0

SMOKING

Smoking is the
Biggest Of all
merchants of
deaths.

Smoki
ng
Colone
l
sander
s of
lady
nicotin
e

5000BC

Americas rst
cultivation of
Tobacco plant

1492

Columbus discovers
tobacco smoking &
takes it to Europe

Early 1500s

First introduced to
Egypt by Turks
Tobacco introduced to
China via
Japan/Philippines

1500 - 1600

1600

Spaniards & Portuguese

ships tobacco to East
Africa

1614

Tobacco is rst grown

commercially in
America

1650
Europeans grow tobacco in S Africa & used as
form of currency
1761 First study (John Hill), warns that snuff users risk
nasal cancer
1788

Tobacco arrived in Australia with the rst eet

1828

In Spain, cigarette smoking becomes popular

1833 Phosphorus stricken matches introduced in UK

commercially
1840 First woman to smoke publicly in France is
Chopins mistress
1847 Phillip Morris opens shop in England & sells hand
rolled cigs

1862 First federal tobacco tax introduced to

help nance war
1875
1881

R.J. Reynolds Tobacco Company founded

Invention of the cigarette machine

1900 China almost entirely penetrated by

foreign cigarettes

Total men who smoke: 1

billion
Total women who
smoke: 250 million
Total children exposed to
passive smoking at home :
40%
Total cigarettes smoked a
day: 15 billion
Total cigarettes sales by
BIG 5: 108.2$

What makes People

Smoke
Causes..

Roll No: O6

Reasons for Smoking

Different
People give
different
opinions
regarding
why people
smoke.

Some of the Reasons

It is soothing..

Smokes under depression..

For time pass and many

more..

Its
become
fashion.
.

Smoking cigarette
has become a life
style. People
consider it as part of
fashion

To look
mature.
.

While few try to look

mature, which is a
major cause of
smoking among
youth

To calm
down and
relax..

After a hectic day

people smoke to
relax themselves

Under
depressio
n..

Depression often
leads to smoking
and also to some
other drugs

Children
see
children
do..

Children adopt what

they see, they try to
copy their adults

Copy
movie
stars..

While few try to

copy their favorite
stars, leading them
to smoke addiction

Another reason is
that cigarettes are
Cheap and
so cheap and easily
easily
available.. available and almost
anyone can afford
them

Roll # 33

Impact of smoking on human

health
There's hardly a part of the human body that's not affected by the chemicals in the cigarettes you
smoke. Let's take a tour of your body to look at how smoking affects it.

STARTING AT THE TOP

As a smoker, you're at risk for cancer of the mouth. Tobacco smoke can also cause gum disease,
tooth decay and bad breath. The teeth become unsightly and yellow. Smokers may experience
frequent headaches. And lack of oxygen and narrowed blood vessels to the brain can lead to
strokes.

LUNGS AND BRONCHI

A. Smokers have a limited
sense of smell.
B. Both active and passive
smokers are at a greater risk of
developing chest infections.
C. Smokers are at greater risk
of developing cancer,
especially in the throat, lungs.
D. People with asthma who are
exposed to smoke may
experience signicant
worsening of their condition.

Normal lungs
Effected lungs

Smoking and the Heart

Smoking accelerates the

process of atherosclerosis,
or the buildup of fatty
deposits and cholesterol in
the arteries. Each time a
person smokes a cigarette,
the blood vessels become
sticky from the chemicals in
the tobacco smoke and this
leads to fat collecting and
sticking to the artery walls.
Most of the other
cardiovascular diseases and
coronary heart diseases are
caused by the progression of
atherosclerosis.

Likewise, smoking also

increases blood pressure
and the heart rate, which
means that the body will need
more oxygen. The heart will
have to work faster to obtain
the necessary oxygen, which
is in poor supply due to the
effects of the carbon
monoxide from the tobacco
smoke and this will therefore
lead to stress on the heart,
which could cause angina or a
sudden heart attack.

Other risks caused by

smoking
Smoking causes an acid taste in the mouth
and contributes to the development of ulcers in the stomach.

Smoking raises blood pressure, which can

cause hypertension (high blood pressure)
- a risk factor for heart attacks and stroke.

