Smoking Lecture Grade 8

Leading the Charge to a Healthier Chatham.
Chatham County Public Health Department • L. Layton Long, Health Director • www.chathamnc.org/publichealth
What Can You Say About this Picture?

Nicotiana tabacum” or sometimes
called “common tobacco”

Tobacco is a tall, leafy plant, originally grown
in South and Central America, but now
cultivated throughout the world. There are
many species of tobacco but “Nicotiana
tabacum” or sometimes called “common
tobacco” is preferred for producing present
day cigarettes. Tobacco use has been
recorded as early as 600-900 C.E. as carved
drawings on stones were discovered in
Mexico. American Indians smoked it for
special religious occasions and medical
purposes only. Leading the Charge to a Healthier Chatham.
The 7 Types of Drugs
Each has its own set of effects and

risks:
•Stimulants
•Depressants
•Hallucinogens
•Dissociatives
•Opioids
•Inhalants
•Cannabis
Alcohol as a Depressant
Alcohol acts as a depressant, making it a popular
choice for users looking to relax. Although drinking is
often associated with immediate bursts of energy after
a sip, the user’s vital functions inevitably slow
down. Overdosing on alcohol can cause severe
toxicity and even death.
Tobacco as a Depressant
The active ingredient in tobacco is nicotine, a
chemical that acts as both a stimulant and a
depressant. Tobacco gives users a minor, immediate
rush, followed by a feeling of relaxation. Nicotine is
one of the most addictive substances known to man,
and is dangerous for your teen to even try.
Cigarette Smoking

Yes or NO
1. Do you smoke?

2. Is there someone who lives
with you, who smoke?

3. Do you have friends who
smoke?

4. Are you often exposed to
cigarette smoke?

5. Do you sometimes find
yourself with people who
smoke?

6. When people around you
smoke, do you let them know
that you do not want to
inhale or smell their smoke?

7. Have you tried giving
disapproving look at people
who smoke to let them know
that you indirectly dislike
smoking?

8. Have you ever commented
about someone smoking but
not directly to the smoker?

9. Have you ever asked
smokers to get rid of their
smoke?

10. Have you ever asked
smokers to transfer to
another place so that you
would not inhale their
smoke?

11. Have you ever tried
moving away from a smoker
who does not listen to your
appeal?

12. If you are in a vehicle and
someone is smoking, do you
roll down the window or turn
towards the window to avoid
inhaling smoke?

13. Have you ever tried
moving away from a smoker
without asking him/ her to
move away instead?

14. Will you just let smokers
smoke near you, choosing to
be passive, saying nothing
and doing nothing?

15. Are you afraid that if you
speak out and ask a smoker
to stop smoking or move
away from you, that he/ she
will laugh or get mad at you?

Cigarette Smoking

Which Twin Smokes?

The twin on the right smoked for 14 years (a half-pack a day); her
counterpart on the left is a nonsmoker. One of the characteristic signs is
the looseness of the undereye skin, making her appear years older than
her twin sister. This is one sign of skin damaged by smoking. The twin on
the right further damagedLeading
her skin over time
the Charge by repeated
to a Healthier Chatham.sun exposure.
INTRODUCTION
 Smoking is a learned habit. The habit is

