2. Lesson 1 Why should you avoid cigarettes? Cigarettes contain 43 known carcinogens, including cyanide, formaldehyde, and arsenic. The Effects of Tobacco Use They also contain poisonous chemicals used in insecticides, paint, toilet cleaners, antifreeze, and explosives.

3. Lesson 1 List harmful substances in tobacco and tobacco smoke Examine the harmful effects of tobacco use on body systems Compare the physical, mental, social, and legal consequences of tobacco use In this lesson, you will learn to: Lesson Objectives

4. Lesson 1 Tobacco Use—A Serious Health Risk Nicotine One of the reasons that tobacco users find it difficult to quit is that tobacco contains an addictive drug.addictive drug All tobacco products contain nicotine. nicotine Nicotine is classified as a stimulant.stimulant It raises blood pressure, increases heart rate, and contributes to heart disease and stroke.

5. Lesson 1 Cigarette Smoke—A Toxic Mixture Toxic Tobacco Not only is tobacco addictive, but the smoke from burning tobacco is toxic. In 1992 the Environmental Protection Agency classified environmental tobacco smoke, or secondhand smoke, as a Group A carcinogen.carcinogen Other compounds in tobacco smoke are tar and carbon monoxide.tar carbon monoxide

6. Lesson 1 Tar Tar penetrates the smoker’s respiratory system and destroys cilia that line the upper airways and protect against infection. It damages the alveoli, or air sacs, which absorb oxygen and rid the body of carbon dioxide. It also destroys lung tissue, making the lungs less able to function. Cigarette Smoke—A Toxic Mixture

7. Lesson 1 Carbon Monoxide Carbon monoxide replaces oxygen in the blood, thereby depriving the tissues and cells of oxygen. It also increases the risk of high blood pressure, heart disease, and hardening of the arteries. Cigarette Smoke—A Toxic Mixture

8. Lesson 1 Harmful Effects of Pipes and Cigars Cigars Cigars contain significantly more nicotine and produce more tar and carbon monoxide than cigarettes do. One cigar can contain as much nicotine as a pack of cigarettes. Pipe and cigar smokers have an increased risk of developing cancers of the lip, mouth, and throat.

9. Lesson 1 Harmful Effects of Smokeless Tobacco Why You Shouldn’t Use Smokeless Tobacco Smokeless tobaccoSmokeless tobacco delivers both nicotine and carcinogens to the body at two to three times the amount delivered by a single cigarette. Smokeless tobacco irritates the mouth’s sensitive tissues, causing leukoplakia.leukoplakia Cancers of the throat, larynx, esophagus, stomach, and pancreas are also more common among users of smokeless tobacco.

10. Lesson 1 How Tobacco Affects the Body Short-Term Effects of Tobacco Use Changes in Brain Chemistry Increased Respiration and Heart Rate Dulled Taste Buds and Reduced Appetite Bad Breath and Smelly Hair, Clothes, and Skin

11. Lesson 1 Long-Term Effects of Tobacco Use Chronic Bronchitis Emphysema Lung Cancer Coronary Heart Disease and Stroke How Tobacco Affects the Body

12. Lesson 1 Chronic Bronchitis Repeated tobacco use can damage the cilia in the bronchi until the cilia no longer function. This leads to a buildup of tar in the lungs, causing chronic coughing and excessive mucus secretion. How Tobacco Affects the Body

13. Lesson 1 Emphysema This is a disease that destroys the tiny air sacs in the lungs. The air sacs become less elastic, making it more difficult for the lungs to absorb oxygen. A person with advanced emphysema uses up to 80 percent of his or her energy just to breathe. How Tobacco Affects the Body

14. Lesson 1 Lung Cancer When the cilia in the bronchi are destroyed, extra mucus cannot be expelled. Cancerous cells can grow in these conditions, block the bronchi, and move to the lungs. Unless detected early, lung cancer causes death. How Tobacco Affects the Body

15. Lesson 1 Coronary Heart Disease and Stroke Nicotine constricts blood vessels, which cuts down on circulation, or blood flow. Nicotine also contributes to plaque buildup in the blood vessels, which can lead to hardened arteries, a condition called arteriosclerosis. Arteries may become clogged, increasing the risk of heart attack and stroke. How Tobacco Affects the Body

16. Lesson 1 Other Consequences Serious Consequences for Teens Legal consequences: Schools prohibit the use of tobacco products on school property, and a student may be suspended or expelled for breaking these rules. Social consequences: Many people find secondhand smoke and the smell of tobacco offensive, so tobacco users may be excluded from social gatherings. Financial consequences: Someone who smokes a pack of cigarettes a day can spend more than $2,000 each year just on cigarettes.

