Tobacco Use

1. Tobacco Use

2. Vocabulary • Malodorous: unpleasantly smelling or scented; to smell bad • Carcinogen: a substance or agent which can cause or increase chances of getting cancer • Emulate: to copy or imitate

3. “We don't sell Tic Tacs…We sell cigarettes. And they're cool and available and *addictive*. The job is almost done for us!” -Thank You For Smoking

4. Lawyer: I'm sorry. I just don't see the point in a warning label for something people already know. Senator: The warning symbol is a reminder, a reminder of the dangers of smoking cigarettes. Lawyer: Well, the real demonstrated #1 killer in America is cholesterol. And here comes Senator Fin whose fine state is, I regret to say, clogging the nation's arteries with Vermont Cheddar Cheese. If we want to talk numbers, how about the millions of people dying of heart attacks? Perhaps Vermont Cheddar should come with a skull and crossbones. Senator: That is ludicrous. The great state of Vermont will not apologize for its cheese!

5. Is smoking cool?(http://www.tobaccofactfile.org/) • Tobacco smoke contains over 4,000 chemical compounds, over 50 of which are known carcinogens. • Cancer Research UK states that smoking causes up to 90% of all lung cancer cases. • Secondhand smoke is often not detected, leaving most people unaware of the extent to which they are actually exposed. • Seven out of ten smokers in developed countries say they regret starting and would like to give up. • The average loss of life for all smokers whose deaths are attributable to tobacco is about 16 years.

6. Introduction to Tobacco • What is tobacco? • What’s so special about the plant? -The answer is the chemical Nicotine Nicotine: has properties that provide positive “sensations”. Basically it elevates pulse and heart rates. Tobacco is an “upper” in the drug categories because it stimulates the Nervous System as well.

7. Tobacco Products • Cigarettes • Cigars • Pipe tobacco • Chewing tobacco (called ‘chew’)

8. Handout • Effects of Nicotine on the body • Ingredient breakdown of cigarettes

9. What’s in that cigarette? ***Just to show a few out of a very, very, very, voluminous list

10. Excerpt from “Thank you for Smoking” • Kid: My Mommy says smoking kills. Lawyer: Oh, is your Mommy a doctor? Kid: No. Lawyer: A scientific researcher of some kind? Kid: No. Lawyer: Well, then she's hardly a credible expert, is she?

11. Short & Long Term Effects Using Tobacco Products Short term: - Perceived benefit of comfort • Coughing • -Expensive • If under 18 trouble with the law/school rules **Once you stop using tobacco products, your blood pressure, pulse rate and skin temperature will return to normal within 20 minutes. Within eight hours, high levels of carbon monoxide in your blood will return to normal and, within a few weeks, your circulation will improve, your sense of taste and smell will improve, and you will have fewer colds and more energy. It is never too late to stop! http://www.idph.state.il.us/HealthWellness/oralhlth/oraltobacco.htm

12. Long term: • Develop breathing complications such as lung cancer, asthma, Chronic Obstructive Pulmonary Disorder (COPD), emphysema, etc • Odor from smoke will become absorbed into your skin • Increased risk for Cardiovascular disease • Decreased immune system functions -Alienate or lose friends and family -Loss of hundreds or thousands of dollars on buying the products -The risk of developing lung cancer is 10 times greater for smokers than for non- smokers. Also, breathing second-hand smoke (someone else’s smoke) can be as dangerous as smoking. -What else? • http://www.idph.state.il.us/HealthWellness/oralhlth/oraltobacco.htm

13. Serious Health Risks • Cancer -Links to countless types of cancer

14. More diseases Tobacco can cause or exacerbate • Asthma • Diabetes • Gingivitis • Rotting gums • High blood pressure • Miscarriages • Premature births • Mesothelioma • Depression • Poor vision

18. If you use tobacco products • You effect not just yourself • Immediate family • People around you • Friends • Spouse • Your children

19. Second Hand smoke • Second Hand smoke: inhaling smoke from a source not under your control • Ex: • Walking past someone smoking outside a store • Being in the car or around someone who is or has smoked recently • Smoke from other harmful chemicals (not tobacco related)

20. Gateway Drug • A gateway drug is a substance that is at first seemingly less harmful over a short period of time • However, this initial drug leads to other, more powerful drug and behavioral changes going forward • Ex: cigarettes, then cigarettes and alcohol, then to more powerful narcotic drugs like marijuana, etc • Reason: After awhile the “boost” of the drug is no longer sufficient and the person looks for more effects and stronger “high”

21. Factors Influencing Use and Dependence • External: factors from the outside; • What do you think? • Internal: factors within a person • What do you think?

22. External: factors from the outside • Ex: peer pressure, family/friends/co-workers • Media= commercials, TV, Movies, Billboards, Magazines • Internal: factors within a person • Ex: stress, depression, values, curiosity, • Physiology= addictive tendencies, withdrawal, oral fixation

23. Strains on relationships • Addiction can ruin families, friendships, marriages, etc. • Smoking not only costs a lot of money, but causes conflicts and emotional drain on people • Smokers feel they must smoke, so their schedule must accommodate both buying and using the products • Recently Maryland passed a law banning use of tobacco products in restaurants and indoor settings (YAAAAAAAAAY)

24. If someone you know smokes… • What can you do to sway them or help them quit? • About 98% of smokers who try to quit without the assistance of cessation programs will have started again within a year. • This means you need to be supportive and get help, not just rely on the basic will to stop doing it • Addictions are serious, don’t think they’ll change or if there is a change in a week, that it’ll last

25. Common Cessation Techniques • Dissociate from situations/people that reinforce the bad behavior • The Patch • The Gum • Therapy • Smoke-free cigarette

26. Lawyer: I think you'd be hard pressed to find someone who really believes that cigarettes are not potentially harmful. I mean - show of hands - Who out here thinks that cigarettes aren't dangerous? Senator: Now as we discussed earlier these warning labels are not for those who know but rather for those who don't know. What about the children? Lawyer: Gentlemen, it's called education. It doesn't come off the side of a cigarette carton. it comes from our teachers, and more importantly our parents. It is the job of every parent to warn their children of all the dangers of the world, including cigarettes, so that one day when they get older they can choose for themselves.

27. Prevention • Education • Knowing the pitfalls and the hazards of starting tobacco products to keep away • Knowing the health implication to cease using tobacco • Resistance Skills/Decision Making • Learning how to turn down temptation and stressful situations to avoid tobacco • Saying “no” and how to do so tactfully

28. Stress Management • Stress can be a great obstacle • Coping with stress can help to avoid tobacco or to stop using it • Talk about problems • Find your “release” (ex: exercise, arts & crafts, etc) • Find a hobby • Constructive behaviors

29. In review • Using tobacco products strain: • Your health • Your relationships • Your daily routines • Your wallet