Tobacco PreventionTobacco Prevention

You think you know, but you have You think you know, but you have no idea…no idea…

• Take a few Take a few minutes and fill out minutes and fill out this quick quiz on this quick quiz on how much you how much you know about know about tobacco and it’s tobacco and it’s effects.effects.

Answers- Can you believe Answers- Can you believe it?!it?!

• 1. C- tobacco causes more illnesses and 1. C- tobacco causes more illnesses and death than all other addicting drugs death than all other addicting drugs combined. It can be attributed to about combined. It can be attributed to about 443,000 deaths in the United States each 443,000 deaths in the United States each year. Nicotine is the main drug in year. Nicotine is the main drug in tobacco that is responsible for addiction.tobacco that is responsible for addiction.

• 2. A- Nicotine boosts the amount of a 2. A- Nicotine boosts the amount of a brain chemical called dopamine. At first, brain chemical called dopamine. At first, this produces feelings of pleasure. Soon, this produces feelings of pleasure. Soon, however, the person needs the nicotine however, the person needs the nicotine just to feel normal. just to feel normal.

Answers- cont’d.Answers- cont’d.

• 3. A- The addictive drug, nicotine, is only 3. A- The addictive drug, nicotine, is only one of about 4000 chemicals in cigarette one of about 4000 chemicals in cigarette smoke. Many of them, such as tar and smoke. Many of them, such as tar and carbon monoxide are poisonous and carbon monoxide are poisonous and cause diseases such as cancer.cause diseases such as cancer.

• 4. C- People who smoke are addicted to 4. C- People who smoke are addicted to the nicotine in tobacco. However, both the nicotine in tobacco. However, both tar and carbon monoxide are also toxic tar and carbon monoxide are also toxic chemicals causing many health chemicals causing many health problems.problems.

More answers…More answers…

• 5. A- After a person inhales cigarette 5. A- After a person inhales cigarette smoke, nicotine enters the blood in smoke, nicotine enters the blood in the lungs, goes through the heart the lungs, goes through the heart and is pumped to the brain- a and is pumped to the brain- a journey that takes only 8 seconds!journey that takes only 8 seconds!

• 6. C- Nicotine is similar in size and 6. C- Nicotine is similar in size and shape as brain chemicals that shape as brain chemicals that regulate feelings of alertness and regulate feelings of alertness and pleasure or satisfaction.pleasure or satisfaction.

Video TIME!Video TIME!

• Child Smokers• Sean Marsee's Story

Get with a partner…Get with a partner…

• Have you ever been told or heard that Have you ever been told or heard that using tobacco is bad for you?using tobacco is bad for you?

• Why do people start using tobacco?Why do people start using tobacco?

• Why do people continue using tobacco?Why do people continue using tobacco?

• Who do tobacco companies target with Who do tobacco companies target with their advertising?their advertising?

Tobacco is Categorized Tobacco is Categorized As…As…

There are two categories of tobacco:

-smoked tobacco-smokeless tobacco

Smoked TobaccoSmoked Tobacco

• Cigarettes- (a small hand-rolled filterless cigarette Cigarettes- (a small hand-rolled filterless cigarette made in India that contains more tar and nicotine made in India that contains more tar and nicotine then regular cigarettes), Clove cigarette (cigarette then regular cigarettes), Clove cigarette (cigarette that has a mixture of ground cloves and tobacco, also that has a mixture of ground cloves and tobacco, also contains Eugenol, which numbs the back of the contains Eugenol, which numbs the back of the throat, reducing the ability to cough), regular throat, reducing the ability to cough), regular cigarette (dried and shredded tobacco wrapped in cigarette (dried and shredded tobacco wrapped in paper). Ex. Virginia Slim, Marlboro, Camel, Newportpaper). Ex. Virginia Slim, Marlboro, Camel, Newport

• Pipes- shredded tobacco smoked in a pipe. Ex. Pipes- shredded tobacco smoked in a pipe. Ex. Estate Pipes, Coral Curves, Black and MildsEstate Pipes, Coral Curves, Black and Milds

