PBH 101-Module 7A Lecture # 9.ppt
- 1. Introduction to Public Health Module # 7A Lecture # 9 Tobacco consumption/ smoking with impact and its prevention DR. SHAIKH ABDUS SALAM Dept. of Public Health North south University
- 2. By the end of this lecture you will be able to: o Conceptualize • The harmful effects of tobacco consumption. • Smoking behaviors. • planning & policies to control smoking tobacco o Understand the feasibilities of reducing manufacturing and consumption of tobacco in Bangladesh. OBJECTIVES OF THE LECTURE Dr. Shaikh Abdus Salam 1
- 3. Dr. Shaikh Abdus Salam Smoking and it’s impacts on health SMOKING AND IT’S IMPACTS ON HEALTH & SOCIETY
- 4. Tobacco History • Jean Nicot de Villemain introduces tobacco to France, promotes importation and cultivation (1556) • Chewed recreationally, used for ailments (e.g. headaches, colds) in Europe (1500s) • Tobacco becomes major cash crop of American colonies, spurring demand for slave labor (1600s)
- 5. Tobacco Dr. Shaikh Abdus Salam
- 6. Tobacco in Virginia Dr. Shaikh Abdus Salam
- 7. Advertising
- 8. Anti-Smoking Ad Campaigns Scare tactics
- 9. 9 There are over 4,000 chemicals in tobacco smoke Each puff on a cigarette delivers nicotine to your brain within a few seconds. However, the Nicotine levels in your blood drop quickly after your cigarette is done. After 20 or 30 minutes you may feel the urge to smoke again.
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- 13. Who are at risk to get Tobacco? Early adolescents age group Males are more prone Not going to school Related with tobacco trades Parents are tobacco consumers/traders Peer pressure Curiosity etc. Dr. Shaikh Abdus Salam
- 14. Dr. Shaikh Abdus Salam • Tobacco Smoking: The Deadliest Habit • Asbestos exposure • Family history • Recurring Inflammation of the lung • Carcinogens in the workplace • Marijuana use • Radon exposure • Indoor & Outdoor air pollution
- 15. Why tobacco is more addictive? The nicotine ( a deadly poison) is having the following effect on Nervous system : Decrease the anxiety/stress. Increase the concentration Increase the short term memory Arousal/ stimulate CNS Stabilizing the mood Control the daily emotion etc. Dr. Shaikh Abdus Salam
- 16. Bangladesh & Tobacco • Tobacco control is a complex issue in Bangladesh – Diverse types of tobacco products used – Large number of user – Tobacco producing country – Low income country with limited resource for tobacco control 16
- 17. Smoking Tobacco • Cigarette • Bidi • Hukkah 17
- 18. Smokeless Tobacco • Chewing tobacco – Zarda – Sada pata – Gul • Snuff – Nasshi 18 RM Davis, M.D.
- 19. Commercial Tobacco Contents 4000 Chemicals 40 Cancer causing agents 500 Poisons 19
- 20. Chemical Box: What’s in Tobacco? Tar: black sticky substance used to pave roads Nicotine: Insecticide Carbon Monoxide: Car exhaust Acetone: Finger nail polish remover Ammonia: Toilet Cleaner Cadmium: used batteries Ethanol: Alcohol Arsenic: Rat poison Butane: Lighter Fluid 20
- 21. Nicotine Poisonous More addictive than cocaine and heroine So powerful that farmers can’t use it to kill insects Legal addiction Use results in emotional dependence Mood leveler Users rely on it to control emotional responses to everyday life 21
- 22. Carbon Monoxide The compound in car exhaust that causes death Causes shortness of breath Reduces the amount of oxygen blood can carry 22
- 23. Tar Sticky Residue that stains the fingers and teeth. Contains benzopyrene, one of the deadliest cancer causing agents known. 23
- 24. Chemicals Acetone: fingernail polish remover Ammonia: floor/toilet cleaner Cadmium: batteries Arsenic: rat poison Methane: cow manure fumes Formaldehyde: preserver of dead bodies 24
- 26. What are the tobacco-relateddiseases that are contributingtoall these deaths? 26
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- 34. Arteriosclerosis & Atherosclerosis: 34 Healthy artery Damaged artery
- 36. Stroke: 36 This brain shows stroke damage, which can cause death or severe mental or physical disability
- 37. Emphysema: 37 Healthy lung Emphysematic lung Symptoms Include Shortness of breath Chronic cough Wheezing Anxiety Weight loss Ankle, feet and leg swelling fatigue
- 38. Lung Cancer: The uncontrolled growth of abnormal cells in one or both lungs 38 Lung cancer kills more people than any other type of cancer
- 39. Fetal Damage: 39 Fetal Smoking Syndrome: •Birth defects •Premature stillbirth •Low birthweight •Prone to Sudden Infant Death Syndrome •Lowered immune capacity
- 40. Dental Problems: Above:Cavities Below: Gingivitis Overall poor oral health Common Consequences: •Stained teeth •Gum inflammation •Black hairy tongue •Oral cancer •Delayed healing of the gums
- 41. Consequences of chewing tobacco: 41 Leukoplakia Oral cancer
- 42. When You Quit… Within One Year: Risk of coronary heart disease is half that of a smoker Within Two Years: Heart attack risk drops to near normal Within 5 Years: Lung cancer death rate for average pack-a-day smoker decreases by almost half Stroke risk is reduced Risk of mouth, throat and esophageal cancer is half that of a smoker 42
- 43. When You Quit… Within 10 Years: Lung cancer death rate is similar to that of a person who does not smoke. The pre-cancerous cells are replaced. Within 15 Years: Risk of coronary heart disease is the same as a person who has never smoked. 43
- 44. The Quit Plan: • Treat yourself well • Drink lots of water • Change your routines • Reduce stress • Deep breathing • Regular exercise • Do something enjoyable every day • Increase non-smoking social support • Other ideas? 44
- 45. Advertisement: Using beauty and fame to promote a dirty, devastating habit 45
- 46. Tobacco control Monitoring--- Who affected, How much affected, age group, types of tobacco products etc. Protection of Non smokers Warning Enforcement Support of addicts Tax increase for all tobacco products Source reduction Supply reduction Demand reduction Dr. Shaikh Abdus Salam
- 47. Smoke-free places in Bangladesh • Schools, day care center, hospitals are 100% smoke-free by law but universities, other public places can identify separate smoking area • 50 taka fine to smokers in public places; no fine for manager of places • Restaurants not included as public places but many restaurants, bus services, launch services declared as smoke-free voluntarily 47
- 48. 48 Declaration of smoking area in a rural market place Declaration of smoke free area in a rural school
- 49. Warn about the dangers of Tobacco • WNTD observed regularly through out the country • Billboards and no smoking signs are placed • Good media coverage of tobacco control activities (both extensive and supportive) in newspapers, radio, sometimes TV 49
- 50. Pack warnings • 30% of front and back surface • Six rotating warnings (only one warning at a time; warnings change each six months) • Black letters on white surface • Specific diseases mentioned • Huge improvement over earlier warnings—but still far from optimal 50
- 51. Indirect advertisement- 51 Point of sale Brand stretching
- 52. Raise taxes on tobacco • Low tax on cigarettes and bidis • Tax were increased in the last budget on cigarettes and bidi • Even lower tax on smokeless products 52
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- 55. Dr. Shaikh Abdus Salam This Photo by Unknown Author is licensed under CC BY-SA
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