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Tar Wars Tar Wars

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What is Tar Wars? • American Academy of Family Physicians tobacco-free education program for What is Tar Wars? • American Academy of Family Physicians tobacco-free education program for 4 th and 5 th grade students • An interactive and fun way to learn about staying healthy Ethan—North Carolina 2004 Tar Wars Poster Contest

What’s in a cigarette? Cigarettes contain: • Acetone (found in nail polish • • What’s in a cigarette? Cigarettes contain: • Acetone (found in nail polish • • 4 remover) Butane (found in lighter fluid) Lead (found in batteries) Tar (used to pave roads) Ammonia (found in toilet cleaner)

“Sticky Person” What are some health effects of tobacco use? • Trouble breathing • “Sticky Person” What are some health effects of tobacco use? • Trouble breathing • Coughing • Bad breath • Stained teeth and fingers • More wrinkles and early aging 5

How much does tobacco use cost? Price of tobacco What you could buy instead How much does tobacco use cost? Price of tobacco What you could buy instead • $6 per pack x 7 days = $42 • Clothes, shoes, games • $42 per week x 4 weeks = $168 • i. Pod touch, Play. Station, Xbox • $168 per month x 12 months = $2, 016 • Laptop computer, i. Pad, games • $2, 016 per year x 10 years = $20, 160 • Car, college tuition 6

Smoking Affects Breathing “Straw breathing” exercise Any type of smoking affects your breathing. To Smoking Affects Breathing “Straw breathing” exercise Any type of smoking affects your breathing. To see how your lungs feel when you smoke, place a straw in your mouth, hold your nose, breathe only through the straw, and run in place for one minute. Is it hard to breathe? Watch the smoker’s lung demonstration video to see how tobacco causes your lungs to not work as well as they should. 7

Lung Damage from Smoke • Smoke from cigars, cigarillos, cigarettes, pipes, and hookahs damages Lung Damage from Smoke • Smoke from cigars, cigarillos, cigarettes, pipes, and hookahs damages the cells of the lungs. • People who smoke are more likely to have trouble breathing. • People exposed to secondhand smoke also have lung problems. 8

Smoking and Your Lungs Healthy Lung 9 Smoke-damaged Lung Smoking and Your Lungs Healthy Lung 9 Smoke-damaged Lung

Smokeless Flavored Tobacco • Comes in sweet and fruity flavors to mask the taste Smokeless Flavored Tobacco • Comes in sweet and fruity flavors to mask the taste of nicotine • Available in orbs, sticks, strips, lozenges, snuff, and small bags/cans • Designed to be placed in the mouth, and dissolve so nicotine absorbs into the bloodstream Smokeless tobacco is not a safe alternative to cigarettes. 10

Smokeless Flavored Tobacco Ads Offered as an alternative to cigarettes when smoking is not Smokeless Flavored Tobacco Ads Offered as an alternative to cigarettes when smoking is not allowed 11

Smokeless tobacco is advertised as an alternative to cigarettes Smokeless tobacco use by high Smokeless tobacco is advertised as an alternative to cigarettes Smokeless tobacco use by high school boys is climbing. There's been a 36 percent increase since 2003. Men and boys are using both cigarettes and smokeless tobacco. Source: Campaign for Tobacco-Free Kids 12 Alina—New York 2014 Tar Wars National Poster Contest

Smokeless Flavored Tobacco Ads imply you can’t be a real man without using smokeless Smokeless Flavored Tobacco Ads imply you can’t be a real man without using smokeless tobacco. 13

Smokeless tobacco is just as harmful as cigarettes The chemicals in smokeless tobacco destroy Smokeless tobacco is just as harmful as cigarettes The chemicals in smokeless tobacco destroy cells and tissues, which leads to mouth sores…. 14

AND oral cancer or gum disease…. 15 AND oral cancer or gum disease…. 15

AND stained teeth or tooth loss. 16 AND stained teeth or tooth loss. 16

Flavored Cigars and Cigarillos • Cigars and cigarillos come in flavors such as grape, Flavored Cigars and Cigarillos • Cigars and cigarillos come in flavors such as grape, strawberry, vanilla, pineapple, watermelon, and apple. • They are flavored to attract young people and encourage them to try the product. • Cigars and cigarillos contain nicotine and are bad for your health. Source: Campaign for Tobacco-Free Kids 17

Flavored Cigars and Cigarillos • Regular cigar smoking is associated with an increased risk Flavored Cigars and Cigarillos • Regular cigar smoking is associated with an increased risk for cancers of the lung, voice box, lips, tongue, mouth, and throat. • Cigar smoking is linked to gum disease and tooth loss. • Heavy cigar smoking increases the risk for lung diseases, such as emphysema. • Flavorings in some cigar brands being sold as a single stick has raised concerns these products may be appealing to youth. Source: CDC Cigars and cigarillos are not a safe alternative to cigarettes. 18