• Cigars- are made up of dried and rolled tobacco Cigars- are made up of dried and rolled tobacco leaves. Ex. Black and Mild, Philly Blunts, Dutchesleaves. Ex. Black and Mild, Philly Blunts, Dutches

Smokeless TobaccoSmokeless Tobacco

• Chewing Tobacco- Chewing Tobacco- tobacco product made tobacco product made from chopped tobacco from chopped tobacco leaves that are place leaves that are place between gums and cheek. between gums and cheek. Ex. Skoal, Kodiak, Ex. Skoal, Kodiak, CopenhagenCopenhagen

• Snuff- tobacco product Snuff- tobacco product made from powdered made from powdered tobacco leaves and stems tobacco leaves and stems that are snorted or placed that are snorted or placed between gums and cheek. between gums and cheek. Ex. Copenhagen, Skoal Ex. Copenhagen, Skoal

Things you might not Things you might not know…know…

• Tobacco is the single most preventable Tobacco is the single most preventable cause of death in the United States.cause of death in the United States.

• Cigarette smoking annually causes more Cigarette smoking annually causes more than 443,000 premature deaths, far more than 443,000 premature deaths, far more than alcohol abuse and illegal drugs.than alcohol abuse and illegal drugs.

• Cigarette smoking kills more Americans Cigarette smoking kills more Americans each year then the combined total for the each year then the combined total for the following causes: AIDS, car accidents, following causes: AIDS, car accidents, suicide, murder, alcohol abuse, illegal suicide, murder, alcohol abuse, illegal drugs, and fires.drugs, and fires.

• 1 out of every 5 deaths in the U.S is Tobacco 1 out of every 5 deaths in the U.S is Tobacco related. That is like 3 fully loaded jumbo related. That is like 3 fully loaded jumbo jets crashing every day with no survivors!jets crashing every day with no survivors!

Marker ActivityMarker Activity

• Tobacco use begins very early in life!Tobacco use begins very early in life!

- Of adult daily smokers, 89% Of adult daily smokers, 89% begin smoking as teenagers! begin smoking as teenagers! (look at the class markers)(look at the class markers)

- Of every 6,000 young people who take Of every 6,000 young people who take their first puff of a cigarette, 3,000 of their first puff of a cigarette, 3,000 of them become regular smokers.them become regular smokers.

NicotineNicotine• Nicotine, a highly addictive nervous system stimulant Nicotine, a highly addictive nervous system stimulant

drug, is found in tobacco products.drug, is found in tobacco products.• Dulls the taste buds, constricts blood vessels, and Dulls the taste buds, constricts blood vessels, and

increases heart rate and blood pressure.increases heart rate and blood pressure.• Nicotine is absorbed into the blood stream when it is Nicotine is absorbed into the blood stream when it is

inhaled into the lungs. It is also absorbed into the inhaled into the lungs. It is also absorbed into the blood stream when placed in the gum where saliva is blood stream when placed in the gum where saliva is present.present.

• Nicotine results in physical and psychological Nicotine results in physical and psychological dependence of the body.dependence of the body.

• People first experience a stimulation or “high” when People first experience a stimulation or “high” when using a nicotine product. For addicts, the use of using a nicotine product. For addicts, the use of tobacco is to temporarily stop their nicotine cravings.tobacco is to temporarily stop their nicotine cravings.