culturally established in the developed
world and has been for long enough to
allow assessment of its effects on mortality
and morbidity.
 It has become almost common place to
refer to the smoking problem in
developing countries as tomorrow’s
epidemic.
05/01/08
Leadingamrthe
badreldin hamdy MDFCCP 3
Charge to a Healthier Chatham.
3
 Tobacco use continues to be the
leading cause of avoidable illness and
death in economically advantaged
countries, and is rapidly approaching
that status worldwide.
 Most smokers live in developing
countries. Of the 1.1 billion smokers in
the world in the early 1990’s, 800 million
(75-75%) live in the developing world.
05/01/08
Leadingamrthe
4
 Smoking will kill about 500 million
people alive in the world today.
 One person dies every 5 minutes from
smoking related diseases.
 It is estimated that for each cigarette
smoked, an average of 5.5 min of life is
lost.
05/01/08
Leadingamrthe
5
 People who die from tobacco use do not
die only in old age. About half of all
smokers who are killed by tobacco die
in middle age. On average, these
smokers who die in middle age lose
about 20-25 years of life expectancy.
 Death rates of smokers are 2-3 times
higher than for nonsmokers at all ages.
36
05/0 amr
Leading thebadreldin
1/08 Chatham County Public Health Department
hamdy• L.MD
Layton Long, Health Director • www.chathamnc.org/publichealth
FCCP
 Cigarette smoking is the overwhelming
reason men have a shorter life
expectancy than women.
 There is a clear dose-response relation-
ship between smoking and life span,
that, when compared with the median life
span of men who never smoked, suggests
a loss of one year for ex-smokers, three
37
05/0 amr
hamdy• L.MD
FCCP
 years for light smokers, five years for
moderate smokers, and eight years for
heavy smokers.
 Teenagers, in particular, may be overly
complacent about smoking because they
believe-incorrectly-that they can smoke
for a few years and then quit without
suffering and long-term effects.
38
05/0 amr
hamdy• L.MD
FCCP
 The younger a person is when he or
she begins to smoke, the more likely he
or she is to develop nicotine addiction and
even become heavily addicted and the
more difficult it will be for them to quit.
 Most people who become daily smokers
(one or more cig/d during the previous
30 days) do so by the age of 18.
39
05/0 amr
hamdy• L.MD
FCCP
 Smoking is most likely to become a habit
during the teen years. When young
people become cigarette smokers they
are more likely to become addicted.
 Tobacco serves as an entry drug and
generally precedes use of other
substances.
40
05/0 amr
hamdy• L.MD
FCCP
 Smokers are much more likely to have
used other substances, including alcohol,
marijuana, and cocaine.
 There is no safe cigarette, whether it is
called ‘light’, ‘ultra-light’, or any other
name.
41
05/0 amr
hamdy• L.MD
FCCP
Why Do People Smoke?
42
05/0 amr
hamdy• L.MD
FCCP
 Tobacco smoking is a learned
habit. The habit is culturally
established in the developed
world and has been for long
enough to allow assessment of
its effects on mortality and
morbidity.
43
05/0 amr
hamdy• L.MD
FCCP
Starting smoking may be
due to peer group
pressure, feeling left out
while friends smoke and
trying to fit in with the
crowd.
44
05/0 amr
hamdy• L.MD
FCCP
 It may be due to stress at home, work,
school or in general by getting fed up
with things.
 It may be trying to attract attention, act
cool or become popular.
 It may calm down nerves!
 Parental and sibling example.
 Parental acceptance of children’s
smoking.
47
05/0 amr
hamdy• L.MD
FCCP
NICOTINE
49
05/0 amr
hamdy• L.MD
FCCP
a toxic colorless or yellowish oily liquid
that is the chief active constituent of
tobacco. It acts as a stimulant in small
doses, but in larger amounts blocks the
action of autonomic nerve and skeletal
muscle cells. Nicotine is also used in
insecticides.
50
05/0 Leading the Charge to a Healthier Chatham.
1/08 Chatham County Public Health Department • L. Layton Long, Health Director • www.chathamnc.org/publichealth
The problem of nicotine is
that it addicts the
individual to the inhalation
of tobacco smoke, which
permanently alters the
structure and function of
the human body.
51
05/0 amr
hamdy• L.MD
FCCP
Nicotine has the reputation as
‘one of the dirtiest drugs in
pharmacology” because it
does not have clean, isolated
effects, but rather effects that
vary according to dose and
individual.
52
05/0 amr
hamdy• L.MD
FCCP
 Arousal, relaxation, improved
concentration and attention, and
reduced anger and tension from
stressful situations are some of the
subjective beneficial effects.
 It affects how a person feels, thinks, and
functions at a cellular level.
53
05/0 amr
hamdy• L.MD
FCCP
Unpleasant symptoms of
dizziness, nausea, and
vomiting in first time
smokers do not develop
with repeat smoking.
54
05/0 amr
hamdy• L.MD
FCCP
TAR
55
05/0 amr
hamdy• L.MD
FCCP
 Tar is the name given to the
aggregate of particulate matter
in the cigarette smoke minus
nicotine and moisture.
 It is a thick, dark liquid that is
formed when tobacco burns.
This tar covers the linings of the
lungs, where it can cause
disease.
56
05/0 amr
hamdy• L.MD
FCCP
 Tar and CO are not found in smokeless
tobacco.
 Tar produces chronic irritation of the
respiratory system and is a major cause of
lung cancer. In tobacco smoke it has a
direct cancer-causing action.
 The amount of tar delivered in mainstream
smoke in each cigarette constitutes its
content.
57
05/0 amr
hamdy• L.MD
FCCP
Effects of Cigarette Smoking
58
05/0 amr
hamdy• L.MD
FCCP
THE RESPIRATORY SYSTEM
59
05/0 amr
hamdy• L.MD
FCCP
Girls are more susceptible
