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1 PAPP.ECHOES.COM EDUCATING CHILDREN ON EFFECTS OF SMOKING COMMITMENT

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5 ETS: Environmental Tobacco Smoke SHS: Second hand smoke THS: Third hand smoke

6 STATISTICS TOBACCO FACTS SECOND HAND SMOKE THIRD HAND SMOKE HEALTH RISKS OF SMOKING LOCAL DATA TIPS FOR PARENTS / CAREGIVERS

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8 Global Tobacco Use and Exposure 1.1 billion people smoke worldwide 80% live in low- and middle-income countries (LMIC) 48% of all men and 10% of all women: active smokers 80k-100k youth become addicted each day 1 in 3 will die from a tobacco related disease Worldwide: leading cause of preventable dse Estimated 5.4 million deaths/year due to tobacco use.. + >600,000 from 2 nd hand smoke exposure 10 Filipinos die / hour due to tobacco-related diseases World Health Organization,

9 Tobacco use / exposure is growing in countries already burdened by high rates of preventable deaths Graphic Source:

10 75 50 % Deaths, by broad cause group and WHO Region, 2000 Noncommunicable conditions Injuries Communicable diseases, maternal and perinatal conditions and nutritional deficiencies 25 AFR EMR SEAR WPR AMR EUR

11 ADOLESCENT SHS EXPOSURE 56% of year olds in low & middle income countries are exposed to SHS SHS exposure strongly associated with youth s own tobacco use Xi et al, Tobacco use and second-hand smoke exposure in young adolescents aged years: data from 68 low-income and middle-income countries. The Lancet Global Health, Volume 4, Issue 11, Pages e795-e805 (November 2016) Copyright 2016 The Author(s). Published by Elsevier Ltd

12 2015 Global Youth Tobacco Survey ( Philippines) (school based survey, ages years old)

13 Tobacco use is a PEDIATRIC DISEASE 80-90% of smokers initiate use before 18 y/o

14 Every 8 secs: someone in the world dies 2 tobacco related illness/dse Smoking: No. 1 preventable cause of premature death in the U.S On average, smokers die nearly 7 yrs earlier than nonsmokers. Smoking is responsible for 1 out of 5 American deaths

15 In the U.S., smoking kills more than cocaine, heroine, alcohol, fire automobile accidents, homicides, suicides, & AIDS combined Most adult smokers started when they were preteens or teenagers Smoking habits in youth: determine lifetime cigarette consumption Passive smoking: major cause of morbidity in early childhood

16 A plant that has been smoked in many forms for at least 2,000 years

17 NO FORM OF TOBACCO IS SAFE!!! NOT CIGARETTES, NOT CIGARS, NOT CHEWING TOBACCO NOR PIPES. THEY ARE ALL DANGEROUS BECAUSE THEY ALL CONTAIN CHEMICALS THAT KILL!!!

18 Tar gives cigarettes flavor = thick black substance used to pave roads & driveways Formaldehyde = used to preserve dead animals, like frogs dissected in biology classes Cyanide = main ingredient in rat poison Lead = found in some paint

19 Acetone = ingredient in paint & nail polish remover Ammonia = component of household cleaner Carbon monoxide = common pollutant & the same chemical that escapes from the exhaust in cars Hydrazine = chemical used in jets & rocket fuel

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23 Environmental Tobacco Smoke (ETS) or passive smoke, mixture of 2 forms of smoke from burning tobacco products: SIDESTREAM SMOKE : smoke from the end of a lighted cigarette, pipe, or cigar MAINSTREAM SMOKE : smoke exhaled by a smoker

24 INVOLUNTARY / PASSIVE SMOKING : Exposure of a nonsmoker to a secondhand smoking by a smoker Nonsmokers: at risk of absorbing nicotine & other toxic chemicals just as smokers The > the exposure to SHS, the > the level of these harmful chemicals in your body

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26 kills about 3,000 non-smokers each year from lung CA Causes 300,000 lung infections (like pneumonia and bronchitis) in babies & young children each year causes babies to be at risk for SIDS (Sudden Infant Death Syndrome)

27 causes 30x as many lung CA deaths as all the dif kinds of pollution combined causes wheezing, coughing, colds, earaches & asthma attacks fills the air with many of the same poisons found in the air around toxic waste dumps ruins the smell & taste of food causes reddening, itching & watering of eyes

28 SHS: causes premature death & dse in children & adults who do not smoke. Smoking by parents causes respiratory sxs & slows lung growth in their children. Exposure of adults to SHS has immediate adverse effects on the cardiovascular system & causes coronary heart dse & lung CA The 2006 US Surgeon General's Report.

