Smoking Alert

• By

• Dr.Ashok laddha• Occupational Health

Physician

• MBBS, PGDC ,PGDD, PGDEM, AFIH ,ACLS,BLS

• Diploma in Workplace Health and safety. MBA-HA(In –Progress)

Overview

• There are over 4,000 chemicals in tobacco smoke

• At least 81 of those chemicals are known to cause cancer

• More than 70% students smokes• More than 70% young population smokes

Smoking Facts-1

• Every cigarette you smoke reduces your expected life span by 11 minutes.

• Exposure to Secondhand smoke causes nearly 50,000 deaths each year in the U.S. alone.

• 15 billion cigarettes are smoked worldwide every day.

• Hitler led the first public anti-smoking campaign in modern history

Smoking Facts-2

• Among young teens (aged 13 to 15), about one in five smokes worldwide.

• Between 80,000 and 100,000 children worldwide start smoking every day - roughly half of whom live in Asia.

• Evidence shows that around 60% of those who start smoking in adolescent years go on to smoke for 15 to 20 years.

• Tobacco kills nearly 6 million people each year• Unchecked, tobacco-related deaths will increase to more

than eight million a year by 2030, and 80% of those deaths will occur in the developing world.

List of cancer causing chemicals-1• 1. Acetaldehyde • 2. Acetamide • 3. Acrylamide • 4. Acrylonitrile • 5. 2-Amino-3,4-dimethyl-3H-imidazo[4,5-f]quinoline • 6. 3-Amino-1,4-dimethyl-5H-pyrido [4,3-b]indole • 7. 2-Amino-l-methyl-6-phenyl-1H-imidazo [4,5-b]pyridine • 8. 3-Amino-l-methyl-5H-pyrido [4,3-b]indole • 9. 2-Amino-3-methyl-9H-pyrido[2,3-b]indole • 10. 2-Amino-6-methyldipyrido [1,2-a:3',2'-d] imidazole • 11. 2-Amino-9H-pyrido[2,3-b]indole

List of cancer causing chemicals-2• 12. 4-Aminobiphenyl • 13. 2-Aminodipyrido[1,2-a:3',2'-d]imidazole (Glu-P-2) • 14. 0-Anisidine • 15. Arsenic • 16. Benz[a]anthracene • 17. Benzene • 18. Benzo[a]pyrene • 19. Benzo[b]fluoranthene • 20. Benzo[j]fluoranthene • 21. Benzo[k]fluoranthene • 22. Benzo[b]furan • 23. Beryllium • 24. 1,3-Butadiene

List of cancer causing chemicals-3• 25. Cadmium • 26. Catechol (1,2-benzenediol) • 27. p-Chloroaniline • 28. Chloroform • 29. Cobalt • 30. p,p'-DDT • 31. Dibenz[a,h]acridine • 32. Dibenz[a,j]acridine • 33. Dibenz(a,h)anthracene • 34. 7H-Dibenzo[c,g]carbazole • 35. Dibenzo(a,e)pyrene • 36. Dibenzo(a,i)pyrene • 37. Dibenzo(a,h)pyrene • 38. Dibenzo(a,i)pyrene • 39. Dibenzo(a,l)pyrene • 40. 3,4-Dihydroxycinnamic acid (caffeic acid) • 41. Ethylbenzene

List of cancer causing chemicals-4• 42. Ethylene oxide • 43. Formaldehyde • 44. Furan • 45. Glycidol • 46. Heptachlor • 47. Hydrazine • 48. Indeno[1,2,3-cd]pyrene • 49. IQ 92-Amino-3-methyl-3H-imidazo[4,5-f]quinoline) • 50. Isoprene • 51. Lead • 52. 5-Methyl-chrysene • 53. 2-Naphthylamine • 54. Nitrobenzene • 55. Nitrogen mustard

List of cancer causing chemicals-5• 56. Nitromethane • 57. 2-Nitropropane • 58. N-Nitrosodi-n-butylamine (NDBA) • 59. N-Nitrosodi-n-propylamine (NDPA) • 60. N-Nitrosodiethanolamine (NDELA) • 61. N-Nitrosodiethylamine (DEN) • 62. N-Nitrosodimethylamine (DMN) • 63. N-Nitrosoethylmethylamine (NEMA, MEN) • 64. 4-(N-Nitrosomethylamino)-1-(3-pyridinyl)-1-butanone (NNK) • 65. N'-Nitrosonornicotine (NNN) • 66. N-Nitrosopiperidine (NPIP, NPP) • 67. N-Nitrosopyrrolidine (NPYR, NPY) • 68. Polonium-210 • 69. Propylene oxide • 70. Radon 222

List of cancer causing chemicals-6

• 71. Safrole • 72. Styrene • 73. Tetrachloroethylene • 74. o-Toluidine (2-methylaniline) • 75. Trichloroethylene • 76. Urethane - carbamic acid • 77. Urethane - ethyl ester • 78. Vinyl acetate • 79. Vinyl chloride • 80. 4-Vinylcyclohexene • 81. 2,6-Xylidine (2,6-dimethylaniline)

Smoking Risk

Nicotine pathway

Cancer Caused by Smoking

• Lung cancer--Common• Cancers of the mouth and throat • Bladder cancer • Breast cancer • Colorectal/Colon cancer• Kidney cancer• Leukaemia • Liver cancer• Oesophageal cancer • Ovarian cancer• Pancreatic cancer• Stomach cancer• Vulva and vagina cancers

Predictors associated with youth tobacco usage

• Certain social, economic, and environmental factors can be associated with the prediction of youth and an increased use of tobacco Risk factors include:

• Lower socioeconomic status• Having parents, close relatives, friends, or guardians that smoke• Acceptance and positive views of smoking by peers• Incompletion of higher levels of eucation• High availability of and exposure to tobacco products• Stress and emotion• women in particular, smoking is a tool for weight loss and

weight management

Effect of passive smoking

• Non-smokers are at risk of contracting lung cancer from exposure to other people’s smoke.

• increased risk of lung cancer in non-smokers of between 20% and 30%.

• review confirmed that “the evidence is sufficient to conclude that involuntary smoking is a cause of lung cancer in never smokers.” -

Effective tools for Awareness

• Media• Health Education• Posters• Stress Management• Law Enforcement

Target Groups for Awareness

• Students• Parents• Teachers• Corporate employee

Take home Message

• Stop Smoking---------------------If someone quits it is achievement

• It ruins your life, Her life, And their lives.