Tobacco use is the single most preventable cause of disease including many cancers and non-communicable diseases, so why not make every day a World No Tobacco Day with the CANSA’S eKick Butt Programme – a unique online smoking cessation programme. Tobacco contains nicotine, a powerful and highly addictive substance, and most tobacco products deliver nicotine to the brain very effectively, bringing on the rapid onset and maintenance of addiction. This addiction leads to the unfortunate situation where an otherwise motivated, knowledgeable person, who understands the risks of tobacco, continues to use it. http://www.cansa.org.za/avoid-tobacco/

2. All forms of tobacco is dangerous!
Tobacco-related diseases kill over 44 000
South Africans and nearly 6 million people
worldwide annually, that is, one person every
six seconds which amounts to one in 10
persons in the world.
Tobacco use increases the risk of cancer of the
lungs, oesophagus, mouth, bladder, pancreas,
kidney, stomach, cervix and breast
What you should know

3. What you should know
Tobacco is addictive
Tobacco and second-hand smoke contain over 1 400
dangerous and harmful chemicals including nicotine, the
substance that makes tobacco so addictive. There is no known
safe levels for second-hand smoke. Tobacco smoke contains
over 300 cancer causing chemicals also known as carcinogens
Smokeless tobacco
Smokeless tobacco products includes snuff, chewing-tobacco
and ‘snus’. These products also increase the
risk of cancer, especially oral cancers

4. What is really in cigarettes?
81 cancer causing chemicals have so far been identified in
cigarettes [according to the International Agency for Research
on Cancer (IARC)].
Some of these are:
• Acetone – paint stripper
• Ammonia – toilet cleaner
• Arsenic – rat poison
• Butane – lighter fluid
• Carbon monoxide – exhaust fumes
• Naphthalen – mothballs
• Phenol – disinfectant

5. What you should know
Second-hand smoke is harmful
• Second-hand smoke contains twice as much tar and nicotine per unit volume as
does smoke inhaled from a cigarette.
• Has 3x as much cancer-causing benzopyrene,
• 5x as much carbon monoxide,
• and 50x as much ammonia.
• Second-hand smoke from pipes and cigars is equally as harmful.
• Causes lung cancer and contributes to the development of heart disease
No under 18-year old is allowed to buy tobacco products
The law states that no person shall sell or supply any tobacco
product to any person under the age of 18 years

6. Is smoking really worth it?
You decide
“I used to think it wouldn’t happen to me. I won’t
get cancer, but I was wrong. I had my voice-box
removed because of smoking. I now breathe through
a hole in my throat. Please quit while you can still
breath and talk.”
Dennis Woest - Cancer Survivor

7. Starting young leads to addiction!
Young adulthood is the most susceptible and vulnerable period to start using
tobacco products. The resting heart rate of youth that smoke is faster than those of
their peers
Long-term effects before the age of 18 include chronic diseases:
• Lung and stomach cancer,
• Stroke and
• Heart disease
Research shows that there is a strong link between active cigarette smoking in
young people and addiction to nicotine; reduced lung function; lung growth and
asthma

8. Electronic cigarettes – not safe!
• Electronic cigarettes are battery-operated devices
designed to look like regular tobacco cigarettes.
• E-cigarettes may contain nicotine and other harmful
chemicals
• E-cigarettes are controlled by the Medicines
Control Council in South Africa and is available only
by prescription in a pharmacy

9. How bad is hookah / hubbly bubbly?
Hookah and cigarette smoke both contain poisons,
including nicotine, tar, carbon monoxide, arsenic,
and lead.
Arsenic is used as a rat poison, and carbon
monoxide is a deadly gas also found in motor car
exhaust.
Even in small amounts, lead can make children
hyperactive, irritable and cause brain damage
The water in the hookah DOES NOT filter out the
toxic ingredients in the tobacco smoke

10. How bad is hookah / hubbly bubbly?
A hookah smoker takes about 100 puffs in a single (45 minute) session, while a
cigarette smoker takes about 10 puffs per cigarette.
So smoking one hookah pipe can give you as
much nicotine as smoking 10 cigarettes. Of
course, it is the “tar” in tobacco smoke that
causes cancer.
Smoke produced in a typical hookah
smoking session can contain about 36
times more tar, and about 8 times
more carbon monoxide, than the
smoke from a single cigarette

