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DEPARTMENT OF PREVENTIVE ONCOLOGY DR.B.BOROOAH
CANCER INSTITUTE
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DO YOU KNOW ?

• IT HAS BEEN ESTIMATED THAT AN AVERAGE OF 14
  MINUTES OF LIFE IS LOST FOR EACH CIGARETTE SMOKED
• TOBACCO USERS LOOSE AN AVERAGE OF 20-25 YEARS OF
  NON-TOBACCO LIFE EXPECTANCY
• IN INDIA ONE PEOPLE DIE EVERY 40 SECONDS BECAUSE
  OF TOBACCO RELATED PROBLEMS

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DO YOU KNOW ?

• ONE THIRD OF ALL CANCERS IN INDIA ARE TOBACCO
  RELATED
• 90 OF ORAL CANCERS ARE DUE TO TOBACCOP USE
• 50 OF ALL CANCERS IN MAN ARE DUE TO TOBACCO USE
• 25 OF ALL CANCERS IN WOMAN ARE DUE TO TOBACCO
  USE
• 90 OF LUNG CANCER DEATHS ARE CAUSED DUE TO
  SMOKING

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TOBACCO IN INDIA

• TOBACCO IS SMOKED IN CIGARETTES, BIDIS, CHUTTA
  AND HOOKAHS
• TOBACCO IS CHEWED IN PAANS WITH OR WITHOUT LIME
  AND BETEL NUTS
• TOBACCO IS USED AS SNUFF,GHUTKAS AND IN PAN
  MASALA

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TOBACCO CONSUMPTION
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TOBACCO CONTENT
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HOUSEHOLD MEMBERS AGED gt15 YRS WHO CHEW TOBACCO
AND SMOKE
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TOBACCO
TOXIC TO THE BODY OBNOXIOUS BAD FOR
HEALTH ADDICTIVE CAUSES CANCER CAUSES SEVERAL
DISEASES OPPRESSIVE TO MIND
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TOBACCO CAUSES

• LEADS TO BAD BREATH, STAINING OF TEETH AND POOR
  PERSONAL HYGIENE
• CIGARETTE SMOKING INCREASES THE CHANCE OF
  GASTRODUODENAL ULCER
• CONSUMING GUTHKA RESULTS IN ORAL SUBMUCOSAL
  FIBROSIS A DISEASE WHICH RESTRICTS MOUTH OPENING

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CORONARY ARTERY DISEASE
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CORONARY ARTERY DISEASE
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SHORTNESS OF BREATH
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LUNGS
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GANGRENE OF FOOT, INTERMITTENT CLAUDICATION
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SUB-MUCOSAL FIBROSIS
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STAINING OF TEETH
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GUM ULCER
GINGIVITIS
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IRRITATING COUGH, MOUTH ULCER
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ORAL CAVITY
LARYNX
FLOOR OF THE MOUTH
TONGUE
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TOBACCO WOMEN

• DAMAGING EFFECT ON REPRODUCTIVE
• HEALTH
• INCREASED RISK OF MISCARRIAGE
• PRE TERM DELIVERY
• STILLBIRTH
• INFANT DEATH
• LOW BIRTH WEIGHT BABY

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MAKING THE NEXT GENERATION UNWELL!
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TOBACCO CONTAINS..

• 4000 DIFFERENT CHEMICALS, MANY OF WHICH ARE
  HARMFUL
• TOBACCO CONTAINS NICOTINE, CARBON
  MONOXIDE,NAPTHALENE,ARSENIC,TAR, CADMIUM, CYANIDE
  GAS, BENZAPYRINE, DDT, BUTANE, PHENOL, ACETONE
  AND URETHANE
• THE COMPONENTS OF SMOKE AFFECT THE HUMAN BODY AND
  CAUSE DISEASES

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NICOTINE CAUSES..

• FOLLOWING INHALATION, NICOTINE IS ABSORBED INTO
  BLOODSTREAM AND ITS EFFECTS ON THE BRAIN ARE FELT
  7 -8 SECONDS LATER
• NICOTINE IN SMALL AMOUNTS GENERALLY STIMULATES
  NERVE IMPULSES AND IN LARGE AMOUNT INHIBITS THEM

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NICOTINE CAUSES..

• INCREASE IN HEART RATE
• INCREASE IN BLOOD PRESSURE
• INCREASE IN HORMONE PRODUCTION
• CONSTRICTION OF BLOOD VESSELS
• CHANGES IN BLOOD COMPOSITION
• CHANGES IN METABOLISM

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CARBON MONOXIDE CAUSES.

