Anti tobacco

anti tobacco presentation

1. SAY GOOD BY TO SAY GOOD BY TO
TOBACCO TOBACCO
Sreeraj.V.TSreeraj.V.T
Jr.Health InspectorJr.Health Inspector
PHC Udayagiri PHC Udayagiri

2. What is Tobacco?What is Tobacco?
Tobacco is a plant that has been known to Tobacco is a plant that has been known to
release dangerous chemicals when burnt.release dangerous chemicals when burnt.
Tobacco comes in various methods such as:Tobacco comes in various methods such as:
–Chewing TobaccoChewing Tobacco
–Smoking (cigarettes)Smoking (cigarettes)
–PipesPipes
–CigarsCigars
ALL OF THESE METHODS ARE DEADLY!!!!ALL OF THESE METHODS ARE DEADLY!!!!
If you smoke cigarettes, you are not only If you smoke cigarettes, you are not only
effecting yourself, but people around you as effecting yourself, but people around you as
well, by second-hand smoke.well, by second-hand smoke.

3. The MethodsThe Methods
Cigarette
Cigarette is made from dried
up tobacco chopped up and
rolled in a piece of paper.
When Cigarette is burnt, it
releases dangerous
chemical gases such as
carbon monoxide, and
hydrogen cyanide.
Cigars
A dried up roll
of tobacco that
is much more
dangerous than
a Cigarette. A
cigar has no
filter like a
cigarette, so
the poisonous
gases does for
damage to your
lungs, etc.
Chewing Tobacco
Chewing Tobacco is also
made from chopped up
tobacco. It is placed
between the gum and
teeth. The tobacco is
crushed by the teeth to
release the nicotine.
Pipe
Pipe is a tool for smoking. Tobacco is
placed in the chamber and burnt. The
smoke then gets inhaled into the lung
through the stem and mouthpiece.

4. Cigarette Smoking is the Cigarette Smoking is the
principle cause of principle cause of
Premature DeathPremature Death

7. 1 tobacco related death 1 tobacco related death
every 6 secondsevery 6 seconds
WHAT IS AT STAKE?
= 10 million annual = 10 million annual
deaths by 2030 deaths by 2030
1 Billion deaths in 21
st
Century

9. 5.4
4.0
2.1
1.9
1.6
1.2
0.9
0.6
0
1
2
3
4
5
6
Tobacco Lower
Resp
Infect
AIDSDiarrheal
Disease
TB Traffic
Injuries
MalariaMeasles
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Unless urgent action is taken, tobacco will kill 1 billion people this
century
World Health Organization
Tobacco Is Now the World’s Leading Tobacco Is Now the World’s Leading
Single Agent of DeathSingle Agent of Death

10. Prevalence of Tobacco use in Prevalence of Tobacco use in
IndiaIndia
Below 35% : 2 states
Punjab and Goa
Between 35 - 50% : 8 states
Andhra Pradesh, Tamilnadu,
Karnataka, Kerala, Maharashtra,
Haryana, Himachal Pradesh and
Delhi
Between 50 – 65% : 8 states
Gujarat, Rajasthan,
Jammu&Kashmir, Uttarakhand,
Uttar Pradesh, Jarkhand,
Sikkim, Arunachal Pradesh
Above 65% : 11states
Madhya Pradesh, Bihar,
Chattisgarh, Orissa, West
Bengal, Assam, Meghalaya,
Manipur, Tripura, Mizoram,
Nagaland

11. 7
50
13
61
11
57
Urban Rural Total
Women Men+
+ TOBACCO 1M 2 NAC 345
+
N+ MO &A O /&& 6045
+
N+ CM EA AMANA, AM O O OBACCO
6735
+
BO 45 O* AN A .6-.3 +M MO C&AM &
)&A
•Any Tobacco Use – Prevelance: 57%
•Currently smoke Cigarette or Bidi: 32.7%
•Currently chews pan masala, ghutkas or other tobacco:
36.5%
•About 7% of male aged 13-15 yrs smoke cigarettes in
India
TOBACCO & MEN

13. CIGARETTE SMOKE CONTAINS
4000 POISONS

14. More than 4,000 substances More than 4,000 substances
have been identified in have been identified in
cigarette smokecigarette smoke

15. Nicotine increases Nicotine increases
systolic and diastolic systolic and diastolic
blood pressureblood pressure

16. Cigarette smoking Cigarette smoking
antigenic, cytotoxic, antigenic, cytotoxic,
mutagenic, carcinogenicmutagenic, carcinogenic

17. Normal lung and Smokers Normal lung and Smokers
lunglung

18. CLINICAL CLINICAL
AFFECTSAFFECTS
Cardiovascular Cardiovascular
DiseasesDiseases
CancerCancer
Respiratory Respiratory
DiseasesDiseases
Pregnancy related Pregnancy related
complicationscomplications
Gastrointestinal Gastrointestinal
disordersdisorders
DepressionDepression

19. TOBACCO AND CANCERSTOBACCO AND CANCERS
Lung Lung
Mouth (oral)Mouth (oral)
Throat (Pharynx & Throat (Pharynx &
Larynx)Larynx)
Food Pipe (Oesophagus)Food Pipe (Oesophagus)
Urinary BladderUrinary Bladder
Other Sites Other Sites

20. OTHER DISEASESOTHER DISEASES
Chronic Bronchitis Chronic Bronchitis
Emphysema Emphysema
AsthmaAsthma
CataractCataract
Tuberculosis Tuberculosis
DiabetesDiabetes
Still Birth and Low Birth WeightStill Birth and Low Birth Weight
> 25 Diseases > 25 Diseases

