smoking & smoking cessation presented by :. the point of this presentation to learn about the...
TRANSCRIPT
Smoking & Smoking Cessation
Presented by:
The Point of this Presentation
• To learn about the effects of smoking so that you can make a
more educated decision if an opportunity comes for you to start
smoking.• To learn about resources for people
trying to quit smoking.
QUIZTIME!
1. Is tobacco smoking responsible for:a. 1/5 deaths?b. 1/10 deaths?c. 1/25 deaths?d. 1/100 deaths?
ANSWER: it is estimated that tobacco smoking causes the death of 1 in 5 adults worldwide
QUIZTIME!
2. Smoking increases the risk of developing:a. lung cancerb. heart diseasec. stroked. emphysemae. cancer of the mouthf. all of the above
ANSWER: f. all of the above
QUIZTIME!3. True or false:
A single cigarette can contain over 4000 chemicals.
ANSWER: true; cigarettes contain over 4000 chemicals, 60 of which are known carcinogens (cancer-causing agents)
4. How does cigarette smoking affect skin?a. makes you look youngerb. premature agingc. dry skind. all of the above
ANSWER: b. premature aging; cigarettes cause skin to stain and darken and cause premature wrinkling
QUIZTIME!
5. Smoking is responsible for what percentage of all lung cancer?a. 20%b. 50%c. 90%d. 99%e. It is not proven that smoking causes lung cancer.
ANSWER: c. 90%
QUIZTIME!
6. True or false: If a mother smokes during her pregnancy, her child is more likely to smoke as a teenager.
ANSWER: true; even if the mother quits smoking after the baby is born, the child has already developed more nicotine receptors in the brain
QUIZTIME!
7. True or false: Smoking is the single largest preventable cause of death and disease in Canada.
ANSWER: true; according to the Alberta Lung Association, smoking is the number one preventable cause of death in Canada
QUIZTIME!
8. True or false:The nicotine in smoking cessation products, such as NicoretteÔ or NicodermÔ is less harmful than the nicotine in cigarettes.
ANSWER: false; the benefit of these products is that the amount of nicotine can gradually be reduced, until the person can quit altogether. The other benefit is that these products do not contain the other harmful chemicals found in cigarettes.
QUIZTIME!
9. Side effects of nicotine include:a. insomniab. nauseac. dizzinessd. all of the above
ANSWER: d. all of the above. Nicotine can cause all of the side effects listed.
QUIZTIME!
10. True or false:Quitting smoking only involves breaking
the physical addiction to nicotine.
ANSWER: false. Quitting smoking also involves changing social habits as well as mental addiction.
QUIZTIME!
Factoid!
CIGARETTES ARE THE ONLY LEGAL PRODUCT THAT KILLS UP TO 50%
OF THE USERS WHEN USED AS INTENDED BY THE MANUFACTURER!
What’s in a Cigarette?
Tobacco leaves Fillers (usually “waste” products of
tobacco leaves) to give cigarette “bulk” Water “Moisturizers” to enhance shelf life
(prevents cigarettes from drying out)
What’s in a Cigarette?-- ADDITIVES
• Sugars: make cigarettes easier to inhale• Ammonium: makes cigarettes less acidic• Eugenol/menthol: numb the throat (smoker
cannot feel the smoke's aggravating effects)
• Cocoa: expands airways; smoke can go deeper into lungs (more nicotine exposure & more tar)
• Flavoured cigarettes
What’s in Cigarette Smoke?
Chemical: Found in:Acetone Paint stripper/nail polish remover
Ammonia Floor cleaner/carpet cleaner
Arsenic Rat Poison
Butane Lighter Fuel
Cadmium Car Batteries
Carbon Monoxide Car Exhaust
Chemical: Found in:DDT Insecticide
Hydrogen Cyanide Gas Chambers
Methanol Rocket fuel
Naphthalene Moth balls
Toluene Industrial solvent
Vinyl chloride Plastics
What’s in Cigarette Smoke?
remember, over 4000 chemicals are found in cigarette smoke; only some have been listed
in every cigarette, there are 60 known carcinogens
What’s in Cigarette Smoke?
What’s in Cigarette Smoke?
Types of smoke:
1. “sidestream” smoke from the burning tip of the cigarette
(2nd hand smoke . . .)
2. “mainstream” smoke from the filter or mouth end.
