TOBACCO REGULATION ACT OF 2003

RA 9211
SMOKING-the action or habit of inhaling and exhaling the smoke of tobacco by sucking on the end of
a lit cigarette, cigar, pipe, etc.

 
The executive order, signed this week and made public on Thursday, forbids the use
of tobacco, including electronic cigarettes, in all public spaces, even sidewalks. It also
prohibits anyone under 18 from “using, selling or buying cigarettes or tobacco products.”May
18, 2017
Most people who smoke tobacco start
during their teenage years or as a young
adult. There are many reasons why a
person starts to smoke. For some teens,
it is a way to rebel against their parents.
Other teens may feel pressure from their
friends (peer pressure) and
begin smoking as a way to appear “cool”.
Why Do I Smoke and Why Do I Keep Smoking?
There are many reasons why a person starts to
smoke. For some teens, it is a way to rebel against
their parents. Other teens may feel pressure from
their friends (peer pressure) and begin smoking as
a way to appear “cool”. Some may be modeling a
parent’s or sibling’s behavior, and others believe it
is a way to relieve stress or boredom. Even if you
don’t think you are going to keep smoking, it is
very easy to get “hooked” or addicted because of
the nicotine found in all tobacco products.
Republic Act No. 9211, also known as the Tobacco Regulation Act of 2003, is an
omnibus law regulating smoking in public places, tobacco advertising, promotion and sponsorship,
and sales restrictions, among other requirements.Jul 13, 2020
The Tobacco Regulation Act bans smoking in public places such as schools and recreational
facilities, elevators and stairwells, hospitals, nursing homes, laboratories, public conveyances and
public facilities such as airports and ship terminals, train and bus stations, restaurants and conference
halls, with the ...
Dangerous chemicals in tobacco smoke
Highly damaging components of tobacco smoke include:
tar – is the word for the solid particles suspended in tobacco smoke. The particles contain chemicals,
including cancer-causing substances (carcinogens). Tar is sticky and brown, and stains teeth,
fingernails and lung tissue
carbon monoxide – is a poisonous gas. It is odourless and colourless and, in large doses, quickly
causes death because it takes the place of oxygen in the blood. In people who smoke, the carbon
monoxide in their blood makes it harder for oxygen to get to their organs and muscles
oxidizing chemicals – are highly reactive chemicals that can damage the heart muscles and blood
vessels of people who smoke. They react with cholesterol, leading to the build-up of fatty material on
artery walls. Their actions lead to heart disease, stroke and blood vessel disease
metals – tobacco smoke contains several metals that cause cancer, including arsenic, beryllium,
cadmium, chromium, cobalt, lead and nickel 
radioactive compounds – tobacco smoke contains radioactive compounds that are known to be
carcinogenic.
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• Effects of smoking on the respiratory system

• The effects of tobacco smoke on the respiratory system include:

 irritation of the trachea (windpipe) and larynx (voice box) 

 reduced lung function and breathlessness due to swelling and narrowing of the lung airways and
excess mucus in the lung passages 

 impairment of the lungs’ clearance system, leading to the build-up of poisonous substances, which
results in lung irritation and damage 

 increased risk of lung infection and symptoms such as coughing and wheezing 

 permanent damage to the air sacs of the lungs.

Effects of smoking on the circulatory system
The effects of tobacco smoke on the circulatory system include:
raised blood pressure and heart rate 
constriction (tightening) of blood vessels in the skin, resulting in a drop in skin temperature 
less oxygen carried by the blood during exercise 
‘stickier’ blood, which is more prone to clotting 
damage to the lining of the arteries, which is thought to be a contributing factor to atherosclerosis (the
build-up of fatty deposits on the artery walls)
reduced blood flow to extremities (fingers and toes) 
increased risk of stroke and heart attack due to blockages of the blood supply.
• Effects of smoking on the immune system

• The effects of tobacco smoke on the immune system include:

 greater susceptibility to infections such as pneumonia and

influenza 
 more severe and longer-lasting illnesses 
 lower levels of protective antioxidants (such as vitamin C),
• Effects of smoking on the musculoskeletal system

• The effects of tobacco smoke on the musculoskeletal system

include:

 tightening of certain muscles 

 reduced bone density.
• Effects of smoking on the sexual organs

• The effects of tobacco smoke on the male body include an increased risk for:

 lower sperm count 

 higher percentage of deformed sperm 
 genetic damage to sperm 
 impotence, which may be due to the effects of smoking on blood flow and damage to the blood vessels of the penis. 

