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Smoking
Tobacco
– is a plant grown for its
leaves, which are smoked,
chewed, or sniffed for a
variety of effects
– Tobacco also contains more
than 19 known cancercausing chemicals (most are
collectively known as "tar")
and more than 4,000 other
chemicals
Contents of cigaratte
• Nicotine
•
•
•
•

addiction
Stimulation
Pleasure.
Relaxation
When tobacco smoke is inhaled, nicotine is
absorbed into the bloodstream. Immediate
physiological effects include increased heart rate
and a rise in blood pressure.
Tar
• brown, stick substance that stains fingers
and teeth a yellow-brown color
• 70 % of the tar is deposited in the lungs
damages the small hairs called cilia.
• Irritant that causes coughing and chronic
chest problems.
• contains many poisonous chemicals that
can cause cancers.
Carbon monoxide
• poisonous gas with no smell
• If you smoke 20 cigarettes a day you will
have around 10% less oxygen in your
body.
• low energy, shortness of breath and
tiredness.
• thickens the blood, can cause fatty
deposits to clog up your arteries, which
can lead to a heart attack, stroke and limp
amputation.
Did you know?
• Approximately 5.5 trillion cigarettes are
produced globally each year .
• Currently, there are an estimated 1.3
billion smokers in the world.
• Worldwide, between 80,000 and 100,000
kids start smoking every day- roughly half
of whom live in Asia
• More than 1,000 people in the U.S. die
each day from smoking-related illness.

• Smoking kills more people each year than
AIDS, fires, car accidents, murders,
suicides, alcohol and other drugs
combined.
• Smoking cost the United States over $193
billion in 2004, including $97 billion in lost
productivity and $96 billion in direct health
care expenditures, or an average of
$4,260 per adult smoker.
• Higher rates of cigarette smoking have
been reported among adults who have
earned a General Education Development
(GED) and those with a 9 - 11 grade
education. The lowest rates are seen
among those with advanced college
degrees
Recent surveys show that tobacco
consumption among girls is increasing
drastically around the globe, and that
prevalence is,in many cases, comparable
to or even greater than that among boys.
Why do people smoke and chew?
•
•
•
•

reduce stress
Their parents do it
Peer pressure
Some people think it helps with weight
control
• The unemployment and poverty.
• Advertisements make it look attractive
Smoking can be good for you
• Not only does it feel good, Garry... smoking can in fact be
good for you.
At university we conducted a simple experiment.
We took 20 live worms and divided them into two groups of
10.
We then placed one group into a glass of pure drinking water
and one group into a glass of water through which we filtered
the smoke from a packet of B&H cigarettes.
The worms in the drinking water lived for 7 days, but the
worms in the smokey water died an agonising death in less
than 30 minutes;
• proving that if you smoke... you won't get worms
Health Risks
• Effects on the Lungs
– According to the American Lung Association, about
90% of the deaths due to lung cancer. Smoking is
also responsible for the majority of deaths due to
chronic obstructive pulmonary disease (COPD),
which includes emphysema and chronic bronchitis
– Smoking reduces a person's ability to control their
asthma, leading to reduced response to steroid
medicine and a worsening of lung function
a healthy lung
Smoker's lung (yellowish spots
are caner)
• Cardiovascular Effects
– All forms of tobacco raise the risk of heart
attacks.
– Smoking also significantly increases the risk
of peripheral artery disease, which causes
damage to the blood vessels in the legs and
increases the risk of heart attack and stroke
• Cancer
– the lung,
– mouth,
– larynx,
– esophagus,
– bladder,
– kidney,
– pancreas,
– Cervix
Effects on Male Fertility and Erectile
Dysfunction
• Smoking can harm a man's sexuality and
fertility.
• erectile dysfunction because it decreases the
amount of blood flowing into the penis
• impairs sperm motility, reduces sperm
lifespan, and may cause genetic changes that
can affect a man's offspring.
One trial found that men or women who
smoke have lower success rates with
fertility treatments.
Effects on Female Infertility, Pregnancy,
and Childbirth
• Greater risk for infertility. Women at greatest
risk for fertility problems are those who smoke
one or more packs a day and who started
smoking before age 18
• Earlier menopause
perhaps because toxins
in cigarette smoke damage eggs
• Pregnancy complications, which increase with
the number of cigarettes smoked
Women who smoke during pregnancy are
more likely to have
– An ectopic pregnancy

