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SUBSTANCE ABUSE

SUBSTANCE ABUSE. TAJUDDIN SHAIK ASSISTANT COMMISSIONER RAIPUR REGION. Substance abuse. As a pattern of harmful use of any substance for mood altering purpose. DRUG. A drug is any substance which, when taken into the body alters its functions

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SUBSTANCE ABUSE

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  1. SUBSTANCE ABUSE TAJUDDIN SHAIK ASSISTANT COMMISSIONER RAIPUR REGION

  2. Substance abuse As a pattern of harmful use of any substance for mood altering purpose

  3. DRUG A drug is any substance which, when taken into the body alters its functions physically and/or psychologically, excluding food and water

  4. RISK FACTORS FOR SUBSTANCE ABUSE AMONG ADOLESCENTS • Disbelieves and wrong perceptions • Lack of knowledge of consequences • Low self efficacy • Depression/self-esteem • Poor psychological well being • Low academic achievements • Home and social environment

  5. STRESS

  6. RISK FACTORS • LOW ACADEMIC ACHIEVEMENT • POOR PSYCHOLOGICAL BEING • ADOLOSCENTS MAY LACK WELL DEVELOPED SELF CONTROL AND MAY BEHAVE MORE IMPULSIVELY THAN ADULTS • LACK OF VARIOUS LIFE SKILLS

  7. ATTITUDES AND VALUES OF PARENTS AND PEER • SUBSTANCE USE BY PARENTS, SIBLINGS AND PEER • EASY ACCESSIBILITY OF DRUGS • INFLUENCE OF ADVERTISING AND MEDIA

  8. MEDIA

  9. To feel grown up • To take risk and to rebel against authority • To fit into and belong to a group • To relax and feel good • To satisfy curiosity

  10. STAGES OF ADOLECENT SUBSTANCE USE • Curiosity and pre-abuse • Experimentation • Actively seeking drugs • Preoccupation with drugs • Dependence

  11. SOME DRUGS

  12. Marijuana -- Cannabinoids • Cocaine -- Stimulant • Amphetamines – Stimulant • Barbiturates -- Depressant • Benzodiazipines -- Depressant • Heroin -- Narcotics • LSD ( Lysergic acid diethylamide) Hallucinogen • Anabolic steroids

  13. SMOKING = DEATH

  14. ILL EFFECTS OF SMOKING • Bad smell • Smoker’s cough • Gastric ulcer • Chronic bronchitis • Increase in heart rate and Blood Pressure • Premature and more abundant face wrinkles • Heart disease (CAD) • Stroke • Cancer • Burns • Violent arguments with non-smokers

  15. REAL FACE OF A SMOKER

  16. Tobacco- Social Damage • Tobacco causes 1 in 5 deaths • Premature deaths ( 50-65 years) • Premature widows • 60%+ of Cardiology runs on tobacco • 40-60% Adult cancers are due to tobacco and smoking

  17. TOBACCO POISON( Nicotine) • ANTIGENIC • CYTOTOXIC • MUTAGENIC • CARCINOGENIC CIGARETTE PAN PARAG BEEDIS ZARDA KHAINI CIGAR

  18. SMOKERS DEN

  19. Tobacco and Life Span • Tobacco increases heart and breathing rates. • Thus reduces life span by 10-20 years. • Every cigarette reduces your life span by 5 minutes !!!!! • Tobacco also kills by heart attacks & strokes

  20. EPIDEMIOLOGY • SMOKERS - 70 % OVERALL HIGHER DEATH RATES • 50 % REGULAR SMOKERS WILL DIE PREMATURELY • YOUNGER THE SMOKER, HIGHER THE MORTALITY

  21. NOTE - EXCESS FAT Post Mortem HEART after fatal heart attack

  22. FRESH INFARCTION RV LV OLD INFARCTION RV LV

  23. CANCERS • TOBACCO CAUSES 35% -40 % OF ALL CANCERS • USUALLY LUNG CANCER • LARYNX, ORAL, OESOPHAGUS, STOMACH, LEUKAEMIA, KIDNEY, PANCREAS, SKIN, BLADDER CANCERS • MORE RECURRENT CANCER AFTER SURGERY

  24. INFILTRATING ORAL CANCER COURTESY - TOBACCO CHEWING

  25. Tongue Cancer

  26. LEUKOPLAKIA - A PRE CANCEROUS CONDITION NOTE - NICOTINE ERODED TEETH Snuff dippers Cancer

  27. LEUKOPLAKIA - PATIENT CONTINUED SMOKING CANCER HAS DEVELOPED

  28. LOWER LIP CANCER- EARLY AND LATE STAGE’S

  29. LIP CANCER AT CIGAR SMOKING SITE

  30. LOWER LIP CANCER -RIGHT SIDED SMOKER

  31. TOBACCO CHEWING OR SMOKING, ARE EQUALLY BAD!!

  32. RESPIRATORY DISEASE • COPD/ASTHMA - RAJ KAPOOR • MORE PNEUMONIA, ASTHMA • WEAK LUNGS - MORE TB

  33. NORMAL X-RAY CHEST COPD – LUNG ABCESS

  34. PREGNANCY • SMALL, LOW WEIGHT BABIES • MORE BIRTH DEFECTS • MORE PERINATAL MORTALITY

  35. What chewing tobacco does to your smile

  36. DEPRESSION • MORE IN SMOKERS • MORE IN WIVES OF SMOKERS • LOSS/WASTE OF MONEY • TOBACCO SMELL AT HOME • PREMATURE DISABILITY & DEATH • FEAR OF WIDOWHOOD

  37. Tobacco-Quit the habit !!! • Tragic consequences • Enormous health costs • 25% Indians use tobacco/smoke • 40% adult Indian men –take tobacco • Powerful addiction– difficult to quit!!! • Nicotine – one of the most powerful addictive substances in nature

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