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Tobacco
Overview
Traditional tobacco
Commercial tobacco
Smokeless tobacco
2
Many indigenous nations have
traditional stories of how tobacco
was introduced to their communities.
Many stories emphasized the
sacredness of the plant and its
powers to both heal if used properly
and to harm us if used improperly!
Some say that the original tobacco
was discovered about 18,000 years
ago.
Traditional Tobacco
Uses
Tobacco was used by our Medicine
People for both healing and blessings.
Used as a smudge… to ward off pests
when the people went out to hunt and
gather (the original version of “OFF”)
because it contains nicotine, a natural
pesticide.
Given as a gift when welcoming guests
to the community & as an offering to
those requested to pray or share their 4
Traditional Vs. Commercial
Tobacco
TRADITIONAL COMMERCIAL
Smoked in a pipe for
ceremonial purposes
Used as an offering to a
healer, elder or other
person as a sign of
respect or thanks
Medicinal tobacco was
often used as a
painkiller
Deliberate targeting of
specific consumer
groups
Premeditated and
conscious addition of
chemicals that lead to
addiction
Scarcely contains actual
tobacco
5
Commercial Tobacco
Contents
4000 Chemicals
40 Cancer causing agents
500 Poisons
6
Nicotine
Poisonous
More addictive than cocaine and heroine
So powerful that farmers can’t use it to kill
insects
Legal addiction
Use results in emotional dependence
 Mood leveler
 Users rely on it to control emotional
responses to everyday life 7
Carbon Monoxide
The compound in car exhaust that
causes death
Causes shortness of breath
Reduces the amount of oxygen
blood can carry
8
Tar
Sticky Residue that stains the
fingers and teeth.
Contains benzopyrene, one of
the deadliest cancer causing
agents known.
9
Chemicals
Acetone: fingernail polish remover
Ammonia: floor/toilet cleaner
Cadmium: batteries
Arsenic: rat poison
Methane: cow manure fumes
Formaldehyde: preserver of dead bodies
10
Metals
Aluminum
Magnesium
Zinc
Silicon
Titanium
Silver
Lead
Copper
Mercury
Heavy metals
11
Nicotine
Hard Habit to Quit
On a milligram for milligram basis, is 10 times
more potent than heroin as an addictive substance
Smoking is an over-learned behavior
Pack/day smoker estimates
 6 doses (puffs)/cigarette
 20 cigarettes per day
 = 43,800 doses per year!
Few behaviors occur more often. . .
 Breathing
 Blinking 12
Nicotine
Hard Habit to Quit
13
Tobacco
Health Effects
14
Tobacco
Health Effects
15
Tobacco
Facts & Stats
40% of all AN/AN deaths can be attributed
to commercial tobacco use
50% of AI/AN teens reported some type of
cigarette use (highest rate in the nation, out
of all ethnic populations and age groups)
21% of AI/AN teens reported using
smokeless tobacco
Teens are 3 times more likely to smoke if
parent or sibling smokes
16
Tobacco
Facts & Stats
AI/AN’s 40.8%
African Americans 22.4%
Whites 23.6%
Hispanics 16.7%
Asian American/ 13.3%
Pacific Islanders
17
Tobacco
Facts & Stats
0
5
10
15
20
25
30
35
40
Smoking Prevalence
Asian American
Hispanic
White
AI/AN
18
When You Quit…
Within 10 Years:
 Lung cancer death rate is similar to
that of a person who does not smoke.
 The pre-cancerous cells are replaced.
Within 15 Years:
 Risk of coronary heart disease is the
same as a person who has never
smoked.
19
Thank you!
Questions
Comments
Stories
20

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Tobacco addiction

Editor's Notes

  1. * Pharmacotherapies can help address these problems
  2. CDC SAMMEC, MMWR 1993; 42:645-9.
  3. Tobacco use among American Indian Adolescents: protective and risk factors. J. of Ad. H., 2001
  4. National Health Interview Survey, US 2001
  5. U.S. Department of Health and Human Services. Tobacco Use Among U.S. Racial/Ethnic Groups- African Americans, American Indian and Alaska Natives, Asian Americans Pacific Islanders, and Hispanics: A Report Of the Surgeon General. (Atlanta: U.S. Department of Health and Human Services, Centers for Disease ControlAnd Prevention, 1998.)