1. E-Cigs: Will They Kill You Too? Group Discussion: 1.Explain why tobacco companies would market e- cigs to teens. 2.What are the three parts explained in “Anatomy of an E-Cig,” and how do they work? 3.Why do you think e-cig manufacturers use an LED light to evoke the burning tip of a real cigarette?

2. A Tip From a Former Smoker: Terrie

3. What is Tobacco? Tobacco is an agricultural crop, most commonly used to make cigarettes. –It is grown all over the world and –Supports a billion-dollar industry. The psychoactive ingredient is nicotine, a stimulant, but more than 4,000 other chemicals (2,000 of which are known to be poisonous) are present in cigarettes. –43 of which are carcinogens

4. Nicotine is a Stimulant Tobacco is a nervous system stimulant that triggers complex biochemical and neurotransmitter disruptions. –Elevates heart rate and blood pressure –Constricts blood vessels –Irritates lung tissue –Diminishes your ability to taste and smell

5. The Many Forms of Tobacco Tobacco can be processed, dried, rolled, and smoked as: –Cigarettes –Cigars –Bidis (thin, hand-rolled cigarettes imported from Southeast Asia) –Clove cigarettes –Kreteks (cigarettes imported from Indonesia that contain cloves and other additives). Loose-leaf tobacco can be smoked in pipes and hookahs (an Asian smoking pipe with a long tube that passes through an urn of water). The two most common forms of smokeless tobacco are chewing tobacco and snuff (finely ground tobacco placed between the gum and lip).

6. Addiction Nicotine in tobacco – a strong poison – is the most addictive of all drugs. –It stimulates the same areas of the brain as cocaine and amphetamines, and tolerance to nicotine develops faster than to cocaine or to heroin. Neurochemically, the body adapts to the toxins in tobacco a few hours after smoking – which quickly makes smoking necessary in order to feel "normal."

7. Health Risks Cancer –lungs, mouth, throat, esophagus, and more Frequent colds Chronic bronchitis Emphysema Stroke Heart disease

8. Other Negatives Your Date Won’t Like Stained teeth. Bad breath. Clothes, hair, hands, room, and car reek of smoke. Premature face wrinkles. Diminished sense of taste and smell. Smoking drains your wallet ($2.25 or more a pack). Chewing tobacco leaves gross stuff between your teeth – no kissing for you.

9. Secondhand Smoke By smoking, you hurt others. Tobacco smoke is a serious threat to the health of nonsmokers. –Smoke in the air from others' cigarettes contains toxic chemicals including tar, nicotine, carbon monoxide, arsenic, and cyanide. Nonsmokers who breathe it absorb these substances and are at risk for the same serious health consequences as smokers.

10. Want to Quit? Think START! S: Set a Quit Date –Pick a date, within the next two weeks, to quit smoking. T: Tell family and friends about your decision to quit –Share –Connect - with those who have been there and can offer support and encouragement A: Anticipate and plan for times when you may be tempted –Know your triggers –Prepare for cravings –Plan for withdrawal R: Remind yourself why you want to be smokefree T: Track and monitor your progress regularly

11. Withdrawal Nicotine is the main addictive substance in cigarettes. It is a drug and affects many parts of your body, including your brain. Over time, your body and brain get used the nicotine. When you stop smoking, your body has to adjust to not having nicotine in its system. –Feel anxious, nervous, or restless –Cravings for cigarettes –Feeling down or sad –Having trouble sleeping –Feeling irritable, on edge, grouchy –Having trouble thinking clearly and concentrating –Slower heart rate –Headache –Feeling more hungry or gaining weight

12. Youth and Tobacco Use Tobacco use is started and established primarily during adolescence. –Nearly 9 out of 10 cigarette smokers first tried smoking by age 18, and 99% first tried smoking by age 26. –Each day in the United States, more than 3,800 youth aged 18 years or younger smoke their first cigarette, and an additional 2,100 youth and young adults become daily cigarette smokers. Youth use of tobacco in any form is unsafe. 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.

13. Tobacco Use* Among High School Students in 2014 Tobacco ProductOverallFemalesMales Any tobacco product† 24.6%20.9%28.3% Electronic cigarettes13.4%11.9%15.0% Hookahs9.4%9.8%8.9% Cigarettes9.2%7.9%10.6% Cigars8.2%5.5%10.8% Smokeless tobacco5.5%1.2%9.9% Snus1.9%0.8%3.0% Pipes1.5%0.9%2.1% Bidis0.9%0.6%1.2% Dissolvable tobacco0.6%0.4%0.8%

14. How much is your life worth?

15. Factors Associated with Youth Tobacco Use Social and physical environments ; –The way mass media show tobacco use as a normal activity can promote smoking among young people. –Youth are more likely to use tobacco if they see that tobacco use is acceptable or normal among their peers. –Parental smoking may promote smoking among young people. Biological and genetic factors –There is evidence that youth may be sensitive to nicotine and that teens can feel dependent on nicotine sooner than adults. –Genetic factors may make quitting smoking more difficult for young people. –A mother’s smoking during pregnancy may increase the likelihood that her offspring will become regular smokers. Mental health: There is a strong relationship between youth smoking and depression, anxiety, and stress. Personal perceptions: Expectations of positive outcomes from smoking, such as coping with stress and controlling weight, are related to youth tobacco use.

16. Other Influences –Lower socioeconomic status, including lower income or education –Lack of skills to resist influences to tobacco use –Lack of support or involvement from parents –Accessibility, availability, and price of tobacco products –Low levels of academic achievement –Low self-image or self-esteem –Exposure to tobacco advertising

17. Making Our Next Generation Tobacco Free