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The Health Risks Associated with Tobacco Use and Exposure The Health Risks Associated with Tobacco Use and Exposure

The Health Risks Associated with Tobacco Use and Exposure - PowerPoint Presentation

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The Health Risks Associated with Tobacco Use and Exposure - PPT Presentation

to Second and Thirdhand smoke NJ Department of Health and Senior Services Office of Tobacco Control TobaccoFree for a Healthy New Jersey TFHNJ is the Office of Tobacco Controls statewide tobacco control effort TFHNJs ID: 256501

tobacco smoke smoking cancer smoke tobacco cancer smoking heart risk lung secondhand blood disease smokers 2010 cigarette damage exposure

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Slide1

The Health Risks Associated with Tobacco Use and Exposureto Second and Thirdhand smoke

NJ Department of Health and Senior Services, Office of Tobacco ControlSlide2

"Tobacco-Free for a Healthy New Jersey"

(TFHNJ) is the Office of Tobacco Control’s statewide tobacco control effort. TFHNJ's

membership is comprised of community-based

organizations with varied areas of expertise in tobacco control, prevention and cessation. TFHNJ partners seek policy and social change regarding tobacco exposure, use and prevention. Slide3

Tobacco Free for a Healthy New Jersey Partners:Global Advisors on Smokefree Policy

American Cancer Society

Mom’s Quit Connection

Atlantic Prevention ResourcesUMDNJ Robert Wood Johnson Medical SchoolCenter for Prevention and CounselingVineland City Health DepartmentSlide4

Tobacco use is the leading preventable cause of death.In the US, tobacco use is responsible for about 1 in 5 deaths annually (about 443,000 deaths per year).

Nearly 1,200 people die every day

Half of all smokers die from smoking

Smoking accounts for 30% of all cancer deaths and 87% of all lung cancer deaths.http://www.cdc.gov/tobacco/data_statistics/sgr/2010/index.htmhttp://www.tobaccofreekids.org/facts_issues/toll_us/American Cancer SocietySlide5

NJ Statistics398,000 kids are exposed to secondhand smoke in the home in NJ.11,200 Adults die each year from their own smoking in NJ.

168,000 kids now under 18 and alive in NJ who will ultimately die prematurely from smoking.14.4% of adults in New Jersey identified themselves as current cigarette smokers

Campaign for Tobacco Free KidsSlide6

New Jersey Smoking Prevalence by Region of Residence

NJBRFSS, 2008Slide7

Tobacco Facts

Tobacco is #1 preventable cause of death.

Tobacco kills more people than all of these causes of death combined:

Car crashesAIDSSuicideHomicideIllicit Drug useAlcoholAmerican Cancer SocietySlide8

Cigarette smoke contains more than 7,000 chemicals and compounds. Hundreds are toxic and at least 69 cause cancer.

Acetone (nail polish remover)

Butane (lighter fluid)

Cadmium (rechargeable batteries) Toluene (industrial solvent)Methanol (rocket fuel)Formaldehyde (tissue preservative)Nicotine and DDT (insecticides)Ammonia (toilet bowl cleaner)Naphthalene (mothballs)Hydrogen Cyanide (gas chamber poison)

Carbon Monoxide

(car exhaust)

Methane

(swamp gas)

Each cigarette contains 2mg of nicotine

.

Chemicals in Cigarette Smoke

American Cancer SocietySlide9

Tobacco use Leads to Disease and DisabilitySmoking causes cancer, heart disease, stroke, and lung diseases (including emphysema, bronchitis, and chronic airway obstruction).

For every person who dies from a smoking-related disease, 20 more people suffer with at least one serious illness from smoking.

http://www.cdc.gov/tobacco/data_statistics/sgr/2010/index.htmSlide10

Smoking & HypertensionHypertension is a serious condition that can lead to heart disease, heart failure, stroke, kidney failure, and other health problems. Smoking and hypertension may change the flow properties of the blood and the behavior of the arterial wall and this may explain the arterial damage observed in cigarette smokers and hypertensive patients.

Arteriosclerosis, Thrombosis, and Vascular Biology

, American

Heart Assoc. 1987National Heart Lung and Blood Institute 2011Slide11

Heart Disease Only 29% of current smokers believe they have a higher than average risk of heart attack.A person’s risk of heart attack greatly increases with the number of cigarettes he or she smokes and the longer a person smokes, the greater their risk of a heart attack.

Ayanian

& Cleary, JAMA 218:1019Slide12

How Does Smoking Increase Heart Disease Risk?The nicotine present in tobacco products causes:A decrease in oxygen to the heart.An increase in blood pressure and heart rate.

An increase in blood clotting.Damage to cells that line coronary arteries and other blood vessels.Slide13

Smoking & Atherosclerosis

How Does

Smoking Affect the Heart and Blood Vessels: National Heart, Lung and Blood Institute March 2010.Slide14

Smoking & CancerLung cancer is the leading cause of cancer death among both men and women in the U.S. and 90% of lung cancer deaths among women are due to smoking.As the proportion of filtered cigarette users has increased, the specific type of lung cancer has evolved likely influenced by deep inhalation.

