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NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
May 20, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
May 20, 2023
1400H - 1500H
Via Zoom
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
Group pictures at start and
end of PEP TALK – show your
face in video.
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.
Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
Empowerment
objective - for
laypeople to have a
basic understanding
of NO TOBACCO –
NO SMOKING
AWARENESS -
ADVOCACY in their
health management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm and
perseverance.
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
My PEP TALK today is
entitled:
NO TOBACCO –
NO SMOKING
AWARENESS –
ADVOCACY
In consonance with
DOH Health Awareness
Calendar
- World NO Smoking
Day (May 31)
- National NO Smoking
Month (June)
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
Contents
• When and Why: WORLD NO TOBACCO DAY and NATIONAL NO SMOKING MONTH?
• What are the effects of TOBACCO and SMOKING?
• How you become addicted to smoking?
• How tobacco damages your body?
• How tobacco affects the way you look?
• What are the health effects of smoking?
• What are the effects on those around you? What is passive smoking?
• What are the financial effects of smoking?
• Reducing the effects of smoking
• E-cigarettes – what and why not?
• What is the smoking situation in the Philippines?
• What are ROJoson’s health advice on SMOKING on a personal or layperson level?
Main reference:
• https://www.health.gov.au/topics/smoking-and-tobacco/about-smoking-and-tobacco/what-are-the-effects-of-smoking-
and-tobacco
• https://www.smokefreeworld.org/
• CDC
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
World Health Organization (WHO)
World NO TOBACCO DAY – May 31
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Since 1987
Philippines
National NO Smoking Month – June
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Presidential
Proclamation No.
183 s. 1993 signed
by then President
Fidel V. Ramos
declared the month
of June of every year
as National No
Smoking Month in
the Philippines.
Awareness and Advocacy (year in year out)
Since 1987 – WHO
Since 1993 – PH
• Raising awareness on the danger of TOBACCO and SMOKING!
• Advocating against or a NO to TOBACCO and SMOKING!
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Awareness and Advocacy
TODAY – ROJoson through this PEP Talk will
• reinforce awareness on the danger of TOBACCO and SMOKING!
• advocate against or a NO to TOBACCO and SMOKING!
ROJoson’s contribution to the campaign!
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Awareness and Advocacy
TODAY – YOU will be empowered to
• take care of your health by a NO to TOBACCO and SMOKING!
• advocate against or a NO to TOBACCO and SMOKING for your
loved ones!
Your contribution to the campaign!
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the effects of TOBACCO and
SMOKING?
Within 10 seconds of your first puff, the toxic
chemicals in tobacco smoke (particularly
NICOTINE) reach your brain, heart and other
organs.
Smoking harms almost every part of your body
and increases your risk of many diseases.
Smoking also affects how you look and feel, your
finances and the people close to you.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Always remember:
Smoking leads to
disease and
disability and
harms nearly every
organ of the body!
How you become addicted to smoking?
The nicotine in tobacco is highly addictive. It
makes your brain release a chemical called
dopamine.
Dopamine is a ‘feel good’ chemical that:
•makes you feel happy
•helps you to concentrate
•gives you more energy.
But this effect doesn’t last long.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How you become addicted to smoking?
As the nicotine levels in your body fade, your
brain craves more dopamine. The longer you
have been smoking, the more dopamine you
need to feel good. You become dependent on
nicotine.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How you become addicted to smoking?
Once you are dependent on nicotine, without it
you will have withdrawal symptoms. You may
find it difficult to concentrate or feel nervous,
restless, irritable or anxious.
These two things — nicotine dependence and
nicotine withdrawal — make you want to smoke
more. You become addicted to tobacco.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How tobacco damages your body?
The chemicals in tobacco smoke can damage
your body in many ways. For example:
•Nicotine narrows your veins and arteries. This
can
• damage your heart by forcing it to work
faster and harder
• slow your blood and reduce oxygen to
your feet and hands.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How tobacco damages your body?
