Tobacco and health

Tobacco kills up to half of its users.

I/3 rd of World population is Tobacco addict, 1/3 rd is Poor and 1/3rd is
suffering from Tuberculosis.

Tobacco kills > 7 million people each year (> 70 lakhs)

More than 6 million of those deaths are the result of direct tobacco use

About 1 million deaths (890,000 or 8.9 lakhs) are the result of

non-smokers being exposed to second-hand smoke.(Passive
smoking)

Tobacco users who die prematurely deprive their families of income, raise the cost
of health care and hinder economic development.

Source: WHO:
 Tobacco use is a threat to any person, regardless of
gender, age, race, cultural or educational
background. It brings suffering, disease, and death,
impoverishing families and national economies .
Tobacco use costs national economies enormously through
increased health-care costs and decreased productivity.
Exacerbates poverty, as the poorest people spend less on
essentials as food, education and health care.
80% premature deaths from tobacco
occur in low- or middle-income countries,
which face increased challenges to
achieving their development goals.
Key Noncommunicable diseases related to TOBACCO?

Heart disease and stroke Cancer

Chronic respiratory
Diabetes disease
 Second-hand smoke
Smoke that fills restaurants, offices or other enclosed spaces
when people burn tobacco products such as cigarettes, bidis
and water-pipes.

There are more than 4000 chemicals in tobacco smoke, of

which at least 250 are known to be harmful and more than
50 are known to cause cancer.

There is no safe level of exposure to

second-hand tobacco smoke.
Source: WHO:
 Second-hand smoke causes
Adults -- Serious cardiovascular & respiratory diseases,
including coronary heart disease, Buergers Disease
and Lung cancer.
Infants-- Sudden death.
Pregnant women-- low birth weight, abortions, congenital
deformities Mental retardation etc.
Almost half of children regularly breathe air polluted by tobacco smoke in
public places.
In 2004, children accounted for 28% of the deaths attributable to second-
hand smoke.

Every person should be able to breathe tobacco-smoke-free air.

Smoke-free laws protecting the health of non-smokers, are popular,
do not harm business and encourage smokers to quit.
India
India
E-cigarettes: Beware: dont be
duped!
Most e-cigarettes and other forms of electronic nicotine delivery
systems (ENDS) have NOT been tested by independent scientists
No reliable data & scientific evidence if ENDS helps in
tobacco quitting
Nicotine is the addictive component of tobacco. It can have
adverse effects during pregnancy and may contribute to CVDs.
Nicotine may function as a tumour promoter.
Nicotine seems involved in fundamental aspects of the biology of
malignant diseases, as well as of neurodegeneration.
In addition, it increases exposure of non- smokers and
bystanders to nicotine and a number of toxicants.

Source: WHO: http://apps.who.int/gb/fctc/PDF/cop6/FCTC_COP6_10Rev1-

en.pdf?ua=1
 Water-pipe/ sheesha/ hookah
Tobacco in every form is harmful, LETHAL
While the health harms of cigarette smoking are well known, the
dangers of using waterpipes, or shisha, are less familiar.
A common misperception is that smoking shisha is less harmful
to health than cigarettes because water filters the smoke. In fact,
during a one-hour shisha session a user can inhale the same
amount of smoke from water-pipe as from one hundred
cigarettes.
Shisha also causes nicotine addiction, and exposure to second-
hand smoke causes the same cancers and cardiovascular diseases
as cigarette smoke.
It must be banned from all indoor public places within the
comprehensive and well-enforced smoke free laws.
Sources:
1) CDC: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/
2) The Union:
Tobacco and diabetes: linked?
Research shows that smoking doubles the risk of diabetes
among a healthy population

Smoking and alcohol may alter the risk of diabetes through

long term effects on insulin secretion and insulin
resistance

Studies show how tobacco use dangerously increase risk of

CVDs, cancers, diabetes, chronic respiratory diseases, etc

Source: WHO: http://www.who.int/tobacco/research/diabetes/en/

COPD and tobacco: linked?
COPD is usually caused by smoking
Smoking accounts for as many as 8 out of
10 COPD-related deaths. However, as many as 1 out
of 4 Americans with COPD never smoked cigarettes
Smoking during childhood and teenage years
can slow lungs growth and development. This
can increase the risk of developing
COPD in adulthood
Source: CDC:
 Tobacco and poverty

Tobacco use can worsen Poverty can worsen

poverty tobacco use
People turn to smoking to help
The cash cost of purchasing relieve the stress of living in
tobacco is more significant for poverty
low-income households
Opportunities to quit are fewer for
Increased burden of disease low-wage earners
leads to increased health costs
and decreased ability to work The tobacco industry targets
impoverished communities with
Money that could have been used advertising, sponsorship and
for food and education is spent incentives to switch to tobacco
on tobacco crops
Photo credit: Marcus Bleasdale
http://edition.cnn.com/2016/05/25/asia/indonesia-tobacco-children-hrw/
 THANK YOU

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