Tobacco-Kissing the Killer

Wellness@medimanage

Let’s talk about your life ?Number of hours you sleep

8-5 hours/day

Hours at work (including travel time)11-14 Hours/day

Time for self and family6-5 Hours/day

Life expectancy difference between smokers and non smoker6.5 years

How many time you lost to smoking 3 418 560/({cigarettes

smoked per day*365}x smoking yearsx365)=Y

Tobacco use-Personal choice ?

Tobacco

Cigars

Bidi

Pipes

Zarda

Snuffs

Cigarettes

Khaini

Pan Masal

a

Is this romantic ?

will you vote for him ?Is this the right role model ?

• chemicals in tobacco smoke4000• of them are known to be harmful

250 (at least)

• are known to cause cancer in humans. >50• children, or almost half of the world's total, breathe air

polluted by tobacco smoke. Over 40% of children have at least one smoking parent. 700 million

• Of 600 000 premature deaths in children were attributable to second-hand smoke (In 2004).31%

• smoke-free environments provide effective protection. Neither ventilation nor filtration, even in combination, can reduce tobacco smoke exposure indoors to levels that are considered acceptable.

Only 100%

Tobacco use-Personal choice ?

Tobacco use-Why we care ?Pro Cons

Indirect mortality cost

Indirect morbidity cost

Medical cost of treating related disease

Employment

Revenue

Rs 1,04,500 crore- Total economic cost of tobacco.

91% male contribution in smoker category

29% female use smokeless tobacco

Rs 16, 800 crore is direct medical cost

Rs 14,700 crore is indirect medical cost

Cost of premature mortality was Rs 73,000 crore

CVD shared the highest burden Rs 3600 crores.

Respiratory disease Rs 2800 crores.

Tuberculosis Rs 2300 crores

Cancers Rs 1400 crores.

The main ingredient in tobacco is Nicotiana (Nicotine)

Tobacco kills up to half of its users. Nearly 6 million people are killed each year. More than 5 million of those deaths are the result of direct tobacco use

More than 600000 are the result of non-smokers being exposed to second-hand smoke

1 person dies every 6 seconds due to tobacco, accounting for one in 10 adult deaths

Annual death toll could rise to more than 8 million by 2030

Nearly 80% of the world's one billion smokers live in Asia

Lighter won’t make you light

Persons with psychiatric conditions are twice as likely to smoke; and smoke more heavily than average smokers.

1 in 3 smokers are depressed and smokes to self-medicate.

One third of male smokers have an underlying alcohol problem.

Not just matter of few puffs

Tobacco Impact-Risky Business

Coronary heart disease by 2 to 4 times.

Stroke by 2 to 4 times.

Men developing lung cancer by 23 times.

Women developing lung cancer by 13 times.

Dying from chronic obstructive lung diseases by 12 to 13 times (such as chronic bronchitis and emphysema).

How Nicotine controls you

Sympathomimetic drug- (cheating your Sympathy )

Releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous and coronary blood vessels, and transiently increases blood pressure.

Reduces sensitivity to insulin and may aggravate or precipitate diabetes, and nicotine may contribute to endothelial dysfunction.

Has stimulant effects reduces sedation from alcohol, providing another motivation for tobacco use.

In chronic alcoholics, half of premature deaths are attributable to cigarette smoking.

Nicotine is the only active agent that has psychosomatic

effect that tobacco users experience. It’s a main habit

forming agent of tobacco.

Apart from nicotine there are 50 known carcinogenic chemicals that can work at the cell DNA

level to cause cancers.

That’s why Nicotine gum and Nicotine

patch are acceptable form of treatment options

for smoke cessation.

Nicotine-Cheese in the trap

• Machismo: You are not timid or afraid. To be a grownup.• Peer Pressure: To fit with the crowd (all my friends do it)• Appear sophisticated or cool• To assert your independence• As a sign of protest, rebellion, or to defy authority• Free samples from friends or advertisers• Influences from people you respect and admire

Social conformity or Rebellion

• Parents or relatives smoked• Images of famous actors, movie stars, or role models

Negative Influences

• To try to lose weight• To calm your nerves• As a kind of "air freshener" when using the toilet

Physiological dependency

So! Why You Started ?

ScoreStrongly addicted (8 or more) Addicted (6 or 7) Mildly addicted (3-5)

Q6: Do you still smoke if you are so sick that you're in bed most of the day?yes NO

Q5: Do you smoke more after waking up than during the rest of the day?yes no

Q4: How many cigarettes do you smoke in a day?10 or less 11-20 21-30 31 or more

Q3: Which cigarette would you most hate to give up?the first one in morning any other one

Q2: Do you find it hard not to smoke in places where it is forbidden, such as in a cinema?yes no

Q1: When do you smoke your first cigarette of the day?within 5 minutes 6-30 minutes 31-60 minutes > 60 minutes after waking up

Fagerström test

You are addicted-Yes/No

• Announcing a quit date.• Anticipating challenges and preparing.• Move to tobacco free environment.

Cold Turkey

Consult a Specialist

• This therapy contains one-third to one-half the amount of nicotine which is found in cigarettes. Helps manage withdrawal symptoms.

• Given in form of nicotine gums, patches, tablets, lozenges, nasal sprays and inhalers.

• Helps for smoker to reduce and gradually stop smoking. • Kids are protected when stop smoking because they are not exposed to

smoking. • Reduces the chances of cancers.

Nicotine Replacement

Therapy

Want to Mend Your Ways

Tobacco industry is largest employer of child labour.

Tobacco smoking kills

Tobacco exacerbates poverty

Tobacco contributes to world hunger by diverting prime land away from food production

Tobacco production damages the environment

Tobacco reduces economic productivity

While the Tobacco industry may employ people, this can be considered an example of “wasted labor”, capital and resources.

Still don’t care ?

• Diabetes panel• Liver function test• Lipid Profile• Blood counts• Renal Profile• Lung function- PFT• Cancer screening (Once every year)

Health assessmen

t for smokers

Parting Advice