The chemicals in tobacco smoke can damage
your body in many ways. For example:
•Carbon monoxide deprives your heart of the
oxygen it needs to pump blood around your
body. Over time, your airways swell up and let
less air into your lungs.
•Tar is a sticky substance that coats your lungs
like soot in a chimney.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How tobacco damages your body?
The chemicals in tobacco smoke can damage your
body in many ways. For example:
•Phenols paralyse and kill the hair-like cells in your
airways. These cells sweep clean the lining of your
airways and protect them against infections.
•Tiny particles in tobacco smoke irritate your throat
and lungs and cause ‘smoker’s cough’. This makes you
produce more mucus and damages lung tissue.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How tobacco damages your body?
The chemicals in tobacco smoke can damage
your body in many ways. For example:
•Ammonia and formaldehyde irritate your eyes,
nose and throat.
•Cancer-causing chemicals make your cells grow
too fast or abnormally. This can result in cancer
cells.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How tobacco affects the way you look?
Smoking tobacco can:
•cause yellow-brown stains on your fingers,
tongue and teeth
•increase your risk of tooth loss and bad breath
•make your skin saggy and give you early
wrinkles
•make your hair lose its natural shine.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
If you smoke, you:
•reduce your life expectancy and your quality of
life.
•increase your risk of many conditions and
diseases as well as of dying prematurely.
It can be a long time before smokers get a
smoking-related condition or disease. Because
of this, some people believe it won’t happen to
them.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
In fact, up to ⅔ of long term smokers will:
•die of a smoking-related disease.
•have their life cut short by about 10
years on average, compared to non-
smokers.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
There is also growing evidence to suggest
that smoking has a negative impact on
mental health.
For example, some studies show that smoking is
associated with increased rates of anxiety, panic
attacks, depression, suicide attempts and
schizophrenia.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
Did you know?
Tobacco use is the one risk factor shared by 4 of
the main categories of non-communicable
disease.
These include cardiovascular disease,
cancer, chronic lung disease and
diabetes.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Cancer
Smoking causes most lung cancers and
can cause cancer almost anywhere on the
body. This includes the lips, tongue, mouth,
nose, oesophagus, throat, voice box, stomach,
liver, kidney, pancreas, bladder, blood, cervix,
vulva, penis and anus.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Breathing problems and chronic respiratory
conditions
Smoking is the main cause of chronic obstructive
pulmonary disease (COPD), a serious, progressive
and disabling condition that limits airflow in the
lungs. Active smoking also worsens asthma in active
smokers and is associated with an increased risk for
asthma in adolescents and adults.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Heart disease, stroke and blood circulation
problems
Smoking is major cause of cardiovascular disease,
such as heart disease and stroke. Smoking increases
the risk of blood clots, which block blood flow to
the heart, brain or legs. Some smokers end up
having their limbs amputated due to blood
circulation problems caused by smoking.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Diabetes
Smoking causes type 2 diabetes, with the risk of
developing diabetes 30 to 40% higher for active
smokers than non-smokers. Smoking may also
worsen some of the health conditions related
to type 1 diabetes, such as kidney disease.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Infections
Smoking weakens your immune system so
you’re more likely to get bacterial and viral
infections.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Dental problems
Smoking increase the risk of gum diseases, tooth
loss and tooth sensitivity. Once a person has
gum damage, smoking also makes it harder for
their gums to heal.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be
caused by smoking
•Hearing loss
Smoking reduces blood flow to the inner ear.
Smokers may also lose their hearing earlier than
a non-smoker.
•Vision loss
Smoking damages the eye and can lead
to macular degeneration and blindness.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the health effects of smoking?
Some of the conditions and diseases that can be caused by
smoking
•Fertility problems
Smoking can make it more difficult to fall pregnant and
affect sperm quality. Find out more about smoking and
tobacco and pregnancy.
