the addictive drug in cigarettes.  Over 1,000 people die each day from smoking.  True  Chewing tobacco contains less nicotine than cigarettes.  False – chewing tobacco contains more nicotine.  E-cigarettes are less harmful than cigarettes.  False – they contain nicotine and various unknown chemicals; long-term risks, second hand exposures have not been studied.  Cigarette smoking kills more people each year than all deaths due to AIDS, heroin, crack, cocaine, car accidents, murder, fire, and alcohol combined.  True  Smoking pipes and cigars is a great deal less dangerous than smoking cigarettes.  False – pipes and cigars contain a high amount of nicotine. © 2016NorthsideISD(SanAntonio,TX)

2. Lesson 4 © 2016NorthsideISD(SanAntonio,TX)

3.  ALL FORMS OF TOBACCO USE ARE ASSOCIATED WITH ADDICTION & SERIOUS HEALTH CONSEQUENCES! © 2016NorthsideISD(SanAntonio,TX)

4.  Average smoker starts at age 14.  If smoking continues at the current rate among youth in this country, 5.6 million of today’s Americans younger than 18 will die early from a smoking- related illness.  That’s about 1 of every 13 Americans aged 17 years or younger alive today. © 2016NorthsideISD(SanAntonio,TX)

5. Tobacco is a plant used for the production of tobacco-related products, such as cigarettes and chewing tobacco.  Nicotine is the addictive toxic substance found in tobacco leaves – it is a derivative of tobacco. © 2016NorthsideISD(SanAntonio,TX)

6. Carcinogens are chemicals or agents that cause cancer. Cigarette smoke contains more than 4,000 chemicals. Of these, at least 40 are carcinogens.  Cigarette smoke also contains carbon monoxide, a toxic gas that keeps oxygen from getting into the bloodstream. Pipe tobacco, cigars, herbal cigarettes, chewing tobacco and snuff also contain nicotine and tar, and therefore contain a large number of carcinogens. © 2016NorthsideISD(SanAntonio,TX)

7. Tar is a sticky, black substance in tobacco smoke. Tar contains the following carcinogens: Cyanide Formaldehyde Lead Vinyl chloride © 2016NorthsideISD(SanAntonio,TX)

8. Most common method of using tobacco is smoking cigarettes. Other methods of using tobacco include: Cigars Pipes Hookahs Smokeless tobacco ENDS (e-cigarettes) © 2016NorthsideISD(SanAntonio,TX)

9.  A cigar is defined as a roll of tobacco wrapped in leaf tobacco or in a substance that contains tobacco; A pipe is a narrow tube where tobacco sits in a bowl at the end, a stem connects the bowl to the mouthpiece.  Cigars and Pipes contain the same toxic and carcinogenic compounds found in cigarettes and are not a safe alternative to cigarettes.  A single large cigar can contain more than a 1/2 ounce of tobacco -- as much tobacco as an entire pack of cigarettes.  One cigar also contains 100 to 200 milligrams of nicotine, while a cigarette averages only about 8 milligrams.  Cigars and Pipes © 2016NorthsideISD(SanAntonio,TX)

10.  Cigars and Pipes Health Effects:  Regular cigar smoking and pipe use is associated with an increased risk for cancers of the lung, esophagus, larynx (voice box), and oral cavity (lip, tongue, mouth, throat).  Cigar smoking is linked to gum disease and tooth loss. © 2016NorthsideISD(SanAntonio,TX)

11.  Hookahs are water pipes that are used to smoke specially made tobacco that comes in different flavors, such as apple, mint, cherry, chocolate, coconut, licorice, cappuccino, and watermelon.  Using a hookah to smoke tobacco poses serious health risks to smokers and others exposed to the smoke from the hookah. © 2016NorthsideISD(SanAntonio,TX)

12.  Because of the way a hookah is used, smokers may absorb more of the toxic substances also found in cigarette smoke than cigarette smokers do.  An hour-long hookah smoking session involves 200 puffs, while smoking an average cigarette involves 20 puffs. The amount of smoke inhaled during a typical hookah session is about 90,000 milliliters (mL), compared with 500–600 mL inhaled when smoking a cigarette. © 2016NorthsideISD(SanAntonio,TX)

