Name- Ahmed Alkuabi English 2010 Smoking is an act or a practice in which smoke of burned tobacco or other drugs is inhaled or exhaled. It is mostly through cigarettes, pipes, cigars, bidis, hookahs and bongs. Tobacco smoking is the most practiced form of smoking. There are other types of smoking with drugs such as cannabis, opium and heroin. But this kind of smoking is not easily available and is not legal in many parts of the world. Smoking has always been serious challenge to our society. Many people have tried to eradicate smoking in many ways and numerous people all around the world died because of smoking. In spite of all the health hazards of smoking some factors influence people to take up smoking. Smoking is invisible way of committing suicide because of the high risk diseases it causes. However, if people start smoking they can still reduce its effects by quitting smoking which is not an easy task. There could be many reasons for people to start smoking some of which are true and Sensible while others are not. It is not important whether these reasons are true or not. The more important thing is to identify the reasons and determine if they are true. So that people can take an action towards these reasons. Some reasons are psychological like the idea of being cool or to relieve stress. Other reasons are related to elements of society such as friends, family and media. The idea of losing weight is one of those reasons that is forcing people to start smoking. Girls are highly affected in this particular scenario. As Karen Balkin wrote one such a story of an athlete woman who started smoking after she stopped playing basketball. She said “it was either food or cigarettes and I chose cigarettes because i don’t want to be gigantic”. Her parents smoke too. They are both overweight and have long history of smoking. Recently they both have lost more than twenty pounds. She said that they were on diet “but smoking helped”. Now they are afraid that if they quit smoking they will gain their weight back (Balkin, 40-44). Families also have big influenced relationship for smoking. Children who grew up in smoking families are more likely to develop a habit than who do not. Colette who started smoking when she was 16 said “My dad always smoked, so my parents couldn’t get too mad (Balkin, 40-44). Another story of the relationship that family has in smoking is a story of a man, Husain Saeed who started smoking when he was 11 years old. He started smoking at earl age because his father and his older brothers smoked. He said “I have seen my father and my brothers smoke cigarettes since i was in elementary school. First I didn’t have any influence. However when I grew up I wanted to try smoking because I thought I wasn’t wrong”. Friends play a great role in people’s lives. They could influence positively or negatively because people usually are influenced by whom they deal or communicate with. Smoking friends have a strong influence to make people start smoking. Being in circle of friends who smoke if that one particular person doesn’t smoke he or she might get a feeling of an odd person in that group. The media is designed to help people send their messages to common people. The media could change people’s perspective so easily. However sometimes media is used for useless things like advertising or promoting smoking on screen. Some claim that smoking on TVs and movies may not cause a serious problem among people. But they do have their affects on people especially on teens. If they watch one particular celebrity they admire the most smokes, then they too are prone to smoke. Although watching smoking on screen might be harmless at first but it has very serious influences in their future. The link between movie smoking and starting smoking among teens is still significant. Also a study in 2005 found that “38 out of 100 adolescents who tried smoking did so because of exposure to smoking in movies.” Some people are against while others are in favour in promoting smoking in TVs and movies. Movies should have at least film rating “to display how many smoking occurrences are in movie.” Another study has shown that teens are 16times more likely to smoke if their favourite actor smokes. (Balkin, 80) Tobacco advertisements have started targeting new adult smokers. However, they realised that it was no longer influencing adults but the younger population. Now, millions of teens all around the world started smoking and 90% of smoking initiation before age of 19. A study had shown the number of smoking teens in countries that allowed smoking advertisement. Another study shows that teens smoke the most banned smoking advertisements. Another study has shown that teens smoke the most heavily advertised brand of cigarettes (Williams, 73-74) Smoking is very serious problem in United States and many died because of smoking. In 1990 one out of five deaths was because of cigarette smoking. Smoking is reducing smokers’ lives at least 25% than that of non smokers (Williams 20). It has many effects on structures and functions of organs in the human body. Smoking leads to addiction because of nicotine that is present in tobacco. And that is one of the main reasons that smokers cannot quit smoking. Nicotine causes many damages on brain that motivates repeated and compulsive use of that substance. The same pharmacological processes that cause addiction to heroin and cocaine are similar to those that cause addiction to nicotine. Secondly, nicotine in tobacco leads to serious affects in nervous system and it may lead to bad affects on mood and brain activity. Third, studies have shown that nicotine in tobacco affects body weight. The FDA has shown that “these effects on structure and functions on body are significant and quintessentially drug like” (Schaler, 124). Some consequences of smoking are notable such as halitosis, discolouration of teeth and peelings, abrasions of teeth, dental caries, gum recession, leukoplakia, nicotine dependences, and different forms of oral cancers (Williams, 57) Smokers have acute and chronic illnesses as well as more restricted activity days, more bed disability days, more school and work absenteeism than former smokers