•Osteoporosis and menopause
Smoking is a risk factor for osteoporosis and in women,
may result in early menopause compared to a non-smoker.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Effects on those around you
As a smoker, you can affect the health of other
people when they breathe in your second-hand
smoke. This means they’re breathing in the
same toxic and cancer-causing chemicals that
you are.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is passive smoking?
Passive smoking is when someone breathes in
second-hand tobacco smoke.
Second-hand smoke is made up of:
•the smoke that smokers breathe out
•sidestream smoke — the smoke from the end
of lit cigarettes and cigars
Second-hand smoke is also known as
environmental tobacco smoke.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is passive smoking?
Is passive smoking ever safe?
There is no safe level of passive smoking.
Studies show that second-hand smoke can harm you even if you’re
exposed for just a moment.
If someone smokes indoors, the harmful chemicals in tobacco smoke
can stay in the air for hours. You cannot reduce the smoke to
acceptable levels, even if you ventilate or filter the air.
Only 100% smoke-free environments can protect you from the effects
of passive smoking.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is passive smoking?
Effects of passive smoking
Second-hand smoke is a serious health threat:
•For every 8 smokers who die from a smoking-related
disease, 1 non-smoker dies from second-hand smoke
exposure.
•Non-smokers who live with a smoker have a 25% to 30%
greater risk of developing heart disease.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is passive smoking?
Effects of passive smoking
Second-hand smoke can cause or worsen a range
of conditions and diseases including:
•cancer
•heart attacks
•heart disease
•respiratory infections such as pneumonia
•asthma
•diabetes
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is passive smoking?
Effects of passive smoking
Passive smoking is especially risky for:
•unborn babies
•children and young people
•people with breathing problems
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are the financial effects of smoking?
Smoking is expensive.
What more, if you get sick from smoking.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Reducing the effects of smoking
There is no safe level of smoking.
To reduce your risk, the best option is to quit
smoking.
You’ll feel the health benefits almost straight
away.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Electronic Cigarettes (E-cigarettes)
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
E-cigarettes
The e-cigarette is increasingly becoming popular
among Filipinos, particularly the youth, as the
number of public places that prohibit smoking is
increasing and the recent higher tobacco taxes
in the country make smoking more expensive.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What Are E-cigarettes?
•E-cigarettes are electronic devices that heat a liquid and produce an
aerosol, or mix of small particles in the air.
•E-cigarettes come in many shapes and sizes. Most have a battery, a
heating element, and a place to hold a liquid.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What Are E-cigarettes?
•Some e-cigarettes look like regular cigarettes, cigars, or pipes. Some
look like USB flash drives, pens, and other everyday items. Larger
devices such as tank systems, or “mods,” do not look like other tobacco
products.
•E-cigarettes are known by many different names. They are sometimes
called “e-cigs,” “e-hookahs,” “mods,” “vape pens,” “vapes,” “tank
systems,” and “electronic nicotine delivery systems (ENDS).”
•Using an e-cigarette is sometimes called “vaping.”
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
How Do E-cigarettes Work?
•E-cigarettes produce an aerosol by heating a liquid that usually
contains nicotine, flavorings, and other chemicals that help to make the
aerosol.
•The liquid used in e-cigarettes often contains nicotine and flavorings.
This liquid is sometimes called “e-juice,” “e-liquid,” “vape juice,” or
“vape liquid.”
•Users inhale e-cigarette aerosol into their lungs. Bystanders can also
breathe in this aerosol when the user exhales it into the air.
•E-cigarette devices can be used to deliver marijuana and other drugs.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What’s the Bottom Line on the Risks of E-
cigarettes for Kids, Teens, and Young Adults?
•The use of e-cigarettes is unsafe for kids, teens,
and young adults.
•Most e-cigarettes contain nicotine. Nicotine is
highly addictive and can harm adolescent brain
development, which continues into the early to
mid-20s.
•E-cigarettes can contain other harmful
substances besides nicotine.
