Tobacco Notes What is tobacco?? An agricultural product processed from the fresh leaves of plants which contain nicotine. All methods of tobacco consumption result in quantities of nicotine being absorbed into the bloodstream. Types of Tobacco: Snuff: is a product made from ground tobacco leaves. It is an example of smokeless tobacco. It is generally inhaled through the nose either directly from the fingers or by using specially made "snuffing" devices. Chewing tobacco or “dip”: is a type of smokeless tobacco product consumed by placing a portion of the tobacco between the cheek and gum or teeth and chewing. Cigarettes: A cigarette is a small roll of finely cut tobacco leaves wrapped in a cylinder of thin paper for smoking. The cigarette is ignited at one end and allowed to burn; its smoke is inhaled from the other end, which is held in or to the mouth. Most modern manufactured cigarettes are filtered and include reconstituted tobacco and other additives Hookah: also known as a waterpipe is a single or multi-stemmed (often glassbased) instrument for smoking in which the smoke is cooled by water. Staggering Statistics: 1. Tobacco related illnesses kill appx. 488,000 US citizens per year which is about 1,205 people per day -every 8.0 seconds someone dies from tobacco use -at this rate cigarettes will kill a billion people in this century alone 2. Leading cause of preventable death in the US today 3. 1/10 people will get lung cancer, 1/6 men will get lung cancer 4. Men smoke slightly more than women 5. Most smokers started when they were teens 6. Only 5% of high school seniors who smoke daily think they will definitely be smoking in five years when in fact almost 75% of those same students still smoke five years later 7. Cigarette smoke contains over 4,000 chemicals, including ammonia (floor/toilet bowl cleaner), arsenic (rat poison), formaldehyde (embalming fluid), and hydrogen cyanide (gas chamber poison) Health Illnesses linked to Tobacco: Cancers-560,000 deaths 1. Lung cancer-160,400 deaths 2. Cancer of the kidney 3. Cancer of the bladder 4. Breast cancer 5. Esophagus cancer 6. Larynx cancer 7. Cancer of the stomach 8. Pancreatic cancer -30% of all cancer cases are heavily influenced by tobacco use Health Illnesses: Cardiovascular Stroke Heart disease Respiratory 1. Common cold 2. Birth defects-reproductive process impaired by the use of tobacco (infertility, pregnancy problems, health of newborn is affected) 3. Bronchitis 4. COPD- chronic obstructive pulmonary disease 5. Buerger’s disease (gangrene) 6. Cataracts 7. Emphysema-irreversible What is in cigarettes that make them so addicting? Nicotine Nicotine and Addiction: Nicotine is a stimulant It speeds up heart rate about 20 beats per minute with every cigarette Over time, tolerance and dependence develop Absorption quantity, frequency, and speed have a direct relationship with how strong a dependence (or addiction) and tolerance one may have On average, it takes about 10 seconds for nicotine to reach the brain and because of this many smokers feel as if they are unable to quit. Smoking and Cardiovascular Disease: Increases the chance of heart disease Several ingredients of tobacco lead to narrowing of the blood vessels which increases the likelihood of blockage and thus creates a heart attack or a stroke People under 40 who smoke are 5 times more likely to have a heart attack than non-smokers 2 pack-a-day cigarette smokers can expect to die 7-8 years earlier than a nonsmoker due to heart related illness Major Oral Health Issues: Oral cancer- mouth, lips, tongue, gums Esophagus/pharynx cancer Periodonitis Receding gums- periodonitis disease, dip are some causes halitosis Secondhand Smoke: Long Term Effects: Can cause the same problems as direct smoking such as heart disease, cardiovascular disease, lung cancer, etc. Short Term Effects: Mild asthma attacks, stuffy/runny nose, coughing, wheezing, etc. Increases heart disease by 25-30% and lung cancer by 20-30% Every ten minutes, secondhand smoke kills a non-smoker Physical and Psychological Effects on Smokers: When first starting to smoke Non-smokers: nausea, dizziness, rapid heart beat Goes away with tolerance build up When trying to quit smoking Smokers: when denied access to nicotine; irritability, jitteriness, dry mouth, rapid heart beat, insomnia, and/or mild depression will usually occur What do these symptoms illustrate? if a person quits for three months they are usually able to remain smoke free for the rest of their lives difficult to stop because: onset of symptoms occurs very rapidly In adolescence this can occur from only smoking 4-5 cigarettes Ways to quit smoking: 1.Nicotine patch/gun/pill 2.Chewing gum/suckers 3.Plastic cigarettes 4.Hotline 5.Therapy/group support Reasons people use Tobacco: 1.Image 2.Lose weight/be thin 3.Peer pressure 4.Nicotine addiction/relaxation 5.Looking older/ “its more grown up” 6.Advertising Tobacco and advertising: What are tobacco ads selling? 1. A cool image 2. Good looks/glamour 3. Friends/popularity 4. Hanging out/dating 5. Tastes good What Tobacco ads do not show: 1. Ashtrays 2. Lit cigarettes 3. Yellow teeth 4. Yellow fingers 5. Burns mouth and lungs 6. Wrinkles 7. Spit stains from chewing 8. Bad breath 9. Tar on the lungs 10. Difficulties breathing 11. Burns and holes in clothing Vocab Words: 1. Nicotine: addictive substance in tobacco 2. Peptic Ulcer: an open sore in the stomach lining 3. Cardiovascular Disease: Disease of the heart and blood vessels 4. Atherosclerosis: fatty deposits that block the arteries 5. Aveoli: air sacs in the lungs 6. Leukoplakia: White spots on the inside of the mouth that may become cancerous 7. Bronchioles: narrow air tubes in the lungs 8. Cilia: tiny, hair-like structures that filter out harmful substances in the respiratory tract 9. Tar: dark, sticky substance in tobacco that causes cancer 10. Chronic Bronchitis: excessive secretions of mucus in the bronchial tubes 11. Sinusitis: swelling and reddening of the sinuses 12. Emphysema: air sacs in the lungs lose their elasticity 13. Cancer: abnormal growth of cells 14. Lungs: organs responsible for O2 and CO2 exchange 15. Snuff: finely ground tobacco that is sniffed 16. Chewing Tobacco: tobacco that is dipped and held between the cheek and gum 17. Carbon Monoxide: poisonous gas produced by tobacco smoke 18. Hemoglobin: substance in red blood cells that carries oxygen to all cells 19. Anoxia: decrease in the oxygen level on the body 20. Carcinogen: cancer causing agent 21. Stimulant: a drug or drugs that temporarily increase alertness and awareness 22. Withdrawal: signs and symptoms that appear when a drug that causes a physical dependence is regularly used for a long time and then is suddenly discontinued or decreased in dosage 23. Halitosis: odors exhaled while breathing 24. Receding Gums: loss of gum tissue or occurrence of gum lesions 25. Benzopyrene: cancer causing chemical in cigarette smoke 26. Periodonitis: A collection of inflammatory diseases affecting tissues that surround/support the teeth.