Tobacco use prevention and cessation is not about

farmers…• If every person in the Commonwealth stopped smoking tomorrow, it would have less than a 2% negative impact on the burley market

• Kentuckians only consume 2% of all tobacco grown in the state

There is no “right” to smoke…

• There is no constitutional right to smoke, period.

• Any “perceived” right to smoke is superceded by the right of nonsmokers to breathe

• Any “perceived” right to smoke can be restricted just as first amendment rights can be restricted, i.e., you can’t yell “fire” in a crowded theater

Fire!

It’s Illegal for Youth Under 18

• KRS438.330 It is unlawful for any person under age 18 to purchase or accept receipt of, or attempt to purchase or accept receipt of a tobacco product

• KRS438.350 It is unlawful for any person under age 18 to possess or use tobacco products

It’s not “just tobacco”…• Nicotine is a “gateway” drug• Youth who smoke are 11 times

more likely to use illicit drugs and• 16 times more likely to drink

alcohol heavily as youth who do not smoke

• 12-17 year olds who smoke cigarettes daily are– 14 times more likely to abuse alcohol

– 100 times more likely to repeatedly smoke marijuana

– 32 times more likely to repeatedly use cocaine than non-smoking peers

Smoking kills more people (in the U.S. and Kentucky)….

…than alcohol, car crashes, illicit drugs, homicides,

suicides, and AIDS

COMBINED!

HUMANS are the only species on earth that seek

out smoke to fill their lungs, all other species flee from it.

Maybe we can learn something

from “dumb” animals.

What’s the problem?

In Kentucky…

We’re Number One!• #1 in Overall Adult Smoking• #1 in Female Adult

Smokers• #1 in Youth Smoking• #1 in Youth Under Age 12

Exposed to Secondhand Smoke in the Home

• #1 in Cancer• Top Ten in Heart Disease

6,800Youth in Kentucky

become new smokers each

year

If these rates continue….

107,000

kids, alive today, will die from

smoking related causes.

Teens Become Addicted Each Day

3000

$12.4

Billion/Year in

Advertising

B

$34.1Million/Day in Advertising

$549.7

Million/Year in Advertising in

Kentucky

$45.8

Million/Month in Advertising in

Kentucky

$125,479

Day in Advertising in

Kentucky

$5,228Hour in

Advertising in Kentucky

of teens buy one of the three most

heavily advertised

brands

86%

Tobacco is the only product, if used as intended, will kill…

… half of its consumers.

1 in 3Youth who smoke will die from it.

1 in 5Deaths in the

U.S. are related to tobacco.

Every 10 minutes

smoking kills a

non-smoker.

In Kentucky…

7,700Moms, Dads, Grandpa’s,

Grandma’s, Aunts, Uncles, Brothers, Sisters, Sons,

Daughters…

DIE EACH YEAR

In Kentucky…

147Moms, Dads, Grandpa’s,

Grandma’s, Aunts, Uncles, Brothers, Sisters, Sons,

Daughters…

DIE EACH WEEK

In Kentucky…

21Moms, Dads, Grandpa’s,

Grandma’s, Aunts, Uncles, Brothers, Sisters, Sons,

Daughters…

DIE EACH DAY

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Smoking and youth…

• A single cigarette can immediately affect physical capability

• Smokers endurance level is 7.2% less than non-smokers

Smoking and youth…• Smokers have

higher resting heart rates and lower maximum heart rates than nonsmokers

• Adolescent smokers have measurable deficits in lung function

Smoking and youth…

• Smoking slows the normal development and growth of lung function (especially in girls)

• Young men and women who smoke are significantly more likely to incur exercise-related injuries

• Smokers heal slower from injuries than nonsmokers

Nicotine is Addictive

• 95% of current youth smokers report that they believe they will not be smoking in 7-9 years

• Reality: in 7-9 years, 75% of youth are still smoking

• Nicotine is more addictive than cocaine or heroin

Smoking Related Health Issues

• Smoking is responsible for 87% of lung cancer cases

• 30% of all cancers are due to smoking including:– Lung– Larynx– Oral cavity– Esophagus

Oral Cavity Cancer

Hairy Tongue

Facts About Spit Tobacco

• Spit tobacco is marketed to young people through sports and athletic events

• Use is rising among young males• Spit tobacco causes disease, including

mouth cancer and• Spit tobacco (often called smokeless by

the tobacco industry) is being marketed as a “safe” alternative to smoking, but… it is not!

An average size “dip” of spit tobacco in the mouth for 30 minutes

delivers as much nicotine as three

cigarettes.

Spit tobacco has over 3,000 chemicals including28 known

carcinogens.