UMDNJ-Tobacco Dependence Program

2010

National Cancer Institute 2011Slide15

Average Relative Risk of Cancer in Smokers15-30x risk of lung cancer10x risk of laryngeal cancer4-5x risk of oral cancer 3x risk of urinary tract cancer

2-4x risk of pancreatic cancer2x risk of other cancers (stomach, liver, cervix)

UMDNJ Tobacco Dependence Program 2010.Slide16

Smoking 16 to 25 cigarettes a day increases the risk for Type 2 diabetes to three times that of a non-smoker. The more risk factors a person has, the greater the chances are of developing diabetes.Smoking increases complications for those who have diabetes

RetinopathyHeart DiseaseStrokeVascular disease

Nerve damage

Kidney diseaseThe Cleveland Clinic Foundation 2008Diabetes and SmokingSlide17

Damage from Tobacco Smoke is ImmediateThe chemicals in tobacco smoke reach your lungs quickly every time you inhale. Your blood then carries the toxicants to every organ in your body.

The chemicals and toxicants in tobacco smoke damage DNA, which can lead to cancer.

Exposure to tobacco smoke quickly damages blood vessels throughout the body and makes blood more likely to clot. This damage can cause heart attacks, strokes, and even sudden death.

Office of the Surgeon General 2010Slide18

Damage from Tobacco Smoke is ImmediateThe chemicals in tobacco smoke inflame the delicate lining of the lungs and can cause permanent damage that reduces the ability of the lungs to exchange air efficiently and leads to chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis.

Office of the Surgeon General 2010Slide19

Smoking Risks in PregnancyWomen who smoke prior to pregnancy…

are about twice as likely to experience a delay in conception and have approximately 30% higher odds of being infertile.have about 30% higher odds of delivering prematurely.

CDC

Preventing Smoking and Exposure to Secondhand Smoke Before, During, and After Pregnancy, July 2007Slide20

Smoking Risks in PregnancyInfants who are born to women who smoke during pregnancy…

weigh an average of 200 gram less than infants born to women who do not smoke.are 1.4 to 3.0 times more likely to die of Sudden Infant Death Syndrome (SIDS).

CDC

Preventing Smoking and Exposure to Secondhand Smoke Before, During, and After Pregnancy, July 2007Slide21

The Hazards of Secondhand SmokeIn the United States, secondhand smoke exposure causes an estimated 49,000 deaths annually. (CDC, 2010)Secondhand smoke is the combination of smoke from the burning end of the cigarette and the smoke breathed out by smokers.

Secondhand smoke contains about 70 cancer-causing chemicals.There is no safe amount of secondhand smoke.Slide22
Slide23

Health Consequences of Environmental Tobacco Smoke (ETS)

Lung CancerNasal Sinus Cancer

Heart Disease

StrokeCoughingReduced Lung FunctionEmphysemaAsthmaIrritation of eye, nose, throat and lungsChronic BronchitisReproductive effects in womenHigher rate of SIDSAmerican Cancer SocietySurgeon General’s Report 2006 Slide24

Secondhand SmokeCauses deadly diseases such as heart disease and lung cancer in nonsmokers.

Causes hundreds of thousands of children respiratory infections.168,000 children in NJ will die prematurely from tobacco related diseaseEven brief secondhand smoke exposure can damage cells in ways that set the cancer

process in motion.

As with active smoking, the longer the duration and the higher the level of exposure to secondhand smoke, the greater the risk of developing lung cancer.Surgeon General’s Report 2010Slide25

Third-hand SmokeThirdhand smoke refers to the toxins from cigarette smoke that stick to soft surfaces.Through thirdhand smoke, people can be exposed to the same toxins found in tobacco smoke. Low levels of toxins can build up to dangerous levels in the body. This can cause learning problems for children.

Thirdhand smoke can stay on unwashed surfaces for days, weeks, even months.

http://www.cbc..ca/health/story/2009/01/06/smoking-third.htmlSlide26

How Nicotine Affects the Brain and Emotions

Regulates mood May control anger and anxiety

Can act as a stimulant or relax a person depending on situation

May provide a sense of controlAmerican Cancer SocietySlide27

Why do smokers still smoke?ADDICTION IS POWERFUL

Three components of addiction: Physical – A physical craving for tobacco and withdrawal symptoms may be present in the absence of the drug

Habit

– The use is ritualistic and done without thoughtPsychological – The belief that the user cannot function without the habitSlide28

Faced with change, most people are not ready to act. Change is a process, not a single step.Typically, it takes multiple attempts.

HOW CAN I LIVE WITHOUT TOBACCO

?

The (DIFFICULT) Decision

to QuitSlide29

Treatment: A Collaborative EffortCollaborative efforts among all agencies involved in the lives of smokers is necessary for change to occur.

Know cessation resources: NJ Quitline

Mom’s Quit Connection

Know your local and state resources.Join an IMAC to help your community decrease exposure to second and thirdhand smoke. Seek training on how to offer advise to smokers about quitting. Slide30

Courtesy of Mell Lazarus and Creators Syndicate. Copyright 2000, Mell Lazarus.Slide31

Resourceswww.snjpc.orgwww.njgasp.org

www.cancer.orgwww.njquitline.org

www.nj.quitnet.com

http://www.cdc.gov/tobaccoMom’s Quit Connection 1-888-545-5191New Jersey Quitline 1-866-NJ-STOPS