THE MUST KNOWS -NOW … ABOUT SUBSTANCE ABUSE

1. THE MUST KNOWS -NOW … ABOUT SUBSTANCE ABUSE

2. WELLNESS TALK SERIES DR.MA.SALVE C. OLALIA HEALTH SERVICE DIRECTOR

3. NAME IT

4. NAME IT

5. NAME IT

6. YES OR NO? • doing drugs is cool • doing drugs is a choice • it can’t hurt if you try it • only harmful drugs are illegal • alcohol can be addicting • smokers are addicts • addiction is short-term only

7. THE PHL DRUG PROBLEM • ROOT CAUSES • 1.CORRUPTION • 2.POVERTY • 3.POOR IMPLEMENTATION OF • R.A. 9165- COMPREHENSIVE DANGEROUS DRUGS ACT, 2002 • RESULTS: • ? FUTURE FOR THE YOUTH • BROKEN DREAMS • TO DO: • NEED TO EDUCATE THE YOUNG

8. Prevalence and Magnitude • An estimated 4.7% of the global population aged 15 to 64, or 185 million people, consume illicit drugs annually. • An estimated 19.5 million Americans 12 yrs of age and older reported current illicit drug use in 2003 • In the Philippines, there was an increase in drug use from 6% in 1994 to 11% in 2002(GSHS Survey); the Philippines ranks 2nd highest in alcohol intake in Southeast Asia ( 2009-US Govt Report) • Marijuana is the most commonly used illicit drug followed by shabu,inhalants and the nonmedical use of psychotherapeutics, cocaine, hallucinogens, and heroin

9. Prevalance and Magnitude • College graduates had lower rates of current illicit drug use than those who did not complete high school • However, college graduates were more likely to have tried illicit drugs in their lifetime than those who did not graduate from high school • Unemployed adults are more likely than adults employed part time or full time to use illicit drugs

10. HOW IT ALL BEGINS

11. TOLERANCE • The need for increased amounts of substance to achieve the desired effect or a diminished effect with continued use of the same amount • is the body's physical adaptation to a drug: greater amounts of the drug are required over time to achieve the initial effect as the body "gets used to" and adapts to the intake.

12. ABUSE • Use of any drug in a manner that deviates from approved social or medical patterns

13. ADDICTION • Dependence • Recurrent substance abuse associated with physiologic or psychological manifestations, with or without physical dependence

14. Illicit Drug Use Statistics

15. Presription Drugs Use Statistics

16. WHY ? • LOSER PERSONALITY • ABSENTEE PARENTS • PEER PRESSURE • CURIOSITY • FAMILY /PERSONAL PROBLEMS • TO ESCAPE PROBLEMS • LACK OF SELF CONFIDENCE • TOO BORED

17. WHAT?

18. ALCOHOLISM- CHEERS ? • gives rise to social problems * it all started as social drinking

19. IT WAS FUN AT FIRST…

20. THEN IT WAS.. OTHERWISE

21. ALCOHOL INTOXICATION • A reversible syndrome caused by a specific substance that affects mental, bahavioral, social, and occupational functioning • Acdg to a US-based report, the Filipinos rank second highest consumers of alcoholic beverages in Southeast Asia

22. ALCOHOLISM PARAMETERS: • TIPSY-LIGHT ALCOHOL INTOXICATION; STAGGERS • BUZZED-LIGHT- HEADED, HAPPY ,WARM, ACTS WITHOUT THINKING • DRUNK/WASTED- SLURRED SPEECH, WITH BLACK-OUTS, VOMITS

23. ALL DRINKS ARE CREATED EQUAL? • EQUIVALENCE: • 1 SHOT= A GLASS OF WINE= A TALL GLASS OF BEER

24. THE REAL TROUBLE IS… • ALCOHOLISM CAUSES BRAIN DAMAGE: ALCOHOLIC NEUROPATHY

25. SHALL WE DRINK TO THIS?

26. THE AFTERMATH THAT HANGOVER- • ABSOLUTELY- A SURE THING!

27. JUST ONE MORE SHOT … • THE CRAVING WILL NOT JUST STOP

28. TRUTH HURTS

29. REALITY BITES • BUT IT WAS JUST FOR FUN, RIGHT? • WHAT WENT WRONG?

30. ALCOHOLISM • STARTS AS A DRINKING HABIT -ENDS IN ALCOHOL DEPENDENCE THEN ADDICTION • CAUSING THE FOLLOWING SERIOUS DISEASES:: * ANEMIA - NERVE DAMAGE * CANCER - PANCREATITIS * CARDIOVASCULAR -HYPERTENSION DISEASE -INFECTIOUS DISEASES * CIRRHOSIS * DEMENTIA * DEPRESSION * SEIZURES * GOUT

31. RE: LIGHTING UP AKA SMOKING

32. WHEN SMOKE GETS IN YOUR EYES… • IT GETS TO INTO THE REST OF THE ORGANS OF THE BODY TOO!

33. THE SMOKER’S BODY • NAME IT-A SMOKER HAS IT! • LUNG DISEASE • HEART DISEASE • HYPERTENSION • NICOTINE ADDICTION • CANCER • BUERGER’S DISEASE • DISCOLORATION OF THE TEETH