•Young people who use e-cigarettes may be
more likely to smoke cigarettes in the future.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Aren’t E-cigarettes Safer Than Cigarettes?
E-cigarettes expose users to fewer harmful
chemicals than burned cigarettes.
Just the same, burned cigarettes and e-
cigarettes are all harmful to active and passive
smokers.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Recommendations on E-cigarettes (as there are
risk)
To reduce your risk, the best option is to quit
smoking. Don’t go into E-cig / stop it altogether.
You’ll feel the health benefits almost straight
away.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What is the smoking situation in the Philippines?
In 2019, 24.7% of adults aged 15 and above in Philippines smoked
cigarettes.
There are 19.9 million smokers in the Philippines, 16% (approximately 3
million) of whom were female.
Smoking rates in the Philippines are higher among men (40.9%) versus
women (8.2%).
Youth (13-15 years old) prevalence rates for cigarettes have increased
slightly from 8.9% in 2011 to 10.8% in 2019. Prevalence rates were higher
for boys versus girls.
In 2019, 14.1% of youth used electronic cigarettes. This was higher than
the prevalence rate for cigarette use among youth.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are ROJoson’s health advice on SMOKING
on a personal or layperson level?
There is no safe level of smoking.
To reduce your risk, the best options are :
NOT to smoke at all
QUITE smoking
either using burned tobaccos or e-cigarettes.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
What are ROJoson’s health advice on SMOKING
on a personal or layperson level?
• Don’t smoke / don’t vape at all cost.
• Quit outright.
• Avoid second-hand smoke anywhere and
from anybody.
• Tell your loved ones not to smoke / not to
vape and to quit if they are into it already.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Do these!
If you love your body
/ yourself!
If you love your
loved ones!
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Contents
• When and Why: WORLD NO TOBACCO DAY and NATIONAL NO SMOKING MONTH?
• What are the effects of TOBACCO and SMOKING?
• How you become addicted to smoking?
• How tobacco damages your body?
• How tobacco affects the way you look?
• What are the health effects of smoking?
• What are the effects on those around you? What is passive smoking?
• What are the financial effects of smoking?
• How to reduce the effects of smoking?
• E-cigarettes – what and why not?
• What is the smoking situation in the Philippines?
• What are ROJoson’s health advice on SMOKING on a personal or layperson level?
Main reference:
• https://www.health.gov.au/topics/smoking-and-tobacco/about-smoking-and-tobacco/what-are-the-effects-of-smoking-
and-tobacco
• https://www.smokefreeworld.org/
• CDC
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Summary
Take Away
Be always in touch with reliable medical
information on TOBACCO and SMOKING!
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions in TOBACCO and
SMOKING issues in one’s health
management.
Take Away in
relation to
Patient
Empowerment
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.
Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!
Empowerment
objective - for
laypeople to have an
essential
understanding of NO
TOBACCO – NO
SMOKING
AWARENESS -
ADVOCACY in their
health management.
NO TOBACCO
-
NO SMOKING
AWARENESS
-
ADVOCACY
Empowerment
objective - for
laypeople to have a
basic understanding
of NO TOBACCO –
NO SMOKING
AWARENESS -
ADVOCACY in their
health management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!
Interactions
• How many of you are currently smoking?
• How many sticks per day?
• How many of you are exposed to second-
hand smoke?
• Would you stop smoking now?
• Would you ask your loved ones to stop
smoking now?
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
ROJoson’s advice
• Don’t smoke / don’t vape at all cost.
• Quit outright.
• Avoid second-hand smoke anywhere and
from anybody.
• Tell your loved ones not to smoke / not to
vape and to quit if they are into it already.
NO TOBACCO
- NO SMOKING
AWARENESS -
ADVOCACY
Do these!
If you love your body
/ yourself!
If you love your
loved ones!