–

Spontaneous abortion/miscarriage

– Vaginal bleeding
– Placental abruption placenta peels away, partially
or almost completely, from the uterine wall before
delivery)
– A stillbirth
• Babies born to women who smoke during
pregnancy are more likely to be born
– With birth defects such as cleft lip or palate
– Prematurely
– At low birth weight
Lip cancer caused by years of smoking
The following age-related conditions occur
at higher rates in smokers than
nonsmokers
• Cataracts
• Age-related macular degeneration, a leading
cause of blindness in older people
• Hearing loss
• Incontinence
Smokeless tobacco
• known as spit tobacco, chew, snuff, and dip, is
a form of tobacco that has become popular,
especially with athletes
• chewing on an average-size piece of chewing
tobacco for 30 minutes can deliver as much
nicotine as smoking three cigarettes.
Not only harm yourself but others
Whenever people smoke, all the others around them
are smoking too because they breathe in the same
harmful substances as the person who is smoking.
When children or adults breathe in other people's
smoke (second hand smoke), it is commonly known
as passive smoking
• Exposure to second-hand tobacco smoke as a
child or adult appears to increase a woman's
risk of breast cancer .
• Babies exposed to secondhand smoke
• Are more likely to die from SIDS (Sudden Infant
Death Syndrome
• Are at greater risk for asthma, bronchitis,
pneumonia ear infections respiratory
symptoms .
• May experience slow lung growth
can do What you
– It 's easy to protect your children from passive
smoking
5 million people are still dying from
tobacco use every year
(1 death every 6 seconds)
Quit Smoking
• Each year about 46% of smokers in the US try
to quit, with around 10% of them being
successful in the short term
• The longer-term success rate for stopping
smoking without anything to help is only
about 5%
Chantix
• Chantix was approved by the FDA in May
2006, and in the US is only available on
prescription. Chantrix is started one week
before quitting
Zyban
• Zyban is a tablet to help
quit smoking.
• It contains a medicine
called bupropion,which is
used for depression.
Zyban is started before
quitting smoking, of
taking Zyban.
• Zyban is only available on
a doctor’s prescription.
Nicotine replacement
Withdrawal when quitting smoking
•
•
•
•
•
•
•

feeling anxious
attention deficit
feeling restless
feeling low or depressed
trouble sleeping
hunger
trouble concentrating wanting/craving a
cigarette
According to PCBS, Palestinian Central
Bureau of Statistics
• the percentage of smokers among those 12
years and older was 22.1% in 2000 .
• By 2006 the percentage has declined to
19.8%.
• Most of the new non-smokers come from the
Gaza Strip, 20.4 % of them, while only 5.9 %
are in the West Bank.
• Palestinians begin at an early age. Between the ages
of 10 and 18 there was a reported 4%of them who
smoked in 2006 .
• 5% of Palestinian smokers are in primary and
secondary school.
• Among unmarried Palestinians between the ages of
15 and 29, 17.6 % have smoking habits.
• Data indicates that 26.1 % on them started between
the ages of 10 and 14.
• Another 61.2% said they began between the ages of
15 and 19.
• Before the age of 10, 1.5 % were reported to have
started
• Male Palestinians who smoke declined to 37 %
2006, a decrease from 2000’s 40.7 . Female
smokers was reported at 3.2 %in 2000 and 2.2
%in 2006, although this demographic is
difficult to measure as most woman smoke
secretly, or in the homes, and often their
family members do not know
World No Tobacco Day is
observed annually on
31 May to raise
awareness around the
world about the
dangers of tobacco, the
single largest
preventable cause of
disability and death.
The History of Hookah….
• Hookah’s date all the way back to the 15th century in
India.
• It became famous under the Ottoman Empire to
which portraits were taken with it of the Sultans.
• It became known as a status symbol and was often
smoked after royal dinners and at diplomatic
meetings.
• Waterpipes are popular throughout the
South-East Asia and Middle East regions and
have been used for many centuries under the
illusion that they were a safe way to smoke
tobacco.
Other known names of a “hookah”:
Hubble bubble
waterpipe,
 nargeela,
 greela,
shisha,
 okka,
kaylan
 ghalan.
• Hookah is a water pipe with
a smoke chamber, a bowl, a
pipe and a hose.
• Specially made tobacco is
heated, and the smoke
passes through water and is
then drawn through a
rubber hose to a
mouthpiece
• Special tobacco mixtures are sold, often
highly flavoured with fruit, honey,
molasses and herbs.
• Some hookah tobaccos claim to contain
0.0% Tar this is misleading .
Is it true that hookah smoke is better than
cigarette smoke because it's filtered through
water??
• each hookah session typically lasts from 20 –
80 minutes and consists of 50 – 200 puffs
which range from 0.15 – 1 liter per puff .
• This exposes the hookah smoker to
considerably more smoke over a longer time
period compared with a cigarette which
ranges from 0.5 – 0.6 liters per cigarette.
• While the water absorbs some of the nicotine
in the tobacco smoke, the smoker can be
exposed to enough nicotine to cause addiction
.
• Other research shows that a 45 minute
session of hookah tobacco smoking (tobacco
molasses) delivers slightly more tar and
carbon monoxide (around 5-10%) than a pack
of cigarettes.
• With high temperatures for the tobacco (600650 degrees C), the carcinogenic and toxin
levels of smoke increases dramatically .
Hookah smoking points to dangers that are
similar to those linked with cigarette
smoking.
• It is linked to health hazards like
–
–
–
–