11. Time to Kick Butt
CANSA’s eKick Butt programme - an unique online smoking cessation programme.
Through a series of emails, surveys and downloads, it guides you and mentors
quitting smoking and non-smoking becomes a lifelong habit, not merely the time
interval between two cigarettes. This programme supplies a series of handy tools –
tried and tested – to help one quit for good.
eKick Butt has helped nearly 4 000 people
who wanted to quit

12. Imagine a healthier you?
Quitting tobacco can have a positive effect on
your health and lifestyle:
• Reducing the cancer risk
• Lower heart rate and blood pressure
• Breathing better
• Being able to walk without shortness
of breath
• Living a longer and healthier life
• Having more physical energy
• Being a good role model for children
and youth

13. Timeline of quitting
20 minutes after last cigarette: blood pressure and pulse rate drops; body
temperature rises toward normal
8 hours after quitting: carbon monoxide level in blood drops to normal; oxygen
level rises to normal
24 hours after quitting: chance of a heart attack decreases
48 hours after quitting: nerve endings start re-growing; ability to smell and taste is
enhanced
After 2 weeks to 3 months: circulation improves; walking becomes easier; lung
function improves

14. Time of quitting
After 1 to 9 months decrease in coughing, sinus congestion, fatigue, shortness of
breath
After 1 year: excess risk of coronary heart disease is decreased to half that of a
smoker
After 5 to 15 years: stroke risk is reduced to that of people who have never smoked
After 10 years: risk of lung cancer drops to as little as one-half that of continuing
smokers; risk of cancer of the mouth, throat, oesophagus, bladder, kidney, and
pancreas decreases; risk of ulcer decreases
After 15 years: risk of coronary heart disease is now similar to that of people who
have never smoked; risk of death returns to nearly the level of people who have
never smoked.

15. Know the law – it’s your
right to a smoke-free
world
• Parliament proclaimed that two Acts which
amend South Africa’s tobacco control laws are
now in operation and passed in 2007 and
2008
• Legislation is very clear about where people
may smoke and where smoking is prohibited
• It’s your right to complain when someone
smokes in your presence
• It’s also your right to take remedial steps if
someone smokes in any area where smoking
is prohibited

16. Know the law – it’s your right to a smoke-
free world
• Adults may not smoke in a car when a passenger under 12 years is present
• Smoking is not allowed in premises (including private homes) used for commercial
childcare activities, such as crèches, or for schooling or tutoring
• No person under 18 may be allowed into a designated smoking area
• No smoking in partially enclosed public places such as balconies, covered patios,
verandas, walkways, parking areas, etc.
• The fine for the owner of a restaurant, pub, bar and workplace that breaks the smoking
law is a maximum of R50 000 and for the individual smoker R500
• The tobacco industry can no longer use ‘viral’ marketing like parties to target young
people
• The sale of tobacco products to and by persons under the age of 18 years is prohibited
• Cigarette vending machines that sell tobacco products cannot be used to sell other
products like crisps, chocolates etc.

17. Keep your environment smoke-free
• Keep your environment smoke-free and report all non-compliance of the Tobacco
Control Act to the Environmental Health Officer of the local municipality where the
incident occurred.

18. Take the pledge to raise awareness
about World No Tobacco Day
Imagine a world without cancer tobacco?
• Pledge to be tobacco-free and share a
message
• Write on our CANSA website wall
• Share a photo of yourself with your pledge /
message on social media using the hashtag
#KickButtWorldNoTobaccoDay

19. Take the pledge to raise awareness
about World No Tobacco Day
Pledge a donation – help CANSA to educate and reduce the cancer
risk – a R300 donation will enable us to produce 600 educational
pamphlets about the dangers of tobacco, making
the public aware of screening
available, cancer symptoms
and how to reduce the
cancer risk
Make an easy donation through
the Snapscan mobile phone app:

20. The End
Thank You
www.cansa.org.za
Toll-free 0800 22 66 22
Whilst the Cancer Association of South Africa (CANSA) has taken every precaution in compiling this presentation,
neither it, nor any contributor(s) to this presentation can be held responsible for any action (or the lack thereof) taken
by any person or organisation wherever they shall be based, as a result, direct or otherwise, of information contained
in, or accessed through, this presentation.
Whilst the Cancer Association of South Africa (CANSA) has taken every precaution in compiling this
presentation, neither it, nor any contributor(s) to this presentation can be held responsible for any
action (or the lack thereof) taken by any person or organisation wherever they shall be based, as a
result, direct or otherwise, of information contained in, or accessed through, this presentation.