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  • 1. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY May 20, 2023 1400H - 1500H Via Zoom Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 2. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY May 20, 2023 1400H - 1500H Via Zoom Welcome all! MUTE yourself but always show your video picture. Sign in your name, FB account, or email address in the Chat Box! Include names of companions attending. Use the Chat Box to ask questions and make comments while the PEP TALK is on. Group pictures at start and end of PEP TALK – show your face in video. Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 3. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.
  • 4. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Telemedical Consultation
  • 5. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you! Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 6. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Empowerment objective - for laypeople to have a basic understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START PEP TALK PROPER IN 2 MINUTES! Pls. turn on your video! Show your face!
  • 7. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY ROJoson PEP Talk I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health. Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 8. I started the PEP Talk on May 15, 2021. There are 3 courses in the PEP Talk. I completed the Core Course on October 9, 2021.
  • 9. From October 23, 2021 onwards, I have been tackling Health Disorder and Health Issue Courses. This may take 3 years or longer depending on our enthusiasm and perseverance.
  • 10. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY My PEP TALK today is entitled: NO TOBACCO – NO SMOKING AWARENESS – ADVOCACY In consonance with DOH Health Awareness Calendar - World NO Smoking Day (May 31) - National NO Smoking Month (June) Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 11. Contents • When and Why: WORLD NO TOBACCO DAY and NATIONAL NO SMOKING MONTH? • What are the effects of TOBACCO and SMOKING? • How you become addicted to smoking? • How tobacco damages your body? • How tobacco affects the way you look? • What are the health effects of smoking? • What are the effects on those around you? What is passive smoking? • What are the financial effects of smoking? • Reducing the effects of smoking • E-cigarettes – what and why not? • What is the smoking situation in the Philippines? • What are ROJoson’s health advice on SMOKING on a personal or layperson level? Main reference: • https://www.health.gov.au/topics/smoking-and-tobacco/about-smoking-and-tobacco/what-are-the-effects-of-smoking- and-tobacco • https://www.smokefreeworld.org/ • CDC NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 12. World Health Organization (WHO) World NO TOBACCO DAY – May 31 NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Since 1987
  • 13. Philippines National NO Smoking Month – June NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Presidential Proclamation No. 183 s. 1993 signed by then President Fidel V. Ramos declared the month of June of every year as National No Smoking Month in the Philippines.
  • 14. Awareness and Advocacy (year in year out) Since 1987 – WHO Since 1993 – PH • Raising awareness on the danger of TOBACCO and SMOKING! • Advocating against or a NO to TOBACCO and SMOKING! NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 15. Awareness and Advocacy TODAY – ROJoson through this PEP Talk will • reinforce awareness on the danger of TOBACCO and SMOKING! • advocate against or a NO to TOBACCO and SMOKING! ROJoson’s contribution to the campaign! NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 16. Awareness and Advocacy TODAY – YOU will be empowered to • take care of your health by a NO to TOBACCO and SMOKING! • advocate against or a NO to TOBACCO and SMOKING for your loved ones! Your contribution to the campaign! NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 17. What are the effects of TOBACCO and SMOKING? Within 10 seconds of your first puff, the toxic chemicals in tobacco smoke (particularly NICOTINE) reach your brain, heart and other organs. Smoking harms almost every part of your body and increases your risk of many diseases. Smoking also affects how you look and feel, your finances and the people close to you. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Always remember: Smoking leads to disease and disability and harms nearly every organ of the body!
