(Tobacco Damages and cure)<br />Presentation <br />Dr. AnwrAlnahdi<br />
GLOBAL SMOKING STATISTICS<br />Smoking related-diseases kill one in 10 adults globally, or cause four million deaths. By 2...
Statistics on Teen Smoking<br />Among young teens (aged 13 to 15), about one in five smokes worldwide.<br />Between 80,000...
Approximately 80% of adult smokers started smoking before the age of 18.<br />Every day, nearly 3,000 young people under t...
The smoking epidemic       <br /><ul><li>75% of smokers live in low or middle income countries</li></ul>World Health Organ...
Types of Tobacco<br />Chewing Tobacco<br />Snuff<br />Pipes<br />Cigars<br />Cigarettes<br />
Type of Tobacco<br />
Chemicals in Tobacco<br />A stimulant <br />Carcinogens are cancer causing agents<br />More than 4000 chemicals<br />10% a...
Nicotine<br />Psychoactive substance- causes a change in the person’s mood or behavior<br />Very addictive- causes a physi...
Tar<br />Tiny pieces that when inhaled in to the lungs, condense and form a sticky coating on the bronchial tubes<br />Sam...
Carbon Monoxide<br />A colorless, odorless, poisonous gas released by burning tobacco<br />Interferes with the blood’s abi...
Smokeless Tobacco<br />Cracking and bleeding lips and gums<br />receding gums, which can eventually make your teeth fall o...
Health Lung Vs. Smoker’s lung<br />
Tobacco on the skin<br />
Tobacco on the hands<br />
Tobacco on the Mouth<br />
About 90 percent of lung cancer deaths in men and almost 80 percent of lung cancer deaths in women are due to smoking.<br ...
Effects on the body<br />When you inhale a cigarette, the nicotine travels to the bloodstream and then to the brain- this ...
LUNG CANCER <br />growth of malignant cells that attack and replace healthy cells<br />NO CURE!!<br />Now kills more women...
Chronic Bronchitis<br />Inflammation of the bronchial tubes<br />Chronic coughing, excessive mucus production<br />Cilia b...
Pulmonary Emphysema<br />Pulmonary=LUNGS<br />Destruction of tiny air sacs in lungs which absorb oxygen into the body<br /...
How much money do you save by not smoking???<br />LETS FIND OUT!!!<br />
Let’s say someone smokes 1 pack a day…<br />Per PACK they will spend 5<br />Per WEEK they will spend 35<br />Per MONTH the...
Second Hand smoke<br />Mainstream smoking- passes through the tobacco and filter when the smoker inhales<br />what a smoke...
Sidestream smoke- rises from the cigarette when the smoker is not inhaling<br />This contains 2x more nicotine and tar, an...
Passive smoker- a person who inhales the sidestream smoke<br />smoke inhaled by non-smokers<br />Passive smoke can cause:<...
8 hours<br />Nicotine and carbon monoxide levels halved,<br />Blood oxygen levels return to normal<br />24 hours<br />Carb...
1 month<br />Appearance improves <br />– skin loses greyish pallor, less wrinkled  <br />Regeneration of respiratory cilia...
5 years<br />The excess risk of a heart attack reduces by half<br />10 years<br />The risk of lung cancer halved <br />The...
Withdrawal Symptoms<br />Trouble sleeping.<br />Fatigue.<br />Hunger.<br />Tenseness.<br />Irritability.<br />Women who qu...
2 days<br />Lightheadedness<br />D<br />D<br />D<br />D<br />1 week<br />Sleep disturbance<br />2 weeks<br />Poor concentr...
D<br />D<br />D<br />D<br />Nicotine withdrawal: the 4 ‘D’s<br />Drink water slowly<br />Deep breathe.<br />Do something e...
              Pharmacotherapy<br />Pharmacotherapy + behavioural counselling improves long-term quit rates<br />Smokers of...
Social Support<br />Does everyone have social support to quit?<br />Make sure that those who support you really are suppor...
Physical Therapy <br />Silver Spike Point Therapy<br />Acupuncture is an ancient Chinese medical practice which uses needl...
Silver Spike Point Therapy<br />
Bio-Resonance <br />Biolaz–Oberon/Dianel developed on the basis of the knowledge of that the cells, tissues and organs are...
