Lesson One

1. Lesson One TSWBAT: CO 1. Identify three factors that influence teens’ decision about tobacco use. CO 2. Describe the various forms of tobacco products. LO 1. In writing explain the different tactics advertisers use to get teens to use different products such as tobacco.

2. Critical Vocabulary Nicotine Smokeless Tobacco Chewing Tobacco Snuff

3. Teens and Tobacco Tobacco use has fallen sharply, its not as acceptable as it once was because people associate health problems with its use. Despite the health risks, some people do start using tobacco. Friends, family, and the media greatly influence whether someone starts to use tobacco. Most people who become addicted to tobacco start using it during their teen years. Teens who have friends who use tobacco are also likely to use tobacco. Children so smokers are more likely to smoke, even if their parent try to discourage them Through the media, the public has learned about the dangers of tobacco. Although there are limitations placed on ads that promote tobacco, tobacco companies still spend over $15billion a year for advertising.

4. Nicotine • Nicotine is an addictive chemical in tobacco products. In its pure form nicotine is highly poisonous. Tobacco users take in nicotine whenever they use cigarettes, cigars, popes, and smokeless tobacco products. Tobacco products that are smoked include cigarettes, bidis, kreteks, cigars, and pipe tobacco. Some people think that products such as bidis and water pipes are safe alternatives to cigarettes. This is not true. • Tobacco that is chewed, placed between the lower lip and teeth, or sniffed through the nose is called smokeless tobacco.Chewing tobacco is poor-quality ground tobacco leaves mixed with flavoring, preservatives, and other chemicals. Snuff is finely ground, powered tobacco. It is used by placing it between the lower lip and teeth or sniffed through the nose. Smokeless tobacco contains many of the same chemicals found n tobacco smoke, including nicotine.

5. Warm-up Health stats: The graph shows how the percentage of 10th graders and 12th graders who smoke has changed. Review the Graph Writing: What does this graph reveal about the popularity of smoking among high school students?

6. Why Teens use Tobacco • Complete the table with details about how friends, family, and the • media influence a teen’s decision whether to use tobacco

7. Tobacco Products Tobacco Products are classified as both contain the drug a. ______ _______ Smoked products such as such as c. ______ ________ b. _______________ d. ________ __________ 2. Complete the graphic organizer with details about tobacco products.

8. Cigarette use In the US Reading the Graph: In 1964, the Surgeon General issued the first report of the negative health effects of smoking. What effects did the report seem to have on cigarette use? Explain.

9. Advertising Methods Before we begin the next activity, turn to page 21 in your text and take a close look at advertising methods.

10. Examining Advertising Tactics LO 1 • Advertisements are made to appeal to potential users, to increase • existing sales, and to encourage buyers to switch brands. Looking at • the tactics used to sell a product helps you resist the pressure of • advertising. • Identify the tactics being used to sell the product • Explain how such tactics could influence a potential buyer. Here are • come common advertising tactics. • Humor____________________________________________ • Slogans and jingles__________________________________ • Testimonials _______________________________________ • Attractive models ___________________________________ • Positive images _____________________________________ • Bandwagon approach ________________________________ • Appeal to the senses _________________________________ • Price appeal ________________________________________

11. Examining Tactics 2. Identify the ad’s target audience. Explain how the following characteristics of an ad could be used to target a specific audience. a. Setting of the ad _______________________________________ _______________________________________________________ b. Action of the characters _________________________________ _______________________________________________________ c. Placement of the ad _____________________________________ _______________________________________________________ 3. Identify the ad’s message Explain one tactic you can use to identify and ad’s message. _______________________________________________________ _______________________________________________________

12. Review • Describe three factors that influence a person’s decision about tobacco use. • What is nicotine? • List the types of tobacco products that are smoked and the smokeless tobacco products. • What part of the body is most affected by the use of smokeless tobacco? Critical Thinking 5. Sequencing: Consider the three factors that may influence a teen’s decision about tobacco use-friends, family and media. Which do you think has the greatest influence? Which has the least influence? Explain.

13. Lesson Quiz 1 • A • B • B • D • D • False • True • True • True • False

14. Lesson Two TSWBAT: CO 1. Explain how nicotine affects the body. CO 2. Identify two other dangerous substances in tobacco smoke. CO 3. Examine why using smokeless tobacco is not a safe alternative to smoking. LO 2. Using an organizer explain the harmful chemicals in tobacco, and their effects on the body. Using that information write a 30-second public service announcement about the dangers of smoking.

