TOBACCOFREE/Campaign Fact Sheets

• Smoking a hookah pipe for 60 to 80 minutes is the equivalent of smoking 100 cigarettes. (World Health Organization)

• Hookah, which is smoked for about 45 minutes, delivers 36 times more tar than a cigarette, 15 times more carbon monoxide and 70 percent more nicotine. (Thomas Eissenberg, a psychology professor at Virginia Commonwealth University and co-author of a hookah study)

• Even after it has passed through water, the smoke produced by a hookah contains high levels of toxic compounds, including carbon monoxide, heavy metals and cancer-causing chemicals. (Center for Disease Control)

• The charcoal used to heat tobacco in the hookah increases the health risks by producing high levels of carbon monoxide, metals and cancer-causing chemicals. (Center for Disease Control)

• Water pipe smokers are five times more likely than non-smokers to show signs of gum disease. (Journal of Periodontology)

• Hookah smokers are at risk for the same kinds of diseases that are caused by cigarette smoking, including oral cancer, esophageal and gastric carcinoma, lung cancer, reduced pulmonary function and decreased fertility. (Center for Disease Control)

• Sharing a hookah may increase the risk of transmission of tuberculosis, viruses such as herpes or hepatitis, and other illnesses. (Center for Disease Control)

• Babies born to women who smoked one or more water pipes a day during pregnancy have lower birth weights (were at least 100 grams less) than babies born to nonsmokers and are at an increased risk of respiratory diseases. (Center for Disease Control)

• Secondhand smoke from hookahs poses a serious risk for non-smokers. (Center for Disease Control)

Tobacco use is deadly:

* Over the past 4 decades, cigarette smoking has caused an estimated 12 million deaths, including 4.1 million deaths from cancer, 5.5 million deaths from cardiovascular diseases, 2.1 million deaths from respiratory diseases, and 94,000 infant deaths related to mothers smoking during pregnancy.
* Cigarette smoking causes an estimated 438,000 deaths, or about 1 of every 5 deaths, each year.
* Approximately 28,700 adult Floridians die each year from smoking.
* Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined.
* Tobacco use is the single most preventable cause of death in the United States, causing heart and lung diseases, cancers, and strokes.
* On average, male smokers die 13.2 years earlier than male nonsmokers and female smokers die 14.5 years earlier than female nonsmokers.
* Smoking causes coronary heart disease, the leading cause of death in the United States. Cigarette smokers are 2-4 times more likely to develop coronary heart disease than nonsmokers.Smoking is prevalent in Florida:
* Approximately 3 million of adults in Florida smoke, or 21% of the state's population.
* Smoking prevalence among adults has not changed in ten years. Nearly one out of every five adults in Florida smokes.

Cigarettes contain harmful chemicals:

* There are 4,000 harmful chemicals in tobacco and 50+ known components that are responsible for causing cancer.
* Other poisons in tobacco include arsenic, cyanide, formaldehyde which is used to preserve bodies, and ammonia bromide which is the main agent used in toilet cleaner.

Smoking impairs the body's ability to function:

* Your body contains almost 100,000 miles of blood vessels. Smoking constricts those vessels, depriving your body of the important fresh, rich oxygen it needs.
* Cataracts, cancer, angina, arteriosclerosis, osteoporosis, chronic bronchitis, high blood pressure, impotence, and respiratory ailments are linked to smoking.
* Smoking slows lung growth, decreases lung function, and reduces the oxygen available for muscles used in sports.
* Smokers suffer from shortness of breath almost 3 times more often than nonsmokers.

Quitting smoking benefits your health:

* The excess risk of developing heart disease as a result of smoking may be reduced by as much as half in the first year or two after quitting.
* Five to 15 years after quitting, the risk of stroke returns to the level of those who have never smoked.
* Quitting reduces the risk of dying from lung cancer; 10 years after quitting the risk for lung cancer is 30% to 50% that of the risk of those who continue to smoke.

Smoking is costly:

* Cigarette smoking is estimated to be responsible for $167 billion in annual health-related economic losses in the United States ($75 billion in direct medical costs, and $92 billion in lost productivity), or about $3,561 per adult smoker.
* The total economic costs associated with cigarette smoking are estimated at $7.18 per pack of cigarettes sold in the United States.
* Cigarette smoking results in 5.5 million years of potential life lost in the United States annually.