Smoking and skin

A single cigarette can reduce the blood supply to your skin for over an
hour.

Smoking also affects your looks: smokers have paler skin and more
wrinkles. This is because smoking reduces the blood supply to the skin and
lowers levels of vitamin A.

Impact of smoking on the

environment
Passive smokers
Denition:
Passivesmoking refers to the smoke that nonsmokersare breathing in from activesmokers.

Views of people
Professor of public health, Simon Chapman recalls a 52
year old woman who told him:
Give the smoking kills line a rest. Ive smoked
for thirty years. I have emphysema. I am virtually
housebound. I get exhausted walking more than a few
metres. I have urinary incontinence, and because I
cant move quickly to the toilet, I wet myself and smell.
I cant bear the embarrassment, so I stay isolated at
home. Smoking has ruined my life. You should start
telling people about the living hell smoking causes
while youre still alive, not just that it kills you.
A bank manager Maggie Kirby (a former smoker) says:
"Looking back on my life when I was a smoker, I can see that cigarettes truly controlled me. I
didn't go anywhere or do anything without my cigarettes, a lighter, and a plan for how I
was going to t smoking into my activities.Now that I am smoke-free I realize that smoking
impacted everything from my overall health to my daily activities, and even my
relationships. By not smoking, I now can enjoy all aspects of my life so much more."

Roll # 44

Ways of dealing
with Smoking
Give up cigarette smoking
Stop Smoking
Smoking Cessation

Why do people
Smoke
According to the
survey of WHO,
most of the people
say that they
smoke to relief
from
the
tensions

Islamic View Point

The holy book of Islam, the
Quran,
does not specically prohibit or
denounce smoking, but gives
behavioral guidance:
Don't throw yourself into danger
by your own hands...
(elBakara 2/195)

Smoking Cessation
is not an easy task

Its a psychological habit and

a physical addiction
Nicotine in cigarettes is every
bit as addictive as heroin or
cocaine.

Reasons to quit

The smoker wishes to prevent any

more harm to his family,
His health is deteriorating and he needs to quit to prevent any
more damage to his health.

Steps to Quit Smoking

Start your stop smoking plan
w i t h S TA RT
S = Set a quit date.

T = Te l l f a m i l y, f r i e n d s , a n d c o w o r ke r s t h a t y o u p l a n t o q u i t .

A = Anticipate and plan for the

challenges you'll face while
quitting.

R = Remove cigarettes and

other tobacco products from
y o u r h o m e , c a r, a n d w o r k .

T = Ta l k t o y o u r d o c t o r a b o u t
getting help to quit.

TREATMENTS TO QUIT
SMOKING
Nicotine replacement therapies:

Nicotine Gum
Nicotine Inhaler
Nicotine nasal spray
nicotine Patch
Electronic Cigarette

Treatments to Quit

Prescription
Medicine
Zyban
Chantix

Alternative
Therapies:
hypnosis

U
P
P
O
R
T
T
H
E
R
A
P
Y

 Most patients who do quit smoking have to try

several times
stop smoking tries X 5% chance
= % chance of making it
e.g.
4 X 5% = 20% chance

Ways to Reduce the

Smoking Problem
Increase in Smoking tax

Measures to Reduce the Smoking

Problem
Public
smoking
prohibition
Commercial
ban

Health
Warnin
gs

Ways to Reduce the Smoking

Problem

Ban of smoking in movies

and TV

Measures to reduce Smoking

Display of
pictures and case
study of people
who suffered
from effects at
public places and
forums.

 Health conferences at schools,

colleges and offices for anti tobacco
campaign informing facts about
tobacco.