3. the latest...third hand smoke
Second Hand Smoke
major cause of stillbirths and Sudden Infant Death Syndrome (SIDS)
associated with asthma and respiratory problems
increases the risk of coronary heart disease by 25-35%
increases bronchitis, pneumonia, and ear/respiratory tract infections
What Does Smoking Do to the Body?
Hair: smells and stains Eyes: sting & water, blindness, cataracts Skin: premature wrinkles & aging Brain: stroke, addiction/withdrawal,
anxiety about harm of smoking Nose: decreases sense of smell Teeth: stains, plaque, loosens teeth, gum
disease Hands: staining and decreased circulation
(cold hands!)
• Mouth/throat: lip/throat/mouth cancer, sore throat, reduced sense of taste, smelly breath
• Lungs: lung cancer, cough, shortness of breath, colds/flu, pneumonia, emphysema
• Heart: blocks/weakens arteries of the heart, heart attack
• Chest: esophagus cancer• Abdomen: stomach ulcers,
stomach/pancreas/colon • Liver, Kidneys, Bladder: cancer
What Does Smoking Do to the Body?
Brain after stroke due to smoking
Chronic smoker’s lung
Mouth cancer
• Wounds: take longer to heal, longer time to recuperate from surgery
• Blood: leukemia• Legs/Feet: leg pain and gangrene• Can also cause:
– Diabetes: Non-insulin dependent diabetes mellitus (Type 2, adult-onset)
– Weakened immune system
What Does Smoking Do to the Body?
http://ww
w.w
ho.int/tobacco/en/atlas9.pdfWhat Does Smoking Do to the Body?
Costs of Smoking- to individuals
1 pack in Canada ~ $10.00/25 cigarettes 1 pack/day = $10.00/day x 30 days =
$300.00/month x 12 months = $3600/year- If you were making $9.00/hour, that is
400 hours before taxes!- One year of smoking a pack a day costs
almost as much as a down-payment on a car!
Costs of Smoking- to the economy
6-15% of total annual healthcare expenses are due to smoking
$4.4 billion in direct health care costs for tobacco-related illnesses
Sick days from work Lower worker productivity Increased life insurance premiums Costs for smoking areas at work Lost income from dying young
20% of trash removal due to tobacco products
• 1 000 000 fires started due to cigarette lighters
• Percentage of deaths by fire due to cigarettes: 10%
• Total deaths due to fire from cigarettes: 300 000 (global)
• China 1987: World’s worst forest fire caused by cigarettes (300 killed, 5000 homeless, 1.3 million hectares of land destroyed)
Costs of Smoking- to the economy
Smoking – Opinions of Youth- (Grades 6-12; Canadian Statistics, survey 2008-2009)
• 84% of youth believed tobacco was addictive• 85% also believed smoking harmed the
health of non-smokers• About 4% of all non-smokers believe that the
most common reason youth start smoking is the behavior of peers (“It’s cool”)
• 18% of non-smokers believed smoking would help you “stay slim”
Youth Smoking Survey-Results Profile 2010/2011
Survey was first conducted in 1994 and has been repeated every 2 years since 2002. 26% of youth from across Canada in grades
6-12 have tried smoking and 3% report smoking on a daily basis.
85% of current smokers started smoking by age 19.
Peer and Family Influences
Influences can be direct (peer pressure) but more often indirect (modeling)
Non-smokers are most susceptible to start smoking if their friends smoke.
Youth with family members who smoke are more likely to start smoking.
Younger smokers are more likely to obtain cigarettes from friends and family.
Smoking – Becoming Less Popular- (Canadian Statistics, 2012)
• The current smoking rate in Canada (12 and older) was 19.9% in 2011 (down from 25.9% in 2001). • The rates for men and women both dropped 6% during this
period - men from 28.1% to 22.3% and women from 23.8% to 17.5%.
• The smoking rate fell more rapidly among teens (15 to 19 years) than any other age group.• 18 to 19 year-olds: decline from 33.2% to 19.8%• 15 to 17 year-olds: decline from 19.3% to 10.1%
http://www.hc-sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/ctums-esutc_2011-eng.php#tabc
http://www.hc-sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/ctums-esutc_2011-eng.php#tabc
http://www.hc-sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/ctums-esutc_2011-eng.php#tabc
What about Hookah
Also Called:
• Hookah• Argeela• Nargeela• Shisha• Goza• Bong
…etc
Originally from India. Popular in the Middle East and becoming more and more popular in North and South America, Europe and Australia
Hookah
How it works:
Flavored tobacco is put in a bowl (called a “rass” or “head”), and tin foil with holes covers it.
