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Dear Parents and Families,Tobacco is a problem that needs to be addressed with young people. According tothe 2006 National Household Survey on Drug Use and Health, nearly 80% of alladult smokers became regular smokers before the age of 18. The National Instituteof Drug Abuse 2007 Monitoring the Future Survey finds that the peak years for firsttrying tobacco appears to be in the sixth or seventh grades with a considerablenumber starting even earlier. Smokeless tobacco is becoming more prevalent amongyoung people and poses a tremendous health risk to our youth.As you know, smoking is a major risk factor in heart disease, emphysema, cancer,high blood pressure and immune system diseases. Did you also know that cigarettesmoking is the single most preventable cause of death and disability among adults inthe United States?It is important to understand that smoking by adolescents is related to the use ofother drugs. Tobacco is considered a “gateway drug.” Very few adolescents haveused marijuana, cocaine or even much alcohol without having had prior experiencewith tobacco. To prevent this sequence of unhealthy behaviors, it is important andnecessary to target the early experimentation with tobacco.The intent of the Prevention Dimensions lessons and Tobacco on Trial is to educateyouth about tobacco and help them develop the skills necessary to make the healthychoice not to use it. These lessons will teach skills like resisting peer pressure, smartdecision-making, understanding techniques used by the tobacco industry to advertisetobacco and knowing the facts about the effects of tobacco on the body. We wantthe Tobacco on Trial lessons to be a positive learning experience for your student andinvite your participation.Sincerely,Your SchoolThe Utah State Office of EducationThe Tobacco Prevention and Control ProgramUtah Department of HealthNameTobacco/NicotineonTrialStudentWorkbook

1211152Truth or DareCrossword Puzzle SolutionAcross Across63102 Poison used to kill mice and rats (7)79134158DownBody Temperature1 Lung color caused by tar and smoke (5)Arsenic5 Desease of excessive smoking (10)Harder8 How many cigarettes or e-cigs can causeOxygenchanges (3)7 Disease causes difficult breathing(9)Phlegm6 Cancer of the tongue looks like (5,6)work with tobacco (6)6 Lungsheart work2 andPoisonusedtowithkilltobaccomice(6)6 lungsLungsheart9 Dirtycoughandthis (6)e-cig (6)13 Needs a substance to feel normal (8)15 A12type ofplant (7)UsinganDown15 A type of plant (7)13 Needs a substance to feel normal (8)BlackTobaccoAddicted*() after a clue is the number of lettersVapingin the word. If there are two numbers,there are two words.Sweepsaway harmful(5)11 Addivitive substance in e-cigs14andtobacco(8) particlesNicotine12 Using an e-cig (6)11 Addivitive substance in e-cigs and tobacco(8)10 We breathe this (6)9 Dirty lungs cough this (6)10 We breathe this (6)4 Gooeyand rats(7) and black (3)*1 Nicotine reduces(4,11)3 Cancer causing (11)1 Nicotine reduces (4,11)14B O D Y T E M P E R A T U R ELA R S E N I CTCAATheKBH A R D E ROsadd olutionictioto nRACMNnicioststar never ineOIIP H L E G Mtt.oNRNHCYO X Y G E NHTGSN I C O T I N ETNEMV A P I N GNA D D I C T E DSUIELIT O B A C C OPage 241 Lung color caused by tar and smoke (5)Poisons and Your BodyNoseSkinMouthEyesWhy –Skin – TouchNose – Breathe inDiscuss the assigned subject area.Your small group is to work on either mouth, nose, eyes or skin.Why and when can (gasoline, for example) become poisonous;how can you prevent poisoning; what kind of first aid would a person render toa person who has been poisoned with .Fill in the graph with your answers.Why –Prevent –Mouth – SwallowPrevent –Why –First Aid –Why –Prevent –First Aid –Prevent –First Aid –Eyes – SplashFirst Aid –Page 1

Tobacco Knowledge Pre-Test6.5.4.3.2.1.How many times have you and yourparents talked about tobacco issuessuch as smoking/vaping/chewing orsecondhand smoke during the lastmonth?NeverOnceMore than onceDo you think that smoke from otherpeople’s cigarettes is harmful to you?YesNoDon’t know or not sureDo you think that smokers or vapers havea hard time breathing?YesNoDon’t know or not sureOut of every 10 students your age, howmany do you think smoke cigarettes orvape e-cigarettes?None12345 or moreHow old are you?9101112Are you a male or a female?MaleFemale9.8.Do you think that you will try cigarettes orchewing tobacco next year?YesNoDon’t know or not sure15. In the last month, have you seenadvertisements for smoking or e-cigs?Yes, a lotYes, fewNo14. Do you think tobacco or e-cig advertisingtells the whole truth?YesNoDon’t know or not sure13. Do you think that using smokeless tobaccocan cause cancer?YesNoDon’t know or not sure12. Do you think that it is safe to smoke orvape for only a year or two?YesNoDon’t know or not sure11. Do you think that kids who start smoking orvaping can stop any time they want?YesNoDon’t know or not sure10. What is the addictive substance in tobaccoor e-cigs?TarCarbon monoxide gasNicotineArsenicDo you think it is okay to say “no” to afriend who tries to offer you a cigarette ornicotine device?YesNoDon’t know or not surePlease answer all of the questions below by circling the answers that best fits your response.If any question does not apply to you, or you are not sure what it means, just leave it blank.7.Do you think that tobacco companiesare trying to get young people to startsmoking or vaping?YesNoDon’t know or not surePage 2Notes and ThoughtsPage 23