Ranking of nicotine in relation to other drugs in terms of addiction<br />42<br />
First-Line Medications<br />Nicotine Replacement Therapy (NRT)<br />  -Patch (OTC)<br />  -Gum (OTC)<br />  -Lozenge (OTC)...
NRT:  Nicotine patches<br /><ul><li>Patches provide a slow, consistent release of nicotine throughout the day
Available in various shapes and sizes,
Common side effects with patches include skin sensitivity and irritation</li></ul>NRT increases the odds of quitting about...
NRT:  Nicotine gum<br /><ul><li>Instruct the patient to ‘chew and park’
Absorption may be impaired by coffee and some acidic drinks
Common side effects with gum include gastrointestinal disturbances and jaw pain
Dentures may be a problem!</li></ul>NRT increases the odds of quitting about 1.5 to 2 fold<br />Adapted from :  Henningfie...
NRT:  Nicotine nasal spray<br /><ul><li>Nasal sprays more closely mimic nicotine from cigarettes
Common side effects with nasal sprays include nasal and throat irritation, coughing and oral burning</li></ul>NRT increase...
NRT:  Nicotine lozenges<br /><ul><li>Nicotine tablets deliver 2-mg or 4-mg dosages of nicotine over 30-minutes
Common side effects with gum include burning sensations in the mouth, sore throat, coughing, dry lips, and mouth ulcers</l...
Varenicline<br /><ul><li>Begin varenicline a week before the quit date, increasing dose gradually.
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(Tobacco damages and cure)

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(Tobacco damages and cure)

  1. 1. (Tobacco Damages and cure)<br />Presentation <br />Dr. AnwrAlnahdi<br />
  2. 2. GLOBAL SMOKING STATISTICS<br />Smoking related-diseases kill one in 10 adults globally, or cause four million deaths. By 2030, if current trends continue, smoking will kill one in six people.<br />Every eight seconds, someone dies from tobacco use.<br />About 15 billion cigarettes are sold daily - or 10 million every minute.<br />
  3. 3. Statistics on Teen Smoking<br />Among young teens (aged 13 to 15), about one in five smokes worldwide.<br />Between 80,000 and 100,000 children worldwide start smoking every day - roughly half of whom live in Asia.<br />Evidence shows that around 50% of those who start smoking in adolescent years go on to smoke for 15 to 20 years.<br />Peer-reviewed studies show teenagers are heavily influenced by tobacco advertising.<br />About a quarter of youth alive in the Western Pacific Region will die from smoking.<br />
  4. 4. Approximately 80% of adult smokers started smoking before the age of 18.<br />Every day, nearly 3,000 young people under the age of 18 become regular smokers.<br />Nearly all first use of tobacco occurs before high school graduation. <br />
  5. 5. The smoking epidemic <br /><ul><li>75% of smokers live in low or middle income countries</li></ul>World Health Organization. The Tobacco Atlas. http://www.who.int/tobacco/statistics/tobacco_atlas/en<br />
  6. 6. Types of Tobacco<br />Chewing Tobacco<br />Snuff<br />Pipes<br />Cigars<br />Cigarettes<br />
  7. 7. Type of Tobacco<br />
  8. 8. Chemicals in Tobacco<br />A stimulant <br />Carcinogens are cancer causing agents<br />More than 4000 chemicals<br />10% are carcinogens or poisonous<br />The 3 most poisonous chemicals are: tar, nicotine, and carbon monoxide<br />
  9. 9. Nicotine<br />Psychoactive substance- causes a change in the person’s mood or behavior<br />Very addictive- causes a physical dependence<br />
  10. 10. Tar<br />Tiny pieces that when inhaled in to the lungs, condense and form a sticky coating on the bronchial tubes<br />Same substance used to pave roads!!!<br />Destroys cilia, waving hair-like projections that work to keep the respiratory tract clear.<br />
  11. 11. Carbon Monoxide<br />A colorless, odorless, poisonous gas released by burning tobacco<br />Interferes with the blood’s ability to carry oxygen<br />Same gas from car exhaust<br />if inhaled directly-can be fatal<br />
  12. 12.
  13. 13. Smokeless Tobacco<br />Cracking and bleeding lips and gums<br />receding gums, which can eventually make your teeth fall out<br />increased heart rate, high blood pressure, and irregular heartbeats=leading to a greater risk of heart attacks and brain damage<br />ORAL CANCER-lips, tongue, cheeks, gums, ANYWHERE IN MOUTH!<br />CANCER-stomach, esophagus, bladder<br />
  14. 14.