15. Critical Vocabulary • Stimulant Tar • Carcinogen Carbon Monoxide

16. Chemicals in Tobacco Products • Nicotine is a type of stimulant. Stimulants are drugs that increase the activity of the nervous system. The major short-term effects of nicotine use are increased heart rate, increased blood pressure, and changes in the brain that may lead to addiction. First-time tobacco users ma show sighs of mild nicotine poisoning, including a rapid pulse, clammy skin, nausea, and dizziness. • In frequent tobacco users, nicotine stimulates parts of the brain that produce feelings of reward and pleasure. People who use nicotine frequently develop a tolerance to it. They need more and more nicotine to feel the same effects. Eventually, users may develop a nicotine addiction and a dependence on nicotine for psychological reasons. Nicotine addicts who go without nicotine may experience nicotine withdrawal. Withdrawal symptoms include headaches, irritability, difficulty sleeping, and inability to concentrate.

17. Tar • In addition to nicotine, two of the most harmful substances in tobacco are tar and carbon monoxide. Tar is the dark, sticky substance that forms when tobacco burns. Tar causes short-term and long-term health damage to the body. Tar contains many chemicals that are carcinogens or cancer causing agents. When burned, tobacco gives off an odorless, poisonous gas called carbon monoxide. Carbon monoxide binds to the red blood cells and prevents them from carrying oxygen. Smokeless tobacco contains many of the same dangerous chemicals that are in tobacco smoke.

18. Analyzing Advertising Tactics Humor Slogans and Jingles Testimonials Attractive Models Positive Images Bandwagon Approach Appeal to the Senses Price Appeal Consider ad’s target audience and message.

19. Warm-up Myth: Fact: Writing: Where do you think that most teens get their information about tobacco products? How factual do you think this information is?

20. Tobacco Smoke on the Body LO 1 Tobacco smoke has many harmful effects on the body. It is especially harmful to the respiratory and cardiovascular systems. Three of the most harmful substances in tobacco smoke are nicotine, tar, and carbon monoxide. Complete the table about harmful chemicals in tobacco

21. Public Service Announcement • Using the information form the table write a 30-second public service announcement about the dangers of smoking.

22. Nicotine in the body 1. What are two effects of nicotine on each of the following body systems? a. Respiratory System____________________________________ _________________________________________________________ b. Nervous System _________________________________________ _________________________________________________________ c. Cardiovascular System ____________________________________ _________________________________________________________ d. Digestive system ________________________________________ _________________________________________________________ 2. List the symptoms of nicotine withdrawal. ____________________ ________________________________________________________ ________________________________________________________

23. Some Chemicals in Tobacco Smoke Acetone Propane Ammonia Stearic acid Arsenic Uranium Benzene Vinyl chloride Butane Cadmium Formaldehyde Hydrogen cyanide Methanol Naphthalene Nickel

24. Other Dangerous Chemicals 3. Complete the graphic organizer with details about harm resulting from tar and carbon monoxide in tobacco smoke. Effects a. stains, smells, bad breath Cause b. ___________________ Tar c. ____________________ d. ____________________ e. __________________ Carbon monoxide f. __________________

25. Review • What type of drug is nicotine? How does nicotine affect the body? • What effects do tar and carbon monoxide have on the bodies of smokers? • What is a carcinogen? • Explain how smokeless tobacco products harm the body. Critical Thinking 5. Applying Concepts: What facts about tobacco would you use to convince a friend not to start using tobacco?

26. Lesson Quiz 2 • D • A • E • F • B • A • B • A • C • D

27. Lesson Three TSWBAT: CO 1. Describe the long-term health risks of tobacco use. CO 2. Identify the long-term risks of exposure to secondhand smoke. CO 3. Examine how smoking by a pregnant woman can affect her baby. LO 3. Using the critical vocabulary, and clues create a crossword puzzle.