Page 22Notes and ThoughtsHow Many People Use Tobaccoor Electronic-Cigarettes(Electronic-Cigarettes, E-cigs or E-cigarettes are all the samething and may be referred to by any of those terms.)My estimatesPercentage of people who use tobacco/nicotine every week.On the following graph, make a bar graph (darken in thepercentage) of Utahans you think are tobacco/nicotine users in eachof the three age groups.My AgeHigh SchoolAdults0% 10% 20% 30% 40% 50% 60% 70% 80% 90%ActualReal percentage of Utahans who use tobacco/nocotine everyweek.My AgeHigh SchoolAdults0% 10% 20% 30% 40% 50% 60% 70% 80% 90%Adapted fromPage 3

Myths and Facts About Tobacco/NicotineMYTH #1: If a person smokes or vapes just a few cigarettes ore-cigarettes they won’t get addicted.FACT: Nicotine is addictive. Very few people can smoke justa few and not get addicted. The body quickly gets used to theamount of nicotine put into it and requires more or the sameamount to feel “normal.” Nicotine is thought to be more addictivethan heroin. 3 out of 4 people who start smoking before the ageof 18 will continue smoking into adulthood even if they plan onstopping in a few years.MYTH #2: Nicotine isn’t a drug.FACT: Nicotine is a drug! It has addictive qualities just like heroin, cocaine,or alcohol. People use it knowing it is harmful to them, and it changes howtheir brain and body function. It alters mood, increases the heart rate, anddrives the craving that smokers and vapers know too well.MYTH #3: You look more grown-up and cool when you smoke or vape.FACT: Some people think they look cool when they put a stick betweentheir puckered up lips, suck in chemically, polluted air, make a strangefacial expression, and then blow out that chemically, polluted air. Actually,“coolness” is in the eye of the beholder and not everyone thinks thisbehavior is “cool.” Most youth and adults think it is dumb.MYTH #4: Chewing tobacco is safer than smoking.FACT: Chewing tobacco is just as dangerous as smoking cigarettes.Chewing tobacco causes just as many diseases, just different ones. Insteadof lung cancer and emphysema, a person who chews may get lip, mouth,throat, or stomach cancer.MYTH #5: Smoking cigarettes doesn’t actually kill a person.FACT: Smoking kills over 1,200 people a day. It contains over 7,000chemicals, 70 of which cause cancer. Tobacco is dangerous and deadly.Smoking kills more Americans each year than alcohol, crack, cocaine,heroin, homicides, suicide, fires, car accidents, and AIDS combined.MYTH #6: Vaping is safer than smoking.FACT: Vaping is untested, unproven and unregulated. It is using a productthat is unknown and suspect.Page 4 CitationsAccording to the following website every day 3200 youth try tobaccofor the first time and 2,100 become addicted. Roughly 66% or 7 outof 10 people who start will get /facts-figures/#whoAccording to the Surgeon General report, 3 out of 4 teenagers whostart smoking will continue smoking into e following websites give current information on the morality ratesof tobacco/nicotine eets/pdf/0072.pdfhttp://www.cdc.gov/tobacco/data statistics/sgr/2010/consumerbooklet/chemicals smokePage 21

Tobacco Knowledge Post-Test7.6.5.4.3.2.1.Do you think that tobacco companiesare trying to get young people to startsmoking?YesNoDon’t know or not sureHow many times have you and yourparents talked about tobacco issuessuch as smoking/chewing or secondhandsmoke during the last month?NeverOnceMore than onceDo you think that smoke from otherpeople’s cigarettes is harmful to you?YesNoDon’t know or not sureDo you think that smokers have a hardtime breathing?YesNoDon’t know or not sureOut of every 10 students your age, howmany do you think smoke cigarettes?None12345 or moreHow old are you?9101112Are you a male or a female?MaleFemale9.15. In the last month, have you seenadvertisements on TV against smoking?Yes, a lotYes, fewNoI rarely watch TV14. Do you think tobacco companies’advertisements tell the truth?YesNoDon’t know or not sure13. Do you think that using smokeless tobaccocan cause cancer?YesNoDon’t know or not sure12. Do you think that it is safe to smoke for onlya year or two?YesNoDon’t know or not sure11. Do you think that kids who start smokingcan stop any time they want?YesNoDon’t know or not sure10. What is the addictive substance intobacco?TarCarbon monoxide gasNicotineArsenicDo you think it is okay to say “no” to afriend who tries to offer you a cigarette?YesNoDon’t know or not surePlease answer all of the questions below by circling the answers that best fits your response.If any question does not apply to you, or you are not sure what it means, just leave it blank.8.Do you think that you will try cigarettes orchewing tobacco next year?YesNoDon’t know or not surePage 20Example: LeukoplakiaLong TermNegative Consequences Of UsingChewing TobaccoShort TermExample: Bad BreathShort TermExample: Lung CancerLong TermNegative Consequences Of Smoking/VapingExample: Smelly skin, hair and clothesPage 5