• The effects of tobacco smoke on the female body include: 

 reduced fertility, menstrual cycle irregularities, or absence of menstruation 

 menopause reached one or two years earlier 

 increased risk of cancer of the cervix 

 greatly increased risk of stroke and heart attack if the person who smokes is aged over 35 years and taking the oral contraceptive pill.
 Other effects of smoking on the body
Other effects of tobacco smoke on the body include:
irritation and inflammation of the stomach and intestines 
increased risk of painful ulcers along the digestive tract 
reduced ability to smell and taste 
premature wrinkling of the skin 
higher risk of blindness 
gum disease (periodontitis).
 Other effects of smoking on the body

• Other effects of tobacco smoke on the body include:

 irritation and inflammation of the stomach and intestines 

 increased risk of painful ulcers along the digestive tract 

 reduced ability to smell and taste 

 premature wrinkling of the skin 

higher risk of blindness 

 gum disease (periodontitis).

•
Other effects of smoking on the body

Other effects of tobacco smoke on the body include:

 irritation and inflammation of the stomach and
intestines 

 increased risk of painful ulcers along the digestive

tract 

 reduced ability to smell and taste 

 premature wrinkling of the skin 

 higher risk of blindness 

 gum disease (periodontitis).

Health Risks of Secondhand
Smoke
Approved by the Cancer.Net Editorial Board, 01/2019
Even if you do not smoke, you may be exposed to secondhand
smoke. This type of smoke can come from:

 Someone breathing out smoke while smoking

 A burning cigarette, cigar, or pipe

You may also hear secondhand smoke called passive or

involuntary smoke, tobacco smoke pollution, or
environmental tobacco smoke.
Tobacco smoke has many harmful substances including:

 Benzopyrene

 Lead

 Carbon monoxide

 Arsenic

 Ammonia

 Formaldehyde

 A type of cyanide

Many of these travel through the air into the lungs and
bloodstream. This increases a person's risk of disease.
Secondhand smoke also causes other health problems, including
asthma and heart disease. The following people have a higher
risk of harmful health effects from secondhand smoke:

 Pregnant women

 Children

 Older adults

 People with breathing conditions or heart disease

Exposure to secondhand smoke causes lung inflammation

and lowers levels of important vitamins right away. These
effects can increase a person's likelihood of developing health
problems.
Health risks for children
Secondhand smoke is especially unsafe for babies and young
children because their bodies and lungs are still developing.

Children exposed to secondhand smoke have a higher risk of

the following conditions:

 Ear infections

 Asthma attacks

 Lung infections, such as bronchitis and pneumonia

 Coughing and wheezing

 Sudden infant death syndrome (SIDS)

Research also shows other links between secondhand smoke

and child well-being. Examples include:

 Increased risk of mental health issues and learning

problems

 Increased risk of starting to smoke

How to avoid secondhand smoke
People may think opening a window or using a fan prevents
secondhand smoke exposure. But studies show that toxins from
smoke do not go away. They remain in hair, clothes, carpets,
and furniture. These toxins are often called “thirdhand smoke.”

The only way to prevent exposure is to avoid places where

smoking occurs, particularly inside.

Here are some tips to protect you and your family from
secondhand smoke:

 If you smoke, quit. There are many 

resources to help you. Talk with your health care team
about the best options for you.
 Do not smoke or allow people to smoke in your house or
car. Ask people who smoke to step outside.

 Find smoke-free restaurants, hotels, and rental cars.