28. Critical Vocabulary Chronic Obstructive Pulmonary Disease (COPD) Chronic Bronchitis Emphysema Leukoplakia Mainstream Smoke Side Stream Smoke Secondhand Smoke

29. Risks of Tobacco Use • Tobacco use is the leading cause of preventable death in the United States. Tobacco use increases a person’s risk of developing respiratory diseases, cardiovascular disease, and several different forms of cancer. It is estimated that more than 6 million children living today will die early because they start to smoke during their teen years. • If a person continues to smoke over a long period of time, the damage that occurs to the respiratory system becomes permanent. Chronic Obstructive pulmonary disease(COPD) is a disease that results in a gradual loss of lung function. Chronic bronchitis and emphysema are two types pf COPD. Chronic bronchitis is a condition in which the airways are constantly inflamed. Chronic bronchitis causes an increase production of mucus, which constructs airways and makes breathing difficult. Emphysema is a disorder in which the alveoli of the lungs can no longer function properly. The alveoli lose shape and elasticity and start to break down.

30. Heart Attack • Cigarette smoking increases a person’s risk for heart attack, stroke, and circulation problems. The combined effects of nicotine, tar, and carbon monoxide force the cardiovascular system to work harder to deliver oxygen throughout the body. Tobacco use also increases blood pressure, blood cholesterol levels, and promoted atherosclerosis. In addition, nicotine increases the blood’s tendency to form clots. • Tobacco use is a major factor in the development of lung cancer, oral cancers, and several other cancers. Lung cancer is the leading cause of cancer death in both men and women. Moth deaths caused by lung cancer are related to smoking. Tobacco users may develop white patches called leukoplakia (look oh PLAY kee uh) on their tongues or the lining of their mouths. These patches should be monitored by a doctor because they may become cancerous.

31. Mainstream Smoke • Mainstream smoke is exhaled from a smoker’s lungs. Sidestream smoke goes directly into the air from a cigarette. Secondhand smoke is a combination of mainstream smoke and sidestream smoke. Long-term exposure to secondhand smoke can cause cardiovascular disease, many respiratory problems, and cancer. Children who are exposed to secondhand smoke at home develop frequent respiratory infections and are more likely to develop asthma and allergies. • Pregnant women who smoke put their babies at risk for many health problems. Babies born to mothers who smoke are more likely to have low birth-weights. This is a risk factor for cerebral palsy, sight impairment, hearing problems, and learning difficulties. Pregnant women who smoke increase their risk of miscarriages, premature births, and still births.

32. Warm-up Quick Quiz: All of the following statements are true except one, write the one which you think is false. Writing: Explain why you gave the answer that you did.

33. Long-Term Risks • What three serious health problems are associated with long-term • use of tobacco? • ____________________________________________________ • ____________________________________________________ • ____________________________________________________ • Respiratory Diseases • 2. Complete the organizer on the effects of chronic bronchitis and • emphysema. Effects Cause • _______________ • ______________ • ______________ • ______________ Chronic Bronchitis Emphysema

34. Cardiovascular Disease 3. Complete the table about increased risks of cardiovascular disease to smokers compared to non-smokers

35. Cancer 4. Complete the graphic organizer about cancer liked to tobacco. Main idea: Tobacco is a major factor in the development of lung cancer, oral cancer and several other cancers. Lung Cancer Oral Cancer Other Cancers a. ________________________________________________________________ b. __________ ____________ ____________ ____________ ____________ ____________ c. __________ ____________ ____________ ____________ ____________ ____________

36. Secondhand Smoke • 5. Classify each example of mainstream smoke, side stream smoke • or secondhand smoke. • Rises directly form cigarette _______________________ • b. Exhaled form smoker’s lungs ______________________ • c. Long-term exposure can cause serious diseases ________ • d. Some tar and nicotine is trapped ____________________ • Contains twice as much tar and nicotine ______________ • Especially harmful to children

37. Tobacco Use and Pregnancy 6. Complete the graphic organizer about tobacco use and pregnancy. Main Idea: Pregnant women who smoke put their babies At risk for many health problems. Effect on Developing Baby Risk to Baby Following Birth • _________________ • _________________ • _________________ • ______________ • ______________ • ______________

38. Should Tobacco Be Illegal? Tobacco is the only legal product that can cause death and disability when used as intended. For this reason, many people think tobacco products should be illegal. Other people think tobacco should remain legal. They argue that adults should have the right to do what they want as long as they do not harm other.

