CANSA aligns itself with the theme of World No Tobacco Day 2023 which is "We need food not tobacco" to highlight concerns about tobacco's impact on food insecurity. Along with other organizations, CANSA continues campaigning for the Control of Tobacco Products and Electronic Delivery Systems Bill to regulate e-cigarettes and protect people from the threats of tobacco use. Tobacco kills over eight million people worldwide every year and damages the environment. [/SUMMARY]

1. The True Cost
of Tobacco
www.cansa.org.za
Toll free 0800 22 66 22
072 197 9305
071 867 3530
English, Afrikaans
Xhosa, Zulu,
Sotho, Siswati
#NoTobacco

2. CANSA says Choose Smoke-free Lives
CANSA aligns itself to the theme, We need food not tobacco for World No Tobacco
Day WNTD(31 May 2023) . This theme highlights concerns around the impact of
tobacco globally and in South Africa on food insecurity.
Together with the National Council Against Smoking (NCAS), South African Medical
Research Council(SAMRC) and the South African Tobacco Youth Free Forum(SATFYF)
and other members of the Protect our Next (PON) team, it continues campaigning for
the Control of Tobacco Products and Electronic Delivery Systems Bill to be passed by
Parliament, to make it easier
for South Africans to choose smoke-free lives and put an end to
the threat tobacco-use poses to the environment
Tobacco kills over eight million people worldwide every year
It also destroys our environment adding unnecessary pressure to our planet's already
scarce resources and fragile ecosystems, through cultivation, production, distribution,
consumption, and post-consumer waste
www.cansa.org.za | Toll free 0800 22 66 22

3. Amendments to Tobacco Control Law
The new bill soon to passed by Parliament will amend the existing Tobacco
Control Law focussing on 100% smoke-free indoor areas; plain packaging and
pictorial health warnings; banning adverts at tills in retail outlets and the sale of
tobacco and related products in vending machines; and regulation of e-
cigarettes
The new bill will further help decrease the impact of second-hand smoke on
those not smoking and discourage youth from starting to smoke
It’s important to consider in the evaluation of possible long-term
effects from sources of nicotine, such as e-cigarettes and products
for nicotine replacement therapy, which both have a potential
for life-long use
www.cansa.org.za | Toll free 0800 22 66 22

4. www.cansa.org.za
Toll free 0800 22 66 22
Hookah
Hookahs / hubbly
bubbly are water
pipes that are used
to smoke specially
made tobacco that
comes in different
flavours. Although
many users think
it’s less harmful,
hookah smoking
has many of the
same health risks
as cigarette
smoking

5. Safety of e-cigarettes has not yet been scientifically shown
There is strong or conclusive evidence that nicotine e-
cigarettes can be harmful to health, particularly for non-
smokers, children and adolescents
CANSA applies the precautionary principle, whereby exposure
to an agent with uncertain effects should be avoided
Although e-cigarettes have been marketed as aids to help
quit smoking, the evidence that they help is unsupported
In fact, they may encourage more regular use of nicotine!
They’re also more expensive than cigarettes, and smokers
may return to cigarettes to save money
e-Cigarettes
www.cansa.org.za | Toll free 0800 22 66 22

6. e-Cigarettes and youth shouldn’t mix. Adolescent years are
times of important brain development - nicotine exposure
during adolescence and young adulthood can cause addiction
and harm the developing brain
e-Cigarette companies also have a strong presence in social
media, which reinforces their marketing messages, including
the use of celebrity endorsements
The lack of regulation may also contribute to the perception
that they are not harmful, providing further support for the
need for such regulation
e-Cigarettes
www.cansa.org.za | Toll free 0800 22 66 22

7. TB damages the lungs and reduces lung function,
which is further made worse by tobacco smoking
The global health burden caused by tobacco
smoking is responsible for over two thirds of lung
cancer deaths and accounts for one in five cases of
Tuberculosis (TB)
Tobacco smoking and second-hand smoke can also
trigger inactive TB infections
Those with active TB may risk disability or even
death by smoking
Tuberculosis (TB) as a
Risk Factor for Lung Cancer
Mycobacterium
tuberculosis
Lung infected
with tuberculosis (TB)
www.cansa.org.za | Toll free 0800 22 66 22