Stop Smoking
Now is always a good time to stop
smoking

Global Smoking
Statistics
A third of the male
adult global population
smokes

Smoking relateddiseases kill one in 10

adults
Every eight seconds,
someone dies from
smoking

In the developing world,

smoking is rising by
3.4% per year

About 15 billion
cigarettes are sold daily

Causes more than one

in ve American deaths

Global Smoking
Statistics
About 13 million adults
in the UK smoke
cigarettes
12 times more British
people have died from
smoking than from
World War II.
In UK, Smoking is
highest among those
aged 20-34
About 13 million adults
in the UK smoke

Figure 6.2: Prevalence of cigarette smoking by age, persons aged 16 and over,1974
Great Britain, 1974-2009
1986
1994

60

2004

% smoking
50

2005
2007

40

2008
2009

30
20
Smoking data weighted after 1998

10
0

1619

2024

2534

3549

Age group

5059

60+

All aged 16+

Smoking in
Youth
About one in ve aged
from 13 to 15, smokes

Between 80,000 to
100,000 children start
smoking every day

Figure 6.7: Percentage of children smoking regularly by age, England, 2009

18

16

16
Boys

Girls

15

Children

14

14
12

10

10
% smoking

7
6

2
0

1 1 1
0 11
0 0

12

13

14
Age

15

11-15

Rank of the
Countries by
Smoking
Ranking

Country

Number of cigarettes
per adult per year

Greece

3,017

Slovenia

2,537

Ukraine

2,526

Bulgaria

2,437

Czech Republic

2,368

39

United States

1,196

65

United Kingdom

790

91

Pakistan

116

India

391

99

Smoking in
Pakistan
19 percent of adults
(18+) smoke

32 percent of men
and 6 percent of
women smoke
Each year, 60,000
people die from
smoking-related
diseases

Diseases Caused by
Smoking
causes about 90% of
lung cancer deaths in
men and almost 80% in
women
171,900 new cases of
lung cancer occurred,
157,200 died
31,900 new cases of
kidney cancerwere
diagnosed, 11,900 died
22,400 new cases
ofstomach cancerwere
diagnosed, 12,100 died

Different agencies
and governmental
bodies e.g. ministries
of health working on
issue of smoking

Columbus introduced the

concept of smoking to red
Indians many centuries back

Stop smoking
otherwise I
will beat you
with this stick

Rollin kerb banned

smoking in Mexico for
the very first time

Stop smoking
you
f0o0o0oo0ls!!
!!!

Any person
smoking or
chewing tobacco
is not even
allowed to enter
in the porch way
of church

Restlessness in 1900s and

smoking

And then he smoked

And then he smoked!!!!!

Situation now a

GOVT. acts
In most of states of
USA smoking is banned
by governments
People are not allowed
to smoke in hospitals
clinics and working
places

In

Role of agencies
NCBI has struggled to
put ban on smoking at
sensitive places

GOVT. acts
Bans put by
Ireland, Italy and
Norway

Roles of agencies
Work of
EPHA
ENSP
European
respiratory society

In
EUROPE

GOVT. act
The occupational
health and safety
policy 1991

In

Role of agencies
Popular agency ASH
helps government
and ensure
environmental
safety

GOVT. act
Smoking is allowed

Role of agencies
No such agency to
put ban on smoking
Only media acts as
watch dog

In
CHINA

GOVT. act
act
GOVT.
Smoking policy
policy
Smoking
act 2003
2003
act

Role of agencies
Pakistan anti
tobacco coalition

In
PAKISTAN

WORLD SMOKING
DAY
Celebrated on 31st
may

Smokey
thank
you

Government Intervention
Zaroon Khalid
Roll no: 018

Law and Justice Commission of Pakistan (LJCP)

NO Smoking
In public
Places

Cigarette ads
Banned
No ads and
commercial
s

Ordinance and
Legislations
No sale of
No sale of

cigarette to people
under the age of
18

cigarette near
educational

institute

Implementation of
these laws
Authority to
Police
Fine on
Smoking

Failure of government
to discourage Smoking
No awareness
Lack of recreational factors
Disregard and disrespect for
rules
implementing the anti-smoking
law have not been properly
publicized
Electronic Media

What should
Government do to to
reduce
smoking
Should Publicize
properly
Make Specic places
for smokers
Should write the
warning on cigarette
pack

Diseases caused by smoking (rounded fig

Numbers of cigarettes per day

by people of different age
group

Statistics of people who

stopped smoking

ws of people about smoking

Yukh! Stop
smoking

Any Burning Question