Source: Centers for Disease Control & Prevention

SMOKELESS TOBACCO FACT SHEET

Smokeless tobacco is not a safe alternative to cigarettes:

  • Smokeless tobacco contains 28 cancer-causing agents.
  • People who use smokeless tobacco are 50 times more likely to get cancer of the cheek and gums.
  • Oral health problems strongly associated with smokeless tobacco use are leukoplakia (a lesion of the soft tissue that consists of a white patch or plaque that cannot be scraped off) gum disease and recession of the gums.
  • Smokeless tobacco use can lead to nicotine addiction and dependence.
  • The chemicals in smokeless tobacco products enter the bloodstream through tiny cuts from abrasives such as fiberglass.

Youth usage of smokeless tobacco is considerable:

  • Adolescents who use smokeless tobacco are more likely to become cigarette smokers.
  • Overall, 3.5% of Florida middle school students used smokeless tobacco at least once during the past 30 days.
  • Overall, 5.9% of high school students used smokeless tobacco at least once during the past 30 days.

Source: Centers for Disease Control & Prevention

SECOND-HAND SMOKE FACT SHEET

Second-hand smoke is dangerous to non-smokers:

  • Second-hand smoke speeds up the heart rate, raises blood pressure and doubles the amount of deadly carbon monoxide in a non-smoker's blood.
  • Second-hand smoke contains 250 chemicals known to be toxic, including more than 50 that can cause cancer.
  • Second-hand smoke causes irritation of the eyes, nose, and throat. Second-hand smoke can also irritate the lungs, leading to coughing, excessive phlegm and chest discomfort.
  • Nonsmokers who are exposed to second-hand smoke at home or work increase their heart disease risk by 25-30% and their lung cancer risk by 20-30%.
  • Breathing second-hand smoke has immediate harmful effects on the cardiovascular system that can increase the risk of heart attack. People who already have heart disease are at especially high risk.
  • More than 126 million non-smoking Americans continue to be exposed to second- hand smoke in homes, vehicles, workplaces, and public places. Most exposure to tobacco smoke occurs in homes and workplaces.
  • There is no risk-free level of second-hand smoke exposure. Even brief exposure can be dangerous.

Second-hand smoke is deadly:

  • Second-hand smoke has been estimated to cause 38,000 deaths per year.
  • Second-hand smoke causes about 3,400 deaths each year from lung cancer in non- smokers.

Second-hand smoke is especially harmful to children:

  • Almost 60% of U.S. children aged 3-11 years--or almost 22 million children--are exposed to second-hand smoke.
  • About 25% of children aged 3-11 years live with at least one smoker, compared to only about 7% of nonsmoking adults.
  • There are an estimated 150,000 to 300,000 cases every year of infections, such as bronchitis and pneumonia in infants and children under 18 months of age who breathe second-hand smoke.
  • Children who are exposed to second-hand smoke are at increased risk for bronchitis, pneumonia, ear infections, more severe asthma, respiratory symptoms, and slowed lung growth.

Source: Centers for Disease Control & Prevention

YOUTH TOBACCO USE FACT SHEET

Youth smoking is prevalent:

  • Children and teenagers make up 90% of the new smokers in the United States.
  • Each day, more than 4,000 young people between the ages of 12 and 17 try their first cigarette and another 1,140 become regular, daily smokers. Of those, about a third will die from a smoking-related disease.
  • Approximately three million U.S. adolescents are smokers, and they smoke nearly one billion packs of cigarettes each year.
  • 28.8 million packs of cigarettes are bought or smoked by kids in Florida each year.
  • Last year in Florida, 14.7% high school students and 6.1% in middle school reported they had smoked cigarettes once in the past 30 days.
  • Young adults (18 to 24) smoke at higher levels than any other age group. Relative to other age groups, young adults also are the least likely to quit successfully.

Youth smokers become adult smokers:

  • The younger you are when you begin to smoke, the more likely you are to be an adult smoker. Young people who do not start using tobacco by age 18 will most likely never start.