Electronic Cigarettes (E-Cigs) • E-cigs are marketed to young people as an alternative to Electronic Cigarettes (E-Cigs) • E-cigs are marketed to young people as an alternative to cigarette smoking and come in many flavors that are sweet and appealing. • The cartridges used in e-cigs contain nicotine and other chemicals. E-cigs are not a safe alternative to cigarettes. Image courtesy of the American Academy of Pediatrics Julius B. Richmond Center of Excellence 19

Electronic Cigarettes (E-Cigs) • Ads feature rugged, handsome men and glamorous women using e-cigarettes Electronic Cigarettes (E-Cigs) • Ads feature rugged, handsome men and glamorous women using e-cigarettes • Use celebrities to pitch their products • Sponsor sports and music festivals • Use cartoons • Use appealing flavors 20

Both ads show rugged men using tobacco/nicotine Ad for blu Electronic Cigarettes 21 Ad Both ads show rugged men using tobacco/nicotine Ad for blu Electronic Cigarettes 21 Ad for Marlboro Cigarettes

Both ads show glamorous women using tobacco/nicotine Ad for blu Electronic Cigarettes 22 Ad Both ads show glamorous women using tobacco/nicotine Ad for blu Electronic Cigarettes 22 Ad for Virginia Slim Cigarettes

Music Festivals Associated With Tobacco Products blu e. Cigs and Kool Cigarettes Sponsoring Music Music Festivals Associated With Tobacco Products blu e. Cigs and Kool Cigarettes Sponsoring Music Festivals 23

Cartoon Characters Using Tobacco Products blu E-cigarettes and Camel Cigarettes Using Cartoons to Sell Cartoon Characters Using Tobacco Products blu E-cigarettes and Camel Cigarettes Using Cartoons to Sell Their Products 24

Flavored Products Flavored blu E-cigarettes and Camel Cigarettes Flavoring is used to mask the Flavored Products Flavored blu E-cigarettes and Camel Cigarettes Flavoring is used to mask the taste of tobacco and to appeal to youth 25

Hookahs • A hookah is a water pipe used to smoke tobacco. • The Hookahs • A hookah is a water pipe used to smoke tobacco. • The heated tobacco passes through a water bowl, and the smoke is inhaled through a mouthpiece. 26

Hookahs Hookah smokers: • Inhale large amounts of smoke and are exposed to 100 Hookahs Hookah smokers: • Inhale large amounts of smoke and are exposed to 100 to 200 times the amount of smoke in a cigarette. • Inhale more nicotine than cigarette smokers. • Share mouthpieces and risk getting colds, the flu, and other illnesses. 27

The Power of Advertising • Tobacco companies spend billions of dollars each year to The Power of Advertising • Tobacco companies spend billions of dollars each year to promote their products. • Tobacco ads are designed to attract a wide variety of people to motivate them to buy and use the products. • People who use tobacco are shown as young, attractive, and cool, but the ads never show the brown teeth, wrinkles, spit stains, and phlegm that result from its use. 28

Marketing Tactics Ad from 1964 29 Ad from 2013 Marketing Tactics Ad from 1964 29 Ad from 2013

Ads use attractive people to show smoking is cool and fun 30 Ads use attractive people to show smoking is cool and fun 30

Ads use Latino models and Spanish language text to entice young people to smoke Ads use Latino models and Spanish language text to entice young people to smoke 31

Why do people use tobacco? • Peer pressure: others want you to try tobacco Why do people use tobacco? • Peer pressure: others want you to try tobacco • Image: to look cool, older, or more grown up, or to feel popular • Relaxation (but tobacco has the opposite effect) • Addiction: once you start, you can’t stop 32

Secondhand Smoke • Secondhand smoke is a combination of the smoke coming from the Secondhand Smoke • Secondhand smoke is a combination of the smoke coming from the burning end of a lit cigarette, cigarillo, or pipe and the smoke that is exhaled by a smoker. • This smoke contains cancer-causing agents and chemical compounds. • There is no safe level of secondhand smoke. Is your community 100% smoke free? 33

Did you know? • Tobacco use kills 480, 000 people in the United States Did you know? • Tobacco use kills 480, 000 people in the United States each year and nearly 6 million people worldwide. Source: CDC • Many of these people started smoking as children. Source: American Cancer Society 34 Rachel—Indiana 2010 Tar Wars Poster Contest

Remember… Any type of tobacco or nicotine product harms you and those you care Remember… Any type of tobacco or nicotine product harms you and those you care about. Brooklyn—Tennessee 2011 Tar Wars Poster Contest 35

Thank you for participating in Tar Wars! Tar Wars is supported in part by Thank you for participating in Tar Wars! Tar Wars is supported in part by the American Academy of Family Physicians Foundation. 36

Questions? www. tarwars. org www. facebook. com/Tar. Wars www. youtube. com/AAFPTar. Wars 37 Questions? www. tarwars. org www. facebook. com/Tar. Wars www. youtube. com/AAFPTar. Wars 37