malignancy,
impaired pulmonary function,
low birth weight,
Infectious diseases could also result from
pipe sharing
• Using a waterpipe to smoke tobacco is not a
safe alternative to cigarette smoking
• A typical 1 hour long waterpipe smoking
session involves 100-200 times the volume of
smoke inhaled with single cigarette.
• even after has been passed through water,
the smoke contains high level of toxic
compounds like CO.
• Sharing a waterpipe mouthpieces posses
a serious risk of transmission of TB and
hepatitis.

• Waterpipe smoke has sweet smell and
taste and that explain why some people
specially young people use waterpipes
instead of cigarettes.
• Second-hand smoke from waterpipes is a
mixture of tobacco smoke in addition to
smoke from the fuel and therefore poses
a serious risk for nonsmokers .
• Waterpipe tobacco is often sweetened and
flavored, making it very appealing; the sweet
smell and taste of the smoke explain why
some people particularly young who would
not use tobbacco, begin to use waterpipe
Hookahs can also be smoked with tobacco-free
herbal flavors. These contain Sugar Cane
Bagasse with no tobacco, nicotine or tar. This
new method of smoking is aimed at replacing
tobacco and thus eliminating its negative
health effects.
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Somking dangers and contents

  • 2. Tobacco – is a plant grown for its leaves, which are smoked, chewed, or sniffed for a variety of effects – Tobacco also contains more than 19 known cancercausing chemicals (most are collectively known as "tar") and more than 4,000 other chemicals
  • 3. Contents of cigaratte • Nicotine • • • • addiction Stimulation Pleasure. Relaxation When tobacco smoke is inhaled, nicotine is absorbed into the bloodstream. Immediate physiological effects include increased heart rate and a rise in blood pressure.
  • 4. Tar • brown, stick substance that stains fingers and teeth a yellow-brown color • 70 % of the tar is deposited in the lungs damages the small hairs called cilia. • Irritant that causes coughing and chronic chest problems. • contains many poisonous chemicals that can cause cancers.
  • 5. Carbon monoxide • poisonous gas with no smell • If you smoke 20 cigarettes a day you will have around 10% less oxygen in your body. • low energy, shortness of breath and tiredness. • thickens the blood, can cause fatty deposits to clog up your arteries, which can lead to a heart attack, stroke and limp amputation.
  • 6.
  • 7.
  • 8. Did you know? • Approximately 5.5 trillion cigarettes are produced globally each year . • Currently, there are an estimated 1.3 billion smokers in the world. • Worldwide, between 80,000 and 100,000 kids start smoking every day- roughly half of whom live in Asia
  • 9. • More than 1,000 people in the U.S. die each day from smoking-related illness. • Smoking kills more people each year than AIDS, fires, car accidents, murders, suicides, alcohol and other drugs combined.
  • 10.
  • 11.
  • 12. • Smoking cost the United States over $193 billion in 2004, including $97 billion in lost productivity and $96 billion in direct health care expenditures, or an average of $4,260 per adult smoker.
  • 13.
  • 14. • Higher rates of cigarette smoking have been reported among adults who have earned a General Education Development (GED) and those with a 9 - 11 grade education. The lowest rates are seen among those with advanced college degrees
  • 15. Recent surveys show that tobacco consumption among girls is increasing drastically around the globe, and that prevalence is,in many cases, comparable to or even greater than that among boys.
  • 16. Why do people smoke and chew? • • • • reduce stress Their parents do it Peer pressure Some people think it helps with weight control • The unemployment and poverty. • Advertisements make it look attractive
  • 17.
  • 18. Smoking can be good for you • Not only does it feel good, Garry... smoking can in fact be good for you. At university we conducted a simple experiment. We took 20 live worms and divided them into two groups of 10. We then placed one group into a glass of pure drinking water and one group into a glass of water through which we filtered the smoke from a packet of B&H cigarettes. The worms in the drinking water lived for 7 days, but the worms in the smokey water died an agonising death in less than 30 minutes; • proving that if you smoke... you won't get worms
