• It can be snuffed; • • • It can be chewed; It can be placed between gum& lips; or It can be smoked.

   Cigarettes Cigars – contains 23 poisons, 43 carcinogens Bidis – small hand-rolled, flavored cigarettes, contain 3 times more CO and nicotine, and 5 times more tar than cigarettes  Smokeless tobacco  Chewing tobacco  Snuff

•
There is 1-2 mg nicotine in one cigarette and 90% of this amount being absorbed when inhaled.

      Smoke contains substances Nicotine 4,700 chemical – chemical stimulant nicotine impairs function of cilia the cleansing Tar – condensed particulate matter from smoke that accumulates in the lungs Phenols that – chemical irritant in smoke may combine with other chemicals to contribute development of lung cancer to the Carbon monoxide – tobacco smoke contains 800 times the level considered safe by the U.S.E.P.A

 Nicotine is a powerful nervous system stimulant  Nicotine decreases blood levels and increase hunger central  Nicotine increases heart and respiratory rates, constricts blood vessels, and raises blood pressure sugar  Nicotine poisoning symptoms:  Dizziness  Lightheadedness  Rapid pulse  Nausea

 Cancer  Cardiovascular disease  Platelet adhesiveness  Hypertension  Stroke  Respiratory disorders  Chronic bronchitis  Emphysema  Sexual dysfunction  Gum disease

Smoking increases the risk of the cancer in the following organs:
1-Larynx cancer:

2-Oesophageal Cancer:

3-Oral Cancer: 4-Stomach Cancer:

5-Liver Cancer:
 
6-Pancreas Cancer:

7-Colorectal Cancer:

8-Kidney Cancer:

9-Blood Cancer:


Chronic Horseness&Laryngeal Polyps:
Persistant horse voice&Vocal cord polyps
Gum,Dental and Mouth Disease:
periodontal disease&poor mouth hygiene
Stroke
: Atherosclerosis&throbus formation

How Cigarette Smoking Damages the Lungs

1-Miscarriage 2-Pre-mature Delivery  3-Stillbirth 4-Low Birth Weight 5-SIDS  The nicotine,carbon monoxide&other harmful  chemicals enters her blood stream, pass directly into the baby ’s body & prevent the baby from getting essential nutrients&Oxygen for growth

If the mother smokes, the baby is exposed to the nicotine and other smoke poisons from her breast  milk.
Nicotine could cause numerous unwanted symptoms in the baby (such as restlessness, a rapid heartbeat, vomiting, or diarrhea).
*Smoking affects Oral Contraceptives:
 Women who are smoking&using oral  contraceptives are ten times more at risk of Heart attack&Stroke compared to those who are smoking but not taking contraceptives

Environmental Tobacco Smoke (ETS)  Mainstream – smoke drawn through tobacco while inhaling  Side stream – smoke from the burning end of a cigarette or exhaled by a smoker  Involuntary or passive smokers – breath smoke from someone else ’s smoking product  9 out 10 nonsmoking Americans are exposed to ETS

 Sidestream smoke contains more carcinogenic substances  Sidestream smoke has 2 times more tar and nicotine, 5 times more carbon monoxide, times more ammonia 50  ETS is responsible for 3,000 lung cancer deaths, 35,000 CVD deaths, 13,000 deaths from other cancers

Protecting Yourself and Others from Secondhand Smoke

Criteria for Nicotine dependency:
 Tolerance  Withdrawal symptoms when use discontinued  Used in greater amounts over longer period of time than intended  A persistent desire or unsuccessful efforts to cut down or quit  A great deal of time spent using the substance

 Giving up important social,
, or recreational activities because of use of the substance  Continued knowledge use of despite medical problems related to use and/or social& legal problems resulting from use.

Withdrawal of nicotine It refers to the cessation of nicotine use by an individual in whom established.
dependence is

When the use of products containing nicotine is stopped abruptly, user will
within 24
likely hours the experience maximal physical psychological symptoms.
and/or withdrawal

 Dysphoric or depressed mood  Insomnia  Irritability, frustration, and anger  Anxiety  Difficulty concentrating  Restlessness  Decreased heart rate  Increased appetite or weight gain  Cravings for tobacco

A-Duration

Most symptoms diminish over a
few weeks
.

Relapse week
is common within when the
1
withdrawal symptoms are at peak.

Cravings
for tobacco,
increased appetite
, and
weight gain
may persist for months or years.

 Nicotine replacement products  Nicotine gum  Nicotine patch  Nasal spray  Nicotine inhaler

Recommended Therapies for Smoking Cessation

Benefits Of Quitting  Many tissues damaged by smoking can repair themselves in the absence of smoke  Airways are cleared of mucous  Circulation improves  Senses of taste and smell are restored  At the end of 10 smoke-free years, the ex-smoker can expect to live a normal life span