 Ask caregivers and relatives to stop smoking around you

and your children.
Smoke-free laws
Smoke-free workplace laws have helped lessen exposure to
secondhand smoke and the related health problems. Most states
have passed laws banning or limiting smoking in public places,
including the workplace. Almost half of states and Washington,
D.C., do not allow smoking in restaurants and bars. Many
counties and cities also have smoke-free laws. Learn more
about your local smoking laws on a separate website.
Here are 10 ways to help you resist the urge to smoke or
use tobacco when a tobacco craving strikes.
1. Try nicotine replacement therapy
Ask your doctor about nicotine replacement therapy. The
options include:
 Prescription nicotine in a nasal spray or inhaler
 Over-the-counter nicotine patches, gum and lozenges
 Prescription non-nicotine stop-smoking medications
such as bupropion (Zyban) and varenicline (Chantix)
Short-acting nicotine replacement therapies — such as
nicotine gum, lozenges, nasal sprays or inhalers — can
help you overcome intense cravings. These short-acting
therapies are generally safe to use in combination with
long-acting nicotine patches or one of the non-nicotine
medications.
Electronic cigarettes have had a lot of attention recently as
an alternative to smoking traditional cigarettes. However,
more studies are needed to determine the effectiveness of
electronic cigarettes for smoking cessation and the long-
term safety of these devices.
2. Avoid triggers
Urges for tobacco are likely to be strongest in the
situations where you smoked or chewed tobacco most
often, such as at parties or bars, or while feeling stressed
or sipping coffee. Identify your trigger situations and have
a plan in place to avoid them entirely or get through them
without using tobacco.
Don't set yourself up for a smoking relapse. If you usually
smoked while you talked on the phone, for instance, keep
a pen and paper nearby to occupy yourself with doodling
rather than smoking
3. Delay
If you feel like you're going to give in to your tobacco
craving, tell yourself that you must first wait 10 more
minutes — and then do something to distract yourself for
that period of time. Try going to a public, smoke-free zone.
These simple tricks may be enough to derail your tobacco
craving.
4. Chew on it
Give your mouth something to do to fight a tobacco
craving. Chew on sugarless gum or hard candy, or munch
on raw carrots, celery, nuts or sunflower seeds —
something crunchy and satisfying.
5. Don't have 'just one'
You might be tempted to have just one cigarette to satisfy
a tobacco craving. But don't fool yourself into believing
that you can stop there. More often than not, having just
one leads to another— and you may end up using tobacco
again.
5. Don't have 'just one'
You might be tempted to have just one cigarette to satisfy
a tobacco craving. But don't fool yourself into believing
that you can stop there. More often than not, having just
one leads to another— and you may end up using tobacco
again.
. Practice relaxation techniques
Smoking may have been your way to deal with stress.
Resisting a tobacco craving can itself be stressful. Take
the edge off stress by practicing relaxation techniques,
such as deep-breathing exercises, muscle relaxation,
yoga, visualization, massage or listening to calming music.
. Call for reinforcements
Touch base with a family member, friend or support group
member for help in your effort to resist a tobacco craving.
Chat on the phone, go for a walk together, share a few
laughs, or get together to commiserate about your
cravings. A free telephone quit line — 800-QUIT-
NOW (800-784-8669) — provides support and counseling
. Go online for support
Join an online stop-smoking program. Or read a quitter's
blog and post encouraging thoughts for someone else
who might be struggling with tobacco cravings. Learn from
how others have handled their tobacco cravings.
. Remind yourself of the benefits
Write down or say out loud the reasons you want to stop
smoking and resist tobacco cravings. These might include:
 Feeling better
 Getting healthier
 Sparing your loved ones from secondhand smoke
 Saving money
Remember, trying something to beat the urge is always
better than doing nothing. And each time you resist a
tobacco craving, you're one step closer to being totally
tobacco-free.
Beneficial health changes that take place:
 Within 20 minutes, your heart rate and blood pressure
drop.
 12 hours, the carbon monoxide level in your blood
drops to normal.
 2-12 weeks, your circulation improves and your lung
function increases.
 1-9 months, coughing and shortness of breath
decrease.
 1 year, your risk of coronary heart disease is about half
that of a smoker's.
 5 years, your stroke risk is reduced to that of a
nonsmoker 5 to 15 years after quitting.
 10 years, your risk of lung cancer falls to about half
that of a smoker and your risk of cancer of the mouth,
throat, esophagus, bladder, cervix, and pancreas
decreases.
 15 years, the risk of coronary heart disease is that of a
nonsmoker's.
Benefits in comparison with those who continued:
 At about 30: gain almost 10 years of life expectancy.
 At about 40: gain 9 years of life expectancy.
 At about 50: gain 6 years of life expectancy.
 At about 60: gain 3 years of life expectancy.
 After the onset of life-threatening disease: rapid
benefit, people who quit smoking after having a heart
attack reduce their chances of having another heart
attack by 50%.
Vision:                 Reduced prevalence of smoking and minimizing smoking-related health risks.
Mission:            To establish a national smoking cessation program (NSCP).
 