than boys to smoking and
adverse effects on the
growth of the lung and lung
function.
61
05/0 amr
hamdy• L.MD
FCCP
Respiratory infections
are more prevalent and
severe among cigarette
smokers, than among
nonsmokers.
62
05/0 amr
hamdy• L.MD
FCCP
 Smoking is a cause of heightened airway
responsiveness, which in turn may be a
risk factor for the development of COPD.
Only 10-15% of cigarette smokers
develop COPD, but cigarette smoking
accounts for about 80-90% of the risk
of developing COPD.
63
05/0 amr
hamdy• L.MD
FCCP
 Approximately one third of cigarette
smokers develop chronic cough and
phlegm production, but only one
seventh of smokers develop accelerated
rates of loss of lung function.
 Respiratory symptoms are greatly
increased among cigarette smokers. A
dose-response relationship exists for
chronic cough and phlegm production
64
05/0 amr
hamdy• L.MD
FCCP
All
types of lung
cancer are caused by
tobacco use for both
men and women.
65
05/0 amr
hamdy• L.MD
FCCP
 The tar content of cigarettes is the major
factor in carcinogenesis of smoking.
 Brands of cigarettes that contain less tar
and nicotine only marginally reduce the
risk of lung cancer mortality.
 Individuals who start smoking before the
age of 15 y are 4 times more likely to
develop lung cancer than those who begin
after the age of 25 years.
66
05/0 amr
hamdy• L.MD
FCCP
About 90-95% of male lung
cancer deaths in
developed countries, and
70-75% of female lung
cancer deaths, are due to
smoking.
67
05/0 amr
hamdy• L.MD
FCCP
CARDIOVASCULAR SYSTEM
68
05/0 amr
hamdy• L.MD
FCCP
Premature coronary heart
disease is one of the most
important medical
consequences of smoking.
69
05/0 amr
hamdy• L.MD
FCCP
Sudden death is 4 times
more likely to occur in young
male cig smokers than
nonsmokers. Women who
use both cigs and oral
contraceptive pills increase
their risk of developing CHD
tenfold.
70
05/0 amr
hamdy• L.MD
FCCP
CENTRAL NERVOUS SYSTEM
05/0 amr
Charge to a Healthier Chatham. 71
hamdy• L.MD
FCCP
Smoking causes stroke in
both men and women.
Smokers have an increased
relative risk, approximately
two, for ischemic stroke.
05/0 amr
hamdy• L.MD
FCCP
 Stroke risk decreases to baseline by five
years after smoking cessation, but an ex-
smoker’s risk of cerebrovascular
accident remains high for at least 20
years after cessation.
 CNS sensitivity and responsiveness to
nicotine is genetically determined.
05/0 amr
hamdy• L.MD
FCCP
CANCER
05/0 amr
hamdy• L.MD
FCCP
 Smoking has long been associated with
an increased risk of a variety of
cancers. The role of cigarette smoke and
the pathophysiology of cancer is complex.
 A younger age of smoking initiation is
associated with an increased risk,
whereas pack-years of cigarettes shows
a significant dose-response.
05/0 amr
hamdy• L.MD
FCCP
 Smokers are at increased risk for a
second smoking-related cancer once
they have a tobacco-associated
malignancy.
 Of some 4000 components of tobacco,
more than 50 have been shown to be
carcinogenic in vivo and in vitro.
05/0 amr
hamdy• L.MD
FCCP
ORGAN SECONDARY EFFECTS
05/0 amr
hamdy• L.MD
FCCP
 Smoking decreases our senses,
particularly the sense of smell and taste
(that’s why a smoker cannot smell the
stink he carries around with him).
 Smoking stains the fingers and teeth,
and leaves a stale smell on the hair,
breath and clothes.
05/0 amr
hamdy• L.MD
FCCP
 Smoking causes premature facial
wrinkling through vasoconstriction of the
capillaries of the face. This is visible in
deep “crow’s feet” radiating from the
corners of the eyes and pale, grayish,
wrinkled skin on the cheeks.
05/0 amr
hamdy• L.MD
FCCP
 Gum disease and tooth loss are
common among smokers.
05/0 amr
hamdy• L.MD
FCCP
 Smoking is associated with osteoporosis
in women, and with spinal disk disease
in both sexes.
05/0 amr
hamdy• L.MD
FCCP
PREGNANCY AND SMOKING
05/0 amr
hamdy• L.MD
FCCP
 Maternal mortality rates are increased
in smokers.
 Smoking during pregnancy is the main
preventable cause of perinatal
morbidity and mortality.
05/0 amr
hamdy• L.MD
FCCP
 Women who smoke during pregnancy are
50% more likely to have a child with
mental retardation of unknown cause
than are nonsmoking women.
05/0 amr
hamdy• L.MD
FCCP
 Infants born to mothers who smoke during
pregnancy are on average 200 gm lighter
and 1 cm shorter than infants on
nonsmoking mothers.
 The lungs of children whose mother
smoke grow at only 93% the rate of
children whose mother do not.
05/0 amr
hamdy• L.MD
FCCP
 Nicotine and other components of
smoke are present in breast milk of
nursing mothers who smoke; infants
who ingest such milk take smaller
volumes, gain weight more slowly, have
more vomiting, diarrhea, and restless
behavior than infants of nonsmoking
mothers.
05/0 amr
hamdy• L.MD
FCCP
 People who stop smoking at younger ages
experience the greatest health benefits
from quitting. Those who quit by age 35
avoid 90% of the risk due to tobacco use.
Even smoker who quit after age 50
substantially reduce their risk of dying
early. It is never too late to quit
smoking on assumption that the
damage is already done.
05/0 amr
hamdy• L.MD
FCCP
 People who quit smoking before age 50
have one-half risk of dying over the next
15 years compared to people who
continue to smoke.
 A smoker who gives up the habit at the
age of 65 reduces his or her risk of dying
from a tobacco-related disease by half.
05/0 amr
hamdy• L.MD
FCCP
What happens when you
smoke/chew?
• Coughing
• Dizziness
• Bad breath
• Nausea
• Increased heart rate/blood pressure
• Nose, throat, lungs irritation
• Increased salvia
Tobacco Exposure
• First-hand smoke
• Second-hand smoke
• Third-hand smoke

