Tobacco Prevention

1. Tobacco Prevention

2. You think you know, but you have no idea… • Take a few minutes and fill out this quick quiz on how much you know about tobacco and it’s effects.

3. Answers- Can you believe it?! • 1. C- tobacco causes more illnesses and death than all other addicting drugs combined. It can be attributed to about 443,000 deaths in the United States each year. Nicotine is the main drug in tobacco that is responsible for addiction. • 2. A- Nicotine boosts the amount of a brain chemical called dopamine. At first, this produces feelings of pleasure. Soon, however, the person needs the nicotine just to feel normal.

4. Answers- cont’d. 3. A- The addictive drug, nicotine, is only one of about 4000 chemicals in cigarette smoke. Many of them, such as tar and carbon monoxide are poisonous and cause diseases such as cancer. 4. C- People who smoke are addicted to the nicotine in tobacco. However, both tar and carbon monoxide are also toxic chemicals causing many health problems.

5. More answers… 5. A- After a person inhales cigarette smoke, nicotine enters the blood in the lungs, goes through the heart and is pumped to the brain- a journey that takes only 8 seconds! 6. C- Nicotine is similar in size and shape as brain chemicals that regulate feelings of alertness and pleasure or satisfaction.

6. Video TIME! Child Smokers Sean Marsee's Story

7. Get with a partner… Have you ever been told or heard that using tobacco is bad for you? Why do people start using tobacco? Why do people continue using tobacco? Who do tobacco companies target with their advertising?

8. Tobacco is Categorized As… There are two categories of tobacco: -smoked tobacco -smokeless tobacco

9. Smoked Tobacco • Cigarettes- (a small hand-rolled filterless cigarette made in India that contains more tar and nicotine then regular cigarettes), Clove cigarette (cigarette that has a mixture of ground cloves and tobacco, also contains Eugenol, which numbs the back of the throat, reducing the ability to cough), regular cigarette (dried and shredded tobacco wrapped in paper). Ex. Virginia Slim, Marlboro, Camel, Newport • Pipes- shredded tobacco smoked in a pipe. Ex. Estate Pipes, Coral Curves, Black and Milds • Cigars- are made up of dried and rolled tobacco leaves. Ex. Black and Mild, Philly Blunts, Dutches

10. Smokeless Tobacco • Chewing Tobacco- tobacco product made from chopped tobacco leaves that are place between gums and cheek. Ex. Skoal, Kodiak, Copenhagen • Snuff- tobacco product made from powdered tobacco leaves and stems that are snorted or placed between gums and cheek. Ex. Copenhagen, Skoal

11. Things you might not know… • Tobacco is the single most preventable cause of death in the United States. • Cigarette smoking annually causes more than 443,000 premature deaths, far more than alcohol abuse and illegal drugs. • Cigarette smoking kills more Americans each year then the combined total for the following causes: AIDS, car accidents, suicide, murder, alcohol abuse, illegal drugs, and fires. • 1 out of every 5 deaths in the U.S is Tobacco related. That is like 3 fully loaded jumbo jets crashing every day with no survivors!

12. Marker Activity • Tobacco use begins very early in life! • Of adult daily smokers, 89% begin smoking as teenagers! (look at the class markers) • Of every 6,000 young people who take their first puff of a cigarette, 3,000 of them become regular smokers.

13. Nicotine, a highly addictive nervous system stimulant drug, is found in tobacco products. Dulls the taste buds, constricts blood vessels, and increases heart rate and blood pressure. Nicotine is absorbed into the blood stream when it is inhaled into the lungs. It is also absorbed into the blood stream when placed in the gum where saliva is present. Nicotine results in physical and psychological dependence of the body. People first experience a stimulation or “high” when using a nicotine product. For addicts, the use of tobacco is to temporarily stop their nicotine cravings. Nicotine

14. Adverse Affects • Tobacco has more than 4,000 known chemicals in it, a few of which are carcinogens. This is a chemical that is known to cause cancer. Some known cancers caused by tobacco use are: • Lung Cancer (leading cause of cancer death in the world) • Cancer of the Mouth • Stomach Cancer • Cancer of the Throat

15. Respiratory Diseases • Asthma- condition in which bronchial tubes become inflamed and constricted, making breathing difficult • Chronic Obstructive Pulmonary Disease (COPD)- disease that interferes with breathing. Examples are Chronic Bronchitis (recurring inflammation of the bronchial tubes) and Emphysema (condition in which the alveoli in the lungs lose most of their ability to absorb Oxygen from inhaled air and pass it on into the blood stream or remove carbon dioxide from the blood stream). Emphysema cannot be cured.