29 There is no risk-free level of exposure to SHS Eliminating smoking in indoor spaces fully protects nonsmokers from exposure to SHS Separating smokers from nonsmokers, cleaning the air, and ventilating buildings cannot eliminate exposures of nonsmokers to SHS The 2006 US Surgeon General's Report.

30 Asthma Otitis media Fire related injuries Peer influence to start smoking Sudden Infant Death Syndrome Bronchiolitis Childhood Adolescence Infancy Nicotine addiction In utero Adulthood Low birth weight Stillbirth Developmental Problems Cancer Cardiovascular disease COPD

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32 Third Hand Smoke Exposure occurs via: inhalation of gases and re-suspended particles dermal absorption from contact ingestion of dust

33 Residual nicotine & other pollutants that stick to surfaces, clothing & objects Stays for several weeks to months Smoking Rooms = Toxic Rooms

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36 Coronary Heart Disease Peripheral Vascular Dse Aortic Aneurysm High Blood Pressure High Cholesterol Level Lung CA CA of the Mouth, Throat, Voice Box CA of the Pancreas, Kidneys, Urinary Bladder Chronic Bronchitis, Emphysema, COPD Common Colds, Pneumonia, Influenza Peptic Ulcer, Chronic Bowel Disease Tooth Decay, Gum Disease Osteoporosis, Thyroid Problem Cataract, Sleep Problem

37 Athletic Performance Circulation in Fingers & Toes Discoloration of Fingernails & Toenails Bad breath & Wrinkles

38 PEERS YOU, PARENTS PARENTS have more influence on their teens than they may have realized - Pediatrics Vol. 108, No.6 :

39 Teenage smoking: pervasive problem in our society >4,000 teens will try their 1 st cigarette today >2,000 kids become new regular, daily smokers pressure to experiment with tobacco: from friends & peers Smoking adults: models for children & teens

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41 The chances are high that Filipino children aged 11 to 16 have already tried smoking cigarettes. The probability that a child has already lighted his 1 st stick is even greater when members of his family are smoking, too.

42 Majority of the students: started smoking in their early teens. 1/3 (29.6%) aged 10 to 20 y/o admitted that they have tried smoking 18.8% current smokers, with 4.7% smoking at least 1 stick of cigarette / day. Of the current smokers, 62.7% are in private schools. Youth Tobacco Survey, ACCP (Philippine Chapter)

43 PHILIPPINE LOCAL DATA : 40% adolescents boys smoke; most began in their early teens. Another 6% were former smokers no national laws prohibiting minors from buying cigarettes Tobacco use will drain nearly 20% of household income of smokers' families Many vendors of cigarettes are children. WHO-Regional Office of the Western Pacific

44 Establish a good communication with your child early Discuss other sensitive topics in a way that doesn't make your child fear punishment or judgment Emphasize what your child does right rather than wrong. Self-confidence is your child's best protection against peer pressure

45 Encourage your child to get involved in activities that prohibit smoking, such as sports Show your child that you value his or her opinions & ideas Keep talking to your child about it over the years

46 Ask your child what he or she finds appealing - or unappealing - about smoking. Be a patient listener Read, watch television, and go to the movies with your child. Compare media images with what happens in reality

47 Discuss ways to respond to peer pressure to smoke. Your child may feel confident simply saying "no. Offer your child alternative responses such as "It will make my clothes and breath smell bad" or "I hate the way it makes me look. Encourage your child to walk away from friends who don't recognize or respect his or her reasons for not smoking

48 Explain how much smoking governs the daily life of kids who start doing it. How do they afford cigarettes? How do they have money to pay for other things they want? How does it affect their friendships? Establish firm rules that include smoking & chewing tobacco from your house & explain why Smokers smell bad, look bad, & feel bad, and it's bad for everyone's health

49 Tobacco companies are among the richest and most powerful in the world!!!

50 About 90% of smokers start by the time they are 18. The companies know that if they don't get kids to light up while they are young, they most likely never will. Children are so important to the tobacco industry that they've done research on them using hidden cameras, interviews, and psychological tests to find ways to get them to smoke.