  • 19. Health Risks • Effects on the Lungs – According to the American Lung Association, about 90% of the deaths due to lung cancer. Smoking is also responsible for the majority of deaths due to chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis – Smoking reduces a person's ability to control their asthma, leading to reduced response to steroid medicine and a worsening of lung function
  • 21. Smoker's lung (yellowish spots are caner)
  • 22. • Cardiovascular Effects – All forms of tobacco raise the risk of heart attacks. – Smoking also significantly increases the risk of peripheral artery disease, which causes damage to the blood vessels in the legs and increases the risk of heart attack and stroke
  • 23.
  • 24. • Cancer – the lung, – mouth, – larynx, – esophagus, – bladder, – kidney, – pancreas, – Cervix
  • 25.
  • 26.
  • 27.
  • 28. Effects on Male Fertility and Erectile Dysfunction • Smoking can harm a man's sexuality and fertility. • erectile dysfunction because it decreases the amount of blood flowing into the penis • impairs sperm motility, reduces sperm lifespan, and may cause genetic changes that can affect a man's offspring.
  • 29. One trial found that men or women who smoke have lower success rates with fertility treatments.
  • 30. Effects on Female Infertility, Pregnancy, and Childbirth • Greater risk for infertility. Women at greatest risk for fertility problems are those who smoke one or more packs a day and who started smoking before age 18 • Earlier menopause perhaps because toxins in cigarette smoke damage eggs • Pregnancy complications, which increase with the number of cigarettes smoked
  • 31. Women who smoke during pregnancy are more likely to have – An ectopic pregnancy – Spontaneous abortion/miscarriage – Vaginal bleeding – Placental abruption placenta peels away, partially or almost completely, from the uterine wall before delivery) – A stillbirth
  • 32. • Babies born to women who smoke during pregnancy are more likely to be born – With birth defects such as cleft lip or palate – Prematurely – At low birth weight
  • 33. Lip cancer caused by years of smoking
  • 34.
  • 35.
  • 36. The following age-related conditions occur at higher rates in smokers than nonsmokers • Cataracts • Age-related macular degeneration, a leading cause of blindness in older people • Hearing loss • Incontinence
  • 37.
  • 38. Smokeless tobacco • known as spit tobacco, chew, snuff, and dip, is a form of tobacco that has become popular, especially with athletes • chewing on an average-size piece of chewing tobacco for 30 minutes can deliver as much nicotine as smoking three cigarettes.
  • 39.
  • 40. Not only harm yourself but others Whenever people smoke, all the others around them are smoking too because they breathe in the same harmful substances as the person who is smoking. When children or adults breathe in other people's smoke (second hand smoke), it is commonly known as passive smoking
  • 41. • Exposure to second-hand tobacco smoke as a child or adult appears to increase a woman's risk of breast cancer .
  • 42.
  • 43. • Babies exposed to secondhand smoke • Are more likely to die from SIDS (Sudden Infant Death Syndrome • Are at greater risk for asthma, bronchitis, pneumonia ear infections respiratory symptoms . • May experience slow lung growth
  • 44.
  • 45.
  • 46.
  • 47.
  • 48. can do What you – It 's easy to protect your children from passive smoking
  • 49. 5 million people are still dying from tobacco use every year (1 death every 6 seconds)
  • 50.
  • 51. Quit Smoking • Each year about 46% of smokers in the US try to quit, with around 10% of them being successful in the short term • The longer-term success rate for stopping smoking without anything to help is only about 5%
  • 52. Chantix • Chantix was approved by the FDA in May 2006, and in the US is only available on prescription. Chantrix is started one week before quitting
  • 53. Zyban • Zyban is a tablet to help quit smoking. • It contains a medicine called bupropion,which is used for depression. Zyban is started before quitting smoking, of taking Zyban. • Zyban is only available on a doctor’s prescription.
  • 55.
  • 56. Withdrawal when quitting smoking • • • • • • • feeling anxious attention deficit feeling restless feeling low or depressed trouble sleeping hunger trouble concentrating wanting/craving a cigarette