THREE SMOKES PRODUCED BY CIGARETTE
SMOKING
•1. MAINSTREAM SMOKE

•-Refers specifically to
the smoke that a
smoker directly inhales

SMOKING
•2. SIDESTREAM SMOKE
• -the smoke that comes out of
the lighted end of a cigarette
or pipe.
• - also called SECOND-HAND
SMOKE or
ENVIRONMENTAL
TOBACCO SMOKE. This is
more dangerous than
mainstream smoke
1. THIRD-HAND
SMOKING
SMOKE
• -smoke left for a long
time on sofa, beddings,
pillow and other
objects.
-also called RESIDUAL

TOBACCO SMOKE
settles along with and
can last for months. This
smoke still contains
harmful chemicals and
carcinogens.
Health Risks & Concerns:
Smokeless Tobacco
• Nicotine addiction
• Mouth, tongue, throat
cancers
• Stomach, pancreatic cancers
• Heart disease, heart attacks
• Teeth break down and loss
• Stained and discolored teeth
• Bad breath
Tobacco and Your Health:
Quiz

What does smoking do to my body?
The health impacts of smoking can account for:

A. Three out of every five deaths in the United
States
B. 20,000 deaths a month in the United States
C. 1 out of every five deaths in the United States
D. None of the above

Why?
Smoking is the number one cause of cancer
Because a smoker breathes the smoke into their
worldwide:
lungs when they take a puff from a cigarette, the
A. True
organ most likely to be damaged is the lungs.
Toxins in cigarettes and other tobacco also
B. False
damage other parts of the body, leading to a
variety of different health problems.

Which of the following health problems are related

to smoking?
A. Cancer
B. Emphysema
C. Heart disease
D. Warts

• Chronic obstructive lung disease

- Emphysema
- Bronchitis
• Cancer (primarily lung cancer)
• Increased respiratory rate

• Heart and blood vessel effects:

 Heart disease
 Stroke
 Poor circulation
 Increased heart rate
 High blood pressure

Smoking helps to keep a person looking young.