  15. 15. Health Lung Vs. Smoker’s lung<br />
  16. 16. Tobacco on the skin<br />
  17. 17. Tobacco on the hands<br />
  18. 18. Tobacco on the Mouth<br />
  19. 19. About 90 percent of lung cancer deaths in men and almost 80 percent of lung cancer deaths in women are due to smoking.<br />People who smoke are 10 to 20 times more likely to get lung cancer or die from lung cancer than people who do not smoke<br />
  20. 20. Effects on the body<br />When you inhale a cigarette, the nicotine travels to the bloodstream and then to the brain- this only take 8 seconds<br />Heart will beat faster<br />Blood pressure will increase<br />Become more alert and energetic<br />Sense of smell and taste decrease<br />Yellow Teeth, Fingernails<br />Smelly clothes, hair, breath, house, car, etc.<br />“Smokers Voice”<br />
  21. 21. LUNG CANCER <br />growth of malignant cells that attack and replace healthy cells<br />NO CURE!!<br />Now kills more women than breast cancer!<br />Many females believe smoking causes weight loss-There is NO PROOF of this being true!<br />
  22. 22. Chronic Bronchitis<br />Inflammation of the bronchial tubes<br />Chronic coughing, excessive mucus production<br />Cilia becomes useless-covered with tar<br />
  23. 23. Pulmonary Emphysema<br />Pulmonary=LUNGS<br />Destruction of tiny air sacs in lungs which absorb oxygen into the body<br />Tiny air sacs=ALVEOLI<br />Instead of using only 5% of their energy to breathe, a person with advanced emphysema uses 80% of their energy to breathe!!<br />
  24. 24. How much money do you save by not smoking???<br />LETS FIND OUT!!!<br />
  25. 25. Let’s say someone smokes 1 pack a day…<br />Per PACK they will spend 5<br />Per WEEK they will spend 35<br />Per MONTH they will spend 140<br />Per YEAR they will spend 1680<br />5 YEARS= 8400<br />10 YEARS= 16,800<br />What would you buy with this much money??<br />
  26. 26. Second Hand smoke<br />Mainstream smoking- passes through the tobacco and filter when the smoker inhales<br />what a smoker inhales<br />
  27. 27. Sidestream smoke- rises from the cigarette when the smoker is not inhaling<br />This contains 2x more nicotine and tar, and 5x more CO than mainstream<br />Non-smokers who live with smokers have a 20-30% HIGHER risk of dying from heart disorders than non-smokers who live with non-smokers!!!<br />
  28. 28. Passive smoker- a person who inhales the sidestream smoke<br />smoke inhaled by non-smokers<br />Passive smoke can cause:<br />Heart disease *Asthma<br />Eye irritation *Cancer <br />Ear infections<br />Emphysema<br />
  29. 29.
  30. 30. 8 hours<br />Nicotine and carbon monoxide levels halved,<br />Blood oxygen levels return to normal<br />24 hours<br />Carbon monoxide eliminated from the body<br />48 hours<br />Nicotine eliminated from the body,<br />Taste buds start to recover<br />The benefits of quitting<br />Within hours.......<br />Action on Smoking and Health (ASH) Factsheet Number 11: Stopping Smoking. http://www.ash.org.uk<br />
  31. 31. 1 month<br />Appearance improves <br />– skin loses greyish pallor, less wrinkled <br />Regeneration of respiratory cilia starts<br />Withdrawal symptoms have stopped<br />3-9 months<br />Coughing and wheezing decline <br />The benefits of quitting<br />Within months .......<br />Action on Smoking and Health (ASH) Factsheet Number 11: Stopping Smoking. http://www.ash.org.uk<br />
  32. 32. 5 years<br />The excess risk of a heart attack reduces by half<br />10 years<br />The risk of lung cancer halved <br />The benefits of quitting<br />Within years .......<br />Action on Smoking and Health (ASH) Factsheet Number 11: Stopping Smoking. http://www.ash.org.uk<br />
  33. 33. Withdrawal Symptoms<br />Trouble sleeping.<br />Fatigue.<br />Hunger.<br />Tenseness.<br />Irritability.<br />Women who quit in the second half of their menstrual cycle may be more irritable.<br />Coughing.<br />Sense of time distortions.<br />Sore throat.<br />Sore gums.<br />Sore tongue.<br />Mouth ulcers.<br />Dry mouth.<br />Yucky taste in your mouth.<br />Irregularity.<br />Gas/ bloating/ diarrhea (eat active culture yogurt & avoid gas producing foods).<br />Headaches.<br />
  34. 34. 2 days<br />Lightheadedness<br />D<br />D<br />D<br />D<br />1 week<br />Sleep disturbance<br />2 weeks<br />Poor concentration<br />Craving for nicotine<br />4 weeks<br />Irritability or aggression<br />Depression<br />Restlessness<br />10 weeks<br />Increased appetite<br />Nicotine withdrawal: Duration<br />Action on Smoking and Health (ASH) Factsheet Number 11: Stopping Smoking. http://www.ash.org.uk<br />
