No Smoking

1. Tobacco-Kissing the Killer
Wellness@medimanage

2. Let’s talk about your life ?
Number of hours you sleep 8-5 hours/day
Hours at work (including travel time) 11-14 Hours/day
Time for self and family 6-5 Hours/day
Life expectancy difference between smokers and non smoker 6.5 years
How many time you lost to smoking 3 418 560/({cigarettes
smoked per day*365}x
smoking yearsx365)=Y

3. Tobacco use-Personal choice ?
Tobacco
Cigars
Bidi
Pipes
Zarda
Snuffs
Cigaret
tes
Khaini
Pan
Masala

4. • chemicals in tobacco smoke4000
• of them are known to be harmful250 (at least)
• are known to cause cancer in humans.>50
• children, or almost half of the world's total, breathe air polluted by
tobacco smoke. Over 40% of children have at least one smoking parent.700 million
• Of 600 000 premature deaths in children were attributable to second-
hand smoke (In 2004).31%
• smoke-free environments provide effective protection. Neither
ventilation nor filtration, even in combination, can reduce tobacco
smoke exposure indoors to levels that are considered acceptable.
Only 100%
Tobacco use-Personal choice ?

5. Tobacco use-Why we care ?
Pro Cons

6. The main ingredient in tobacco is Nicotiana (Nicotine)
Tobacco kills up to half of its users. Nearly 6 million people are killed each year. More than 5 million of those deaths are the
result of direct tobacco use
More than 600000 are the result of non-smokers being exposed to second-hand smoke
1 person dies every 6 seconds due to tobacco, accounting for one in 10 adult deaths
Annual death toll could rise to more than 8 million by 2030
Nearly 80% of the world's one billion smokers live in Asia
Lighter won’t make you light

7. Persons with psychiatric
conditions are twice as likely
to smoke; and smoke more
heavily than average smokers.
1 in 3 smokers are depressed
and smokes to self-medicate.
One third of male smokers
have an underlying alcohol
problem.
Not just matter of few puffs

8. Tobacco Impact-Risky Business
Coronary heart disease by 2 to 4 times.
Stroke by 2 to 4 times.
Men developing lung cancer by 23 times.
Women developing lung cancer by 13
times.
Dying from chronic obstructive lung
diseases by 12 to 13 times (such as chronic
bronchitis and emphysema).

9. How Nicotine controls you
Sympathomimetic
drug- (cheating
your Sympathy )
Releases catecholamines, increases heart rate and
cardiac contractility, constricts cutaneous and coronary
blood vessels, and transiently increases blood pressure.
Reduces sensitivity to insulin and may aggravate or
precipitate diabetes, and nicotine may contribute to
endothelial dysfunction.
Has stimulant effects reduces sedation from alcohol,
providing another motivation for tobacco use.
In chronic alcoholics, half of premature deaths are
attributable to cigarette smoking.

10. Nicotine is the only active agent that
has psychosomatic effect that tobacco
users experience. It’s a main habit
forming agent of tobacco.
Apart from nicotine there are 50 known
carcinogenic chemicals that can work at
the cell DNA level to cause cancers.
That’s why Nicotine gum
and Nicotine patch are
acceptable form of
treatment options for
smoke cessation.
Nicotine-Cheese in the trap

11. •Machismo: You are not timid or afraid. To be a grownup.
•Peer Pressure: To fit with the crowd (all my friends do it)
•Appear sophisticated or cool
•To assert your independence
•As a sign of protest, rebellion, or to defy authority
•Free samples from friends or advertisers
•Influences from people you respect and admire
Social conformity or Rebellion
•Parents or relatives smoked
•Images of famous actors, movie stars, or role models
Negative Influences
•To try to lose weight
•To calm your nerves
•As a kind of "air freshener" when using the toilet
Physiological dependency
So! Why You Started ?

12. Score
Strongly addicted (8 or more) Addicted (6 or 7) Mildly addicted (3-5)
Q6: Do you still smoke if you are so sick that you're in bed most of the day?
yes NO
Q5: Do you smoke more after waking up than during the rest of the day?
yes no
Q4: How many cigarettes do you smoke in a day?
10 or less 11-20 21-30 31 or more
Q3: Which cigarette would you most hate to give up?
the first one in morning any other one
Q2: Do you find it hard not to smoke in places where it is forbidden, such as in a cinema?
yes no
Q1: When do you smoke your first cigarette of the day?
within 5 minutes 6-30 minutes 31-60 minutes > 60 minutes after waking up
Fagerström test
You are addicted-Yes/No

13. • Announcing a quit date.
• Anticipating challenges and preparing.
• Move to tobacco free environment.
Cold Turkey
Consult a Specialist
• This therapy contains one-third to one-half the amount of nicotine which is found in
cigarettes. Helps manage withdrawal symptoms.
• Given in form of nicotine gums, patches, tablets, lozenges, nasal sprays and inhalers.
• Helps for smoker to reduce and gradually stop smoking.
• Kids are protected when stop smoking because they are not exposed to smoking.
• Reduces the chances of cancers.
Nicotine
Replacement
Therapy
Want to Mend Your Ways

14. Tobacco industry is largest employer of child labour.
Tobacco smoking kills
Tobacco exacerbates poverty
Tobacco contributes to world hunger by diverting prime land away from food production
Tobacco production damages the environment
Tobacco reduces economic productivity
While the Tobacco industry may employ people, this can be considered an example of “wasted labor”, capital and resources.
Still don’t care ?

15. • Diabetes panel
• Liver function test
• Lipid Profile
• Blood counts
• Renal Profile
• Lung function- PFT
• Cancer screening (Once every year)
Health
assessment
for smokers
Parting Advice