17. Lesson 1 Choose the appropriate option. 1.nicotine 2.tar 3.carcinogen 4.leukoplakia Q. The addictive drug found in tobacco leaves is called ___________. Quick Review

18. Lesson 1 Click Next to attempt another question. A. 1. nicotine The addictive drug found in tobacco leaves is called nicotine. Quick Review - Answer

19. Lesson 1 Q. Nicotine is harmful because it raises blood pressure, increases heart rate, and contributes to heart disease and stroke. Quick Review Choose the appropriate option. True False

20. Lesson 1 A. True. Nicotine is harmful because it raises blood pressure, increases heart rate, and contributes to heart disease and stroke. Click Next to attempt another question. Quick Review - Answer

21. Lesson 1 Q. The short-term effects of tobacco use are changes in brain chemistry; increased respiration and heart rate; dulled taste buds and reduced appetite; bad breath; and smelly hair, clothes, and skin. The long-term effects of tobacco use are chronic bronchitis, emphysema, lung cancer, coronary heart disease, and stroke. Quick Review Choose the appropriate option. True False

22. Lesson 1 A. True. The short-term effects of tobacco use are changes in brain chemistry; increased respiration and heart rate; dulled taste buds and reduced appetite; bad breath; and smelly hair, clothes, and skin. The long-term effects of tobacco use are chronic bronchitis, emphysema, lung cancer, coronary heart disease, and stroke. Quick Review - Answer

23. Lesson 1 End of Lesson 1 Click Home to view the Main menu.

24. Lesson 1 Nicotine One of the reasons that tobacco users find it difficult to quit is that tobacco contains an addictive drug. All tobacco products contain nicotine. Nicotine is classified as a stimulant. It raises blood pressure, increases heart rate, and contributes to heart disease and stroke. An addictive drug is a substance that causes physiological or psychological dependence. Tobacco Use—A Serious Health Risk

25. Lesson 1 Nicotine One of the reasons that tobacco users find it difficult to quit is that tobacco contains an addictive drug. All tobacco products contain nicotine. Nicotine is classified as a stimulant. It raises blood pressure, increases heart rate, and contributes to heart disease and stroke. Nicotine is the addictive drug found in tobacco leaves. Tobacco Use—A Serious Health Risk

26. Lesson 1 Nicotine One of the reasons that tobacco users find it difficult to quit is that tobacco contains an addictive drug. All tobacco products contain nicotine. Nicotine is classified as a stimulant. It raises blood pressure, increases heart rate, and contributes to heart disease and stroke. A stimulant is a drug that increases the action of the central nervous system, the heart, and other organs. Tobacco Use—A Serious Health Risk

27. Lesson 1 Not only is tobacco addictive, but the smoke from burning tobacco is toxic. In 1992 the Environmental Protection Agency classified environmental tobacco smoke, or secondhand smoke, as a Group A carcinogen.carcinogen Other compounds in tobacco smoke are tar and carbon monoxide. Toxic Tobacco A carcinogen is a cancer- causing substance. Cigarette Smoke—A Toxic Mixture

28. Lesson 1 Toxic Tobacco Not only is tobacco addictive, but the smoke from burning tobacco is toxic. In 1992 the Environmental Protection Agency classified environmental tobacco smoke, or secondhand smoke, as a Group A carcinogen.carcinogen Other compounds in tobacco smoke are tar and carbon monoxide. Tar is a thick, sticky, dark fluid produced when tobacco burns. Cigarette Smoke—A Toxic Mixture

29. Lesson 1 Toxic Tobacco Not only is tobacco addictive, but the smoke from burning tobacco is toxic. In 1992 the Environmental Protection Agency classified environmental tobacco smoke, or secondhand smoke, as a Group A carcinogen.carcinogen Other compounds in tobacco smoke are tar and carbon monoxide.tar Carbon monoxide is a colorless, odorless, and poisonous gas. Cigarette Smoke—A Toxic Mixture

30. Lesson 1 Smokeless tobacco delivers both nicotine and carcinogens to the body at two to three times the amount delivered by a single cigarette. Smokeless tobacco irritates the mouth’s sensitive tissues, causing leukoplakia. Cancers of the throat, larynx, esophagus, stomach, and pancreas are also more common among users of smokeless tobacco. Smokeless is the tobacco that is sniffed through the nose, held in the mouth, or chewed. Why You Shouldn’t Use Smokeless Tobacco Harmful Effects of Smokeless Tobacco

31. Lesson 1 Why You Shouldn’t Use Smokeless Tobacco Smokeless tobacco delivers both nicotine and carcinogens to the body at two to three times the amount delivered by a single cigarette. Smokeless tobacco irritates the mouth’s sensitive tissues, causing leukoplakia. Cancers of the throat, larynx, esophagus, stomach, and pancreas are also more common among users of smokeless tobacco. Leukoplakia refers to thickened, white, leathery- looking spots on the inside of the mouth that can develop into oral cancer. Harmful Effects of Smokeless Tobacco

32. Lesson 1 A. Correct! The addictive drug found in tobacco leaves is called nicotine. Click Next to attempt another question. Quick Review - Answer

33. Lesson 1 You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Quick Review - Answer

34. Lesson 1 A. Correct! Nicotine is harmful because it raises blood pressure, increases heart rate, and contributes to heart disease and stroke. Click Next to attempt another question. Quick Review - Answer

35. Lesson 1 You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Quick Review - Answer

36. Lesson 1 A. Correct! The short-term effects of tobacco use are changes in brain chemistry; increased respiration and heart rate; dulled taste buds and reduced appetite; bad breath; and smelly hair, clothes, and skin. The long-term effects of tobacco use are chronic bronchitis, emphysema, lung cancer, coronary heart disease, and stroke. Quick Review - Answer

37. Lesson 1 You have answered the question incorrectly. Go back to try again, or click Next to view the correct answer. Quick Review - Answer