1. Children and Tobacco Presented by Varsha Patel

2. Pregnancy and Smoking  Sustained in interventions with all your clients who smoke is important because the problem of smoking is still a priority.  22% of pregnant women smoke during their pregnancy. (Direction de la sante public, 2002)  Question??

3. Side effects of cigarette smoke on a fetus  When you smoke your baby gets less oxygen and nutrients because of restricted blood flow.  Nicotine, carbon monoxide and other chemicals from tobacco smoke are passed on to the baby via the placenta. There are 4000 chemicals found in cigarettes, 50 of these are cancer causing agents  Low birth weight  Preterm delivery  Infant death  Baby may have more colds  Have lung problems  Learning disabilities  Physical growth problems (American pregnancy association, 2000-2008)

4. How to help your client  1. Identify the smoking status  Target individuals who will benefit from smoking cessation counselling  2. Evaluate the clients motivation to quit smoking  To quickly evaluate if your client is ready to stop smoking ask if they are planning on quitting within the next month. If yes then they are probably thinking about it a lot and are ready to quit if no this person is not ready to quit.

5. How to help your client Con’t  3.Intervention adapted to a smokers motivation to quit smoking.  Ask  Discuss

6. Effects of second-hand smoke in children  sudden infant death syndrome (SIDS)  lower respiratory tract problems, such as coughs, pneumonia, bronchitis and croup  asthma  ear infections  cognition  Lower scores on tests  Others health conditions… dental caries, tonsillectomies, meningococcal infections, cancers and leukemias, slower growth, heart disease…

7. Advice for parents about second hand smoke  If you smoke – Quit. A positive health message begins with you.  Never smoke around pregnant women, infants, children and teenagers.  Don’t allow smoke in your child’s home, daycare, or the family car.  Remember that opening a window, running a fan or air purifier and smoking near a window will not get rid of second hand smoke.  Children learn from what they see around them.

8. Children and adolescent susceptibility to smoking  The Canadian Tobacco Use Monitoring Survey by Health Canada (2007) states that 7% of children under the age of 12(about 280,000 children) were regularly exposed to second hand smoke at home.  31% of youth in secondary school smoke.

9. Teen smoking: 10 ways to help teens stay smoke-free  Understand the attraction  Say no to teen smoking.  Set a good example.  Appeal to your teen's vanity  Do the math  Expect peer pressure  Take addiction seriously  Predict the future  Think beyond cigarettes  Get involved

10. Questions 1. If you are a smoker and you become pregnant is it better to a) Quit smoking right away b) smoke 5 cigarettes less than you usually do c) keep smoking d) only smoke 1 cigarette per day 2. Cigarette smoke exposes your baby to 4000 chemicals. How many of these chemicals are associated with cancer? How many of these chemicals are associated with cancer? a) 15 b) 60 c) 89 d) 50

11. Questions 3. How can a parent/caregiver eliminate second-hand smoke exposure to a child? a) Keep the door closed in the area where they are smoking b) Only smoke when the child is not nearby c) Use an air filter in the home d) Keep the car windows open while driving and smoking e) None of the above 4. According to the 2007 Canadian Tobacco Use Monitoring Survey, approximately how many children under the age of 12 are regularly exposed to second-hand smoke in the home? a) 50,000 b) 100,000 c) 280,000 d) 500,000

12. References  Children and second-hand smoke. (2008). Retrieved February 2nd, 2008 from  http://www.lung.ca/protect-protegez/tobacco-tabagisme/second-  secondaire/children-enfants_e.php  Direction de la sante publique. Jan (2002) Retrieved March 7th, 2008 from http://www.santepub-mtl.qc.ca/Publication/pdfppm/ppmjanuary02.pdf http://www.santepub-mtl.qc.ca/Publication/pdfppm/ppmjanuary02.pdf  Gleeson, Louise. (2004). Exposure to second-hand smoke: are we protecting our  kids? Retrieved February 2nd, 2008 from http://www.oma.org/phealth/smoke2004.pdf  Health Canada. (2007). Canadian Tobacco Use Monitoring Survey. Retrieved February  2nd, 2008 from http://www.hc-sc.gc.ca/hl-vs/tobac-tabac/research-  recherche/stat/_ctums-esutc_2007/wave-phase-1_summary-sommaire_e.html  Health Canada. (2006). Second-hand smoke. Retrieved February 2nd, 2008 from  http://www.hc-sc.gc.ca/iyh-vsv/life-vie/shs-fs_e.html  Mediresources inc.Copywrite (1996-2008) Retrieved March 14, 2008 from  http://health.lifestyle.yahoo.ca/channel_section_details.asp?text_id=3253&channel_id=2022&relati on_id=24645 http://health.lifestyle.yahoo.ca/channel_section_details.asp?text_id=3253&channel_id=2022&relati on_id=24645 http://health.lifestyle.yahoo.ca/channel_section_details.asp?text_id=3253&channel_id=2022&relati on_id=24645  Public Health agency of Canada. (2007) Retrieved March 12th, 2008 from  http://www.phac-aspc.gc.ca/hp-gs/know-savior/smoke_fumer_e.html http://www.phac-aspc.gc.ca/hp-gs/know-savior/smoke_fumer_e.html  Second-hand exposure may lead to teen smoking. (2005). Retrieved February 2nd, 2008  from http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/1124144898196_44/  Teens and smoking. (2008). Retrieved February 2nd, 2008 from  http://www.lung.ca/protect-protegez/tobacco-tabagisme/facts-faits/teens-  ados_e.php