TOBACCO, RISKS OF USE AND CANCER...Tobacco use causes many types of \ ancer, including cancer of the...
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TOBACCO, RISKS OF USE AND CANCER Columbia University Medical Center Herbert Irving Comprehensive Cancer Center Community Outreach and Engagement Program
Transcript of TOBACCO, RISKS OF USE AND CANCER...Tobacco use causes many types of \ ancer, including cancer of the...
TOBACCO, RISKS OF USEAND CANCER
Columbia University Medical CenterHerbert Irving Comprehensive Cancer Center
Community Outreach and Engagement Program
We will be talking about:
• Tobacco• Different types of tobacco products
• Smoked• Smokeless• Dissolvables• Vape
• What is in tobacco products?• What harm can tobacco products do to your body• Where to get help to quit smoking
What is Tobacco?
Tobacco Plant Drying Tobacco Leaves Chopped TobaccoLeaves
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Tobacco is a plant grown for its leaves, which are dried and fermented before being put in tobacco products. Tobacco contains nicotine, an ingredient that can lead to addiction, which is why so many people who use tobacco find it difficult to quit. There are also many other potentially harmful chemicals found in tobacco or created by burning it. Tobacco use causes many types of cancer, including cancer of the lung, larynx (voice box), mouth, esophagus, throat, bladder, kidney, liver, stomach, pancreas, colon and rectum, and cervix, as well as acute myeloid leukemia. People who use smokeless tobacco (snuff or chewing tobacco) have increased risks of cancers of the mouth, esophagus, and pancreas. Nearly 9 out of 10 cigarette smokers first try cigarette smoking by age 18, and 98% first try smoking by age 26.1
Smoked Tobacco Products
Cigarettes
Bidis
Cigars/Cigarrillos Pipe
Kreteks Hookah
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Kreteks –’cray-a-teks” – cigarettes with tobacco and cloves Bidis – from India- higher in nicotine than cigarettes
What is in a Cigarette?
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There are approximately 600 ingredients in cigarettes. When burned, cigarettes create more than 7,000 chemicals. At least 69 of these chemicals are known to cause cancer, and many are toxic. Many of these chemicals also are found in consumer products, but these products have warning labels—such as rat poison packaging. While the public is warned about the danger of the poisons in these products, there is no such warning for the toxins in tobacco smoke. American lung association
What Does Smoking do to Your Body?
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Image source: cdc
What does smoking do to your lungs?
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http://www.rogersv.com/blog/smokers-lungs-vs-healthy-lungs/ Smokers' lungs are black. The black color is because every time you inhale a cigarette, it deposits tar in your lungs. Over time and after smoking lots of cigarettes every day, enough tar deposits build up inside the bronchioles until it is distributed throughout the entire lungs. Cigarette smoke contains many chemicals that harm your respiratory system. These chemicals inflame the lungs and can lead to the overproduction of mucus. Because of this, smokers are at an increased risk for smoker's cough, bronchitis, and infectious diseases such as pneumonia.
Secondhand Smoke• Secondhand smoke is smoke inhaled involuntarily from
tobacco being smoked by others
• Many health problems in infants and children are caused by secondhand smoke
• Wheezing and coughing are more common in children who breathe secondhand smoke
• Asthma attacks can be triggered in a child who breathes secondhand smoke
• Ear infections are more common in children whose parents smoke around them
• Some of the health conditions caused by secondhand smoke in adults include coronary heart disease, stroke, and lung cancer
Smoking During Pregnancy• Smoking during pregnancy
increases the risk for pregnancy complications
• Babies of smokers • can be born too early and too
small• can have birth defects • Be born with damage in the
development of babies’ brain and lungs
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Smoking during pregnancy increases the risk of health problems for developing babies, including preterm birth, low birth weight, and birth defects of the mouth and lip. ... Nicotine is a health danger for pregnant women and developing babies and can damage a developing baby's brain and lungs. CDC Complications with the mother and baby-
What is Hookah or Water Pipe?