21. CARDIOVASCULAR RISKS OF SMOKINGCARDIOVASCULAR RISKS OF SMOKING
100% Increase in Risk
300% Increase in Risk
Stroke; CHD; Impotence
Death from undiagnosed CHD
> 300 % Increase in Risk
Peripheral Arterial Disease
400 % Increase in Risk
Aortic Aneurysm

23. CLOGGINCLOGGIN
G OF G OF
CORONARCORONAR
Y Y
ARTERIEARTERIE
SS

26. Emphysema LungEmphysema Lung

27. ACTIVE ACTIVE
SMOKINGSMOKING

28. PASSIVE PASSIVE
SMOKINGSMOKING

29. What is Second Hand What is Second Hand
Smoke Smoke
Second-hand smoke: that is Second-hand smoke: that is
inhaled involuntarily or inhaled involuntarily or
passively by someone who passively by someone who
is not smoking. is not smoking.
Second-hand smoke is also Second-hand smoke is also
called involuntary smoking called involuntary smoking
or passive smokingor passive smoking

30. Second hand smoke causes Second hand smoke causes
serious Health Hazards serious Health Hazards
–Lung cancer -risk up 24%Lung cancer -risk up 24%
–Heart diseases -risk up 25%Heart diseases -risk up 25%
–Asthma attacksAsthma attacks
–Sudden Infant Death Syndrome (cot Sudden Infant Death Syndrome (cot
death)death)
–Childhood respiratory diseasesChildhood respiratory diseases
–Chronic cough, phlegm, and Chronic cough, phlegm, and
wheezing wheezing
–Chest discomfortChest discomfort
–Lowered lung function Lowered lung function

31. PASSIVE SMOKING (ETS)PASSIVE SMOKING (ETS)
Second Hand Smoke increase risk ofSecond Hand Smoke increase risk of
–Cancer by 30%Cancer by 30%
–Heart attack by 25%Heart attack by 25%
in spouse of the smokerin spouse of the smoker
Increased risk of asthma and lung Increased risk of asthma and lung
disease in children disease in children

32. TOBACCO & TOBACCO &
WOMENWOMEN

33. Main cause of oral Main cause of oral
cancer is chewing cancer is chewing
of Tobaccoof Tobacco

36. ECONOMIC COSTS OF TOBACCOECONOMIC COSTS OF TOBACCO
Health Care: Just for 3 diseasesHealth Care: Just for 3 diseases
(Coronary Heart Disease; Cancer; (Coronary Heart Disease; Cancer;
Chronic Lung Disease)Chronic Lung Disease)
Health Care cost in 2002 – 2003 was Health Care cost in 2002 – 2003 was
Rs. 308.33 Billion (USD 7.2 Billion)Rs. 308.33 Billion (USD 7.2 Billion)
Tobacco also has: Environmental costs Tobacco also has: Environmental costs
& Social costs & Social costs

38. Pictorial Health Warnings Pictorial Health Warnings
(Globally) (Globally)

39. More Pictorial Health Warnings from More Pictorial Health Warnings from
ThailandThailand

40. Pictorial Health Warnings from Pictorial Health Warnings from
BrazilBrazil

41. Cigarettes and Other Tobacco Cigarettes and Other Tobacco
ProductsProducts
(Prohibition of Advertisement (Prohibition of Advertisement
and Regulationand Regulation
of Trade and Commerce, of Trade and Commerce,
Production,Production,
Supply and Distribution) Act, Supply and Distribution) Act,
2003 (COTPA)2003 (COTPA)

42. Section 4: Ban on Smoking in Public Places
Secondhand smoke (passive smoking) of smoke causes
many diseases like lung cancer, respiratory diseases, heart
disease, breast cancer, asthma, bronchitis. In some cases,
it can trigger severe, even life-threatening reactions in
individuals.
Children are the worst affected. It causes sudden infant
death syndrome.
People working, especially in the food service industry are
affected.
Ban on smoking in public places would prevent damage to
the health of non smokers and smokers

43. Section 5: Ban on Advertisements of
Tobacco Products
In India children and the youth have been greatly influenced by
tobacco advertisements, especially those for cigarettes and gutka which
definitely harms their health.
Advertisements and placing of the product at a low height and next to
candies at points of sale is a strategy they use to give undesirable
exposure and access to children.
A study found that children who had seen sports events being
sponsored by a tobacco company were more likely to start smoking.
This was during the period when a cigarette company sponsored cricket
matches.
Many tobacco industries are promoting tobacco products to target
women.
This provision would prevent women and children from being
influenced by glamorized advertisements of tobacco products.

44. Section 6: Prohibition of Sale of Tobacco
Products to and by Minors
.
18
.

45.  400
.

46. Section 7: Specified Health Warning Labels
on all Tobacco Products
Images help smokers visualize the nature of tobacco-related diseases
and convey health messages in a clearer way.
Pictorial health warnings are intended to serve as visual cues to
prompt smokers to take action to quit. They are designed to shock
people into realizing that smoking kills and causes serious illness.
Pictorial warnings also make the health warnings accessible to those
who are illiterate.
They are effective tool in conveying health risks to the tobacco users.
It also has an impact on intention and ability to quit.
In countries like Brazil, Canada and Thailand many pictorial warnings
have helped in decreasing consumption of tobacco products

47. Section 7(5): Every tobacco package to have
nicotine and tar contents along with the
maximum permissible limits
Nicotine and tar are carcinogens
Nicotine and tar contents along with permissible limits
should mentioned on the packages
Having them on the package would help people making an
informed choice

48. Increasing Tax and Price of Tobacco
Products
Price and tax measures are an effective and important means of
reducing tobacco consumption by various segments of the
population, in particular young persons.
Implementing tax policies and price policies, on tobacco
products would contribute to the health objectives aimed at
reducing tobacco consumption.
This measure acts as a demand reduction measure for tobacco
products.

51. Tobacco thrills ,
but it kills.