Loudoun County Public Schools Tobacco Prevention Education November 8, 2011

1. Loudoun County Public Schools Tobacco Prevention Education November 8, 2011

2. What You Will Learn • Statistics • What are the dangers of using tobacco products • New products • Federal Drug Administration (FDA) regulations • Cost

3. National Statistics • By 2025, 500 million individuals will die from a tobacco related illness • 1 person dies every 6 seconds from a tobacco related illness • Approximately 500,000 individuals die each year as a result of a tobacco related illness (1 out of every 5 deaths) • 90-95% of individuals who quit smoking “cold turkey” will relapse • Individuals who quit smoking will save approximately $1,300 per year www.cdc.gov/tobacco 2011

4. National Statistics Continued • 46 million individuals 18 years old and older smoke tobacco products • Smoking is more common in men than women • Cigarette smoking is the leading cause of preventable death in the U.S. • Every day in the U.S. approximately 3,450 young individuals between the ages of 12-17 smoke their first cigarette. Of these individuals, 850 become daily cigarette users • There are approximately 3 million teen smokers • Of the 3,000 teens who started smoking today, approximately 1,000 of them will die as a result from smoking www.smoking-facts.net 2004

5. Virginia Statistics • 976,000 individuals, 18 and older, are current cigarette smokers (www.cdc.org/tobacco 2010) • 11% of individuals between the ages of 12-17 years old are regular tobacco users (www.cdc.org/tobacco 2010) • 19.7 million high school students use tobacco products on a regular basis (www.vahealth.org 2009) • 20.1 million packs of cigarettes are purchased or smoked by kids in Virginia each year(www.vahealth.org 2009) • 6,900 children have lost at least one parent due to a smoking related death (www.vahealth.org 2009)

6. Did you know…………… • Teenagers who smoke cigarettes are more likely to use alcohol • Teenagers who smoke cigarettes are 8 times more likely to smoke marijuana • Teenagers who smoke cigarettes are 22 times more likely to use cocaine www.smoking-facts.net 2004

7. What are the dangers of using tobacco products? • One cigarette contains approximately 7,000 chemicals, 70 are known to cause cancer • All tobacco products that are smoked deliver a large amount of toxic chemicals to their users and other individuals who breathe in their smoke • Cigarette smoke is a combination of: • Mainstream smoke (the smoke inhaled by the smoker) • Side stream smoke (the smoke from the end of the lit cigarette) • Secondhand smoke (the smoke exhaled by a smoker, plus side stream smoke) www.moh.gov 2008

8. What’s in a cigarette??

9. Other health risks • Premature wrinkling of the skin • Cancer (laryngeal, lung, oral, esophageal, stomach) • Heart disease • High blood pressure • Stroke • Chronic hoarseness and laryngeal polyps • Emphysema • Gum, dental and mouth disease

10. Other tobacco products • Cigars • Cigarillos • Bidis • Kreteks (“cloves”) • Pipes • Hookah (water pipe) • Chewing tobacco • Dry snuff • Moist snuff (swedish snus, spitless snus)

11. What are these products? • Cigars-a tightly rolled bundle of dried and fermented tobacco. A cigar contains between 5-17 grams of tobacco (a cigarette contains 0.8 grams) • Cigarillo-Spanish for “little cigar”. A short, narrow cigar, wrapped in whole leaf tobacco. A cigarillo contains about 3 grams of tobacco • Bidis-small, thin hand-rolled cigarettes imported from India and other Southeast Asian countries. Consist of tobacco wrapped in a tendu or temburni leaf and may be secured with a colored string at one or both ends. These can also be flavored (chocolate, mango, or cherry)

12. What are these products? (continued) • Kreteks-clove cigarettes, which are imported from Indonesia and typically contain a mixture of tobacco, cloves, and other additives • **Both Bidis and Kreteks have a higher concentration of nicotine, tar, and carbon monoxide than conventional cigarettes** • Pipes-typically used to smoke tobacco. The material and shape of a pipe has a profound influence upon the aesthetic of a smoke • Hookah-often times found to be a cultural practice amongst Middle Eastern families. This is an instrument that is used for smoking, in which the smoke is cooled by water. The product smoked is called shisha, which is tobacco prepared without tar or additives

13. What are these products? (continued) • Chewing tobacco- • Chewing tobacco-loose leaf, plug, twist (roll) • Snuff-finely ground tobacco that can be moist, dry, or packaged in sachets • Moist snuff (Swedish snus, spit less snus)-used similarly to American dipping tobacco; however, requires minimal or no spitting • **Chewing tobacco contains 28 known cancer-causing agents • **Related to the recession of the gums, gum disease, and tooth decay

14. New tobacco products • Dissolvable tobacco (Camel orbs, sticks, and strips) • Hard snuff (Ariva, Stonewall) • Electronic cigarettes

15. What are these products? • Dissolvable tobacco- • Camel orbs-contain finely grained tobacco mixed with additives such as water, flavorants, binders and colorants; each pellet contains about 1 milligram of nicotine and dissolves in about 10-15 minutes • Camel sticks-twisted stick the size of a toothpick that contains about 3.1 milligrams of nicotine and last in the mouth about 20-30 minutes • Camel strips-administers nicotine through a thin film placed on the tongue. Each film contains 0.6 milligrams of nicotine and lasts approximately 2-3 minutes

16. What are these products? (continued) • Hard snuff • Ariva-dissolvable tobacco tablet, which is shaped like a tic-tac and enters into the blood stream when placed between the upper gum and cheek; contains approximately 1.5 milligrams of nicotine • Stonewall-a larger version of dissolvable tobacco, closely resembles a breath mint; contains approximately 4.0 milligrams of nicotine • Electronic cigarettes-a device that simulates the act of smoking by producing an inhaled mist bearing the physical sensation, appearance, and often the flavor and nicotine content of inhaled tobacco smoke without the odor

17. Bidis Kreteks Hookah Snuff Chewing Tobacco Snus Ariva Camel Sticks Camel Strips Camel Orbs Electronic Cigarette Stonewall

18. Federal Drug Administration (FDA) • Beginning September 2012, the FDA will require larger, more prominent cigarette health warnings • To increase awareness of specific health risks • To encourage individuals who smoke, to quit • To empower youth to say “no” to tobacco www.fda.gov 2011

19. www.fda.gov 2011

20. Cost to the State of Virginia • Annual health care expenditures in the State directly caused by tobacco use: $2.08 billion • Annual health care expenditures in Virginia from secondhand smoke exposure: $117.8 million • State Medicaid program’s total health expenditures caused by tobacco use: $401.0 million • Citizens’ state/federal taxes to cover smoking-caused government costs: $1.6 billion ($563/household) • Smoking-caused productivity losses in Virginia: $2.53 billion • Smoking-caused health costs and productivity losses per pack sold in Virginia: $6.27 • Estimated portion spent in Virginia each year for tobacco product advertising: $411.3 million www.vahealth.org 2009