Honoring the Gift of Heart Health

1. Session 9: Enjoy Living Smoke Free (Commercial vs Traditional Tobacco) Honoring the Gift of Heart Health Honoring the Gift of Tobacco

2. Session 9: Enjoy Living Smoke Free • Participants will learn: • The difference between commercial tobacco and traditional tobacco • How cigarette smoking harms the smoker and their health • How second hand smoke harms people who are near people who smoke • Smokeless tobacco is harmful to your • health • Tips that can help a smoker who wants • to quit

3. Facts About Tobacco • Tobacco is the leading preventable cause of death and disease in the United States • Tobacco kills one out of three people who use it as intended by it’s manufacturers • About 2,100 New Mexicans die each year from smoking • For each New Mexican that dies this year from smoking, 20 more will suffer from at least one serious chronic illness caused by smoking • Quitting significantly reduces the risk of heart disease, emphysema, COPD (Chronic Obstructive Pulmonary Disease) and cancer

4. What is Commercial tobacco? • Cigarettes that are used for recreational purposes which are chemically enhanced and grown for profit • Over 4000 different chemical compounds are created by burning a cigarette • 69 of those chemicals are known to cause cancer • 500 are known to be poisonous

6. How does smoking effect my body? • Addiction – Nicotine in cigarettes is a powerful drug that can be as addictive as heroin and alters how your brain works • Wrinkles – Smoking decreases blood flow to the skin. This leads to leathery – looking skin and • increased wrinkles. • Cataracts – The more you smoke, the greater your chance of cataracts – an eye problem that can cause blindness. Even former smokers have a 50% higher risk of developing cataracts

7. Mouth Cancers – smoking is the main reason people get cancer in their tongues and mouths. Smoking makes it harder for saliva to remove germs in your mouth. You’ll get stains, bad breath and a higher chance of gum disease • Throat Cancer – Four out of every five cases of cancer of the esophagus are due to smoking. As smoke enters your throat, cancer causing chemicals condense on your mucous membranes

8. Heart disease – smoking is a major cause of heart attacks. With in 1 minute of your first puff on a cigarette, your heart beats faster. Blood vessels clamp down raising blood pressure and forcing your heart to work harder

9. Lung disease – if you smoke, you’re as much as 20 times more likely to die of lung cancer. But long before that, you’ll find your lung capacity decreased. You may develop asthma and if that doesn’t stop you, emphysema, where 90% of all cases are caused by smoking.

11. Smoking causes fatal lung cancer

13. New Mexico Adult Smoking Prevalence by Select • Demographic Groups, 2007-2009 Source: 2007-2009 NM Behavioral Risk Factor Surveillance System (BRFSS), three-year aggregated dataset, analyzed by NM Department of Health, Tobacco Use Prevention & Control (TUPAC) Program. Three-year dataset is used so that there are sufficient sample sizes for subgroup analyses.

14. Adult Tobacco Use: • 17.9 % of NM adults are current smokers, which is identical to the overall US smoking rates • NM adult smoking has dropped significantly between 2001 (23.8%) and 2009 (17.9%) • About 4.2% of NM adults currently use spit tobacco and 4.1% use cigars; men use spit tobacco and cigars at significantly higher rates than women. • Youth Tobacco Use: • 24% of NM high school students were current smokers in 2009, compared to 19.5% in the US • Smoking by NM high school youth declined from 30.2% in 2003 to 24% in 2009 • 11.8% of NM high school youth use spit, chew or snuff tobacco, slightly higher than in the US (8.9%) New Mexico Department of Health, 2010 New Mexico Tobacco Data Highlights

15. Secondhand Smoke

16. Facts about Secondhand Smoke • Secondhand smoke is the combination of smoke from the burning end of a cigarette and the smoke breathed out by smokers. • The smoke contains more than 7000 chemicals, hundreds are toxic and 70 can cause cancer. • It can cause heart disease, lung cancer, SIDS, and causes serious health problems in children.