  • 57. According to PCBS, Palestinian Central Bureau of Statistics • the percentage of smokers among those 12 years and older was 22.1% in 2000 . • By 2006 the percentage has declined to 19.8%. • Most of the new non-smokers come from the Gaza Strip, 20.4 % of them, while only 5.9 % are in the West Bank.
  • 58. • Palestinians begin at an early age. Between the ages of 10 and 18 there was a reported 4%of them who smoked in 2006 . • 5% of Palestinian smokers are in primary and secondary school. • Among unmarried Palestinians between the ages of 15 and 29, 17.6 % have smoking habits. • Data indicates that 26.1 % on them started between the ages of 10 and 14. • Another 61.2% said they began between the ages of 15 and 19. • Before the age of 10, 1.5 % were reported to have started
  • 59. • Male Palestinians who smoke declined to 37 % 2006, a decrease from 2000’s 40.7 . Female smokers was reported at 3.2 %in 2000 and 2.2 %in 2006, although this demographic is difficult to measure as most woman smoke secretly, or in the homes, and often their family members do not know
  • 60.
  • 61. World No Tobacco Day is observed annually on 31 May to raise awareness around the world about the dangers of tobacco, the single largest preventable cause of disability and death.
  • 62. The History of Hookah…. • Hookah’s date all the way back to the 15th century in India. • It became famous under the Ottoman Empire to which portraits were taken with it of the Sultans. • It became known as a status symbol and was often smoked after royal dinners and at diplomatic meetings.
  • 63. • Waterpipes are popular throughout the South-East Asia and Middle East regions and have been used for many centuries under the illusion that they were a safe way to smoke tobacco.
  • 64. Other known names of a “hookah”: Hubble bubble waterpipe,  nargeela,  greela, shisha,  okka, kaylan  ghalan.
  • 65. • Hookah is a water pipe with a smoke chamber, a bowl, a pipe and a hose. • Specially made tobacco is heated, and the smoke passes through water and is then drawn through a rubber hose to a mouthpiece
  • 66. • Special tobacco mixtures are sold, often highly flavoured with fruit, honey, molasses and herbs. • Some hookah tobaccos claim to contain 0.0% Tar this is misleading .
  • 67. Is it true that hookah smoke is better than cigarette smoke because it's filtered through water??
  • 68.
  • 69.
  • 70. • each hookah session typically lasts from 20 – 80 minutes and consists of 50 – 200 puffs which range from 0.15 – 1 liter per puff . • This exposes the hookah smoker to considerably more smoke over a longer time period compared with a cigarette which ranges from 0.5 – 0.6 liters per cigarette.
  • 71. • While the water absorbs some of the nicotine in the tobacco smoke, the smoker can be exposed to enough nicotine to cause addiction .
  • 72. • Other research shows that a 45 minute session of hookah tobacco smoking (tobacco molasses) delivers slightly more tar and carbon monoxide (around 5-10%) than a pack of cigarettes. • With high temperatures for the tobacco (600650 degrees C), the carcinogenic and toxin levels of smoke increases dramatically .
  • 73. Hookah smoking points to dangers that are similar to those linked with cigarette smoking. • It is linked to health hazards like – – – – malignancy, impaired pulmonary function, low birth weight, Infectious diseases could also result from pipe sharing
  • 74. • Using a waterpipe to smoke tobacco is not a safe alternative to cigarette smoking • A typical 1 hour long waterpipe smoking session involves 100-200 times the volume of smoke inhaled with single cigarette. • even after has been passed through water, the smoke contains high level of toxic compounds like CO.
  • 75. • Sharing a waterpipe mouthpieces posses a serious risk of transmission of TB and hepatitis. • Waterpipe smoke has sweet smell and taste and that explain why some people specially young people use waterpipes instead of cigarettes.
  • 76. • Second-hand smoke from waterpipes is a mixture of tobacco smoke in addition to smoke from the fuel and therefore poses a serious risk for nonsmokers .
  • 77. • Waterpipe tobacco is often sweetened and flavored, making it very appealing; the sweet smell and taste of the smoke explain why some people particularly young who would not use tobbacco, begin to use waterpipe
  • 78. Hookahs can also be smoked with tobacco-free herbal flavors. These contain Sugar Cane Bagasse with no tobacco, nicotine or tar. This new method of smoking is aimed at replacing tobacco and thus eliminating its negative health effects.