Adverse AffectsAdverse Affects• Tobacco has more than 4,000 known Tobacco has more than 4,000 known

chemicals in it, a few of which are chemicals in it, a few of which are carcinogens. This is a chemical that is carcinogens. This is a chemical that is known to cause cancer. Some known known to cause cancer. Some known cancers caused by tobacco use are:cancers caused by tobacco use are:

- Lung Cancer (leading cause of cancer Lung Cancer (leading cause of cancer death in the world)death in the world)

- Cancer of the MouthCancer of the Mouth- Stomach CancerStomach Cancer- Cancer of the ThroatCancer of the Throat

Respiratory DiseasesRespiratory Diseases

• Asthma- condition in which bronchial tubes Asthma- condition in which bronchial tubes become inflamed and constricted, making become inflamed and constricted, making breathing difficultbreathing difficult

• Chronic Obstructive Pulmonary Disease (COPD)- Chronic Obstructive Pulmonary Disease (COPD)- disease that interferes with breathing. Examples disease that interferes with breathing. Examples are Chronic Bronchitis (recurring inflammation of are Chronic Bronchitis (recurring inflammation of the bronchial tubes) and Emphysema (condition the bronchial tubes) and Emphysema (condition in which the alveoli in the lungs lose most of their in which the alveoli in the lungs lose most of their ability to absorb Oxygen from inhaled air and ability to absorb Oxygen from inhaled air and pass it on into the blood stream or remove carbon pass it on into the blood stream or remove carbon dioxide from the blood stream). Emphysema dioxide from the blood stream). Emphysema cannot be cured.cannot be cured.

Cardiovascular DiseasesCardiovascular Diseases

• Smoking is a major cause of death from Smoking is a major cause of death from heart and blood vessel diseases, blood heart and blood vessel diseases, blood clots, and stroke.clots, and stroke.

• Heart Attack- death of cardiac muscle Heart Attack- death of cardiac muscle caused by lack of blood flow to the heart. caused by lack of blood flow to the heart. This is a clot in an artery of the heart.This is a clot in an artery of the heart.

• Stroke- a clot in the brain caused by a Stroke- a clot in the brain caused by a blocked or broken blood vessel. blocked or broken blood vessel.

• Aortic Aneurism- Bulging weakened area Aortic Aneurism- Bulging weakened area in the aorta. in the aorta.

Other Health Problems…Other Health Problems…

• Smokers are more likely to develop gum Smokers are more likely to develop gum disease, to lose teeth, and supporting disease, to lose teeth, and supporting gum tissue.gum tissue.

• Smoking may cause or worsen ulcers in Smoking may cause or worsen ulcers in the stomach and small intestine.the stomach and small intestine.

• Smoking during pregnancy harms the Smoking during pregnancy harms the developing baby- can reduce birth weight developing baby- can reduce birth weight and lung function.and lung function.– Why would someone do something to harm Why would someone do something to harm

their unborn baby??their unborn baby??

Is this bad?Is this bad?

• Some external effects of tobacco Some external effects of tobacco use:use:

- bad breath, yellow teeth, brittle - bad breath, yellow teeth, brittle and yellowing nails, smell of smoke and yellowing nails, smell of smoke on clothing, etc., blackened gums, on clothing, etc., blackened gums, jaundice, red eyes, etc.jaundice, red eyes, etc.

MONEY, MONEY, MONEY, MONEY, MONEYMONEY

• It will cost you approximately $1,000 It will cost you approximately $1,000 a year if you buy a pack a day. If a year if you buy a pack a day. If you put a thousand dollars a year you put a thousand dollars a year into the bank with 5% interest, in into the bank with 5% interest, in 20 years you would have 20 years you would have accumulated $34, 719. You could accumulated $34, 719. You could buy a Cadillac for that much!buy a Cadillac for that much!

Why Try Tobacco in the Why Try Tobacco in the First Place?First Place?

• Some people try tobacco because of advertising and Some people try tobacco because of advertising and media. The media presents tobacco as a fun, easy, media. The media presents tobacco as a fun, easy, and cool thing to do.and cool thing to do.

• Some people try tobacco because of peer pressure. Some people try tobacco because of peer pressure. Friends or acquaintances are using tobacco products Friends or acquaintances are using tobacco products so they feel they have to. They might also be so they feel they have to. They might also be pressured or made fun of if they try to resist in the pressured or made fun of if they try to resist in the first place. This may make them give in.first place. This may make them give in.