51 They pay store owners to keep tobacco products on or in front of the counter, so that they are easy for kids to get. They pay actors, and actresses to smoke on the screen. The companies trick kids into thinking that smoking is cool and that most people light up.

52 They provide kids with promotional items like lighters, hats, and shirts. Their advertisements are directed to kids and can be found everywhere...in magazines, street corners, inside stores and on their windows. They contribute large sums of money to our legislators.

53 Our ultimate goal should be to find a way to prevent our CHILDREN from ever picking up the habit the dreaded SMOKING HABIT!!!

54 ot 1 UFF VeR

55 If a popular kid offers your child a cigarette, the child might think that he will become popular if he does what the other kid says. When a close friend starts smoking, your child may worry that he will lose the friendship if he turns him down.

56 Ang maling ginagawa ng nakakatanda ay nagiging tama sa mata ng bata

57 Explain to your kid that if a friend or peer tries to pressure him He may be trying to make you feel small, so that he can feel better about himself. You don't need his approval to feel good about yourself. He may be afraid of anyone who is different from him. You can listen to what he has to say, but that doesn't mean you have to agree with him.

58 Deep down, he may be insecure. He could be making up rules so that he fits and you don't. Know that there are people who will appreciate you for who you are. Seek them out. He could be afraid of criticism, so he'll do the criticizing first. It's better to be alone than to be with someone who is rude to you all the time.

59 MY I KNOW PARENTS SOMEONE WOULD WHO GROUND DIED FROM ME SMOKING, IF I COME AND I HOME DON T WANT TO SMELLING DO IT I M ALLERGIC THE SMELL TO OF SMOKE SMOKING MAKES ME SICK AND I DON T WANT TO I SMELL DON T LIKE WANT TO START THAT BECAUSE I M TRYING TO GET MY PARENTS TO QUIT

60 Corinthians 6: Your body is a temple of the Holy Spirit who is in you, therefore glorify God in your body.

61 Your health is your best asset Protect your life from painful tobacco related diseases Live a healthy and happy life and just say no to smoking

62 Keep busy doing things that make it hard to smoke Fight the urge by going to places where smoking isn t allowed and staying around people who don t smoke Avoid situations that tempt you to smoke Find a substitute to reach for instead of a cigarette

63 Don t give up if you smoke a cigarette. Just resolve not to do it again Remind yourself that you re likely to feel better if you stop smoking Tell family members & friends that you need to quit smoking & need their support

64 20 mins after quitting: heart rate & BP drop EFFECT OF SMOKING ON ARTERIAL STIFFNESS & PULSE P APPLICATION, 2003 HYPERTENSION : 41: hrs after quitting: carbon monoxide level in the blood drops to normal US SURGEON GENERAL S REPORT, 19 2 wks - 3 mons. after quitting: circulation improves & lung function increases. US SURGEON GENERAL S REPORT, 199

65 1-9 mos. after quitting: Coughing & shortness of breath ; cilia (tiny hair-like structures that move mucus out of the lungs) regain normal fxn in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection. US SURGEON GENERAL S REPORT, yr after quitting: The excess risk of coronary heart disease is ½ that of a smoker's. US SURGEON GENERAL S REPORT, 1990

66 5-15 yrs after quitting: stroke risk is to that of a nonsmoker 10 yrs after quitting: lung cancer death rate is about ½ that of a continuing smoker's. risk of cancer of the mouth, throat, esophagus, bladder, cervix, and pancreas 15 yrs after quitting: risk of coronary heart disease is that of a nonsmoker s US SURGEON GENERAL S REPORT, 1

67 Thank You

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