What youth should know about tobacco and athletic performance:

  • Don't get trapped. Nicotine in cigarettes, cigars, and spit tobacco is addictive.
  • Nicotine narrows your blood vessels and puts added strain on your heart.
  • Smoking can wreck lungs and reduce oxygen available for muscles used during sports.
  • Smokers suffer shortness of breath almost 3 times more often than nonsmokers.
  • Smokers run slower and can't run as far, affecting overall athletic performance.
  • Cigars and spit tobacco are NOT safe alternatives.

What youth should know about tobacco and personal appearance:

  • Tobacco smoke can make hair and clothes stink.
  • Tobacco stains teeth and causes bad breath.
  • Short-term use of spit tobacco can cause cracked lips, white spots, sores, and bleeding in the mouth.
  • Surgery to remove oral cancers caused by tobacco use can lead to serious changes in the face. Sean Marcee, a high school star athlete who used spit tobacco, died of oral cancer when he was 19 years old.
  • What youth should know to avoid tobacco:

    • Know the truth. Despite all the tobacco use on TV and in movies, music videos, billboards and magazines-most teens, adults, and athletes DON'T use tobacco.
    • Make friends, develop athletic skills, control weight, be independent, be cool ... play sports.
    • Don't waste money on tobacco. Spend it on CDs, clothes, computer games, and movies.
    • Get involved: make your team, school, and home tobacco-free; teach others; join community efforts to prevent tobacco use.

    Source: Centers for Disease Control & Prevention

SMOKING DURING PREGNANCY FACT SHEET

Compared with women who do not smoke:

  • Women who smoke prior to pregnancy are about twice as likely to experience a delay in conception and have approximately 30% higher odds of being infertile.
  • Women who smoke during pregnancy are about twice as likely to experience premature rupture of membranes, placental abruption, and placenta previa during pregnancy.

Babies born to women who smoke during pregnancy:

  • Have about 30% higher odds of being born prematurely.
  • Are more likely to be born with low birth weight (less than 2500 grams or 5.5 pounds), increasing their risk for illness or death.
  • Weigh an average of 200 grams less than infants born to women who do not smoke.
  • Are 1.4 to 3.0 times more likely to die of Sudden Infant Death Syndrome (SIDS).

Smoking during the last three months of pregnancy:

  • Of women who smoked during the last 3 months of pregnancy, 52% reported smoking 5 or fewer cigarettes per day, 27% reported smoking 6 to 10 cigarettes per day, and 21% reported smoking 11 or more cigarettes per day.
  • Of women who smoked 3 months before pregnancy, 45% quit during pregnancy. Among quitters during pregnancy, 52% relapsed within 6 months after delivery.

Prevalence of smoking during pregnancy:

  • Approximately 13% of women reported smoking during the last three months of pregnancy.
  • Younger, less educated, non-Hispanic, white women and American Indian women are more likely to smoke during pregnancy compared to their older, more educated, counterparts.
  • Of women who smoked during the last three months of pregnancy, 52% reported smoking 5 or less cigarettes per day, 27% reported smoking 6 to 10 cigarettes per day, and 21% reported smoking 11 or more cigarettes per day.

Source: Centers for Disease Control & Prevention

SMOKING WITH A CHRONIC DISEASE FACT SHEET

  • In 2006, the prevalence of smoking was 36.9% among persons with a smoking- related chronic disease and 19.3% among those without a chronic disease.
  • Smoking prevalence is higher among persons with smoking-related cancers (other than lung cancer), coronary heart disease, and stroke than among persons without chronic diseases.
  • In 2006, nearly half (49.1%) of U.S. adults with emphysema and 41.1% of those with chronic bronchitis were current smokers.
  • Among smokers who already have a smoking-related chronic disease, those who quit have a lower risk for death from the disease than those who continue smoking.
  • Among smokers with chronic heart disease, those who quit have a lower risk for further CHD-related morbidity and mortality than those who continue to smoke.
  • Smokers who have cancer and who continue smoking during treatment decrease treatment effectiveness, overall survival prognosis, and quality of life and increase the risk for having another malignancy or comorbid condition.
  • Smoking raises your blood glucose, cholesterol, and blood pressure, all of which people with diabetes need to be especially concerned about.
  • When you have diabetes and use tobacco, the risk of heart and blood vessel problems is even greater. If you quit smoking, you'll lower your risk for heart attack, stroke, nerve disease, kidney disease, and oral disease.

Source: Centers for Disease Control & Prevention