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HSc 411B - Health Science for Secondary Teachers TOBACCO. Joe Bryant Chris Fountain Mariana Gonzalez Jamie Lee Alexander Vera-Brown. Early History of Tobacco. Uses date back to pre-contact Americas 6000 BC - First cultivation
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HSc 411B - Health Science for Secondary Teachers TOBACCO Joe Bryant Chris Fountain Mariana Gonzalez Jamie Lee Alexander Vera-Brown
Early History of Tobacco • Uses date back to pre-contact Americas • 6000 BC - First cultivation • 1 BC - Use of plant for smoking and enemas by indigenous Americans • Columbus brings tobacco smoking back to Europe after his journey in 1492 • European settlers cultivate tobacco and eventually start growing it commercially (16th and 17th centuries) • Jean Nicot
Industrial History • Cultivation attempts in Europe fail leading to mass production in Americas • Slavery • Cigarette Machine (1881) • Satisfied growing demands, made cigarettes available to more people
Contemporary History • 1913 Development of the modern-day cigarette • 1964 Surgeon General’s Report • CEOs testify before congress in 1994
Components of Cigarettes • Cigarettes are not JUST tobacco • Over 600 ingredients • Lighting up creates over 4,000 chemicals
Combustion Only SOME of those 4,000+ chemicals...
It All Adds Up 69 of these chemicals known to cause cancer.
Components of Chewing Tobacco/Dip • Multiple Varieties • Loose leaves • “Plugs” (bricks) • Twists of rope • All have the same components...
Chew/Dip Chemicals • 28 cancer-causing chemicals • Most harmful = tobacco nitrosamines • Formed during tobacco cultivation process • Causal link to cancer • Includes radioactive fertilizer components • polonium-210 & polynuclear aromatic hydrocarbons
Components of e-Cigarettes • No combustion • No tobacco • Nicotine, solvents, and flavors.
Scarcity of e-Cig Data • Relatively new technology • Too early to know health effects
How Different Demographics are Affected? • Adult and youth tobacco use rates and smoking-related deaths vary noticeably among different ethnic groups in the United States
African Americans • 19.4% of adults, 10.5% of high school students • Tend to start smoking at a later age; less likely to succeed at quitting • Over 75% of users smoke menthol cigarettes • More than 45,000 die annually from smoking-related illnesses
Hispanics • 12.5% of adults, 17.5% of high school students • Rates higher in those born in U.S. mainland. • Less likely to seek care • Increased risk for chronic illnesses complicated by tobacco use
American Indian/Alaskan Natives • Highest tobacco use rates: 31.5% of adults, 24.4% of high school students • Cardiovascular disease is the leading cause of death • Cancer is the second leading cause, with lung cancer being the most common • Tobacco use deeply imbedded in culture and spirituality
Asian Americans • 9.9% of adults, 7.6% of high school students • Lowest smoking rate of ethnic groups, but highest disparity between men/women (14.9%/5.5%) • Smoking during pregnancy is significantly lesscommon • Significant variations among sub-groups
Health Effects of Cigarette Smoking • Linked to diseases of nearly all organs of the body. • Chronic Respiratory Diseases • Fertility(both men & women) • Addiction • Measured by withdrawal symptoms • Adults: 4-6 months • Adolescents: 4 weeks (at least 2 cigarettes in a month)
Health Effects of Chewing Tobacco/Dip filiform papillae leukoplakia
Tobacco Activities • Coffee Straw Activity • http://sdfs.ucps.k12.nc.us/tfs/documents/StrawActivity.pdf • Other Activities • http://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/tar_wars/ExperimentsActivities.pdf
Prevention and Intervention • At home, all tobacco use should be prohibited • Parents should role model tobacco abstinence and express strong disapproval as well as punishment for use • The public should advocate smoking control policies including smoking prohibition in enclosed public places, restrictions on the sale of tobacco products, and appropriate taxation policies • Teachers must be properly trained to teach and model non-tobacco use (Matza) How can we prevent tobacco use among teens?
Prevention and Intervention • Train students as health education peer counselors • Develop special classes in health ed to promote health advocacy • Involve high school students, civic leaders, comm. health agencies • Promote a smoke free environment ( Matza) What can we do to help eliminate the problems of tobacco use?
The Truth Campaign Against Smoking • Since 2000, the Truth Campaign has actively developed numerous programs through the U.S. to help prevent youth from smoking and using tobacco products • Largest national youth-focused program in the country • 75% of all 12 to 17 year olds in the nation can accurately describe one or more the truth ads; ~90% said the ads they saw were convincing (Protect the Truth 2010) • Between 1999 and 2002, the Truth Campaign accounted for approximately 22% of the decline in youth smoking
Practical Applications in the Classroom • History • Inquiry-based investigation into tobacco as cash crop in Americas • ex. How did tobacco affect the atlantic slave trade? • Math • Have students plot different numbers. Once they are done, tell them that those numbers represent the leading causes death by drugs, which will allow them to realise that tobacco causes the most deaths. • LOTE • View cigarette warning labels and PSAs in the target language • English • Image grammar lessons using photos of smoking effects • Argumentative essay
Teacher Resources Internet Resources • http://www.teacherplanet.com/resource/notobacco.php • http://kidshealth.org/parent/positive/talk/smoking.html • http://www.tobaccofreemaine.org/prevent_protect/school_policies_and_activities.php • http://www.heart.org/HEARTORG/GettingHealthy/QuitSmoking/Quit-Smoking_UCM_001085_SubHomePage.jsp
Health Resources: http://www.surgeongeneral.gov/library/reports/ http://www.wechealthunit.org/school-health/tobacco-use-prevention/tobacco-jeopardy-game Historical References: http://www.who.int/tobacco/en/atlas2.pdf http://www.cdc.gov/tobacco/Data_statistics/sgr/history/index.htm