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It’s All About Tobacco . . . And Health

It’s All About Tobacco . . . And Health. Nancy Geha, Ed.D. Tobacco Prevention Program Manager. The voyage of discovery is not in seeking new landscapes, but in having new eyes. Marcel Proust. AIDS 31,000. FIRE 4,000. CAR 25,000. HEROIN 2,400. TOBACCO 434,000. HOMICIDE 22,000.

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It’s All About Tobacco . . . And Health

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  1. It’s All About Tobacco . . . And Health Nancy Geha, Ed.D. Tobacco Prevention Program Manager

  2. The voyage of discovery is not in seeking new landscapes, but in having new eyes.Marcel Proust

  3. AIDS 31,000 FIRE 4,000 CAR 25,000 HEROIN 2,400 TOBACCO 434,000 HOMICIDE 22,000 SECOND-HAND SMOKE 53,000 SUICIDE 31,000 COCAINE 3,300 ALCOHOL 105,000 NATIONALLY, TOBACCO KILLS MORE AMERICANS EACH YEAR THAN... TOBACCO TOTAL: 487,000 Others TOTAL: 233,700

  4. Goal #1: Prevent initiation of the use of tobacco products among youth and youth cessation

  5. What’s in a Cigarette? • Nicotine.Used in bug spray, insecticide. • Tar.Gives cigarettes flavor. The average smoker inhales about one cup of tar a year. The tar may stick and stay in the lungs for a long time. • Formaldehyde. Preserves dead animals. • Cyanide. Main ingredient in rat poison. • Lead. Found in some kinds of paint. • Acetone. Common ingredient in paint and nail polish remover. • Ammonia. Found in many household cleaners. • Carbon monoxide. A common pollutant that escapes from the exhaust in cars. • Hydrazine. Used in jets and rocket fuel.

  6. What’s in Spit Tobacco • Nicotine • Polonium 210 (nuclear waste) • Radioactive elements • Formaldehyde (embalming fluid) • Cancer-causing chemicals

  7. Advertising defines… “BEAUTY” “FUN” “MACHO” “BRAVE” “SEXY”

  8. Goal #2:Increase cessation of tobacco use among adults

  9. NATIONAL QUITLINE1-800-QUIT-NOW 784-8669 www.coquitline.org

  10. Goal #3:Reduce exposure of youth and adults to secondhand smoke

  11. SECONDHAND SMOKE • 4,000 chemicals - including cyanide, formaldehyde and arsenic • 50 cancer-causing agents • Increases the risk of respiratory infections, heart disease, and cancer of the lungs, pancreas, kidney, bladder, cervix, breast and brain • Causes approximately 53,000 deaths in the U.S. annually • A portion of childhood respiratory diseases and their associated illnesses may be preventable by decreasing or eliminating SHS

  12. Coughing Phlegm production Colds Sore throats Sudden Infant Death Syndrome (SIDS) Ear infections Asthma Bronchitis Pneumonia Secondhand Smoke and Children

  13. Collaboration with TCHD Nursing & Nutrition Divisions Secondhand Smoke, Cessation, Youth Prevention • Immunization nurses and staff/clients • WIC Educators/clients • TCHD School Task Force Model for Colorado health departments!

  14. July 1, 2006 COLORADO IS THE 13TH STATE IN THE NATION TO BECOME SMOKE-FREE IN ALL INDOOR PUBLIC PLACES !!!

  15. Goal #4: Increase outreach to disparately affected populations

  16. NICOTINE ADDICTION!!!

  17. Nicotine… • Increases pleasure feeling. • Increases motivation. • Increases concentration. • Decrease stress and angry feelings. • Is a tool to make awkward social situations better.

  18. Nicotine Facts • Nicotine has a half life of 20 minutes • Every morning individuals often have minor effects due to no tobacco all night • Nicotine goes to the lungs first, then hits the brain in 10 seconds • Acts as a stimulant and a depressant

  19. Neurotransmitters Dopamine Serotonin Norepinephrine GABA Acetylcholine Endorphins

  20. It’s All About Quitting?

  21. Stages of Behavior Change • Pre-contemplation – “No” • Contemplation – “On the Fence” • Preparation - “Yes” • Action – “GO!” • Maintenance – “Cruising” • Regression/Relapse – “Ugh”

  22. Quit Rates • Quitting without assistance: 3% • Clinician advice to quit: 5-10% • Pharmacological Treatment: 20-25% • Telephone counseling: 20-30% • Similar to group counseling

  23. 20 minutes Blood pressure and pulse rate decrease 8 hours Carbon monoxide and oxygen levels in blood return to normal 1 day The likelihood of a heart attack decreases 2 days Nerve endings regenerate; sense of smell and taste are enhanced 2 weeks Circulation improves and lung function increases 1 – 9 months Coughing, sinus congestion, fatigue and shortness of breath decrease 1 year The likelihood of a heart attack is cut in half 5 years Stroke risk is reduced to the same levels as a non-smoker 10 years Risk of dying from lung cancer is about half that of a current smoker 15 years Risk of coronary heart disease and death become roughly equivalent to those who have never smoked Benefits of Quitting

  24. How Long Does It Take? • Make take several months for body to start making chemicals again – around 6 months • May feel: • Depressed • Fidgety • Anxious • Very aggressive • Lethargic Easy to relapse during this time High potential for relapse if on other drugs (alcohol)

  25. What Can You Do? • Be supportive and encouraging • Be patient • Educate • Find out resources – i.e. Quitline/Quitnet • Seek out others to help • Never give up on them

  26. Web Resources • CDPHE – www.steppitems.com and www.steppcolorado.com • Colorado Quitline (www.coquitline.org) • Smoke-Free Families (www.helppregnantsmokerquit.org) • Campaign for Tobacco-Free Kids (www.tobaccofreekids.org) • Health and Human Services (www.smokefree.gov)

  27. We must be the change we wish to see in the world.Mahatma Gandhi

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