History and types of tobacco use.pptx

History and types of tobacco use

1. History and types of tobacco use S A Saleemi

2. Tobacco is the agricultural product of the leaves of plants in the genus Nicotiana, commonly termed tobacco plants. All species of Nicotiana contain the addictive drug nicotine - a psychostimulant alkaloid found in all parts of the plants except the seeds, and most heavily-concentrated in the leaves. There are three tobacco types - Virginia, burley and oriental based on drying methods

3. 6,000 BC 1 BC 1492 1730 1826 1847 1902 1912 1965 1967 1970 1992 1997 2000 2003 2019 Native Americans first c ultivated plant Native American tribes start smoking tobacco Tobacco plant and smoking introduced to Europeans First American tobacco company open in Virginia History of Tobacco Smoking Nicotine isolated for the first time Philip Morris opens their first shop in Great Britain Famous brand Marlboro introduced in USA  First reported connection between smoking and lung cancer Surgeon General confirm linking smoking to lung cancer Mandatory warning on the labels Nicotine patch is introduced F irst time in history, a tobacco company CEO admits cigarette cause cancer. Bans on public smoking in most of the world F irst e-cigarettes device was developed by the Chinese pharmacist Hon Lik First prototype of e-cigarette was patented in US First reported case of EVALI

4. Types of Tobacco Products Smoked Smokeless Combustible Non-combustible Cigarettes Cigars Cigarillos Little Cigars Hookah/Shisha ( Mu’assel ) Pipes Beedis(Biri) Kreteks Roll-your-own(RYO) Kizami Dokha Heat-Not-Burn or Heated Tobacco Products also known as smokelss cigarettes E-cigarette/vapes Flavored e-cigarettes Chewing tobacco Indian Chewing tobacco Dipping tobacco Dissolvable tobacco products (strip, stick, pellets) Oral tobacco Spit/spitting tobacco Snuff Snus Nicotine only Products Medicinal Recreational Nicotine patch Nicotine gum Nicotine glue Nicotine e-solution Nicotine pouch Nicotine herbal products (herbal cigarette, herbal smokeless tobacco

5. Cigarette Combustible smoked products

6. Chemicals in Cigarettes (Nicotine + Tar + CO) A mix of over 7,000 chemicals identified

7. Cigarette warning labels Individual cigarette warning labels

8. Cigars, Cigarillos, Little Filtered Cigars Large cigars can deliver as much as 10 times the nicotine, two times the tar, and more than five times the carbon monoxide of a filtered cigarette

9. Beedis Beedis or bidis (also biris ) are similar to unfiltered cigarettes, except that they are wrapped in leaves rather than paper. They originate from the Indian subcontinent.

10. Kreteks Kreteks are cigarettes made with a complex blend of tobacco, cloves and a flavoring 'sauce’. Traditionally Kreteks are unfiltered cigarettes of Indonesian origin

11. Roll-Your-Own (RYO) Roll-Your-Own (RYO) or hand-rolled cigarettes, are very popular particularly in European countries. These are prepared from loose tobacco, cigarette papers and filters all bought separately. They are usually much cheaper to make.

12. Kizami Kizami is a tobacco product produced in Japan and intended for smoking in Japanese kiseru pipes.

13. Mu'assel Mu'assel , shisha tobacco, hookah tobacco, or simply shisha is a somewhat moist form of tobacco that is mixed with glycerin and coagulated with molasses or other sticky sweeteners and has been popular in the Middle-East for centuries. It is often smoked with a hookah. Its names include ma’sal , tumbâk , and jurâk .

14. Hookah Tobacco (Shisha or Waterpipe Tobacco) A shisha is a smoking device that is made up of four parts: the head, body, bowl and hose. The smoker breathes in through the mouthpiece in the hose. Smoke is drawn from the head, down the body, through the water in the bowl and into the mouth 60 minutes of shisha use = 40-400 cigarettes S hisha smoke may yield over 30 times more carcinogenic tar than cigarette smoke and up to 15 times more carbon monoxide and 7 0% more nicotine than one cigarette

15. Tobacco pipe Pipe, is a device specifically made to smoke tobacco. It comprises a chamber (the bowl) for the tobacco from which a thin hollow stem (shank) emerges, ending in a mouthpiece. Pipe smoking is the oldest known traditional form of tobacco smoking.

16. Dokha Dokha is a tobacco of Iranian origin mixed with leaves, bark, and herbs. It is traditionally smoked in a midwakh . the amount of nicotine in dokha smoke exceeded those reported for cigarettes.

17. Flavored cigarettes, and cigars FDA has already banned cigarettes with certain kid-appealing flavors and it plans to propose tobacco product standards to ban menthol as a characterizing flavor in cigarettes and ban all flavors (including menthol) in cigars.

18. E-cigarettes (Electronic Nicotine Delivery Device (ENDS) E-Cigarettes is a vaping Device that functions through a battery. Its role is to derive power from battery and then heat up the e-liquid stored into an aerosol. This is later on inhaled and exhaled by the Vaper . E-cigarettes are the most commonly used tobacco product among youth. Non-combustible smoking products

19. Chemical anatomy of E-cigarette Effect of the heating process on aerosol composition Respir Res   22 , 151 (2021).

20. E-Cigarettes, Vapes, and Other Electronic Nicotine Delivery System (ENDS) Products Regulated components and parts of ENDS include: CTP - ENDS Components thumbnail E-liquids A glass or plastic vial container of e-liquid Cartridges Atomizers, the part of the ENDS that turns e-liquid into vapor for inhalation Cartomizers and clearomizers , which, similar to atomizers also deliver e-liquid in vapor form Certain batteries Digital display or lights to adjust settings Tank systems Drip tips or mouthpieces Flavorings for ENDS Programmable software