• CARBON MONOXIDE (CO) COMBINES MORE READILY WITH
  HAEMOGLOBIN THAN OXYGEN (O2) DOES,CARRYING CO
  ROUND THE BODY INSTEAD OF OXYGEN
• CO AFFECT THE ELECTRICAL ACTIVITY OF THE HEART
• FATTY DEPOSITION IN THE ARTERIAL WALL AFFECTING
  THE CIRCULATION

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TAR CAUSES..

• TAR IS A BROWN STICKY SUBSTANCE WHICH COATS THE
  LUNG LIKE SOOT IN A CHIMNEY AND MAKING IT LESS
  ELASTIC.
• IRRITIRANTS IN TAR ALSO DAMAGE THE LUNG, CAUSING
  NARROWING OF BRONCHIOLES, COUGHING, AN INCREASE
  IN BRONCHIOLE MUCUS AND DAMAGE TO SMALL HAIRS
  WHICH HELP PROTECT THE LUNGS FROM DIRT AND
  INFECTION.

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PASSIVE SMOKING
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PASSIVE SMOKING

• ALSO KNOWN AS ENVIRONMENTAL TOBACCO SMOKE (ETS)
• INVOLUNTARY INHALATION OF TOBACCO SMOKE BY A NON
  - SMOKER
• ETS IS OF 2 TYPES
• LEFT OUT SMOKE BY A BY A SMOKER OR MAIN STREAM
  SMOKE
• ORIGINAL SMOKE FROM BURNING CIGARETTE OR SIDE
  STREAM SMOKE

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PASSIVE SMOKING

• SIDE STREAM SMOKE CONTAINS THREE TIMES MORE
  NICOTINE AND TAR AND FIFTY TIMES MORE CANCER
  CAUSING SUBSTANCES THAN MAIN STREAM SMOKE
• A PREGNANT WOMAN EXPOSED TO ETS HAVE INCREASE
  CHANCE OF ABORTION, FOETAL DAETH AND DELIVERY OF
  LOW BIRTH WEIGHT BABY

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QUITTING SMOKING
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HOW CAN I QUIT TOBACCO USE

• IT IS NOT VERY SIMPLE BUT YOU CAN DO IT.
  SURPRISINGLY 85 TOBACCO USERS WISH TO GIVE IT A
  TRY
• ON CESSATION OF SMOKING, THE RELATIVE RISK OF
  DEVELOPING LUNG CANCER DECLINES STEEPLY SO THAT
  AFTER NEXT TEN YEARS THE RISK IS ALMOST AS LOW AS
  IN LIFE LONG NON-SMOKERS
• ON QUITTING SMOKING THE RISK OF DEATH FROM
  ISCHAEMIC HEART DISEASE ALSO DECLINES

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QUITTING SMOKING

• NICOTINE PRODUCES DEPENDENCE
• SUDDEN CESSATION OF SMOKING REDUCES WITHDRAWL
  SYMPTOMS
• A SMOKER WHO CUTS DOWN ON HIS CIGARETTE SMOKING
  PRECIPITATES A CHRONIC STATE OF WITHDRAWL
• FOR THOSE WHO FIND DIFFICULTY IN QUITTING SHOULD
  SWITCH OVER TO NICOTINE CHEWING GUM FOR A WHILE

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BENEFITS OF QUITTING TOBACCO
20 minutesBlood pressure and pulse rate
drops to normal 8 hoursOxygen level increases
to normal carbon monoxide level drops in
blood. 24 hoursChance for a heart attack goes
down. 48 hoursAbility to smell and taste
improves walking is becoming easier. 2 weeks to
3 monthsBlood circulation improves. No more
cold hands and cold feet. Lung function
increased up to 30.
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1 month to 9 monthsCoughing, sinus congestion
and shortness of breath have decreased
dramatically. 1 yearRisk of coronary heart
disease is cut in half.5 yearsRisk of stroke
reduced to that of a nonsmoker. Risk of cancers
of the mouth, throat and esophagus cut in half.
Risk of lung cancer reduced in half.10
yearsRisk of dying from lung cancer is cut in
half15 yearsRisk for coronary heart disease
and stroke is the same as for a lifelong
nonsmoker.
BENEFITS OF QUITTING TOBACCO
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TOBACCO CESSATION CLINICROOM NO. 03NEW OPD
BUILDINGDR. B. BOROOAH CANCER INSTITUTEGOPINATH
NAGAR, GUWAHATI 16TEL [phone] Ext 242E
mail tccguwahati_at_rediffmail.com
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THANK YOU