Spit tobacco users are SIX TIMES more likely than non-users to get mouth or throat

cancer

AND

only about half of the people diagnosed with these cancers

are alive after five years.

Nicotine levels in Spit Tobacco

Brand % of Market Milligrams of nicotine per gram

pH

Copenhagan

42% 11.4 8.6

Original Fine Cut Skoal

20% 10.4 7.6

Skoal Long Cut Cherry

3% 11.4 7.5

Skoal Bandits Wintergreen

2% 7.5 6.9

Chemicals in Spit Tobacco

• Cadmium (car batteries)• Polonium 210 (nuclear waste)• Lead (banned from paint products)• Formaldehyde (embalming fluid)• Arsenic (rat poison)• Cyanide (used in the gas

chamber)• Nitrosamines (potent cancer-causing

agents)

Chemicals in Spit Tobacco

•Nickel•Nicotine•Pesticides •Flavoring

Agents•Acetaldehyde

•Benzopyrene (cancer-causing)

•Hydrazine•Uranium 235

and 238•Over 30 metals

Spit Tobacco Health Issues

• Leukoplakia (pre-cancer)

• Oral Lesions• Oral cancer

(50 times more likely)

Leukoplakia

Spit Tobacco Health Issues

• Gum disease• Decayed dental

root surfaces• Nicotine

addiction• Increased risk

of heart disease (including heart attack)

Gum Disease/Tooth Decay

Too Much Spit?

The Environmental Protection Agency has classified

secondhand smoke as a group A carcinogen: a substance known to cause cancer in

humans for which there is no safe level of exposure. Other group A carcinogens include arsenic, asbestos, benzene, and radionuclide, and radon.

Secondhand Smoke Contains…

•Over 4,000 chemical compounds

•5 regulated hazardous air pollutants

•47 regulated hazardous wastes

Secondhand Smoke Contains…

•60 known or suspected cancer-causing agents

•More than 100 chemical poisons

Some of the Chemicals found in secondhand

smoke include…

Ammonia(used to clean

toilets)

Some of the Chemicals found in secondhand

smoke include…

Arsenic(used to kill

rats)

Some of the Chemicals found in secondhand

smoke include…

Methane(swamp gas or cow flatulence)

Acetone(used in paint thinner and finger nail polish

remover)

Some of the Chemicals found in secondhand

smoke include…

Some of the Chemicals found in secondhand

smoke include…

Formaldehyde(used to preserve dead

things)

Five minutes of exposure to secondhand smoke stiffens the aorta (the main artery carrying

blood from the heart to the body).

Twenty minutes exposure has substantial, adverse effects on the

heart, blood, and blood vessels.

Thirty minutes of breathing secondhand smoke compromises the ability of blood to manage LDL

cholesterol by depressing anti-oxidant defense (this effect persists

for several hours after exposure ends).

Two hours of breathing secondhand smoke can speed up the heart rate

and,at the same time, reduce heart rate

variability.

Secondhand smoke is the third leading

cause of preventable death in the United

States.

Can Ventilation Protect the Health of Nonsmoking Workers, Adults and

Children?

Can Ventilation Control Secondhand Smoke in the Hospitality Industry? A report by J. L. Repace for the California Department of Health, June 2000

Ventilation Technology Does Not Protect People From Secondhand Smoke

http://tobaccofreekids.org/research/factsheets/pdf/0145.pdf

Ventilation systems can reduce the cancer risk

from tobacco smoke to federally (US) accepted

levels; however, the ventilation rate required

to reach the accepted levels would create a… “virtual windstorm

indoors.”

Separate Sections DON’T WORK…

Tobacco Smoke Doesn’t Read Signs Either!

A 1974 R.J. Reynolds document refers to14-24 year olds as

“tomorrow’s cigarette business.”

“Imagine a five-year old child, who will be a future customer of your cigarettes in the next few years. How can your company begin to

attract/tap into this next generation? ”

“Tapping into the Next Generation,” letter from

Flanigan Enterprises to Richard Kampe, president of R.J.

Reynolds Tobacco Company, 1988

“It is important to know as much as possible about teenage smoking patterns and

attitudes. Today’s teenager is tomorrow’s potential regular customer, and the

overwhelming majority of smokers first begin to smoke while still in their teens.”

R.J. Reynolds, 1973

“We don’t smoke the sh__,we just sell it. We reserve the right to smoke for the

young, poor, the black, and the stupid.”

R J Reynolds Tobacco Executive

As told to Dave Goerlitz,

Former Winston Man

Bobby W. Bowling, Program CoordinatorOwsley County Commonwealth Alliance for Tobacco

PreventionP.O. Box 1631, Booneville, KY 41314 606-593-LUNG

(5864)Bobby.bowling@hotmail.com