21. E-cigarettes vs Cigarettes Vaping is not completely risk-free, but it poses a small fraction of the risk of smoking cigarettes. The long-term risks of vaping are not yet clear. E-cigarettes do not produce tar or carbon monoxide, two of the most harmful elements in tobacco smoke. The liquid and vapour contain some potentially harmful chemicals also found in cigarette smoke, but at a much lower level. There's no evidence so far that vaping causes passive smoking (secondhand smoke) to other people around. The nicotine content of e-cigarettes typically varies between 3 and 36 mg/ml. Most recent generations of e-cigarettes contain up to 60 mg/ml). A 20mg/ml vape, with 40mg of nicotine, is therefore the equivalent of smoking one or two packs of 20 cigarettes

22. Constituents of E-cigarette aerosol

23. Types of e-cigarettes

24. Types of e-cigarettes

25. Vapes vs. E-cigarettes (Interchangeable terminology – E-cigarettes is commonly used for all) E-cigarettes are disposable devices that look similar to traditional cigarettes and consist of a one-piece unit for use until it runs out. Vape pen consist of a rechargeable battery and refillable tank. They can be used again and again, mix and match different parts and pieces, and continue to fill with e-liquid of choice.

26. E-cigarette as a quit smoking aid! E-cigarettes are not currently approved by the FDA as a quit smoking aid evidence is insufficient to recommend e-cigarettes for smoking cessation in adults, including pregnant adults A Cochrane Review found evidence from two randomized controlled trials that e-cigarettes with nicotine can help adults who smoke stop smoking in the long term compared with placebo (non-nicotine) e-cigarettes. However, there were limitations to the existing research, including the small number of trials, small sample sizes, and wide margins of error around the estimates. vaping products have been licensed as stop smoking medicines in the UK

27. Heated tobacco products Heated tobacco products (HTPs) are a relatively recent introduction also known as "heat-not-burn" products. the use of HTPs involves heating tobacco at a temperature lower than conventional, combustible cigarettes. Example: IQOS by Philip Morris

28. Difference between heated tobacco products and E-cigarettes Heated tobacco devices heat real tobacco within a specific temperature range, using an electronic heat-control system to prevent it from burning. By contrast, e-cigarettes vaporize an e-liquid solution containing nicotine and flavors when a user draws on it.

29. EVALI (E-cigarette- or vaping-use-associated lung injury) CDC: As of February 18, 2020, a total of 2,807 hospitalized EVALI cases or deaths have been reported to CDC from all 50 states, the District of Columbia, and two U.S. territories (Puerto Rico and U.S. Virgin Islands). Sixty-eight deaths have been confirmed in 29 states and the District of Columbia (as of February 18, 2020)

30. Dissolvable tobacco: The product consists of finely-processed tobacco which is developed in such a way as to allow the substance to dissolve on the tongue or in the mouth Chewing tobacco: Chewing is one of the oldest methods of consuming tobacco leaves. Native Americans in both North and South America chewed the fresh leaves of the tobacco plant, frequently mixed with lime. Smokeless tobacco

31. Smokeless tobacco health effects

32. Dissolvable Tobacco Products Most dissolvable tobacco products dissolve in your mouth and do not require spitting or discarding of the product

33. Chewing tobacco Western chewing tobacco: Modern American-style chewing tobacco (colloquially known as chew or chaw, especially in the American South and Midwest) is produced from cured and often fermented tobacco, usually dampened and mixed with some type of sweetener. Loose leaf Loose leaf: Pellets or  bits  consist of tobacco rolled into small pellets. Plug: M ade up of tobacco leaves that have been pressed together and bound by some type of sweetener, resulting in a dense, square tobacco mass. (Some compare the look of plug tobacco to a brownie or similar pastry.) Sticks Twist

34. Indian chewing tobacco Gutkha & Mava : mixture of betel nuts, tobacco, paraffin wax, catechu, and slaked lime. Tambaku paan : P aan leaf with tobacco. It contains many of the same ingredients as gutkha.

35. Iqmik : Iqmik is an Alaskan smokeless tobacco product used with punk ash. It is most common among natives. Nicotine is freebased with caustic ash and thus iqmik is more addicting and potent than regular chewing tobacco. Naswar : Naswar  is a type of smokeless tobacco popular in Afghanistan and surrounding countries. It is moist and powdered, and lime or juniper is added for flavor. Snuff: Snuff is a generic term for finely-ground smokeless tobacco products mostly used for nasal snuff. Snus: Snus is a type of smokeless tobacco originating from and popular in Sweden and other Scandinavian countries. It differs from moist snuff or chewing tobacco in that it is made from steam-cured tobacco leaves, rather than fire-cured ones.

36. Dipping tobacco A lso known as  dip ,  moist snuff , or  spit tobacco, chew  or  chaw, upper decker Cut sizes: Extra long cut Wide cut Long cut Mid cut Fine cut: Fine cut comes in granules slightly larger than sand or coffee grounds. Moist snuff: looks similar to dirt or sand in terms of granular size. Extremely small cut. Pouches: Pouches hold fine cut tobacco in a small teabag-like pouch for convenience. Pouches are typically about the same size, but one brand, Skoal, also offers a smaller pouch called Bandits.

37. Nicotine-only products Nicotine-only products consist of nicotine in the absence of tobacco, whether the nicotine contained in the product is extracted from tobacco plants or synthesized. Medicinal : Nicotine replacement therapy Recreational: e-liquid and nicotine pouches, as well as disposable or pre-filled nicotine vaporizers and nicotine toothpicks. Vapes and e-cigarettes are examples of nicotine-only products .

38. Thank You