• Some people try tobacco as a way to relieve stress. A Some people try tobacco as a way to relieve stress. A person may turn to tobacco for the immediate high person may turn to tobacco for the immediate high and stimulation it gives them, relieving their stress.and stimulation it gives them, relieving their stress.

• Lastly, some people may turn to tobacco products to Lastly, some people may turn to tobacco products to lose weight. Since tobacco covers up appetite, it is lose weight. Since tobacco covers up appetite, it is easier to lose weight then trying to diet. easier to lose weight then trying to diet.

Ways to QuitWays to Quit

• 1. List your reasons 1. List your reasons for wanting to quit.for wanting to quit.

• 2. Decide upon a 2. Decide upon a date to quitdate to quit

• 3. Make a health 3. Make a health behavior contractbehavior contract

• 4. Think about the 4. Think about the situations in which situations in which you use tobacco you use tobacco productsproducts

• 5. Join a tobacco 5. Join a tobacco cessation programcessation program

• 6. Get help from 6. Get help from othersothers

• 7. Participate in 7. Participate in activities that get activities that get your mind off using your mind off using tobaccotobacco

• 8. If at first you 8. If at first you don’t succeed…don’t succeed…

If you need something If you need something else…else…

• Get help from a health care professional- Get help from a health care professional- a physician might prescribe:a physician might prescribe:

- A nicotine patch, nicotine chewing gum, A nicotine patch, nicotine chewing gum, nicotine inhaler, or nicotine nasal spray.nicotine inhaler, or nicotine nasal spray.

- Buproprion- a prescription anti-Buproprion- a prescription anti-depressant drug that does not contain depressant drug that does not contain nicotine. This is approved by the FDA as nicotine. This is approved by the FDA as a smoking cessation aid.a smoking cessation aid.

- Trying cold turkey might not be a great Trying cold turkey might not be a great option if you have been smoking for a option if you have been smoking for a while or smoke a couple packs a day. while or smoke a couple packs a day.

Refusal SkillsRefusal Skills

• Change the subject. If asked to smoke, just Change the subject. If asked to smoke, just brush off the idea and change the subject.brush off the idea and change the subject.

• Give a reason. If asked to smoke give a reason Give a reason. If asked to smoke give a reason as to why you don’t smoke or never will.as to why you don’t smoke or never will.

• Walk away or ignore the offer. If the pressure Walk away or ignore the offer. If the pressure is getting to high, just turn and walk away or is getting to high, just turn and walk away or ignore what is being told to you.ignore what is being told to you.

• Assert yourself. If you think that you are right Assert yourself. If you think that you are right and the person smoking is harming and the person smoking is harming themselves, tell them that.themselves, tell them that.

• Whatever you do…Whatever you do…Just Say NO!Just Say NO!

Role Playing Time!Role Playing Time!

• Get with a partner and for the Get with a partner and for the next few minutes come up with a next few minutes come up with a situation in which someone is situation in which someone is being asked to use tobacco and being asked to use tobacco and someone is using a refusal skill. someone is using a refusal skill. Try to use one of the skills we Try to use one of the skills we learned today or come up with learned today or come up with your own! Be Creative.your own! Be Creative.

FORMATIVE FORMATIVE ASSESSMENTASSESSMENT

• List 3 different health problems associated List 3 different health problems associated with smoking or chewing tobacco.with smoking or chewing tobacco.

• List at least 2 different ways in which you List at least 2 different ways in which you can say no to someone who is pressuring can say no to someone who is pressuring you to smoke.you to smoke.

• List 5 reasons that people may start using List 5 reasons that people may start using tobacco products.tobacco products.

• About how much does it cost per year to About how much does it cost per year to smoke a pack a day?smoke a pack a day?

ARTICLEARTICLE

• http://www.cnn.com/2012/02/29/us/http://www.cnn.com/2012/02/29/us/tobacco-warnings/index.html?tobacco-warnings/index.html?hpt=hp_t2 hpt=hp_t2