Objectives:
The program aims to:
1.       Promote and advocate smoking cessation in the Philippines; and
2.       Provide smoking cessation services to current smokers interested in quitting the habit.
 
Program Components:
The NSCP shall have the following components:
1.       Training
The NSCP training committee shall define, review, and regularly recommend training programs that are
consistent with the good clinical practices approved by specialty associations and the in line with the rules and
regulations of the DOH.
All DOH health personnel, local government units (LGUs), selected schools, industrial and other government
health practitioners must be trained on the policies and guidelines on smoking cessation.
 
2.       Advocacy
A smoke-free environment (SFE) shall be maintained in DOH and participating non-DOH facilities,
offices, attached agencies, and retained hospitals. DOH officials, staff, and employees, together with
the officials of participating non-DOH offices, shall participate in the observance and celebration of the
World No Tobacco Day (WNTD) every 31  of May and the World No Tobacco Month every June.
st
3.       Health Education
Through health education, smokers shall be assisted to quit their
habit and their immediate family members shall be empowered
to assist and facilitate the smoking cessation process.
4.       Smoking Cessation Services
 LEVEL OF CARE STAFFING Intervention Package DRUGS/MEDS EQUIPMENTS

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PRIMARY LEVEL None
W assessment/ k
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screening ess
(Note: Use me
Risk nt
Assessment Too
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 Assess for  Qui
Tobacco Use t
 If smoker, do Con
Brief trac
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Advice (5  
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If non-smoker,
Both products contain tobacco. A main difference is that
a cigar is wrapped in a tobacco leaf or a material
containing tobacco, but cigarettes are wrapped in paper
or a material that does not contain tobacco. ... Cigars can
have up t
Caffeine stimulates the central nervous system and acts
as an antidepressant by elevating serotonin and
dopamine--it's even been shown in the Archives of Internal
Medicine to lower suicide rates. Some experience the
mood boost more than others. Unknowingly, many people
self-medicate depression with caffeine.May 14, 2010
Is caffeine good for depression?
The researchers point out that caffeine is the world's most
widely used stimulant and that 80% of caffeine is
consumed through drinking coffee. They also say that
previous studies in men have found
that caffeine consumption decreases the risk
of depression.Sep 27, 2011
How much coffee per day is healthy?
Up to 400 milligrams (mg) of caffeine a day appears to be
safe for most healthy adults. That's roughly the amount of
caffeine in four cups of brewed coffee, 10 cans of cola or
two "energy shot" drinks.
THANK YOU FOR LISTENING!
1.ARE YOU AWARE OF RA 9211?WHAT IS THE IMPACT ON YOU AS A
STUDENT?
2.DID YOU EXPERIENCE SMOKING?HOW DOES IT FEELS?
3.IS CAFFEINE THE SAME WITH NICOTINE?
4.IS SMOKING AGGRAVATES COVID 19?

5. HOW DOES CIGARETTES DAMAGE LUNGS?

EXPLAIN with a minimum of 300 words EACH QUESTION. FOR 20

POINTS.DEADLINE MARCH30,2021