  35. 35. D<br />D<br />D<br />D<br />Nicotine withdrawal: the 4 ‘D’s<br />Drink water slowly<br />Deep breathe.<br />Do something else (eg exercise)<br />Delay acting on the urge to smoke<br />Action on Smoking and Health (ASH) Factsheet Number 11: Stopping Smoking. http://www.ash.org.uk<br />
  36. 36. Pharmacotherapy<br />Pharmacotherapy + behavioural counselling improves long-term quit rates<br />Smokers of 10 or more cigarettes a day<br /> who are ready to stopshould be encouraged to use pharmacologial support as a cessation aid<br />Aveyard P, West R. Managing smoking cessation. BMJ 2007;335;37-41<br />
  37. 37. Social Support<br />Does everyone have social support to quit?<br />Make sure that those who support you really are supportive, that they don’t nag you when you get cranky.<br />Stay away from other tobacco users when on break or socializing as this may tempt you to smoke or dip.<br />Don’t let people use tobacco in your home or car.<br />
  38. 38. Physical Therapy <br />Silver Spike Point Therapy<br />Acupuncture is an ancient Chinese medical practice which uses needles placed at specific spots in the skin to treat pain or disease. It is used today to treat addiction to nicotine.<br />S.S.P. therapy, also known as Needle Free Acupuncture and The S.S.P. electrodes used in S.S.P therapy are uniquely designed to enable medical practitioners to achieve results comparable with needle electro-acupuncture while eliminating the many disadvantages associated with needle usage<br />
  39. 39. Silver Spike Point Therapy<br />
  40. 40. Bio-Resonance <br />Biolaz–Oberon/Dianel developed on the basis of the knowledge of that the cells, tissues and organs are the structures having definite bioelectrical characteristics.<br /> The device makes it possible to select medicinal products (food additives, pharmaceutical products, phytopreparations or homeopathic remedies) most fitting purposes of treatment or preventive treatment of an actual on an individual basis.<br />Nonlinear Diagnosis SystemIn 1980 Theodore Van Hoven developed the theory of quantum entropy logic that underlies the method<br />
  41. 41.
  42. 42. Ranking of nicotine in relation to other drugs in terms of addiction<br />42<br />
  43. 43. First-Line Medications<br />Nicotine Replacement Therapy (NRT)<br /> -Patch (OTC)<br /> -Gum (OTC)<br /> -Lozenge (OTC)<br /> -Oral Inhaler (Rx)<br /> -Nasal Spray (Rx)<br />Non-Nicotine Medications<br /> -Varenicline (Champix, Rx)<br /> -Bupropion Hydrochloride (Rx)<br />
  44. 44. NRT: Nicotine patches<br /><ul><li>Patches provide a slow, consistent release of nicotine throughout the day
  45. 45. Available in various shapes and sizes,
  46. 46. Common side effects with patches include skin sensitivity and irritation</li></ul>NRT increases the odds of quitting about 1.5 to 2 fold<br />Adapted from : Henningfield JE. Nicotine medications for smoking cessation. N Engl J Med 1995;333:1196-203<br />
  47. 47. NRT: Nicotine gum<br /><ul><li>Instruct the patient to ‘chew and park’
  48. 48. Absorption may be impaired by coffee and some acidic drinks
  49. 49. Common side effects with gum include gastrointestinal disturbances and jaw pain
  50. 50. Dentures may be a problem!</li></ul>NRT increases the odds of quitting about 1.5 to 2 fold<br />Adapted from : Henningfield JE. Nicotine medications for smoking cessation. N Engl J Med 1995;333:1196-203<br />
  51. 51. NRT: Nicotine nasal spray<br /><ul><li>Nasal sprays more closely mimic nicotine from cigarettes
  52. 52. Common side effects with nasal sprays include nasal and throat irritation, coughing and oral burning</li></ul>NRT increases the odds of quitting about 1.5 to 2 fold<br />Adapted from : Henningfield JE. Nicotine medications for smoking cessation. N Engl J Med 1995;333:1196-203<br />
  53. 53. NRT: Nicotine lozenges<br /><ul><li>Nicotine tablets deliver 2-mg or 4-mg dosages of nicotine over 30-minutes
  54. 54. Common side effects with gum include burning sensations in the mouth, sore throat, coughing, dry lips, and mouth ulcers</li></ul>NRT increases the odds of quitting about 1.5 to 2 fold<br />Adapted from : Henningfield JE. Nicotine medications for smoking cessation. N Engl J Med 1995;333:1196-203<br />
  55. 55. Varenicline<br /><ul><li>Begin varenicline a week before the quit date, increasing dose gradually.