or those who never smoked. Many studies have shown that smoking is the main cause of lung cancer. Although smokers unlike non smokers have high risk of having lung cancer, the possibility of having the disease is different among smokers and depends on their history of smoking. Smokers who smoke more than 40 cigarettes a day are more likely to get lung cancer by 50% than smokers who smoke 20 cigarettes a day. Also starting smoking in diverse ages makes a big difference. Who begin smoking before age of 15 is four times more likely to develop lung cancer than those who begin smoking after age of 25. (Williams, 20) Every year there are 38,000 new cases of head and neck cancer in United States. A study has shown a connection between smoking status and head and neck cancer. It has found that cancer patients who smoked less than 100 cigarettes in their entire life are more likely to survive compared with current and people who has a very large history of smoking. Also, the possibility of getting head and neck cancer is - 12 times larger for smokers than non smokers, and the mortality rate is three times higher among smokers. Therefore history of smoking significantly reduces survival rate in cancer patients. Many studies and researchers have found that leukaemia is related to smoking. Researchers in Britain in 1999 said “Smoking can cause cell damages and reduces immunity which could increase the risk of adult leukaemia”. Also scientists who have experienced large number of leukaemia patients found that up to 10% of acute cases of deadly blood cancer could be related to smoking and it is the cause for many cases of adult leukaemia in Britain every year. The risk of leukaemia is very common among who smoke more than ten years. The exposure to leukaemia is different from one situation to other and it depends on how long the smokers have spent smoking. Smokers can reduce the risk of leukaemia if they quit within the first year of their smoking (study supports smoking link to leukaemia). Smoking during pregnancy is very fatal thing to do. More than the fact that pregnant woman harm themselves from smoking, they are also responsible for significant health risk they could cause to the unborn children. Moreover smoking during pregnancy can lead to miscarriages and pregnancy complications (Williams, 22). The babies could get many risks if the mothers smoke during pregnancy or exposed to second hand smoke which is otherwise called as passive smoking. Twenty to thirty percent of low birth weight babies are the reason of smoking during pregnancy. Studies have also shown that babies of mothers who smoke half pack of cigarettes a day have low IQ scores than babies of mothers who do not smoke. Another study has found that babies of smoking mothers during pregnancy have lower physical growth. A study has found that non smoking woman who are subjected to passive smoking have low birth weight babies than mothers who are not exposed. There is big argument between people who are for and against smoking. Non smokers claim that smokers should not smoke as they pollute the environment. It is true that people are ought to do whatever they want. However the individuals’ rights stop if they affect other people (Shaler, 14). The exposure to second hand smoking is very dangerous as it affects the health of people who cannot protect themselves such as children and older adults. Children don’t chose to live in smoke free homes. Non smoking adults cannot control the smoky ait they breath at work (Williams, 44). Also exposure to passive smoking lead to lung cancer in healthy non smokers and children whose parents smoke have increased tendency of respiratory infections and respiratory symptoms compared with children whose parents don’t smoke ( Williams, 44). Children could also get asthma because of passive smoking. Studies have also shown that children or young adults who are exposed to second hand smoke are likely to get ear infections; coughing, wheezing and mucus build up. Passive smoking also leads to lung cancers. Many studies proved link between passive smoking and lung cancer. In 1992 study by Stockwell et al that found a group of Florida women whose husbands smoked experienced a 60% increased of risk of lung cancer. A similar study on Missouri women conducted in same year by Brownson et al found a significant increase in risk that are exposed to passive smoking from their spouses. Finally a study in 1994 by Fontham et al found significant increase in lung cancer risk in women in tow California and three southern cities who are exposed to second hand smoke (Williams, 44-46). Smoking at home is also significant issue because it puts the rest of family who don’t smoke in high risk of getting lung cancer. Based on the 11 US studies have shown that “a woman who lives with smoker is 1.19 times as likely to get lung cancer as a woman who lives with non smoker.” (Williams, 53) Sometimes people starts smoking because of reasons are out of their control. Then after they realise how much smoking is risky for their health. They start to think of quitting smoking. Many studies have shown that quitting smoking has many benefits. The sooner smoker quits smoking the more chances the survival rates they have. Continuing smoking and quitting smoking in different times makes a big difference. Smokers who quit before they get to 50 years reduce their risk of dying over the next 15 years contrast to people who keep on smoking. (Williams, 23) People can quit smoking in many different ways. There are many services and programmes provided to smokers to help them stop smoking such as adult smoking cessation services. However there are children at age of seven or eight who are smoking regularly and cannot access these programmes because they are too young to attend them. So the schools provide quit smoking programs for school children to educate them about the risks and dangours associated with smoking. One of the specialist community practitioners and member of Merthyr Tydfil school of nursing team believe that young smokers are aware of risks and dangers but they don’t realise that it affects their health. Also smoking teens think that they can continue to smoke and