Tobacco & Health

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MDI Confidential Proprietary Information

Tobacco & HealthTobacco & HealthTobacco & HealthTobacco & Health

MDIndia Healthcare Services (TPA)

Private LimitedISO 9001:2000 Certified

Dr Sachin KasatMBBS, AIII., FIII

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Fact SheetFact Sheet

Smoking tobacco is deadly

Tobacco causes a range of cancers, as well as heart disease, stroke and emphysema. One in two lifetime smokers die from smoking, half of those in their middle age.Tobacco causes more illness and death than any other drug.Smoking harms nearly every organ of the body. Smoking causes many diseases and reduces the health of smokers in general

Smoking causes cancer of lung, throat, mouth, nose, larynx, esophagus, pancreas, liver, kidney, bladder, bowel, ovary, cervix, & bone marrow(myeloid leukemia)

Examples of Morbid ConditionsCondition Rel. RiskLung cancer 1.22Cervical cancer 1.41Asthma 1.44Otitis media 1.52Chronic pulmonary disease (COPD) 1.83Coronary heart disease (CHD) 1.1Low birth weight 1.22Spontaneous abortion/perinatal mortality 1.54Sudden infant death syndrome (SIDS) 1.8

Source: Donald F Behan - Study of tobacco effects

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Smoking & Increased Health RisksSmoking & Increased Health Risks Smoking causes an estimated 90% of all lung cancer deaths in men and 80% of all

lung cancer deaths in women.1 An estimated 90% of all deaths from chronic obstructive lung disease are caused by

smoking

Compared with nonsmokers, smoking is estimated to increase the risk of— coronary heart disease by 2 to 4 times,1,2

stroke by 2 to 4 times,1,6

men developing lung cancer by 23 times,1

women developing lung cancer by 13 times,1 and dying from chronic obstructive lung diseases (such as chronic bronchitis and

emphysema) by 12 to 13 times.1

Reference: 1.The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for

Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004

2.Reducing the Health Consequences of Smoking: 25 Years of Progress. A Report of the Surgeon General. Rockville (MD): U.S. Department of Health

and Human Services, Public Health Service, Centers for Disease Control, National Center for Chronic Disease Prevention and Health Promotion,

Office on Smoking and Health, 1989

3. Ockene IS, Miller NH. Cigarette Smoking, Cardiovascular Disease, and Stroke: A Statement for Healthcare Professionals from the American Heart

Association. Circulation 1997;96(9):3243–7

Surgeon General Report

Tobacco ConstituentsTobacco Constituents

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Tobacco contains 43 known carcinogens i.e. cancer-causing chemicals. (Anything that is known to cause cancer is also called a carcinogen.)

Cigarettes also contain all of the following chemicals:Ammonia – used for toilet bowl cleanerArsenic – used for rat poisonCarbon Monoxide – found in car exhaust pipeTar – used for roofing and waterproofingNicotine – used as a poison in bug sprays

It is no wonder that smoking kills more Americans every year than murders, fires, alcohol, HIV, and car accidents combined.

Would you want to lick a toilet bowl or drink bug spray?Nicotine is the most addictive known drug!It narrows the blood vessels making it difficult for the heart to get oxygen to the body. This can really mess up your game, or even worse it can cause heart disease!

Tar will turn a smoker’s lungs BLACKIt damages the cilia, reducing their ability to keep dirt and germs out of the lungs. Because of this, smokers have more coughs, colds, and other lung diseases than non-smokers.

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Withdrawal SymptomsWithdrawal Symptoms

One reason why smokers continue to smoke is to avoid withdrawal symptoms which can be very unpleasant.

•Cravings•Irritability, frustration, depression &/or anxiety•Restlessness•Difficulty concentration•Changed sleeping patterns•Increase in appetite & weight gain

Withdrawal symptoms are all signs that the body is recovering and getting used to living without nicotine. On average, most symptoms are gone within two to four weeks. Heavy smokers may have symptoms for a few more weeks.

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Quit SmokingQuit Smoking

Help is available for quitting in form of:

•Counseling or coaching•Education and information•Nicotine patches, gum, tablets•Prescription medicines such as bupropion

People who have best chance of quitting are those who get some sort of counseling & use quitting medications.

Where to get help?

Your doctorPharmacist104 Help linesInternetSponsored seminars & Health talks organized by employers, insurers, etc.

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Success Steps to quittingSuccess Steps to quitting

Make a Plan

Set aside time every day to practice.

Take action by setting your "quit date"—the day you will start (being) a former smoker—and telling people about it.Think about why quitting is important to you. (Write a list)Plan what to do at times and places that could be challenging when you become a former smoker.Practice coping with the urge to smoke and choosing, on occasion, not to smoke.Change behaviors around what you eat, how you exercise, how you cope with stress and strong feelings, and getting support from others.

Choose Your Quit Date

Midnight on a Thursday or Friday is the best time for most people. That way, you'll be through the hardest part of withdrawal by Monday morning.

Your quit date should be about 2 weeks after you begin learning and practicingthe strategies and skills described.

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Throw away all your cigarettes, lighters and ashtrays.

You will feel the urge to smoke, but it usually passes in 2-3 minutes.

When you feel the urge, do something else.

Take deep breaths and let them out slowly. Drink a glass of water.

Carry things to put in your mouth, like gum, hard candy, and toothpicks.

Keep busy: Go to the movies, ride your bike, walk the dog, play video games, call

a friend.

Go to places where you're not allowed to smoke, like the movies.

The Day You QuitThe Day You Quit

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The first few days after you quit, don't hang around people and places where you used to smoke.

If your family or friends smoke, ask them not to:

•Smoke around you•Offer you cigarettes•Leave cigarettes where you can find them•Tease you about not smoking

Turn your home into a "no smoking zone," especially if your family smokesSpend a lot of time in places where you're not allowed to smoke

Drink lots of water and fruit juice, but limit your intake of drinks like soda, coffee and tea that contain caffeine

The First Few DaysThe First Few Days

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Coping with CravingsCoping with Cravings

Notice the craving. Don't ignore, suppress or fight it Stop and think about it. Take a moment to experience the craving Make a conscious choice not to smoke Wait. The urge will pass after a minute or so, whether or not you choose to smoke Do anything to delay the urge Get up and do something Call someone and talk about it Congratulate yourself each time you have an urge to smoke and choose not to

Plan Alternatives

Drink water, especially out of a sip bottle Play with "worry stones" or other small objects Take a walk Chew gum Take a shower Go someplace where smoking isn't allowed, such as the movies or the library Call a friend, or be with others who don't smoke Learn to identify what you need at that moment—to be alone or to talk, for example Stay positive. When you wake up, promise yourself that you won't smoke a cigarette

today.

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Celebrate your successCelebrate your success

Mark each milestone you reach in some way

Calculate the amount of money you haven't spent on cigarettes. You may want

to use a glass jar to save the money you would have spent on tobacco, then

spend it on something special

Treat yourself to something fun, such as a movie or coffee with a friend

Each day, watch for the best thing that happens to you because you're not

smoking. Maybe you can walk up the stairs without getting winded, or eat in the

nonsmoking section of a restaurant

Ask your family and friends to celebrate with you

Within 20 minutes of smoking that last cigarette, the body begins a series ofchanges that continue for years.

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Tobacco & Health