SUBSTANCE USE AND ABUSE-2Cardinal Ambrozic

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“GATEWAY DRUGS”: ALCOHOL AND TOBACCO

“Gateway Drugs” (Theory)

The concept of “gateway drugs” implies that the use of certain drugs (eg. alcohol, tobacco, cannabis) lead to the use of other harder drugs (eg. cocaine, heroin).

Tobacco and Alcohol are often the first two mood-altering (psychoactive) drugs that young people try or use.

There are reasons why these drugs are tried first:○ Availability – they are sold in many locations○ Affordability – they are relatively inexpensive○ Accessibility – they are not difficult to access

TOBACCO

Tobacco is the shredded, dried leaf of the tobacco plant which can be smoked in cigarettes, cigars, pipes, or chewed.

NICOTINE is the addictive substance/drug naturally found in tobacco.

Anatomy of a Cigarette Did You Know?? - There are over 4,000 chemicals in tobacco smoke and at least

40 of them are known to be carcinogenic (cancer-causing).

Disturbing Facts & Findings:

In Canada, the average age at which a person smokes his/her first cigarette is now 13 yrs.

The percentage of students who smoke increases significantly from Gr.7-12 (eg. daily use in Ontario ranges from 3% in Gr.7 to 22% in Gr.12).

Smokers are more likely to lose all their natural teeth, have remaining teeth that are decayed, and have serious gum disease.

More than 50% of adolescent smokers will die before age 70 and suffer a reduced quality of life due to their tobacco use

In Ontario alone, 44 people die daily as a direct result of smoking = 16, 000/year.

Disturbing Facts & Findings:

In Canada, tobacco companies are required by law to indicate directly on tobacco packages how much of each of the chemicals is found in tobacco emissions (the exhaled smoke).

No advertising of smoking is allowed by law.

Even with SO MUCH clear evidence, some teens are continuing to avoid the facts OR choosing to make bad decisions regarding smoking…WHY?

Why teens DO smoke:- ---

Why teens DO NOT smoke:- ---

Brainstorm…….

It is often said that: “Once You Start, It’s Hard to Stop”

Smoking is a hard habit to break because of the addictive nature of the nicotine in cigarettes.

The body and mind quickly become used to it and feel that they need it to function daily.

“Smoking is an ADDICTION”

Short-Term Health Effects of Smoking Tobacco

Smoking ONE cigarette causes: Increased heart rate & blood pressure Increased breathing rate Diarrhea (for some) Irritated throat and coughing (for some) Reduced fitness and athletic ability (affects lung

power) Smelly clothes and hair (smell of stale smoke

lingers) Smoker’s bad breath…….ewww….turn off!!

Long-Term Health Effects of Smoking Tobacco

Some of the major long-term risks of smoking are:

Cardiovascular Disease (heart attack, stroke) Respiratory Diseases (emphysema, bronchitis,

pneumonia) Cancer (lung, mouth, and throat) Dental Health Problems (loss of teeth, gum

disease) Fertility problems Osteoporosis (due to loss of bone density)

As an ADOLESCENT and/or an ATHLETE that smokes you can experience:

Bad SKIN: smoking restricts blood vessels, thus reducing oxygen and nutrients to the skin = pale/unhealthy/wrinkled.

Bad BREATH: smoker’s breath can develop into Halitosis (persistent bad breath).

Bad ODOUR: clothes, hair and skin often retain the smell of stale lingering smoke.

Bad TEETH & FINGERS: smoke can cause yellow & brown staining on teeth and hands.

Reduced ATHLETIC PERFORMANCE: shortness of breath and reduced lung power puts young smokers at a disadvantage.

Risk of INJURY & poor HEALING: common sports injuries to ligaments and tendons heal slower in smokers. Skin wounds also heal slowly.

Risk of ILLNESS: young smokers get more colds, flu, bronchitis & pneumonia due to reduced immune system function.

Bad NUTRITION: young smokers tend to eat non-nutritional meals which can lead to obesity and other health issues.

Benefits of Quitting reduced chances of developing heart

disease, lung cancer, breathing problems, and infections

increased quality and length of life

improved LOOKS (reduced wrinkles, reduced yellowing of fingers and teeth), BREATH, and sense of smell & taste.

increased overall energy and activity

increased $$$$ in your pocket

TAKE BACK CONTROL !!!!!

Quitting the Nasty Habit

Different approaches work for different people:

Quitting Cold Turkey

Gradually weaning off (cutting down slowly)

Joining Support Groups

Seeking Medical Assistance (Doctor)

Utilizing Gums and Patches (prescribed and over-the-counter)

WILL POWER…………

Second-Hand Smoke

Second-Hand Smoke = Environmental Tobacco

Smoke (ETS)= “Passive Smoking” = exhaled

smoke from a smoker, or from a smoldering cigarette is

inhaled by another person (non-smoker)

The known effects of ETS have lead to laws being passed that limit where people can smoke.

