1 Tobacco and Health Hazards by Kathleen Kiem Hoa Oey Kuntaraf, M.D., M.P.H. Associate Director for Prevention General Conference of Seventh-day Adventists 2 3 4 5 Maryland Study Joe Camel more recognizable to 6-year-olds They think he is cool & interesting 6 R. J. Reynold Discovered. Within 3 years of Joe Camel in advertisements Before Joe Camel - 0.5% smokers <18 years old used Camel brand After Joe Camel - 32.8% smoking youth use Camel brand Illegal sales to minors jumped from $6 million to $476 million 7 8 9 Tobacco Facts There are one billion smokers on the globe (350 million smokers in China) China smokes 1.7 trillion cigarettes per year (60-67% male & 4% female) Contents of Cigarette Smoke More than 4,800 chemicals in tobacco smoke 69 carcinogenic 300 Poisons (including nicotine, arsenic, radon, cyanide, phenol, DDT, asbestos, benzene, carbon monoxide, formaldehyde)
phenol, DDT, asbestos, benzene, carbon monoxide, formaldehyde) 10 Disastrous Chemicals in Cigarettes Nicotine Tar Carbon Monoxide 11 12 Nicotine is a Stimulant to the: Heart (releases catecholamine that raises blood pressure, heart rate & oxygen demand) Nervous System (binds central nicotinic cholinergic receptors in 7 -- activates neurohumoral pathways--releases hormones and neurotransmitters) 13 14 Carbon Monoxide: Decreased ability to carry oxygen Helps develop atherosclerosis 15 16 One package of cigarettes a day will shorten your life 140 minutes/day 51,100 minutes/year 35.49 days/year Impact of Smoking Smokers have more diseases than non-smokers It affects various parts of the body 17 A. Atherosclerosis Acute Myeloid Leukemia 18
19 20 21 22 23 24 OBSTRUCTION IN BLOOD VESSEL Atherosclerosis plus nicotine causes constriction of small arteries elevation of blood pressure aneurysm of the aorta (one pack/daysmokers = fatal aneurysms 4-5 times more frequently than non-smokers) 25 26 Obstruction in blood vessel Atherosclerosis plus nicotine causes constriction of small arteries elevation of blood pressure aneurysm of the aorta (one pack/day smokers = fatal aneurysms 4-5 times more frequently than non-smokers) circulatory deficiencies (Buerger and Raynaud diseases resulting in total blood loss and need for emergency amputation) 27 28 29 30 31 32 ABC S OF SMOKING S EFFECT B. Bronchitis
B. Bronchitis Baby Burn 33 34 35 Baby (1 cigarette increases FHR for 90 minutes) leading to Fetal Tobacco Syndrome 36 37 38 39 1995 Journal of Family Practice, reported that tobacco use is responsible yearly for: - 19,000 141,000 spontaneous abortions - 1,900 4,800 infant deaths due to perinatal or pre-birth disorders - 1,200 2,200 deaths from SIDS. 40 41 C. Cancer Cavities 42 43 Cancer is the 2 nd leading cause of death and is the first disease causally linked to smoking Lung, trachea, bronchus (90%) larynx (84%) oral cavity (lip, tongue, mouth, pharynx (92%) esophagus(78%) pancreas (29%) bladder(47%)
pancreas (29%) bladder(47%) kidney (48%) stomach and cervix 44 March 2001 US Surgeon General statement: When calling attention to public health problems, we must not misuse the word epidemic. But there is no better word to describe the 600 percent increase since 1950 in women s death rates for lung cancer, a disease primarily caused by cigarette smoking. Clearly, smoking-related disease among women is full blown epidemic. David Satcher, MD. PhD 45. Smokers have 3 TIMES MORE cavities than non-smokers 46 47 D. Dermis (smokers 40-49 years old wrinkled as non-smokers 20 years older due to formaldehyde) E. Emphysema (90% COPD is due to smoking) 48 49 50 51 52 F. Fear & foul breath G. Gingivitis (lose teeth at the rate 3 times more than nonsmokers)
(lose teeth at the rate 3 times more than nonsmokers) 53 H. Heart Attack Headaches 54 55 56 57 58 I. Infertility Immunity Influenza I. Infertility Female infertility (25% less fertile than non-smokers -- decreased female reproductive hormones & substance; menopause 1.0-1.7 earlier; premenstrual syndrome -irregular vaginal bleeding-requires hysterectomy) Male infertility (50% less in male fertility - decreased sperm counts; increased abnormal shaped sperm;decreased sperm mobility; erectile failure) 59 60 61 I. Immunity altered balance of T cells decreased NK cells Langerhans cells reduction (immune system in cervical epithelium) I. Influenza (Smokers suffer influenza 3 times more than non-smokers) PASSIVE SMOKERS
62 Most Common man-made pollution * side stream smoke * expelled mainstream smoke exhaled by smokers 63 64 65 Dr. Ruth Bonita (Professor Emeritus, University of Auckland, New Zealand) people who never smoked or had quit smoking for at least 10 years had twice the risk of getting a stroke if exposed to second hand smoke 66 67 2005 US Environmental Protection Agency Report? > 202,000 asthma episodes? 790,000 physician visits for otitis media? 430 Sudden Infant Death syndrome (SIDS) cases each year 68 69 Prevention is Better than Cessation Tobacco and Health Hazard