• A hookah is a water pipe
• Hookah is also known also known as a narghile, shisha or goza
• The hookah pipe tobacco has the same chemicals and is as unsafe as cigarettes
• The water in the hookah does not filter out the toxic ingredients in the tobacco smoke
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Hookah smoking is not safer than cigarette smoking. Also known as a narghile, shisha or goza, a hookah is a water pipe with a smoke chamber, a bowl, a pipe and a hose. Specially made tobacco is heated, and the smoke passes through water and is then drawn through a rubber hose to a mouthpiece. The tobacco is no less toxic in a hookah pipe than in a cigarette, and the water in the hookah does not filter out the toxic ingredients in the tobacco smoke. Hookah smokers may actually inhale more tobacco smoke than cigarette smokers do because of the large volume of smoke they inhale in one smoking session, which can last as long as 60 minutes. MAYO CLINIC
BECAUSE: • One session of hookah pipe smoking lasts about 45 minutes to
an hour (while a cigarette last just a few minutes)• During that time hookah users may breathe in as much smoke
as a cigarette smoker would from 100 or more cigarettes
Why is Hookah use dangerous?Hookah smoking increases the riskof:
Women and Men:• Have decreased fertility• Can get herpes, hepatitis and
tuberculosis (from sharing the samemouthpiece)
Babies: • Born to women who smoke hookahs
are more likely to have a low birth weight and breathing problems
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Image source: http://www.2pointcontact.com/news/health-effects-of-smoking-a-hookah-or-shisha.html
What are E-Cigarettes?• E-cigarettes are electronic devices that heat a liquid and produce vapor or
a mist of small particles in the air• E-cigarettes come in many shapes and sizes. Most have a battery, a
heating element, and a place to hold a liquid• Using an e-cigarette is sometimes called vaping• Some e-cigarettes look like regular cigarettes, cigars, or pipes. Some look
like USB flash drives, pens, and other everyday items
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Image source: https://www.health.state.mn.us/ecigarettes
What is in E-Cigarette Vapor?
:
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Image source: https://publichealthinsider.com/2018/08/28/not-just-water-vapor-why-e-cigarettes-are-so-dangerous/
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Image source: MD Anderson Cancer Center https://www.mdanderson.org/publications/focused-on-health/is-vaping-safe-.h19-1592202.html
E- Cigarettes Can Harm Children • Nicotine can harm the developing adolescent brain.
The brain keeps developing until about age 25
• Using nicotine in adolescence can harm the parts of the brain that control attention, learning, mood, and impulse control
• Using nicotine in adolescence may also increase risk for future addiction to other drugs
• The use of e-cigarettes is unsafe for kids, teens, and young adults
Smokeless Tobacco Products
Smokeless Chew Smokeless Moist Snuff(Snus)
Smokeless Dry Snuff
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Smokeless tobacco is tobacco that is not burned. It is also known as chewing tobacco, oral tobacco, spit or spitting tobacco, dip, chew, and snuff. (that is inhaled) Most people chew or suck (dip) the tobacco in their mouth and spit out the tobacco juices that build up, although “spitless” smokeless tobacco has also been developed. Nicotine in the tobacco is absorbed through the lining of the mouth.
Smokeless Tobacco Productsthat dissolve, or melt in your mouth
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Photo source CDC
What is in a smokeless tobacco product?
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Imag Smokeless tobacco products typically contain over 3000 constituents. Allsmokeless tobacco products contain nicotine and are therefore highly addictive.e source: https://www.tecc.org/product/name-your-poison/
Health risks of smokeless tobacco include:
Smokeless tobacco
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Make this smokeless
Holding smokeless tobacco in your mouth for 30 minutes gives you as much nicotine as smoking 3 cigarettes.
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Make this smokeless
What are the BENEFITS of
Quitting?
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Image source: yousense.info
What will Tobacco Treatment Programs Do For You?
• Give you with treatment options that work for you• Help you choose the best treatments• Give you ongoing support and motivation that you need to QUIT• Answer your questions• Help you to avoid starting again
Call the Tobacco Treatment Programat New York Presbyterian Hospital
Annery Polanco, B.SHealth Priorities SpecialistTel: 646-317-QUIT (7848)Email: [email protected] Web: [email protected]
Dr. Anny Eusebio (DNP, CTTS) Tobacco Treatment Nurse Practitioner Cell: 646-599-6740Email: [email protected]
YOUCAN
SM@KING!
Thank You!
WHAT ARE YOUR QUESTIONS?
This presentation was developed by:NEW YORK PRESBYTERIAN TOBACCO TREATMENT
PROGRAM
Annery Polanco, B.SDr. Anny Eusebio DNP, CTTS
Herbert Irving Comprehensive Cancer Center COE
Andria Reyes, MAKaren Schmitt, MA, BSN
Mary Beth Terry, PhD