34. RE: SECOND HAND SMOKE • 4OOO TOXINS • 6O CAUSES CANCER

35. NAME THAT POISON GAME PRESENTING: SOME OF THE TOP TOXINS: • CARBON MONOXIDE • NICOTINE • MERCURY • CADMIUM • NAPHTYLAMINE- NAPHTHALINE • BUTANE • AMMONIA • DDT • TOLUINE • URETHANE • PHENOL • METHANOL

36. THIRD HAND SMOKE • NICOTINE RESIDUES THAT COMBINE WITH OZONE PARTICLES IN SMOKED-IN AREAS • THESE BECOME NITROAMINES WHICH ARE CARCINOGENIC • THEY PENETRATE THE SKIN AND INVADE THE LUNGS AND VITAL ORGANS

37. SMOKING IS NICOTINE ADDICTION RE: NICOTINE • INCREASES THE LEVEL OF DOPAMINE- A NEUROTRANSMITTER FOR PLEASURE AND WELL-BEING • ONCE IT DROPS ( NICOTINE WITHDRAWAL) SMOKER HAS TO LIGHT UP TO SUSTAIN “GOOD” FEELING • LEADS TO NICOTINE ADDICTION • E-CIGARETTES ARE NICOTINE-LADEN LEADS TO ADDICTION

38. WHERE HAVE ALL THE LUNG TISSUES GONE? • THIS IS AN ILLUSTRATION OF A REALITY • THE LUNG TISSUE BECOMES TAR-LADEN • AND THE LUNG ANATOMY BECOMES IRREVERSIBLY DAMAGED

39. ACCORDING TO CDC (USA): • SMOKING - # 1 CAUSE OF PREVENTABLE DEATHS • OUT of 5 PERSONS,ONE DIES OF CIGARETTE SMOKING! • UST IS A SMOKE-FREE CAMPUS THE STATS SPEAK

40. GETTING HIGH TOPPING THE LIST: 1.METHAMPHETAMINE AKA SHABU 2. MARIJUANA 2. PARTY DRUGS 3. SOLVENTS 4. PRESCRIPTION DRUGS 5. HEROIN 6. COCCAINE

41. SHABU • WHITE CRYSTALLINE POWDER,BITTER-TASTING • A PSYCHO STIMULANT • ACTS ON THE CENTRAL NERVOUS SYSTEM • TAKEN ORALLY, INTRANASALLY ( SNORTING) • NEEDLE INJECTION • SMOKING

42. SHABU • ACTION: • INCREASES RELEASE OF NEUROTRANSMITTERS- DOPAMINE • EFFECTS: EUPHORIA- “HIGH” OR “RUSH” • DECREASES MOTOR SKILLS • SEVERELY DAMAGING BRAIN AREAS FOR EMOTIONS AND MEMORY • INCREASE RR,HR,BODY TEMP • DECREASE IN APPETITE • PARANOIA • AUDITORY AND VISUAL • HALLUCINATIONS • DELUSIONS • RISKY BEHAVIOUR: HIV AND AIDS

43. THE SHABU USER • OBSESSED WITH USE OF SHABU • FOCUSED ON JUST TAKING IT- NOTHING ELSE MATTERS ANYMORE • PHYSICALLY ABUSIVE; VIOLENT • HABITUAL ABSENTEE IN SCHOOL AND WORKPLACE-RUINS FUTURE • COMMITS CRIME TO SUPPORT ADDICTION • MISERABLE (FOR USER AND FAMILY)

44. LONG TERM EFFECTS OF SHABU USE • MENTAL ILLNESS • KIDNEY DISEASE • HEART AILMENT • BRAIN ATTACK ( STROKE) • FOR SNORTERS: SEVERE INJURY TO NASAL PASSAGES ( PERFORATION OF THE NASAL SEPTUM)

45. LONG TERM EFFCTS OF SHABU USE • NEEDLE USERS: INFECTION- SEPSIS • HIV AND AIDS • DEATH

46. GETTING HIGH WITH MJ • CANNABIS SATIVA • AKA: mary, pot, grass, jane, “damo” • MOST COMMONLY ABUSED SUBSTANCE • EFFECTS: • WEAKNESS • DIZZINESS • PALPITATIONS • ANXIETY, CONFUSION • SLEEPINESS

47. ABOUT MARY AND JANE • EFFECTS: • HALLUCINATION • PARANOIA • RE:MEDICAL MJ- MARINOL • USED IN TREATMENT OF • ANOREXIA • CANCER PAIN

48. THE MARIJUANA USER • IMPAIRED MEMORY; MENTALLY DULL • WITH COUGH ( SMOKED MARIJUANA) • INATTENTIVE, DETACHED • IMPAIRED MOTOR SKILLS • ANXIOUS, PARANOID • LESS TESTOSTERONE PRODUCTION;IMPAIRED SPERM PRODUCION FOR MALES • MENTALLY ILL

49. GETTING HIGH WITH HEROIN • MORPHINE DIACETATE • OPIATE ANALGESIC- PAIN RELIEVER • DERIVATIVE OF OPIUM POPPY ABUSE LEADS TO: • PHYSICAL DEPENDENCE • ADDICTION

50. HEROIN ABUSE DISEASES CONTRACTED: • HEART DISEASE • LIVER DISEASE- HEP B • KIDNEY DISEASE • INFECTIONS- LUNGS, SKIN • HIV AND AIDS