S M O K I N G K I L L S !An Anti-Tobacco Campaign

Marjorie Reyes Felix, MD, FPCPMetro Lipa Medical Center

SMOKING STATISTICS IN THE PHILIPPINES

• Smoking prevalence, males > % of adults: 40.5 % - [11th of 42]

• Cigarette consumption: 1,849 [31st of 106]

• Total adult smokers: 32.4% [51st of 121]

FACTS ABOUT TEENAGE SMOKING

• 4 out of 10 students aged 13-15 years old smoke cigarettes. [CDC-MMWR, 2005]

• Almost one fifth of young Filipinos begin smoking before age 10. [Miguel-Baquilod, M., NEC, 2001]

• 70 percent of boys begin smoking by age 20. • Among Filipino girls, residence in cosmopolitan Metro

Manila is associated with high probability of smoking, and those who were raised with both parents present were less likely to smoke than those who grew up with a single parent.

• For both genders, those who have close relationships with parents were less likely to smoke. [Teen Tobacco Epidemic in Asia, 2004]

FACTS ABOUT TEENAGE SMOKING

• Among factors influencing smoking, the following are significant: (1) media advertising, (2) exposure to smoke in public places, and (3) one or more parents who smoke. [CDC-MMWR, 2005]

• Most ironic and puzzling part: nearly 90 percent (88.7% in 2003) of Filipino adolescents supports the ban on smoking in public places, and want to quit (88.2% in 2003). [CDC-MMWR, 2005]

• A very small percentage (7.2% in 2000 and 3.8% in 2003) admitted that they wanted their first cigarette thirty minutes after waking up in the morning. [CDC-MMWR, 2005]

FACTS ABOUT TEENAGE SMOKING

• In 1983, the popularity of Marlboro among youth exceeded that in the adult population. Marlboro then held a 35–40 percent share in Metro Manila but "more than 50%" in high schools. [Mason, W., 1983]

• 62.8 percent of Filipino adolescents are not refused purchase when buying tobacco products in a store. [CDC-MMWR, 2005]

• More males had tried quitting than females. [Health Promotion Int., 2003]

• In one investigation, it was found out that among female Filipino smokers, smoking is seen ‘as a substitute for expressing feelings’, particularly anger and unhappiness. [Kaufman, N. J. and Nichter, M., 2001]

FACTS ABOUT TEENAGE SMOKING

• The Philippines is the 15th biggest consumer of cigarettes in the world, and the largest cigarette consumer among the Association of Southeast Asian Nations (ASEAN). [PDI, 2002 and WHO, 2001]

• Loss in productivity and health care costs amount to billions of pesos, which can be put into better use, should smoking be prevented or eliminated among Filipinos.

DISEASES CAUSED BY TOBACCO

Tobacco causes diseases in almost all parts of the body

SKIN CHANGES

HEART ATTACK

Heart Attack is caused by Tar in tobacco causing damage to the blood vessels of the heart

BRAIN DAMAGE & STROKE

Stroke is caused by Tar in tobacco causing damage to the blood vessels of the brain

Normal Brain Brain after Stroke

FOOT AND LEG ULCERS

Leg Ulcers are caused by Tar in tobacco blocking the blood vessels to the legs

CHRONIC BRONCHITIS

Chronic Bronchitis is caused by tobacco smoke destroying the healthy lung tissues

Normal Lung Lung with Chronic Bronchitis

LUNG CANCER

Lung Cancer is the most dangerous disease of tobacco smoking. Death is 100% sure.

Normal Lung Lung with Cancer

OTHER CANCERS

Throat Cancer Mouth Cancer

OTHER CANCERS

Smoking causes 92% of oral cancers!

OTHER CANCERS

Esophageal Cancer Stomach Cancer

OTHER CANCERS

Bladder Cancer

PASSIVE SMOKING

This smoke contains 2 times more nicotine and tar than directly inhaled smoke.

SMOKING DURING PREGNANCY

MY ADVICE …

BENEFITS OF QUITTING TOBACCO

Health benefits start almost immediately!

Within 20 minutes, BP and pulse return to normal.

Within 8 hours, Nicotine and carbon monoxide level in the body drop, Oxygen levels in blood return to normal.

Within 24 hrs, Carbon monoxide is eliminated from the body, and the lungs start to clear out the build up of tar.

Within 2 days, No nicotine left in the body. Taste and smell are greatly improved.

BENEFITS OF QUITTING TOBACCO

Within 3 days, Breathing becomes easier

Within 2-12 weeks, Circulation improves

Within 3-9 months, Coughs, wheezing and breathing problems improve as the lungs have room for up to 10% more oxygen.

Within 1 year, risk of heart attack is cut in half

Within 10 years, risk of lung cancer is cut in half

Within 15 years, risk of heart attack is the same as a person who never smoked!

BENEFITS OF QUITTING TOBACCO

Medium to long-term, Risk of developing lung cancer, other cancers, heart attack, stroke and chronic lung disease is reduced.

Medium to long-term, Stopping smoking increases life expectancy. Smokers who stop before the age of 35 have a life expectancy not significantly different from that of a non-smoker!

The sooner you stop, the sooner your risk starts going down!

OTHER BENEFITS OF QUITTING

Set a good example for children!

Will no longer affect the health of others because of passive smoking!

More money to save or to spend on other things!

More energy to do the things you love!

Improve your looks, get fitter, better taste and more time!

Become a more acceptable person to every one!

QUITTING IS ACTUALLY EASY!

TIPS FOR QUITTING Set a date to stop and stick to it.

Write down all the reasons you want to stop.

Keep a diary for a day or two.

Get help.

Do it with others.

Ease the withdrawal symptoms and plan some help.

Prepare to stop smoking.

Take it one day at a time.

TIPS FOR QUITTING

Break the links that create the habit.

Learn to relax!

Follow these 10 steps and then, Reward Yourself!

Remember – once stopped, stay stopped.

LET US DEFEAT THE EVIL …

… AND CREATE A TOBACCO

FREE SOCIETY!