8. In a study in an informal settlement in the North
West in SA it has showed that People Living with
HIV who smoke have three times the chance of
getting TB compared to those who don’t smoke
It’s also been estimated that between 26-56%
of TB patients smoke
The study further mentions a high incidence of
air pollution from second-hand smoke in homes
where there was a case of active TB disease
Tuberculosis (TB) as a
Risk Factor for Lung Cancer
Mycobacterium
tuberculosis
Lung infected
with tuberculosis (TB)
www.cansa.org.za | Toll free 0800 22 66 22

9. Smoking is associated with 15 different types of cancer in the body
Cigarettes have over 5000 different chemicals in it, of which 70 are known
to cause cancer
Every time you breathe in that smoke, those chemicals get into your
bloodstream, which carries the chemicals to all parts of your body
These chemicals are also exposed to the lining cells of your mouth, tongue
and airways
Many of these chemicals can damage your DNA, which controls how your
body makes new cells and directs each kind of cell to do what it is made
for
Damaged DNA can make cells grow differently from how they are
supposed to. These unusual cells can turn into cancer
How tobacco products cause cancer
www.cansa.org.za | Toll free 0800 22 66 22

10. Image credit:
www.cdc.gov/cancer/
tobacco/index.htm

11. Quit Smoking
Ten years after quitting smoking, personal cancer risk is half
that of a smoker, and immediate health benefits may be experienced
CANSA encourages smokers to #StartWhereYouAre and acknowledge that smoking is
harmful to you and decide to quit and find support
Those wanting to quit can subscribe to CANSA's eKick Butt programme that
provides a series of handy tools to help you quit through a series of emails
Or call the National Council Against Smoking (NCAS) QUIT Line: 011 720 3145
or email: quit@iafrica.com
www.cansa.org.za | Toll free 0800 22 66 22

12. www.cansa.org.za
Toll free 0800 22 66 22
Top 10
Tips on
How to
Stop
Smoking
Allen Carr's
Easyway

13. Encourage smokers to quit
You can also show your support for the tobacco control bill during
upcoming Provincial public hearings.
The new Bill will focus on the following :
standardised plain cigarette packaging with graphic health warnings
100% smoke free enclosed public places
regulating electronic cigarettes as tobacco products
banning of adverts at point of sales.
removal of sales of cigarettes from vending machines
Report smoking in non-smoking areas by lodging a complaint to the
owner of the premises or reporting to the Department of
Environmental Health Office in your municipal area.
Your right to a smoke free environment
www.cansa.org.za | Toll free 0800 22 66 22

14. Employers should know and abide by the law and protect employees’ health
by ensuring clean air and a smoke-free work environment.
Efforts should also be made to educate
employees about the health risks of smoking

15. CANSA uses the carbon monoxide (CO) monitoring tool,
as an educational awareness-raising tool, to make the harmful effects of
smoking more noticeable. (CO monitors - with benefits seen in monitoring CO over
time - should be used within a smoking cessation programme that also includes other
methods to help a smoker quit)
We’re currently working with the University of KwaZulu-Natal on the Multi-
National Lung Cancer Project to create awareness in targeted underserviced
communities about lung cancer through door-to- door visits
CANSA’s awareness campaigns rolled out at schools and universities are aimed
at creating messaging to effectively prevent the start of tobacco use,
especially for youth and young adults
CANSA funded a research study that explored the knowledge, perceptions,
attitudes and behaviour of young adults regarding e-cigarettes. The study
recommended that e-cigarette awareness should be increased, and e-cigarettes
should be regulated as tobacco products to alter the perception that they are safe.
#CANSAeducation
What is CANSA doing to help?
www.cansa.org.za | Toll free 0800 22 66 22

16. #CANSAeducation
Help CANSA expand its cancer education and screening
programmes, please consider making a donation at any
of our CANSA Care Centres country-wide
or Online at
http://www.cansa.org.za/personal-donation-options/
or Make a donation via SnapScan
or Zapper on your
smartphone:
What can you do to help?
www.cansa.org.za | Toll free 0800 22 66 22

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18. The True Cost
of Tobacco
www.cansa.org.za
Toll free 0800 22 66 22
072 197 9305
071 867 3530
English, Afrikaans
Xhosa, Zulu,
Sotho, Siswati
#NoTobacco