  • 18. How you become addicted to smoking? The nicotine in tobacco is highly addictive. It makes your brain release a chemical called dopamine. Dopamine is a ‘feel good’ chemical that: •makes you feel happy •helps you to concentrate •gives you more energy. But this effect doesn’t last long. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 19. How you become addicted to smoking? As the nicotine levels in your body fade, your brain craves more dopamine. The longer you have been smoking, the more dopamine you need to feel good. You become dependent on nicotine. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 20. How you become addicted to smoking? Once you are dependent on nicotine, without it you will have withdrawal symptoms. You may find it difficult to concentrate or feel nervous, restless, irritable or anxious. These two things — nicotine dependence and nicotine withdrawal — make you want to smoke more. You become addicted to tobacco. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 21. How tobacco damages your body? The chemicals in tobacco smoke can damage your body in many ways. For example: •Nicotine narrows your veins and arteries. This can • damage your heart by forcing it to work faster and harder • slow your blood and reduce oxygen to your feet and hands. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 22. How tobacco damages your body? The chemicals in tobacco smoke can damage your body in many ways. For example: •Carbon monoxide deprives your heart of the oxygen it needs to pump blood around your body. Over time, your airways swell up and let less air into your lungs. •Tar is a sticky substance that coats your lungs like soot in a chimney. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 23. How tobacco damages your body? The chemicals in tobacco smoke can damage your body in many ways. For example: •Phenols paralyse and kill the hair-like cells in your airways. These cells sweep clean the lining of your airways and protect them against infections. •Tiny particles in tobacco smoke irritate your throat and lungs and cause ‘smoker’s cough’. This makes you produce more mucus and damages lung tissue. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 24. How tobacco damages your body? The chemicals in tobacco smoke can damage your body in many ways. For example: •Ammonia and formaldehyde irritate your eyes, nose and throat. •Cancer-causing chemicals make your cells grow too fast or abnormally. This can result in cancer cells. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 25. How tobacco affects the way you look? Smoking tobacco can: •cause yellow-brown stains on your fingers, tongue and teeth •increase your risk of tooth loss and bad breath •make your skin saggy and give you early wrinkles •make your hair lose its natural shine. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 26. What are the health effects of smoking? If you smoke, you: •reduce your life expectancy and your quality of life. •increase your risk of many conditions and diseases as well as of dying prematurely. It can be a long time before smokers get a smoking-related condition or disease. Because of this, some people believe it won’t happen to them. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 27. What are the health effects of smoking? In fact, up to ⅔ of long term smokers will: •die of a smoking-related disease. •have their life cut short by about 10 years on average, compared to non- smokers. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 28. What are the health effects of smoking? There is also growing evidence to suggest that smoking has a negative impact on mental health. For example, some studies show that smoking is associated with increased rates of anxiety, panic attacks, depression, suicide attempts and schizophrenia. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 29. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking Did you know? Tobacco use is the one risk factor shared by 4 of the main categories of non-communicable disease. These include cardiovascular disease, cancer, chronic lung disease and diabetes. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 30. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Cancer Smoking causes most lung cancers and can cause cancer almost anywhere on the body. This includes the lips, tongue, mouth, nose, oesophagus, throat, voice box, stomach, liver, kidney, pancreas, bladder, blood, cervix, vulva, penis and anus. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 31. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Breathing problems and chronic respiratory conditions Smoking is the main cause of chronic obstructive pulmonary disease (COPD), a serious, progressive and disabling condition that limits airflow in the lungs. Active smoking also worsens asthma in active smokers and is associated with an increased risk for asthma in adolescents and adults. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 32. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Heart disease, stroke and blood circulation problems Smoking is major cause of cardiovascular disease, such as heart disease and stroke. Smoking increases the risk of blood clots, which block blood flow to the heart, brain or legs. Some smokers end up having their limbs amputated due to blood circulation problems caused by smoking. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 33. