Presentation prepared by Kavekini Neidiri for Grade 11 of Marshall Islands High School February 12, 2018

1. MIHS Presentation
February 13, 2018

2. Session Outline
1. Definition of smoking.
2. Statistics of tobacco and cigarette use in RMI.
3. Chemical content of a cigarette.
4. Effects/risks of tobacco/cigarettes.
5. Benefits of quitting.

3. What is SMOKING?
•Smoking refers to the inhalation and
exhalation of fumes from burning tobacco in
cigars, cigarettes and pipes.

4. RMI Stats…..Prevalence of Tobacco Use.
Youth Tobacco Use Adult Tobacco Use
Prevalence (%) Current tobacco
use
Current cigarette
smoking
Current Daily
Male 29.4 17.0 39.5 34.7
Female 21.6 10.6 6.0 4.2
Total 25.9 13.3 23.1 19.8
Source: http://www.who.int/tobacco/surveillance/policy/country_profile/mhl.pdf
Data from survey results as at Dec. 31, 2016
Youth: Global Youth Tobacco Survey, 2009; National, ages 13-15
Adult: STEPS Survey, 2002; National, ages 15-64

5. Prevalence of Tobacco Use contd.
Youth Smokeless Use Adult Smokeless Use
Prevalence (%) Current smokeless tobacco use Current smokeless tobacco use
Male 33.5 13.7
Female 21.5 4.0
Total 27.5 8.9
Source: http://www.who.int/tobacco/surveillance/policy/country_profile/mhl.pdf
Smokeless tobacco use from survey results as at Dec. 31, 2016
Youth: Global Youth Tobacco Survey, 2009; National, ages 13-15
Adult: STEPS Survey, 2002; National, ages 15-64

6. Who smokes more?
Source: http://www.tobaccoatlas.org/country-data/marshall-islands/
Children smoking (% using tobacco daily, 2013)
• 17% of boys [More boys smoke in Marshall Islands than on
average in middle-income countries.]
• 10.6% of girls [More girls smoke in Marshall Islands than on
average in middle-income countries.]

7. Who smokes more? contd.
Source: http://www.tobaccoatlas.org/country-data/marshall-islands/
Adults smoking (% using tobacco daily, 2013)
• 28.4% of men
• 4.9% of females [More girls smoke in Marshall Islands than on average
in WPRO-income countries.]
• 13.5 of adults use smokeless tobacco [More people use
smokeless tobacco in Marshall Islands than on average in middle-income
countries.]

9. What is CIGARETTE?
• Cigarettes is no longer just dried tobacco leaves
• ‘Tobacco’ in a cigarette is remanufactured leaf
• Fillers and expanders are added – bits of plant stem and
scraps and solidified tobacco dust
• The leaf is designed with the cigarette paper to burn in a
predictable and consistent fashion
• This reduces cigarette-to-cigarette variations

10. What is CIGARETTE?
• There is an uncertain number of additives that have a
variety of roles
• Ease the otherwise irritating effect of smoke
• Increase the speed of nicotine delivery
• Highly addictive modern cigarette was developed and
extensively taste/effect tested in the 1950s-1970s.

11. What is CIGARETTE?
• There is an uncertain number of additives that have a
variety of roles
• Ease the otherwise irritating effect of smoke
• Increase the speed of nicotine delivery
• Highly addictive modern cigarette was developed and
extensively taste/effect tested in the 1950s-1970s.

12. What is in a CIGARETTE?

13. Cigarette is made up of:

16. DEATHS caused by tobacco in RMI, 2010
Source: http://www.tobaccoatlas.org/country-data/marshall-islands/
• 9.7% of men [Even though fewer men, on average, die from
tobacco use in the Marshall Islands compared with other middle-
income countries, still 0.5 man is being killed by tobacco every week]
• 3.6% of women [Even though fewer women, on average, die from
tobacco use in the Marshall Islands compared with other middle-income
countries, still 0.1 woman is being killed by tobacco every week.]

19. Smoking hazards in males – sexual
• Causes erection problems of the penis – because of decreased blood
flow into the penis
• Smoking also causes:
1. Abnormal sperm shape
2. Impaired sperm motility (movement)
3. Damaged sperms
4. Less sperm production – causing inability to cause pregnancy
5. Reduced volume of fluid during ejaculation

20. Difference between Healthy and Smoker’s Lung

21. Difference between Healthy and Smoker’s Lung

24. MAIN MESSAGES
IF YOU ARE NOT SMOKING, DO NOT TRY
OR START SMOKING
IF YOU ARE SMOKING, IT IS NOT TOO LATE
TO QUIT, YOU CAN QUIT NOW

29. Thank for listening