A charcoal heats the head and the smoke is cooled through a water chamber at the bottom
The smoke is then inhaled through a hose and a mouthpiece
Concerns with Hookah
Although cigarette use has decreased significantly, alternative forms of tobacco such as hookah are becoming more popular, especially among youth.
In 2010…- 10% of Canadians in grades 9 to 12 reported ever trying Hookah and 4% use it regularly.- 29% of Canadians thought smoking hookah was less
harmful than smoking cigarettes.- 34% thought it contained less tar.
HOOKAH
TRUE OR FALSE?
Smoking hookah is less harmful than
smoking cigarettes
Hookah Vs. Cigarettes
When compared to smoking cigarettes, hookah smoke produced:
1.7 times more nicotine
8.3 times more carbon monoxide
36 times more tar
Cigarette Smokers Vs. Hookah Smokers
What is Carbon Monoxide?
A colorless and odorless gas which can decrease the amount of oxygen in your blood. Hemoglobin binds oxygen, but when carbon monoxide is present, you get carboxyhemoglobin!
“after a single smoking session found that carboxyhaemoglobin levels increased by more than 400% in hookah smokers compared to less than 40% in cigarette smokers.”
The Health Risks
When measuring the 24-hour urinary cotinine level in hookah smokers, they found out it is equivalent to smoking 10 cigarettes a day!
The Health Risks
According to the WHO, a typical one-hour session of hookah smoking produces 100 to 200 times the volume of smoke produced by one cigarette
It is still associated with all the diseases we’ve talked about, including:
-All types of cancers-Heart Disease-Lung Diseaseand more…
Also Cost!
How much for one box of hookah tobaco?
Works out to costing more than cigarettes…
http://www.offthemark.com/smoke/smoke.htm
There is hope!
Tips for Quitting
Decide positively that you WANT to quit; avoid negative thoughts.
List reasons for wanting to quit. Set a target date for quitting–perhaps a special
day such as your birthday. Know quitting isn't easy, but it's not impossible
either; withdrawal is temporary! Tell your family and friends that you're quitting;
they can give support!
Tips for Quitting
Spend as much free time where smoking isn't allowed (e.g. libraries, museums, theatres).
Avoid food/beverages that you normally associate with smoking (mental addiction/habit is almost as hard to break as the physical addiction!) .
Avoid activities you associate with smoking (e.g. if you normally smoke while watching TV, lay off TV for a while).
Ways to Quit:
Switching brands:- switch to a brand you find distasteful- switch to a brand with less tar/nicotine and gradually wean off
Gradually quitting:- smoke only half of each cigarette- postpone the lighting of a cigarette by 1 hour- change your eating habits to help you cut down (e.g. reach for a glass of juice instead of a cigarette)
Other Aids:
nicotine replacement: nicotine gum, inhaler, lozenge or patch; can be used to reduce cravings and withdrawal symptoms
prescription medications:e.g. Zyban®, Champix®
- nicotine-FREE- can help reduce the urge to smoke and reduce
withdrawal symptoms- only recommended for smokers over 18 years
of age other treatments – so many aids!!
http://www.glasbergen.com/images/fit49.gif
Resources
Smoker’s Help Line1-866- 33A-ADAC (1-866-332-2322)
Alberta Lung Associationwww.ab.lung.ca/smokingandtobacco.html
Canadian Cancer Society "One Step at a Time" Program:- http://66.59.133.166/tobacco/pubs/osaat/indexe.htm- Phone: 1-888-939-3333 (toll free)
Smoke-Free Albertawww.smokefreealberta.com/
So many resources!!
The Difficulties of Quitting
withdrawal It can be HARD WORK!! multiple tries
SUPPORT AND ENCOURAGEMENT!!
The Positives of Quitting
money control in your life; “I have to go for a smoke”;
pride finding a mate – look prettier; healthy = hot your health – lungs, heart, everything! sports,
sticky situations, energy, dancing, fun with friends friends’, others’ health example for others, children
Barb Tarbox: A Life Cut Short by Tobacco
• In September 2002 , Barb Tarbox was diagnosed with incurable lung (stage IV) and brain cancer at the age of 41.
• She smoked for 30 years, totaling a 60 pack-year smoking history.
• She died May 18, 2003 after speaking to more than 50,000 students about the dangers of smoking.
http://www.youtube.com/watch?v=YQQXH2gqbtc
Any Questions?