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Diabetes Smoking causes type 2 diabetes, with the risk of developing diabetes 30 to 40% higher for active smokers than non-smokers. Smoking may also worsen some of the health conditions related to type 1 diabetes, such as kidney disease. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 34. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Infections Smoking weakens your immune system so you’re more likely to get bacterial and viral infections. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 35. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Dental problems Smoking increase the risk of gum diseases, tooth loss and tooth sensitivity. Once a person has gum damage, smoking also makes it harder for their gums to heal. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 36. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Hearing loss Smoking reduces blood flow to the inner ear. Smokers may also lose their hearing earlier than a non-smoker. •Vision loss Smoking damages the eye and can lead to macular degeneration and blindness. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 37. What are the health effects of smoking? Some of the conditions and diseases that can be caused by smoking •Fertility problems Smoking can make it more difficult to fall pregnant and affect sperm quality. Find out more about smoking and tobacco and pregnancy. •Osteoporosis and menopause Smoking is a risk factor for osteoporosis and in women, may result in early menopause compared to a non-smoker. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 38. Effects on those around you As a smoker, you can affect the health of other people when they breathe in your second-hand smoke. This means they’re breathing in the same toxic and cancer-causing chemicals that you are. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 39. What is passive smoking? Passive smoking is when someone breathes in second-hand tobacco smoke. Second-hand smoke is made up of: •the smoke that smokers breathe out •sidestream smoke — the smoke from the end of lit cigarettes and cigars Second-hand smoke is also known as environmental tobacco smoke. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 40. What is passive smoking? Is passive smoking ever safe? There is no safe level of passive smoking. Studies show that second-hand smoke can harm you even if you’re exposed for just a moment. If someone smokes indoors, the harmful chemicals in tobacco smoke can stay in the air for hours. You cannot reduce the smoke to acceptable levels, even if you ventilate or filter the air. Only 100% smoke-free environments can protect you from the effects of passive smoking. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 41. What is passive smoking? Effects of passive smoking Second-hand smoke is a serious health threat: •For every 8 smokers who die from a smoking-related disease, 1 non-smoker dies from second-hand smoke exposure. •Non-smokers who live with a smoker have a 25% to 30% greater risk of developing heart disease. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 42. What is passive smoking? Effects of passive smoking Second-hand smoke can cause or worsen a range of conditions and diseases including: •cancer •heart attacks •heart disease •respiratory infections such as pneumonia •asthma •diabetes NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 43. What is passive smoking? Effects of passive smoking Passive smoking is especially risky for: •unborn babies •children and young people •people with breathing problems NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 44. What are the financial effects of smoking? Smoking is expensive. What more, if you get sick from smoking. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 45. Reducing the effects of smoking There is no safe level of smoking. To reduce your risk, the best option is to quit smoking. You’ll feel the health benefits almost straight away. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 46. Electronic Cigarettes (E-cigarettes) NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 47. E-cigarettes The e-cigarette is increasingly becoming popular among Filipinos, particularly the youth, as the number of public places that prohibit smoking is increasing and the recent higher tobacco taxes in the country make smoking more expensive. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 48. What Are E-cigarettes? •E-cigarettes are electronic devices that heat a liquid and produce an aerosol, or mix of small particles in the air. •E-cigarettes come in many shapes and sizes. Most have a battery, a heating element, and a place to hold a liquid. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 49. What Are E-cigarettes? •Some e-cigarettes look like regular cigarettes, cigars, or pipes. Some look like USB flash drives, pens, and other everyday items. Larger devices such as tank systems, or “mods,” do not look like other tobacco products. •E-cigarettes are known by many different names. They are sometimes called “e-cigs,” “e-hookahs,” “mods,” “vape pens,” “vapes,” “tank systems,” and “electronic nicotine delivery systems (ENDS).” •Using an e-cigarette is sometimes called “vaping.” NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 50. How Do E-cigarettes Work? •E-cigarettes produce an aerosol by heating a liquid that usually contains nicotine, flavorings, and other chemicals that help to make the aerosol. •The liquid used in e-cigarettes often contains nicotine and flavorings. This liquid is sometimes called “e-juice,” “e-liquid,” “vape juice,” or “vape liquid.” •Users inhale e-cigarette aerosol into their lungs. Bystanders can also breathe in this aerosol when the user exhales it into the air. •E-cigarette devices can be used to deliver marijuana and other drugs. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 51. What’s the Bottom Line on the Risks of E- cigarettes for Kids, Teens, and Young Adults? •The use of e-cigarettes is unsafe for kids, teens, and young adults. •Most e-cigarettes contain nicotine. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s. •E-cigarettes can contain other harmful substances besides nicotine. •Young people who use e-cigarettes may be more likely to smoke cigarettes in the future. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 52. Aren’t E-cigarettes Safer Than Cigarettes? E-cigarettes expose users to fewer harmful chemicals than burned cigarettes. Just the same, burned cigarettes and e- cigarettes are all harmful to active and passive smokers. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 53. Recommendations on E-cigarettes (as there are risk) To reduce your risk, the best option is to quit smoking. Don’t go into E-cig / stop it altogether. You’ll feel the health benefits almost straight away. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 54. What is the smoking situation in the Philippines? In 2019, 24.7% of adults aged 15 and above in Philippines smoked cigarettes. There are 19.9 million smokers in the Philippines, 16% (approximately 3 million) of whom were female. Smoking rates in the Philippines are higher among men (40.9%) versus women (8.2%). Youth (13-15 years old) prevalence rates for cigarettes have increased slightly from 8.9% in 2011 to 10.8% in 2019. Prevalence rates were higher for boys versus girls. In 2019, 14.1% of youth used electronic cigarettes. This was higher than the prevalence rate for cigarette use among youth. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 55. What are ROJoson’s health advice on SMOKING on a personal or layperson level? There is no safe level of smoking. To reduce your risk, the best options are : NOT to smoke at all QUITE smoking either using burned tobaccos or e-cigarettes. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 56. What are ROJoson’s health advice on SMOKING on a personal or layperson level? • Don’t smoke / don’t vape at all cost. • Quit outright. • Avoid second-hand smoke anywhere and from anybody. • Tell your loved ones not to smoke / not to vape and to quit if they are into it already. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Do these! If you love your body / yourself! If you love your loved ones!
  • 57. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 58. Contents • When and Why: WORLD NO TOBACCO DAY and NATIONAL NO SMOKING MONTH? • What are the effects of TOBACCO and SMOKING? • How you become addicted to smoking? • How tobacco damages your body? • How tobacco affects the way you look? • What are the health effects of smoking? • What are the effects on those around you? What is passive smoking? • What are the financial effects of smoking? • How to reduce the effects of smoking? • E-cigarettes – what and why not? • What is the smoking situation in the Philippines? • What are ROJoson’s health advice on SMOKING on a personal or layperson level? Main reference: • https://www.health.gov.au/topics/smoking-and-tobacco/about-smoking-and-tobacco/what-are-the-effects-of-smoking- and-tobacco • https://www.smokefreeworld.org/ • CDC NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Summary Take Away
  • 59. Be always in touch with reliable medical information on TOBACCO and SMOKING! Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman, Kakayanan, Karapatan and Kapangyarihan to gain greater control over decisions / make better decisions in TOBACCO and SMOKING issues in one’s health management. Take Away in relation to Patient Empowerment NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 60. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 61. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.
  • 62. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Telemedical Consultation
  • 63. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you! Empowerment objective - for laypeople to have an essential understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management.
  • 64. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Empowerment objective - for laypeople to have a basic understanding of NO TOBACCO – NO SMOKING AWARENESS - ADVOCACY in their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START Q&A AND INTERACTIONS! Pls. turn on your video! Show your face!
  • 65.
  • 66. Interactions • How many of you are currently smoking? • How many sticks per day? • How many of you are exposed to second- hand smoke? • Would you stop smoking now? • Would you ask your loved ones to stop smoking now? NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY
  • 67. ROJoson’s advice • Don’t smoke / don’t vape at all cost. • Quit outright. • Avoid second-hand smoke anywhere and from anybody. • Tell your loved ones not to smoke / not to vape and to quit if they are into it already. NO TOBACCO - NO SMOKING AWARENESS - ADVOCACY Do these! If you love your body / yourself! If you love your loved ones!