39. Class Debate Some companies not only ban smoking in the workplace. They also do not allow employees to smoke on their own time without risk of being fined, and they do not hire new employees who smoke. Many arguments have been made on both sides of this issue. For example, smokers argue that what they do on their own time should not influence whether they are hired or fined. Employers with such policies argue that smokers’ healthcare costs are high. How do you feel about this issue? Do you think that employers should have the right to deny a qualified person a job because he or she smoke? Use the questions on the next slide to help you consider the arguments for both sides of the issue. With your group, prepare an argument for each side of the debate and prepare to represent either side during the class debate.

40. Points to Consider Position 1: Employers should be allowed to deny jobs to people who smoke. Questions to consider: What are some ways in which smoking might affect and individuals productivity, the amount of work accomplished during a specific period of time? In what ways could smoking impact the number of days a person works? Debate Points: Position 2: Employers should not be allowed to deny jobs to people who smoke. Questions to consider: Are people who smoke during non-work hours breaking the law? Should smokers be singled out when there are other health-related choices that people make that could also affect work performance? Debate Points:

41. Practice LO 3 Create a crossword puzzle using the critical vocabulary from lesson three. Clues Down 1. type of bronchitis that occurs in smokers 3. condition associated with loss of lung function 5. disease in which alveoli no longer function properly Clues Across 2. smoke that includes mainstream and sidestream 4. mouth sores in smokers that can become cancerous 6. smoke that goes into the air form burning tobacco 7. smoke exhaled into the air by smokers

42. Review • What are three long-term health risks associated with smoking? • Describe leukoplakia. Why should leukoplakia be monitored by a healthcare professional? • Identify three health risks associated with exposure to secondhand smoke. • List four problems for which babies of smoking mothers are at risk. Critical Thinking 5. Evaluating: People who fight for the rights of smokers claim that smoking is a personal choice and that they should be allowed to smoke anywhere they want to. Do you agree with this argument? Why or why not?

43. Lesson Quiz 3 • True • False • False • True • False • D • B • C • D • D

44. Lesson Four CO 1. Examine how refusal skills will help you stick with your decision not to use tobacco. CO 2. Describe the benefits of quitting tobacco use. CO 3. Identify the most important factor for successfully quitting tobacco. LO 4. Create a table to explain how you would handle a situation using refusal skills to prevent the pressure of tobacco use from a friend.

45. Critical Vocabulary Nicotine Substitute

46. Saying No to Tobacco • Deciding not to use tobacco will help you stay healthy and reduce risk of developing life-threatening diseases in the future. Sticking to you decision not to use tobacco involves being able to say no clearly and with confidence. One should never assume that he or she can smoke for a while and then quit. Studies show that people who start using tobacco in their teens have a more difficult time quitting than people who start using tobacco as adults. • The health benefits of quitting tobacco use can begin immediately and continue throughout life. Society also benefits ever time a tobacco user quits. Quitting tobacco use lowers blood pressure and heart rate immediately. In time, circulation improves and their risk of heart disease and stroke become similar to that of nonsmokers. Quitting smoking allow the cilia in the air passages to regain normal function and breathing to become easier. People who quit smoking usually have increased confidence. Quitting smoking benefits society by reducing healthcare costs for tobacco-related illnesses.

47. Personal Commitment • The most important factor in successfully quitting tobacco is a strong personal commitment. Quitting smoking is most difficult within the first week or two after the last cigarette. After a few weeks, symptoms of nicotine withdrawal usually subside, but psychological symptoms may continue. • Many resources are available to help tobacco users who are trying to quit, such as workshops or online counseling. A nicotine substitute is a product that contains nicotine, but not the other harmful chemicals found in tobacco. Use of a nicotine substitute makes it possible for a person to reduce withdrawal symptoms when quitting.

48. Warm-up Dear Advise Line: Writing: Write a response to this teen to help the decision he is facing. Begin your response with Dear Teen,

49. Teens are Asking Q: My grandmother has been smoking for 40 years. She says its to late late to quit because the damage has already been done. Is she right?

50. Answer A: No. health improves when people quit smoking no matter how long they have smoked. In a study of smokers who quit at age 65, women gained about three years of life by quitting. Older smokers who quit experience the same health benefits as younger smokers. For example, within a year of quitting, their additional risk of heart disease is almost halved, and their risk of respiratory disease and cancers decline. Improvements occur even in people who have already developed smoking0related illnesses.