References
World Health Organization. Tobacco Free Initiative: Retrieved September 18, 2004:
http://www.who.int/tobacco/about/en/, http://www.who.int/tobacco/en/atlas9.pdf,
http://www.who.int/tobacco/en/atlas13.pdf http://www.ab.lung.ca/
Tobacco Free Kids. (2003, April 3) Health Harms From Second Hand Smoke. Retrieved September 18, 2004:
http://tobaccofreekids.org/research/factsheets/pdf/0103.pdf
Health Canada. (2004, September 13) Summary of Results of the 2002 Youth Smoking Survey. Retrieved September 18,
2004: http://www.hc-sc.gc.ca/hecs-sesc/tobacco/research/yss/index.html
Nicorette. (2004) Retrieved September 18, 2004: http://nicorette.quit.com/
Nicoderm. (2004) Retreived September 18, 2004: http://nicodermcq.quit.com/
Zyban. (2004) Retrieved September 18, 2004: http://www.zyban.com/zp_1000.html
Canadian Lung Association. (2010) Smoking and Tobacco. Retrieved February 12, 2010: http://www.lung.ca/protect-
protegez/tobacco-tabagisme/quitting-cesser/benefits-bienfaits_e.php
C Health. (2010) Smoking. Retrieved February 12, 2010: http://chealth.canoe.ca/channel_section_details.asp?
text_id=3263&channel_id=2022&relation_id=16495
References
WHO Study Group on Tobacco Product Regulation . Waterpipe Tobacco Smoking: Health Effects, Research Needs and
Recommended Actions by Regulators. Geneva, Switzerland: World Health Organization, 2005. Maziak W. The global epidemic of waterpipe smoking. Addictive Behaviors; 2011: Jan-Feb; 36(1-2):1-5.
Canadian Tobacco Use Monitoring Survey (CTUMS) 2006. Health Canada http://www.hc-sc.gc.ca/hc-ps/tobactabac/
research-recherche/stat/_ctums-esutc_2006/ann_summary-sommaire-eng.php. Youth Smoking Study (YSS) 2006. Health Canada. Dugas E, Tremblay M, Low NCP, Cournoyer D, O’Loughlin J. Water-pipe smoking among North American youth.
Pediatrics 2010; 125:1184-1189. Cobb C, Ward KD, Maziak W, Shihadeh AL, Eissenberg T. Waterpipe tobacco smoking: An emerging health crisis in the
United States. American Journal of Health Behavior 2010; 34(3): 275-285. Theron A, Schultz C, Ker JA, Falzone N. Carboxyhaemoglobin levels in water-pipe and cigarette smokers. South African
Medical Journal 2010;100: 122-124. Neergaard J, Singh P, Job J, Montgomery S. Waterpipe smoking and nicotine exposure: A review of the current evidence.
Nicotine and Tobacco Research 2007; 9(10): 987-994. Akl EA, Gaddam S, Gunukula SK, Honeine R, et al. The effects of waterpipe tobacco smoking on health outcomes: a
systematic review. International Journal of Epidemiology 2010; 39: 834-857.
References
Daher N, Saleh R, Jaroudi, E, Sheheiti H, et al. Comparison of carcinogen, carbon monoxide, and ultrafine particle
emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of
second-hand smoke emission factors. Atmospheric Environment 2010; 44: 8-14.• CDC. Bidi and Hookah Use Among Canadian Youth: Findings from the 2010 Canadian Youth Smoking Survey:
Retrieved August 25, 2013: http://www.cdc.gov/pcd/issues/2013/12_0290.htm• Propel. Tobacco Use in Canada: Patterns and Trends 2012 Edition: Retrieved August 25, 2013:
http://www.tobaccoreport.ca/2012/TobaccoUseinCanada_2012.pdf• Alberta Health Services. Smoking is Expensive: Retrieved August 25, 2013:
http://www.albertahealthservices.ca/2570.asp• Statistics Canada. Health at a Glance – Current Smoking Trends: Retrieved August 25, 2013:
http://www.statcan.gc.ca/pub/82-624-x/2012001/article/11676-eng.htm• 2008-2009 Youth Smoking Survey (YSS) Public Use Microdata File: Retrieved August 25, 2013:
http://search2.odesi.ca/documentation/YSS2008-2009/yss08_microdata_publicuse_091202_ver3.pdf• Youth Smoking Survey. Results Profile for Alberta: Retrieved August 25, 2013:
http://www.yss.uwaterloo.ca/results/yss10_EN_Provincial%20Report_Alberta_20120514.pdf