A person exposed to ETS is more likely to have respiratory problems (eg. coughing, phlegm).

ETS has been found to lead to heart disease in non-smokers and severely irritate people with allergies.

ALCOHOL

Alcohol is the product of fermenting or distilling various fruits, vegetables, or grains.

Why is alcohol considered a drug? Because it changes the way a person

thinks, feels, and acts.

Aside from caffeine, alcohol is the most used substance in Canada and around the world.

The effects of any alcoholic drink depend on the amount of ethyl alcohol consumed.

A standard drink contains the same amount of ethyl alcohol – 17 ml (0.6 oz) regardless of the type of beverage.

Each of these is equivalent to one standard drink:- Regular Beer (5%) – 340 mL (12 oz)- Wine (12%) – 142 mL (5 oz)- Spirits (40%) – 43 mL (1.5 oz)- Coolers (5%) – 340 mL (12 oz)

Just How Alcoholic Is It?

About 20% of the alcohol consumed is absorbed by the stomach and the remainder is absorbed through the small intestine.

2-10% of alcohol consumed escapes through lungs, kidneys and the skin.

The remainder of the alcohol is oxidized (broken down) by the liver.

Long-term alcohol abuse can lead to cirrhosis (scarring) of the liver.

BAC = the amount of alcohol in the bloodstream and is a measure of how much a person will be affected by the alcohol consumed.

BAC (level of intoxication) depends on: * amount of alcohol consumed at one time* size, gender, and age* rate of alcohol metabolism* circumstances in which alcohol is consumed

(eg. empty/full stomach or angry/depressed mood)* other substances (eg. drugs) used in conjunction

with alcohol

Blood-Alcohol Content (BAC)

The amount of alcohol in the breath is directly related to the amount of alcohol in the blood….thus a person’s BAC can be measured using a “Breathalyzer”.

BAC0.05 (50 mg alcohol/100 mL blood) (0.05 g alcohol/100 mL blood) - enforced legal limit in nearly all

provinces (except Quebec) = suspended license.

0.08 (80 mg alcohol/100 mL blood) - true legal limit (enforced limit in

Quebec) - above 0.08 = criminal offence

0.10 (100 mg/100 mL blood)

0.15-0.2 (150-200 mg/100mL blood)

0.4-0.6 (400-600 mg/100 mL blood) - fatal = alcohol blocks the brain’s

control of breathing- Alcohol Poisoning

Stages of Intoxication

http://www.mto.gov.on.ca/english/safety/impaired/penalties.shtml

Consequences of Drinking and Driving in Ontario

The drinking age is 19 years old in all provinces and territories, except for Quebec, Manitoba, and Alberta, where the age is 18 years old.

Selling alcohol to underage, intoxicated, or disruptive persons is prohibited.

Restaurants and bars must obtain a liquor license and follow the above regulations.

MADD is an organization that focuses not only on preventing drunk driving fatalities, but also on ceasing impaired driving of any kind.

MADD Canada has 70 chapters.

www.madd.ca• Each day in Canada there are ~4 deaths and ~190 injuries from crashes involving alcohol and drugs. • Each year, close to 75,000 Canadians have their lives changed in some way by impaired drivers.

Short-Term Health Effects of Alcohol Consumption

Alcohol is classified as a depressant. Its first effects

are to “depress” a persons system causing:

Initial relaxation, euphoria, loss of anxiety and care Impulsiveness Impaired co-ordination

Slower reaction time, reflexes, and mental processes

Changes in attitude – increased risk-taking to the point of bad judgments

Speech (slurring of words) and Vision (seeing double) impairment

Long-Term Health Effects of Alcohol Consumption

Some of the major long-term risks of alcohol are:

Dependence (Alcoholism) Liver Damage (Cirrhosis) Inflammation of the Stomach or Pancreas Heart Disease Cancer (certain types – eg. Stomach and

Intestine) Brain and Nerve Damage Sexual Difficulties – eg. suppression of sex

hormone production

Alcoholism (Alcohol Dependency Syndrome)

Signs of Alcoholism:

Drinking in large amounts over extended periods of time.

Neglecting daily activities due to drinking or obtaining alcohol.

Steady drinking, even in the absence of appearing to be drunk.

Withdrawal symptoms include: insomnia, vomiting, tremors, seizures, hallucinations…..or DEATH.

There are serious risks associated with drinking during pregnancy.

Fetal Alcohol Syndrome (FAS) – can result from exposing a fetus to alcohol

Children with FAS are known to have:Reduced growthMental disabilitiesFacial deformitiesLife-long problems

Fetal Alcohol Syndrome