1. LUNG CANCER AND TOBACCO USE

2. Right lung=3 lobes Left lung=2 lobes Air enters lungs through trachea Trachea divides into bronchi Bronchi divide into bronchioles Alveoli are the air sacs at the end of the bronchioles Pleura = lining of the lungs What is the function of the lungs?

3. What is lung cancer? Lung cancer is the uncontrolled growth of abnormal cells. These cells develop into tumors and the tumors disrupt the proper function of the lung.

4. Cough that does not go away Breathing trouble, such as shortness of breath Constant chest pain Coughing up blood A hoarse voice Frequent lung infections Feeling tired all the time Weight loss with no known cause Symptoms

5. United States lung cancer facts American Cancer Society, 2007 www.cancer.org Estimated new cases and deaths from lung cancer in the United States in 2007: New cases: 213,380 Deaths: 160,390 (29% of all cancer deaths) Lung cancer is the leading cause of cancer death among men and women More than 87% of lung cancers are smoking related More Americans die each year of lung cancer than from breast, prostate and colorectal cancers combined

6. Over 400 new cases each year in North Dakota. It is estimated that 330 Lung cancer deaths will occur in North Dakota this year. North Dakota lung cancer facts American Cancer Society, Cancer Facts and Figures 2008

7. Lung/Bronchus cancer rates 1980-2007 7 Age-adjusted rate per 100,000

8. North Dakota lung and bronchus cancer by gender, 1980-2007 Age-adjusted rate per 100,000

9. Lung cancer mortality rates, IHS regions and U.S. all races, 1999-2003 9

10. Screening No approved screening test proven to improve survival or detect localized disease Clinical studies are under way

11. Diagnosis Physical exam Chest X-ray CT Scan PET Scan MRI Sputum sample Bronchoscopy Biopsy Chest Xray PET Scan CT Scan

12. Primary Risk Factors Tobacco use & Secondhand Smoke

13. Lung cancer is the most preventable form of cancer death in our society. More than 87% of lung cancers are smoking related

14. Secondhand smoke Each year about 3,000 non-smoking adults die of lung cancer as a result of breathing secondhand smoke.

15. What about secondhand smoke? Being in a nonsmoking section of a restaurant for 2 hours = Being in a smoky home for one day = Being in a smoky bar = Mayo Clinic

16. To learn what you can do to make a difference with secondhand smoke? www.breatheND.com What can you do?

17. Spit tobacco is not harmless Smokeless (spit) tobacco is not a safe alternative to cigarettes – smokeless tobacco also causes serious health problems! Smokeless tobacco contains 28 cancer-causing agents.

18. Consequences of spit tobacco use Tooth discoloration and staining Tooth abrasion/worn teeth Cavities Stained tongue/bad breath Tarter buildup and gingivitis Receding gums Gum disease Addiction Precancerous mouth lesions Oral cancers and other cancers Heart problems

19. Warning signs of oral cancer A sore in the mouth that bleeds easily and does not heal A lump or red/white patch in the mouth Prolonged sore throat Difficulty chewing or swallowing Restricted movement of the tongue or jaw Pain is rarely an early symptom!

20. Oral cancer-deadly to ignore Precancerous lesion Oral cancer

21. Other risk factors Exposure to asbestos and toxic chemicals Environmental contamination Chronic lung inflammation /scarring Family history

22. Treatment Surgery Chemotherapy Radiation Therapy

23. Lung cancer is the most preventable form of cancer death in our society. By quitting tobacco use you significantly reduce your risk of all cancers. It is preventable!

25. Quit tobacco use today Seek help in quitting by: Becoming familiar with the medications and combinations of medications available. Contacting your local health department Contacting your physician Calling the North Dakota Tobacco Quitline

26. Is a resource for: Tobacco users Family members & friends Health care professionals

27. Supported by North Dakota Department of Health with funding from Tobacco Master Settlement Agreement (MSA) funds appropriated by ND legislature Centers for Disease Control and Prevention (CDC) grant

28. Hours that you can speak to someone direct are: Monday-Thursday7:00am – 8:00pm(CT) Friday7:00am – 7:00pm(CT) Saturday10:00am – 4:00pm(CT) –Voice mail available 24 hours/day –Quit Tips audio library also available

29. Every caller receives a thorough initial assessment May also receive up to 5 additional counseling sessions Special protocols for certain populations Will refer callers to local cessation programs if needed

30. Free nicotine replacement therapy (NRT) Free 28 day supply of your choice of nicotine patch, gum or Lozenge to qualified enrollees

31. Quit All Together!! A free web-based service to help quit tobacco use. Provides a community of support, resources, expert support and quit med support. Go to www.nd.quitnet.com

32. For The Directory of North Dakota Tobacco Cessation Programs In Your Area: www.ndhealth.gov/tobacco