1. Living Tobacco-Free It really is possible!

2. Agenda Statistics and mortality risks Health risks Benefits of quitting Ways to quit

3. Part One: Statistics and Mortality Friends don’t let friends die of complications related to tobacco use.

4. Smoking Over 20% of adults age 18 and older smoke cigarettes. Over 23% of adult men smoke. Almost 18% of adult women smoke.

5. Tobacco Use and Death According to the U.S. Department of Health and Human Services… “Tobacco use is the leading preventable cause of death in the United States”

6. Tobacco Use Around the World Tobacco use in some form causes approximately 5 million deaths a year throughout the world.

7. Death Comes Quickly Did you know that adult smokers die approximately 14 years before non- smokers?

8. Death by Complication Smokers are approximately 10 times more likely to die of bronchitis or emphysema than non-smokers. Smoking triples middle-aged people’s risk of dying of heart disease.

9. Secondhand Smoke According to the Centers for Disease Control and Prevention… Exposure to secondhand smoke --sometimes called environmental tobacco smoke -- causes nearly 50,000 deaths each year among adults in the United States.

10. Quick Quiz Over _____ of adults smoke cigarettes. * 10%* 20% * 30%* 40% True or false: Tobacco use causes 4 million deaths per year throughout the world.

11. Quick Quiz Over _____ of adults smoke cigarettes. * 10%* 20% * 30%* 40% True or false: Tobacco use causes 4 million deaths per year throughout the world.

12. Part Two: Health Risks Forget fire! Where there’s smoke, there’s cancer.

13. Health Complications Lungs Smoking causes approximately 90% of deaths from chronic obstructive lung disease. Smoking is responsible for 80-90% of all lung cancer deaths.

14. Health Complications Lungs Smoking causes lung cancer. Smoking causes lung disease.

15. Health Complications Lungs Men who smoke are 23 times more likely to develop lung cancer. Women who smoke are 13 times more likely to develop lung cancer.

16. Health Complications Lungs People who smoke are 12 to 13 times more likely to die of chronic obstructive lung disease.

17. Heath Complications Heart Smokers are 2 to 4 times more likely to develop coronary heart disease than nonsmokers.

18. Heath Complications Heart When you smoke, you reduce your circulation and may even cause an abdominal aortic aneurysm.

19. Health Complications Cancer The CDC lists smoking as a cause of… * Acute myeloid leukemia * Bladder cancer * Cancer of the cervix * Esophagus cancer * Kidney cancer * Cancer of the larynx * Lung cancer* Mouth cancer * Throat cancer* Stomach cancer * Uterine cancer

20. Other Health Complications Smoking increases the risk of infertility, SIDS, low birth weight, and stillbirth. It is also associated with low bone density in postmenopausal women.

21. Many Cigarette Alternatives are Not Safe! Smoking cigars or pipes also increases the risk of dying from lung, esophagus, larynx, and mouth cancer. Smokeless tobacco also causes cancer and may affect the way your heart beats.

22. Quick Quiz Smokers are _____ times more likely to develop coronary heart disease than nonsmokers. * 0-2* 1-3 * 2-4 * 3-5 True or false: Smoking causes lung cancer.

23. Quick Quiz Smokers are _____ times more likely to develop coronary heart disease than nonsmokers. * 0-2* 1-3 * 2-4 * 3-5 True or false: Smoking causes lung cancer.

24. Part Three: Benefits of Quitting When being a quitter is the best thing ever!

25. Immediate Benefits After you have your last cigarette, your heart rate will start getting back to normal. 12 hours after that last cigarette, the carbon monoxide levels in your blood will have returned to normal.

26. Medium Term Benefits After you quit tobacco, your risk of getting some of the illnesses associated with smoking will generally decrease. After you have stayed away from cigarettes for 3 months, your risk of heart attack begins to drop.

27. Medium Term Benefits Your circulation will improve a few weeks after your last cigarette/cigar. Your phlegm production will also decrease, and you’ll wheeze less often.

28. Medium Term Benefits After you have quit smoking for a year, you will have effectively halved your risk of coronary heart disease.

29. Long Term Benefits After five years or more, your stroke risk will be almost on par with a non-smoker. Your risk of ulcers, bladder cancer, mouth cancer, cervical cancer, peripheral artery disease, throat and esophagus cancer all go down after you have quit tobacco for a few years.

30. Quit NOW! If you quit at or around age 30, your risk of dying early from smoke related complications and diseases is reduced by over 90%. If you quit at or around age 50, you’ll reduce your risk of dying early by 50% (compared with smokers).

31. Quick Quiz A ____ after you quit smoking, your circulation will improve. * Few weeks* Month * Year* Few years True or false: After you quit smoking for five years, you reduce your stroke risk by 50%.

32. Quick Quiz A ____ after you quit smoking, your circulation will improve. * Few weeks* Month * Year* Few years True or false: After you quit smoking for five years, you reduce your stroke risk by 50%.

33. Part Four: How to Quit Keep your friends close and your strategies closer.

34. Quitting Is Hard You are not alone. There are supports out there for you. Sometimes people have to try a few times before quitting successfully.

35. Option One: Counseling According to the National Institute of Health… “Individual, group, and telephone counseling […] reliably increase long- term quitting.”

36. Option Two: Medication Medication can help you make the transition to a smoke-free life. Options include… * Bupropion SR * Varinicline * Nicotine gum* Nicotine patch * Nicotine lozenge* Nicotine inhaler * Nicotine nasal spray

37. Option Three: Medication and Counseling According to the National Institute of Health… “Counseling and medication are effective when used by themselves for tobacco cessation; however, the combination of counseling and medication, however, is more effective than either alone.”

38. Plan of Attack Set a quit date Tell your family and friends that you plan to quit and need their support.

39. Plan of Attack Remove all tobacco and tobacco paraphernalia from your home, office, car and anywhere else. Once you quit, do not take even a single puff/chew of tobacco -- it will set you back.

40. Plan of Attack Prepare for tough times. Seek support when you need it.

41. You Can Do It! Most relapses occur in the first three months after quitting. If at first you don’t succeed, try, try, again. As soon as possible.

42. Resources 1-800-QUIT-NOW offers free support –1-800-784-8669 if you prefer the numbers Go to www.smokefree.gov for tips, tricks, and informationwww.smokefree.gov www.cancer.gov also has helpful handouts and guidelines.www.cancer.gov

43. Last Quiz Irritability and anxiety decrease after the first _____ of being tobacco free. * Week* Two weeks * Three weeks* Month True or false: Most relapses occur in the first three months of quitting.

44. Last Quiz Irritability and anxiety decrease after the first _____ of being tobacco free. * Week* Two weeks * Three weeks* Month True or false: Most relapses occur in the first three months of quitting.

45. One More Ending Questions?