A. True
B. False

• Cosmetic Effects:
 Bad breath
 Teeth decay
 Colored teeth
 Wrinkles
 Loose skin

Smoking during pregnancy can impact the fetus

(developing baby).
A. True
B. False

What does smoking do to my
body?
• In pregnant women, smoking can

cause:
 Preterm delivery
 Stillbirth
 Low birth weight
 Sudden infant death syndrome
(SIDS)

What does smokeless tobacco do to
my body?
Smokeless tobacco, like snuff, dip and chew, have
less toxins than cigarettes.
A. True
B. False

What does smokeless tobacco do
to my body?
• Sometimes referred to as dip, chew, or snuff
• NOT a safe alternative to cigarettes

What does smokeless tobacco do to
my body?
Which of the following health problems are related
to smokeless tobacco?
A. Cancer
B. Joint pain
C. Bad breath
D. Muscular degeneration

How To Say No!
Practice this three-step technique

for saying NO. Ask yourself each of
the questions. Ask a family
member, a classmate, or a friend
these questions and positively ask
him/her your position. How To Say
No! Leading the Charge to a Healthier Chatham.
Resources to Help Quit
• QuitLineNC: 1-800-QUITNOW www.quitlinenc.org
• QuitSmart (free through the Chatham County Public
Health Department)
• American Lung Association Freedom from Smoking:
• 1-800-LUNG-USA www.ffsonline.org
• SfT Teen (Smokefree Teen):
http://teen.smokefree.gov/
• Become An Ex: http://www.becomeanex.org/
Cigarette Smoking Quiz

Smoking less than
20 cigarettes each
day won’t hurt you.

False!
The drug Nicotine
is found in
Cigarettes.

True!
Nicotine makes a
smoker’s heart beat
faster.

True!
People who do not
smoke can be
harmed by
breathing in the
smoke of others.
True!
A woman who
smokes when she is
pregnant can hurt
her unborn baby.

True!
Smokers are more
likely to die of
heart and lung
problems as people
who don’t smoke.
True!
Your body doesn’t
grow if you smoke
cigarettes.

False!
Every cigarette
smoked shortens
your life by about
14 minutes!
True!
Cigarettes contain a
dangerous chemical
known as tar.

True!
How many did you
get right?

https://slideplayer.com/slide/9802073/
References
• Williams, M. (2013, Oct. 3). Electronic cigarette liquids and vapors: Is it harmless water vapor? In Philip
S. Gardiner (Chair), Electronic Cigarettes: The vapor this time. Conducted by the Tobacco Related Disease
Research Program at the University of California Riverside in San Francisco, California. Retrieved from
http://www.trdrp.org/ecigarettes.php
• Centers for Disease Control and Prevention. (2013). Notes from the field: Electronic cigarette use among
middle and high school students — United States, 2011–2012. MMWR, 62(35);729-830.
• CDC (2014). “Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes —
United States, September 2010–February 2014.” MMWR, 63(13): 292-293.
• Americans for Nonsmokers Rights: Electronic Cigarettes -
• http://www.no-smoke.org/learnmore.php?id=645
• American Academy of Pediatrics Handout on E-Cigarettes -
http://www2.aap.org/richmondcenter/pdfs/ECigarette_handout.pdf
• American Legacy Foundation: Tobacco Fact Sheet -
http://www.legacyforhealth.org/content/download/582/6926/file/LEG-FactSheet-eCigarettes-
JUNE2013.pdf
• http://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/health_effects/index.htm
• http://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/use_us/types/index.htm


Smoking Lecture Grade 8

Uploaded by

Copyright:

Available Formats

Smoking Lecture Grade 8

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Smoking Lecture Grade 8

Uploaded by

Copyright:

Available Formats

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Each has its own set of effects and

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

 Smoking is a learned habit. The habit is

Leading the Charge to a Healthier Chatham.

•1. MAINSTREAM SMOKE

Leading the Charge to a Healthier Chatham.

-also called RESIDUAL

Leading the Charge to a Healthier Chatham.

The health impacts of smoking can account for:

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Which of the following health problems are related

Leading the Charge to a Healthier Chatham.

• Chronic obstructive lung disease

Leading the Charge to a Healthier Chatham.

• Heart and blood vessel effects:

Leading the Charge to a Healthier Chatham.

Smoking helps to keep a person looking young.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Smoking during pregnancy can impact the fetus

Leading the Charge to a Healthier Chatham.

• In pregnant women, smoking can

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Practice this three-step technique

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

Leading the Charge to a Healthier Chatham.

You might also like