I.

GENERAL OBJECTIVE:
At the end of a 1-hour classroom activities, the learners shall gain knowledge about tobacco abuse, develop
beginning skills and manifest positive attitudes towards tobacco use cessation.

Specific Objectives
At the end of a 1-hour classroom activities, the learners will be able to:
1. Describe what is tobacco abuse.
2. Determine 5 harmful substances in tobacco.
3. Identify 3 harmful effects of tobacco use on one's health.
4. Name 3 diseases caused by tobacco use.
5. State 3 effects to the body when a tobacco user stops smoking.
6. Enumerate 3 effects of e-cigarette use.

II. SUBJECT MATTER: Discussion on tobacco abuse. It includes discussion of the different tobacco substances
and its effects, tobacco cessation and its benefits and information about e-cigarettes and its effects.

III. MATERIALS
Pentel Pen
Cartolina/Manila Paper
Paper
Projector
Pictures related to tobacco abuse
Handouts

IV. PROCEDURE
A. Preparation
Start with a prayer and greet the learners.

B. Motivation
Hang a poster/image and use it to engage students in a conversation about the dangers of tobacco, secondhand
smoke, and e-cigarettes.
Before handing the materials ask the learners, What do you think you know about the dangers of tobacco?

C. Lesson Proper

What is Tobacco use/abuse?

Tobacco use may be defined as any habitual use of the tobacco plant leaf and its products. The predominant use of
tobacco is by smoke inhalation of cigarettes, pipes, and cigars. Smokeless tobacco refers to a variety of tobacco
products that are either sniffed, sucked, or chewed.

What are nicotine and tobacco?

Cigarettes are made from the dried and cured leaves of the tobacco plant.
Nicotine is the key addictive drug in tobacco.
Like heroin and cocaine, nicotine changes the way the brain works and causes cravings for more nicotine.

Nicotine can be found in:

 Tailor-made manufactured cigarettes
 Roll-your-own cigarettes
 Cigars
 Pipe tobacco
 Water pipe tobacco (shisha, narghile)
 Chop-chop (illegal loose rolling tobacco)
 Herbal and spiced cigarettes
 E-cigarettes

What else do cigarettes contain?

 Carbon monoxide — this also comes out of car exhausts
 Lead, mercury, chromium and cadmium — toxic metals
 Hydrogen cyanide — used in larger doses in gas chambers
 Ammonia — found in cleaning products and added to cigarettes to increase the nicotine hit
 Polonium 210 — a radioactive substance.
Some of the toxins in cigarette affect the mouth, throat and lungs, while others travel in the bloodstream throughout the
body.
The longer a person smokes, and the more often they smoke, the greater their risk of developing diseases such as lung
cancer.
*Sometimes people believe that a certain type of tobacco, such as roll-your-own cigarettes, is more natural and healthier
than manufactured ‘tailor-made’ cigarettes. This is not true. Inhaling smoke is harmful no matter what type of tobacco
is used.

Secondhand Smoke: Everyone Is at Risk

The secondhand smoke that comes off lit cigarettes or that is exhaled by a smoker contains the same dangerous chemicals
that a smoker inhales. When nonsmokers breathe in secondhand smoke, these chemicals are absorbed in the body.
According to the Centers for Disease Control and Prevention, more than 40,000 nonsmoking Americans die every year from
diseases that are caused by exposure to secondhand smoke. Young people who are regularly exposed to secondhand
smoke have a greater risk of ear infections and respiratory problems, such as bronchitis and pneumonia. Secondhand
smoke can trigger an asthma attack in a child. Children with asthma who are around secondhand smoke have more severe
and frequent asthma attacks.

Tobacco Health Risks:

Smoking poses many health risks, including:

• Smoking is the largest cause of cancer in Australians, even though only one in five adults
smoke – for example, smoking is the cause of around 90% of lung cancers.
Smoking is also the major cause of cancers of the mouth, throat, esophagus, pharynx,
larynx (voice box), tongue, lips and salivary glands.
• Smoking causes 70% (or more) of Chronic Obstructive Pulmonary Diseases (COPD) such
as emphysema. Emphysema is a lung disease that makes it harder and harder for people
to breathe. This continues to worsen over time until they eventually die.
• Smokers are 2–4 times more at risk of developing heart disease, which can lead to heart
attacks, than non-smokers.
• Smoking leads to diseases of the blood vessels. This can result in people having strokes13
or needing amputations because part of one of their limbs has died.
Other health problems associated with smoking include:
• Smoking does not necessarily cause immediate death. Instead, smokers will often suffer
 from conditions and diseases that usually only effect the elderly. These can emerge at a
younger age and last longer for smokers.
• Smokers are more likely to experience a dental disease called periodontitis that can lead
to tooth loss.
• Smokers’ skin ages and wrinkles faster.
• Smokers have an increased risk of eye diseases leading to reduced vision and blindness.
• Smoking dangerously worsens the effects of diabetes and makes asthma more difficult to
control.
• Female smokers can experience disrupted menstrual periods. Male smokers are more
likely to suffer impotence.
• Smokers have a higher risk of several serious types of infections including meningococcal
disease, a dangerous infection that more often affects younger people.
• Smokers are likely to develop poorer mental health, particularly anxiety disorders and
depression.
Other smoking-related problems include:
• Smokers on low incomes often spend a substantial proportion of their money on cigarettes,
making it harder to afford daily essentials like food
• Smokers spend more time off work sick, and can lose pay as a result
• Smoking-related illnesses cause emotional suffering and financial hardship for smokers
and their families
Tobacco Cessation
Many smokers who quit say that the support of loved ones helped. Experts say that lecturing or nagging a smoker isn’t likely
to be beneficial. Instead, explain the reasons you want them to quit, such as that you are worried they might get sick. Share
some of the facts about tobacco. Quitting smoking can be one of the most difficult, yet rewarding, things a person can do.
Support loved ones by celebrating their successes, both big and small. Apart from the health benefits of quitting, there is a
considerable financial benefit from not buying cigarettes.

Benefits:
 The benefits of quitting smoking are almost immediate and include easier breathing, increased energy and
activity levels and the positive effect this could have on your overall health and quality of life. You will feel
the benefits of quitting straightaway as your body repairs itself. Depending on the number of
 cigarettes you smoke, typical benefits of stopping include:
 After 12 hours almost all of the nicotine is out of your system.
 After 24 hours the level of carbon monoxide (CO) in your blood has dropped dramatically. You now have
more oxygen in your bloodstream.
 After 5 days most nicotine by-products have gone.
 Within days your sense of taste and smell improves.
 Within a month your blood pressure returns to its normal level and your immune system begins to show
signs of recovery.
 Within 2 months your lungs will no longer be producing extra phlegm caused by smoking.
 After 12 months your increased risk of dying from heart disease is half that of a continuing smoker.
 Stopping smoking reduces the incidence and progression of lung disease including chronic bronchitis and
emphysema.
 After 10 years of stopping, your risk of lung cancer is less than half that of a continuing smoker and
continues to decline (provided the disease is not already present).
 After 15 years your risk of heart attack and stroke is almost the same as that of a person who has never
smoked.

Electronic cigarettes
Electronic cigarettes (also known as ‘e-cigarettes’) are handheld electronic devices that mimic the effects of a tobacco
cigarette but produce vapour instead of smoke when inhaled. The use of e-cigarettes is often referred to as ‘vaping’.

As e-cigarettes are a relatively recent phenomenon, there are no long-term studies that can establish their safety. Because
of this, it is unclear whether vaping is any safer than smoking tobacco, and the long-term effects are currently unknown.
Manufacturers claim e-cigarettes are safe because they don’t burn tobacco. However, e-cigarettes deliver the same
addictive chemical, nicotine, as real cigarettes.

Health Effects
Vaping puts nicotine into the body. Nicotine is highly addictive and can affect brain development.
Nicotine in e-cigarettes:
 is very addictive
 can slow brain development in teens and affect memory, concentration, learning, self-control, attention, and mood
  can increase the risk of other types of addiction later in life
E-cigarettes also:
 irritate and damage the lungs
 can cause cancer
 can lead to smoking cigarettes and other forms of tobacco use
Liquid inside e-cigarettes:
 can be poisonous when ingested or touched

How E-Cigarettes Work

Unlike real cigarettes, e-cigarettes don’t burn tobacco. Instead, the devices have a cartridge inside that holds a liquid that
contains nicotine, flavors, and other chemicals. When a user inhales on the e-cigarette, it causes a battery to power a
vaporizer in the device. The vaporizer heats up the liquid and turns it into a vapor. The nicotine-containing vapor is inhaled,
which is why using e-cigarettes is sometimes called “vaping.”

D. Evaluation

Before completing the lecture, ask the students:

1. What facts about tobacco surprised you the most?
2. Why is it important for scientists to study the effects of tobacco products, including e-cigarettes, on the
body?
3. Why is tobacco harmful to your health?
4. What parts of your body are affected by tobacco?
5. Are smokers the only ones affected by tobacco smoke?
6. Are e-cigarettes safe?
7. Why is it important to encourage people around you not to smoke?
8. Do you think knowing the facts might affect people's decisions about using tobacco or related products?
Why or why not?

V. ASSIGNMENT (DAN and CJ)