17. Nathan’s Story The Impact of Secondhand Smoke on an American Indian Casino Worker

18. Actions in New Mexico • 92% of New Mexicans are protected from secondhand smoke through strong state and local laws that entirely prohibit smoking in public places and worksites • Navajo Nation proclaimed May 31, 2011 “NAVAJO NATION COMMERCIAL TOBACCO FREE DAY”

19. Smokeless Tobacco Slang words to describe smokeless tobacco: chew, snuff, spit or dip

20. Health Effects of Smokeless Tobacco • Smokeless tobacco contains 28 cancer causing agents • It increases the risk of developing cancer of the oral cavity • Smokeless tobacco is associated with recession of the gums, gum disease, and tooth decay

21. Smokeless tobacco is not a safe substitute for smoking cigarettes!

22. Use of Native American images to sell tobacco products

23. The True Price of Tobacco • A pack-a-day smoker spends an average of $230 every month on cigarettes – more than $2,700 per year • Person that chews one can of tobacco a day spends an average of $200 every month - $2,300 per year • The average retail price of a pack of cigarettes in New Mexico is $5.79, for which the State collects $1.66 in taxes. • Pine Hill Market average price is $7.54 • for a pack of cigarettes and $5.59 for • chewing tobacco

24. About Tobacco and Quitting • Know that it will take effort to quit smoking • Half of adult smokers have quit, so you can too! • Get help if you need it 1-800-Quit-Now

25. Get ready, set a date to quit • Talk to your health care provider, counselor, family and friends to let them know you are going to quit and you want their support • Get medication (over the counter) like lozenges, nicotine gum or your doctor can prescribe nicotine patches or medication • Learn new activities, distract yourself from urges to smoke. Drink a lot of water, listen to music, talk to your friends • Be prepared if you slip.

27. Traditional Tobacco

28. The Origin of Tobacco Long ago there was a wise and peace loving elder who traveled from tribe to tribe encouraging cooperation and friendship between the nations. He was a spokesman for the cause of good will and his mission was to promote unity among all beings. At a very great age the elder called a council meeting of elders and representatives from the many clans, tribes, and nations, which he had visited and taught. He told them that his work was coming to an end and he must soon join the spirit world. However, he promised to return in a new form as a reminder of the peaceful brotherhood he had sought to establish among the nations. A short time after his death a new plan sprouted from his grave. This was the tobacco plant and has been used in ceremonies ever since as a symbol of unity, honesty, and peace. The rising smoke from the pipe is a reminder that the thoughts and prayers of people go upward to the Creator. By: Little Turtle, Nipmuck Tribe from the Anthology of Traditional Stories Project of the National Cancer Institute, 1992

30. -VS- Commercial Traditional Indian Tobacco

32. Traditional Tobacco Use • For many tribes, only men talk, handle and use it • Not bought or sold but given as a gift • Use sacredly in prayer • Planted by veterans in some tribes • Traditional use is not openly discussed

33. OVERVIEW • What is the difference between commercial and traditional tobacco? • How do cigarettes harm the smoker? • How is second hand smoke harmful to you? • What is smokeless tobacco? Name one brand. • Name one way you can quit smoking or stop • using smokeless tobacco.

34. QUESTIONS?

35. An elderly man is stopped by the police around 2 a.m. and is asked where he is going at this time of night. The man replies, "I am on my way to a lecture about alcohol abuse and the effects it has on the human body, as well as smoking and staying out late.“ The officer then asks, "Really? Who is giving that lecture at this time of night?" The man replies, "That would be my wife."

36. Ramah Navajo Heart Saver Project Pine Hill Health Center Diabetes Prevention Program Center for Health Promotion Diabetes Prevention Program P.O. Box 310 Pine Hill, New Mexico 87357 (505) 775-3271 ext 301 Carolyn Finster, Project Director Louise Ingraham, Intensive Project Coordinator Jolene C Luna, Community Base Project Coordinator Devonna Coho, Case Manager Kathy Alonzo, Nutrition Aide/Recruiter Effa Sarver, Data Coordinator