Tobacco Smoking Nathaniel J. C. Libatique, Ph.D. Science 10, Topic 5 In Class Survey 44 respondents 3 admit to smoking 19 secondary smoke 8 fatalities (2nd hand information) from smoking related disease 5 current known cases of smoking related diseases (emphysema, lung cancer …) When do we start the habit? ….. more than 3 million young people under age 18 smoke half a billion cigarettes each year and that more than one-half of them consider themselves dependent upon cigarettes. The decision to use tobacco is nearly always made in the teen years, and about one-half of young people usually continue to use tobacco products as adults. http://www.tobacco-facts.info/ Diseases Some Diseases Caused by Smoking To the Smoker Oropharyngeal cancer Vulvar cancer 1. Esophageal cancer Penile cancer Stomach cancer Renal parenchymal cancer Anal cancer Renal pelvic cancer Liver cancer Non-Hodgkin’s lymphoma Pancreatic cancer Leukemia Laryngeal cancer Ischemic heart disease Lung cancer Stroke Breast cancer Atherosclerosis Endometrical cancer Pneumonia Cervical cancer Peptic ulcer Ovarian cancer Chron’s disease Vaginal cancer Cholelithiasis Normal Lungs and Alveoli http://adam.about.com/encyclopedia/Normal-lungs-and-alveoli.htm Small Cell Carcinoma Small cell carcinoma, also called oat cell carcinoma, can create its own hormones, which alter body chemistry. Non-Small Cell Carcinoma Non-small cell carcinomas are the most common lung cancers. Bronchial Cancer This is a chest x-ray of a person with bronchial cancer. This is a front view. The lungs are the two dark areas. The heart and other structures are white areas visible in the middle of the chest. The light areas that appear as subtle branches extending from the center into the lungs are cancerous. http://adam.about.com/encyclopedia/Bronchial-cancer-chest-x-ray.htm Lung Cancer CXR in a patient with central cancer of the right lung. Notice the white mass in the middle portion of the right lung (seen on the left side of the picture). http://adam.about.com/encyclopedia/Lung-cancer-frontal-chest-x-ray.htm Tobacco Settlement of 1998 On November 23, 1998 the Attorneys General and other representatives of 46 states. Puerto Rico, the U.S. Virgin Islands, American Samoa, the Northern Mariana Islands, Guam and the District of Columbia signed an agreement with the five largest tobacco manufacturers (Brown & Williamson Tobacco corporation, Lorillard Tobacco Company, Philip Morris Incorporated, R.J. Reynolds Tobacco Company, Commonwealth Tobacco, and Liggett & Myers), ending a four-year legal battle between the states and the industry that began in 1994 when Mississippi became the first state to file suit. Four states (Florida, Minnesota, Mississippi and Texas) had previously settled with tobacco manufacturers for $40 billion. The Liggett Group, the last tobacco manufacturer to sign on, was released from previous settlements it had reached with a number of states and will not have to contribute to the settlement fund unless the its sales rise more than 25 percent over current levels. This will be highly unlikely since immediately after signing the settlement agreement the company sold three of its major brands, representing 14 percent of its sales, to Phillip Morris Incorporated. The agreement settles all antitrust, consumer protection, common law negligence, statutory, common law and equitable claims for monetary, restitutionary, equitable and injunctive relief alleged by any of the settling states with respect to the year of payment or earlier years and cannot be modified in any way unless all the parties agree to the modification. The signing of the settlement agreement is just the beginning of the rest of this story about tobacco, youth access and health. Over the next 25 years, states will receive over $206 billion from the settlement, but funds will not be available to states until June 2000. Under the provisions of the agreement, states must begin implementation of the settlement agreement immediately. Tobacco Settlement 1998 Prohibits youth targeting in advertising, marketing and promotions by: • Banning cartoon characters in advertising; • Restricting brand-name sponsorships of events with significant youth audiences; • Banning outdoor advertising; • Banning youth access to free samples; and • Setting minimum cigarette package size at 20 (sunsets 12/31/01). Creates a National Foundation ($250 million over next 10 years) and a Public Education Fund ($1.45 billion between 2000-2003). http://academic.udayton.edu/health/syllabi/tobacco/summary.htm Smokers allowed to sue tobacco companies over 'light' cigarette claims By DAVID G. SAVAGE, Los Angeles Times December 15, 2008 WASHINGTON - The Supreme Court cleared the way for a new era of tobacco litigation Monday, ruling that makers of cigarette can be sued for deceiving smokers about the dangers of "light" cigarettes….. Philip Morris International (PMI) (NYSE / Euronext Paris: PM) is the leading international tobacco company, with seven of the world's top 15 brands including Marlboro, the number one cigarette brand worldwide. PMI has more than 75,000 employees and its products are sold in approximately 160 countries. The Company held an estimated 15.6% share of the international cigarette market outside of the United States in 2007. For more information, see www.pmintl.com. http://www.philipmorrisinternational.com/pmintl/pages/eng/default.asp Toxicity of Nicotine Toxic Dose of Nicotine Toxic level = 55 mg/kg body weight Weight of nicotine per cigarette = 56mg nicotine Tar and other toxins Let’s look at the MSDS sheets for nicotine, hydrogen cyanide and acrolein