13.  Snuff/chewing tobacco leads to mouth sores and oral cancer.  Smokeless tobacco products also contain other carcinogens, such as arsenic, nickel, benzopyrene, and polonium.  Chewing tobacco contains more nicotine than cigarettes. Some facts: Holding an average-size dip in your mouth for 30 minutes gives you as much nicotine as smoking three cigarettes. © 2016NorthsideISD(SanAntonio,TX)

14.  Electronic Nicotine Delivery Systems (ENDS), of which electronic cigarettes are the most common prototype, are devices that do not burn or use tobacco leaves but instead vaporize a solution the user then inhales.  Therefore, liquid nicotine is heated, creating vapor rather than burning tobacco and creating smoke  This is why “smoking” an ENDS is referred to as vaping  ENDS solutions and emissions contain other chemicals, such as nicotine and other toxins. © 2016NorthsideISD(SanAntonio,TX)

15.  Electronic cigarettes, also known as e-cigs, are battery-operated products designed to deliver nicotine, flavor and other chemicals. © 2016NorthsideISD(SanAntonio,TX)

17. © 2015NorthsideISD(SanAntonio,TX) Liquid nicotine solution is not regulated by the FDA and is not in a child- proof container.

18.  With your partner, discuss if the following statements about e-cigarettes are Myths or Facts: 1. E-cigarettes are not safe. 2. E-cigarettes don’t have nicotine. 3. E-cigarettes can help smokers quit. 4. E-cigarettes aren’t marketed to kids. 5. There is secondhand emissions from e-cigarettes. © 2016NorthsideISD(SanAntonio,TX)

19. 1. E-cigarettes are not safe. Fact! E-cigs are unregulated by the FDA, no one knows for sure what’s in them. Studies have found toxic chemicals, including ingredients similar to that in antifreeze and formaldehyde. 2. E-cigarettes don’t have nicotine. Myth! Almost all e-cigs contain nicotine, including many that claim they are nicotine-free. Nicotine is an addictive substance that can have negative health impacts, including on adolescent brain development. 3. E-cigarettes can help smokers quit. Myth! The FDA hasn’t found any e- cigarettes to be safe and effective in helping smokers quit. 4. E-cigarettes aren’t marketed to kids. Myth! E-cigarette use among middle and high school students tripled from 2011-2013. Aggressive industry tactics include candy flavors. For the first time ever, teens are smoking e-cigs more than traditional cigs. 5. There is secondhand emissions from e- cigs. Fact! The aerosol (vapor) emitted by e-cigs and exhaled by users contains carcinogens, such as formaldehyde. © 2016NorthsideISD(SanAntonio,TX)

20.  Current use of electronic cigarettes increased among middle and high school students from 2011 to 2014.  Nearly 4 of every 100 middle school students (3.9%) reported in 2014 that they used electronic cigarettes in the past 30 days—an increase from 0.6% in 2011.  More than 13 of every 100 high school students (13.4%) reported in 2014 that they used electronic cigarettes in the past 30 days—an increase from 1.5% in 2011. © 2016NorthsideISD(SanAntonio,TX)

23. FEDERAL  Only e-cigarettes that are marketed for therapeutic purposes are currently regulated by the FDA Center for Drug Evaluation and Research (CDER). Currently, the FDA Center for Tobacco Products (CTP) regulates:  cigarettes,  cigarette tobacco,  roll-your-own tobacco, and  smokeless tobacco.  FDA has issued a proposed rule that would extend the agency’s tobacco authority to cover additional products that meet the legal definition of a tobacco product, such as e-cigarettes. TEXAS  New TX Legislation: tobacco substitute or tobacco products to definition of tobacco products prohibited for minors under 18. Defines e- cigarettes specifically as an item prohibited for minors under 18. (Signed by governor 5/28/15) © 2016NorthsideISD(SanAntonio,TX) Video

24.  http://stillblowingsmoke.org/#health http://stillblowingsmoke.org/#health Some call e-cigs healthier. Sure, if inhaling toxic chemicals sounds healthy to you. Assignment: Navigate to learn about the health risks of e-cigs, and find out why “harmless water vapor” is the most inaccurate description ever. © 2016NorthsideISD(SanAntonio,TX)