can quit when they become adults later in their lives but they do not realize how addictive nicotine is. These programmes offer a quit date setting and developed quit plan for those who want to quit smoking. Also the programme helps the teens to see what the real risks of smoking on their bodies are. The programme is very helpful and the number of teens who benefit from programme and quit smoking is very good. One of the teen smokers who started smoking when he was seven and attended the programme said “I’ve tried to give up six or seven times before. I think I will be able to do this time. At the group there was jar of tar that accumulates in the lungs. That really hit home”. Also the smoking cessation group has helped a young girl aged 15 years to quit smoking after she used to smoke 70 cigarettes a week. Quitting smoking is very important thing to do as it benefits both smokers and non smokers. Also reducing smoking benefits non smokers from passive smoking. According to Polly Curtis, smoking bans is one of the solutions to reduce smoking. Peter Terry, chair of British Medical Association in Scotland says “there is now reasonably good evidence that definitely describes the health benefits of smoking bans.” Also he said there is an improvement by 10% in pubs in Scotland after it is banned. The reduction in cigarette sales is most noticeable evidence that suggests smoking bans is very helpful. Also in New York where it has four years history of smoking bans, half a million people have quit smoking. Many countries all around the world are trying very hard to smoking in many ways. Smoking bans are introduced in restaurants and in public places in many countries. Some European countries such as Wales, France, Italy, Norway and Sweden were the first countries that banned smoking in public areas. Two countries in Asia, Iran and Singapore have banned smoking in public areas. In US smoking bans are also at high level it challenges smoking outdoors as well as indoors. Some cities like New York, Austin, Columbus and Ohio are gone beyond prohibiting smoking indoors. They prohibitied in outdoors as well. Orange County in California is the first to ban among coast. Moreover in Iowa smoking is banned in all hospitals anywhere near their grounds. Another way of reducing smoking is by increasing cigarettes tax. By doing this they will have two benefits. First it helps to decrease youth smoking and improve health benefits. Second, they will have more money to fund the State Children’s Health Insurance Program. Many children suffer from asthma because of passive smoking and that can increase health insurance to those children. So, by increasing cigarette tax there will be more money and more healthy people. Quitting smoking is not very hard thing to do. Anyone who as strong belief in self can quit smoking very easily. It only requires a good self esteem and confidence to be able to quit smoking. One such a story of woman in the age of 107, she quit smoking after she smoked about 90,000 cigarettes. She quit smoking because of health and her son commented “I don’t think she could be bothered with it anymore”. This is only one case and there are so many other cases that show quitting smoking is often not difficult even it becomes more than a habit in people lives. If this woman considering her age and how much cigarettes she smoked, could quit smoking, it should not be problem for other people to do so. Smoking is very dangerous thing to do because it is one of the reasons that cause soon and sudden deaths. It is very important to determine the reasons that make people start smoking because it helps to prevent them from happening again. For many years researchers have done many researches to inform people about the danger of smoking. However that does not mean they want to face smokers who give up the habit and prevent others to start smoking. They just want to inform the people how risky smoking could be. All the people have right to do whatever they want even thought it means hurting themselves. By informing the people about the risk they get from smoking, they are giving a chance to decide whatever to avoid smoking or to smoke and lose their health. Work Cited Balkin, Karen, ed. Tobacco and smoking. San Diego: Greenhaven Press, 2005. Bernadette, Toomey. “Increase of federal tax a Win-Win for public health.” US Newswire (July 19, 2007): NA. Health & Wellness. Weber State University, Stewart Library – Main 20 March.2013 <http.//m.prnewswire.com/news-releases/increase -of- federal -tax -a- win-winfor- public- health -52752157.html Brindley, Madeleine. “Getting teens to give up the habit” The Western Mail (April 16, 2007) Weber State University. Main 20 March.2013 <http.//www.walesonline.co.uk> Cauchon, Dennis. “Smoke free zones extend outdoors”. USA Today (November 2, 2005) Main 21 March. 2013 http.//web.ebscohost.com.hal.weber.edu Curtis, Polly. The smoking issue: The Impact. Do bans help people quit? What difference have smoking prohibition made in place where they have already been introduced? Polly Curtis reports. The Guardian (London) (May 14, 2007): Weber State University, Stewart Library -Main 21 March 2013 <http.//blogs.gaurdian.co.uk> “History of smoking significantly reduces survival in cancer patients”. Cancer weekly (Oct 19, 2004) Weber State University. Stewart Library – Main 21, March 2013. Husain Saeed .Personal interview. George Cosh- David “Teens hurt by smoking on screen, study finds”. The Globe and Mail. (Sep 4, 2007) Weber State University. Stewart Library– Main 21, March 2013. “Old Habits Die Hard. (home news). The Times (London, England) (August 6, 2007)- Weber State University Stewart Library- Main 21 March 2013. <http.//web.ebscohost.com.hal.weber.edu> Schaler, Jeffrey and Magda.E. Scaler. Smoking who has right. New York, Prometheus Books, November 1998 “Smoking bans around the world” The Irish Times (May 29, 2007) Weber State University. Stewart Library– Main 21, March 2013. <http.//web.ebscohost.com.hal.weber.edu> “Study supports smoking link to leukaemia” Cancer weekly (November 29,1999) Weber State University. Stewart Library– Main 22, March 2013.t Williams, Mary and Tamara L. Roleff, ed.Tobacco & Smoking