16. Cardiovascular Diseases • Smoking is a major cause of death from heart and blood vessel diseases, blood clots, and stroke. • Heart Attack- death of cardiac muscle caused by lack of blood flow to the heart. This is a clot in an artery of the heart. • Stroke- a clot in the brain caused by a blocked or broken blood vessel. • Aortic Aneurism- Bulging weakened area in the aorta.

17. Other Health Problems… • Smokers are more likely to develop gum disease, to lose teeth, and supporting gum tissue. • Smoking may cause or worsen ulcers in the stomach and small intestine. • Smoking during pregnancy harms the developing baby- can reduce birth weight and lung function. • Why would someone do something to harm their unborn baby??

18. Is this bad? • Some external effects of tobacco use: - bad breath, yellow teeth, brittle and yellowing nails, smell of smoke on clothing, etc., blackened gums, jaundice, red eyes, etc.

19. MONEY, MONEY, MONEY • It will cost you approximately $1,000 a year if you buy a pack a day. If you put a thousand dollars a year into the bank with 5% interest, in 20 years you would have accumulated $34, 719. You could buy a Cadillac for that much!

20. Why Try Tobacco in the First Place? • Some people try tobacco because of advertising and media. The media presents tobacco as a fun, easy, and cool thing to do. • Some people try tobacco because of peer pressure. Friends or acquaintances are using tobacco products so they feel they have to. They might also be pressured or made fun of if they try to resist in the first place. This may make them give in. • Some people try tobacco as a way to relieve stress. A person may turn to tobacco for the immediate high and stimulation it gives them, relieving their stress. • Lastly, some people may turn to tobacco products to lose weight. Since tobacco covers up appetite, it is easier to lose weight then trying to diet.

21. 1. List your reasons for wanting to quit. 2. Decide upon a date to quit 3. Make a health behavior contract 4. Think about the situations in which you use tobacco products 5. Join a tobacco cessation program 6. Get help from others 7. Participate in activities that get your mind off using tobacco 8. If at first you don’t succeed… Ways to Quit

22. If you need something else… • Get help from a health care professional- a physician might prescribe: • A nicotine patch, nicotine chewing gum, nicotine inhaler, or nicotine nasal spray. • Buproprion- a prescription anti-depressant drug that does not contain nicotine. This is approved by the FDA as a smoking cessation aid. • Trying cold turkey might not be a great option if you have been smoking for a while or smoke a couple packs a day.

23. Refusal Skills • Change the subject. If asked to smoke, just brush off the idea and change the subject. • Give a reason. If asked to smoke give a reason as to why you don’t smoke or never will. • Walk away or ignore the offer. If the pressure is getting to high, just turn and walk away or ignore what is being told to you. • Assert yourself. If you think that you are right and the person smoking is harming themselves, tell them that. • Whatever you do…Just Say NO!

24. Role Playing Time! • Get with a partner and for the next few minutes come up with a situation in which someone is being asked to use tobacco and someone is using a refusal skill. Try to use one of the skills we learned today or come up with your own! Be Creative.

25. FORMATIVE ASSESSMENT List 3 different health problems associated with smoking or chewing tobacco. List at least 2 different ways in which you can say no to someone who is pressuring you to smoke. List 5 reasons that people may start using tobacco products. About how much does it cost per year to smoke a pack a day?

26. ARTICLE http://www.cnn.com/2012/02/29/us/tobacco-warnings/index.html?hpt=hp_t2