  56. 56. Alleviates withdrawal symptoms, reduces urge to smoke
  57. 57. Common side effects include: nausea (30%), insomnia, (14%), abnormal dreams (13%), headache (13%), constipation (9%), gas (6%) and vomiting (5%).
  58. 58. Contra-indicated in pregnancy
  59. 59. New drug</li></ul>Varenicline increases the odds of quitting about 2.5 fold<br />Cahill K, et al. Nicotine receptor partial agonists for smoking cessation. Cochrane Database Syst Rev 2007<br />
  60. 60. Bupropion<br /><ul><li>Begin bupropion a week before the quit date
  61. 61. Normal dose 150mg bd, (reduce in elderly, liver/renal disease)
  62. 62. Contra-indicated in patients with epilepsy, anorexia nervosa, bulimia, bipolar disorder or severe liver disease.
  63. 63. The most common side effects are insomnia (up to 30%), dry mouth (10-15%), headache (10%), nausea (10%), constipation (10%), and agitation (5-10%)
  64. 64. Interaction with antidepressants, antipsychotics and anti-arrhythmics</li></ul>Bupropion increases the odds of quitting about 2 fold<br />Hughes J, et al. Antidepressants for smoking cessation. Cochrane Database Systematic Reviews 2007<br />
  65. 65.
  66. 66.
  67. 67. What is FCTC?<br />Framework Convention on Tobacco Control<br />International treaty initiated by the World Health Assembly<br /><ul><li>A governing body of the World Health Organization</li></ul>world’s first global public health agreement devoted entirely to tobacco control.<br />Participated by 192 countries<br />Negotiations began in October 1999 & concluded on March 1st 2003<br />Signing & ratification is on-going (May 18-28, 2003)<br />
  68. 68. The World Health Organization (WHO) selects "The WHO Framework Convention on Tobacco Control" as the theme of the next World No Tobacco Day, which will take place on Tuesday, 31 May 2011. <br />
  69. 69. “ People who smoke may not realize how noxious smoke is to non-smokers. Passive smoking is damaging, not just disagreeable, and can actually be lethal to people with severe asthma. ” <br />- Claire Rayner, writer and health campaigner<br />
  70. 70. "It is important to know as much as possible about teenage smoking patterns and attitudes. Today's teen-ager is tomorrow's potential regular customer, and the overwhelming majority of smokers first begin to smoke while in their teens. . . .The smoking patterns of teen-agers are particularly important to Philip Morris. . . the share index is highest in the youngest group for all Marlboro and Virginia Slims packings. At least a part of the success of Marlboro Red during its most rapid growth period was because it became the brand of choice among teenagers who then stuck with it as they grew older."<br />March 31, 1981 market research report on young smokers titled "Young Smokers Prevalence, Trends, Implications, and Related Demographic Trends”, <br /> written by Philip Morris researcher Myron E. Johnston and approved by Carolyn Levy and Harry Daniel. Bates No. 000390803<br />
  71. 71. WE, ESPECIALLY OUR <br />CHILDREN, DESERVE A<br />TOBACCO FREE WORLD<br />
  72. 72. We Need Your Help . . .<br />To Make This World<br />A Better Place to Live<br />THANK YOU!<br />
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