iaff/smokefree

1. www.iaff.org/smokefree

3. What We Will Talk About Health Risks Why It’s So Hard to Quit Potential Benefits From Quitting Preparing to Quit Quit Staying Smoke-Free

4. What We Will Talk About Health Risks Why It’s So Hard to Quit Potential Benefits From Quitting Preparing to Quit Quit Staying Smoke-Free

5. Health Risks • Smoking + Fire Fighter Job Stress = • Increased Health Risk

6. Health Risks • Risks of Smoking in the • General U.S. Population

7. Smoking is the number one preventable cause ofprematuredeath in the United States! Health Risks

8. The Deaths Smoking kills more people than alcohol, AIDS, car accidents, illegal drugs, murders, and suicides combined People who die each year from their own cigarette smoking: approximately 438,000 People who die each year from others’ smoking: approximately 38,000 Society’s Problem

9. Society’s Problem • The Dollars • Health care costs: $75.5 billion • Approximately $1,677 per smoker per year • Productivity costs: $92 billion • Approximately $2,044 per smoker per year

10. Health Risksthat you can reduce when you quit smoking Lung Cancer Cigarette smoke damages cells. This cell damage can lead to tumors that often start in the lungs. Lung cancer can spread to other parts of the body.

11. Health Risksthat you can reduce when you quit smoking COPD COPD (chronic obstructive pulmonary disease) is a group of lung conditions that includes emphysema and chronic bronchitis. COPD is different from asthma, but it can be hard to tell them apart. COPD makes it difficult to breathe. It may get slowly worse as the damage to the lung progresses.

12. Health Risksthat you can reduce when you quit smoking Stroke Smoking makes it easier for clots to form that can block the flow of blood. A stroke happens when blood can’t get to the brain.

13. Health Risksthat you may be able to reduce when you quit smoking Coronary Heart Disease Cigarette smoke narrows the blood vessels and can cause the heart to work harder, which causes coronary heart disease. Also… Women who smoke and take birth control pills are 13½ times more likely to have a heart attack than women who do not smoke and take birth control pills.

14. Health Risks • Heart Attacks = 45% of Fire Fighter • Line-of-Duty Deaths

15. Health Risks • Exposure to toxins = Increased risk for: • Colon cancer • Brain cancer • Bladder cancer • Kidney cancer • Hodgkin’s Lymphoma

16. Health Risks • Fire fighting + smoking = • addition of increased risk for: • chronic respiratory illness  • lung damage

17. Health Risks • Blood contactrisk for Hepatitis B or C • Liver damage • Smoking adds to the damage from hepatitis

18. Smoking Is Not Just a Personal Matter • Secondhand smoke may increase health risks for family members ↑lung cancer and heart disease ↑ smoking by children of tobacco users ↑ low birth weight, sudden infant death syndrome, asthma, middle ear disease, respiratory infections in children of smokers • An estimated 38,000 annual deaths are attributed to secondhand smoke

19. Economic Costs of Smoking • Direct medical expenditures attributed to smoking: • Approximately $75 billion per year • Approximately 14% of all Medicaid expenditures are related to smoking • Lost productivity: • Approximately $92 billion per year

20. Besides Health Risks… As of 2006, at least…. • 46 states have laws restricting smoking in public places • 31 states have laws restricting smoking in private work places • 48 states have laws restricting smoking in government buildings

21. Environment for Tobacco Control Is Evolving Tobacco Taxation WHO Framework Convention onTobacco Control

22. What We Will Talk About Health Risks Why It’s So Hard to Quit Potential Benefits From Quitting Preparing to Quit Quit Staying Smoke-Free

23. For many people, smoking is two things at the same time: Craving– having a very strong want or need for a cigarette and feeling unsettled when you don’t have one Why It’s So Hard to Quit

24. For many people, smoking is two things at the same time: Craving– having a very strong want or need for a cigarette and feeling unsettled when you don’t have one Habit – doing things the same way over and over when you smoke Why It’s So Hard to Quit

25. Why It’s So Hard to QuitCraving comes from brain chemistry

26. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Smoking sends nicotine to the brain in a few seconds.

27. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Nicotine starts a series of biochemical reactions that cause the release of dopamine.

28. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Dopamine is a chemical in the brain that gives a feeling of pleasure and calm.

29. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Between cigarettes, the level of dopamine gets less…and you start to get crabby and jumpy.

30. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Your brain craves nicotine to release more dopamine to bring it back to a level of pleasure and calm.

31. Nicotine Why It’s So Hard to QuitCraving comes from brain chemistry Smoking again sends nicotine to the brain in a few seconds.

32. Why It’s So Hard to Quit Effects of nicotine from cigarette smoking • Nicotine has the potential to be addictive • Has a stimulating and calming effect at the same time • Depresses appetite, which may interfere with good nutrition

33. You might feel bad at first when you stop smoking: Constipation Coughing or sore throat Cravings Disturbed sleep Headaches Dizziness or tingling Hunger Crabby or short-tempered These effects can lessen over time as your body adjusts to the lack of nicotine. Why It’s So Hard to QuitWithdrawal effects

34. Why It’s So Hard to QuitWeight Gain • Are you afraid you might gain weight when you quit smoking? • Not everybody gains weight • Many ex-smokers gain a little (average 6–8 pounds) • About 1 of 10 people gain a lot (maybe 30 pounds) • If you do gain weight, ask your doctor for suggestions on how to lose it again when you have your nicotine craving under control

35. Why It’s So Hard to QuitWeight Gain You can limit weight gain with a healthy lifestyle. • Eat low-calorie healthy meals • Exercise regularly (check with your doctor before starting a new activity)

36. Why It’s So Hard to QuitMost habits are hard to break • “Every time I make a phone call, I have a smoke.” • “I smoke with my coffee in the morning.” • “I smoke when I’m waiting at the fire house.” • “I don’t know what to do with my hands if I’m not holding a cigarette.” Most habits can trigger a desire for a smoke.

37. Why It’s So Hard to Quit • Fire fighting is one of the most stressful jobs • Stresscan lead to a desire to smoke more

38. What We Will Talk About Health Risks Why It’s So Hard to Quit Potential Benefits From Quitting Preparing to Quit Quit Staying Smoke-Free

39. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 24 hrs

40. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 24 hrs 2 wks to 3 mos 2–12 wk: Blood circulation and lung function may improve

41. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 1–9 mo: Lungs may start to clean themselves again 1 to 9 mos 24 hrs 2 wks to 3 mos 2–12 wk: Blood circulation and lung function may improve

42. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 1–9 mo: Lungs may start to clean themselves again 1 yr 1 to 9 mos 24 hrs 2 wks to 3 mos 2–12 wk: Blood circulation and lung function may improve 1 y: The excess risk of a heart attack caused by smoking may be reduced in half

43. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 5+ y: The risk of having a stroke may be reduced to the same risk as a person who never smoked 1–9 mo: Lungs may start to clean themselves again 1 yr 5+ yrs 1 to 9 mos 24 hrs 2 wks to 3 mos 2–12 wk: Blood circulation and lung function may improve 1 y: The excess risk of a heart attack caused by smoking may be reduced in half

44. Potential Benefits From QuittingMajor Health Benefits 24 h: Chance of having a heart attack may begin to decrease 5+ y: The risk of having a stroke may be reduced to the same risk as a person who never smoked 1–9 mo: Lungs may start to clean themselves again 1 yr 5+ yrs 10 yrs 1 to 9 mos 24 hrs 2 wks to 3 mos 2–12 wk: Blood circulation and lung function may improve 10 y:The risk of getting lung cancer may be reduced 1 y: The excess risk of a heart attack caused by smoking may be reduced in half

45. Potential Benefits From Quitting Other potential benefits from quitting smoking:

46. Potential Benefits From Quitting Other potential benefits from quitting smoking: • Food tastes better

47. Potential Benefits From Quitting Other potential benefits from quitting smoking: • Food tastes better • Breath, clothes, hair, and nails do not smell of cigarette smoke

48. Potential Benefits From Quitting Other potential benefits from quitting smoking: • Food tastes better • Breath, clothes, hair, and nails do not smell of cigarette smoke • You can save money by not buying cigarettes (About $1,500 per year for a pack-a-day smoker.)

49. Potential Benefits From Quitting Other potential benefits from quitting smoking:

50. Potential Benefits From Quitting Other potential benefits from quitting smoking: • You may have more energy