Nicotine/Tobacco

Tobacco is a plant that has a long history of cultivation in North America. It was a very important crop for the Native Americans, and eventually became a cornerstone of economic development in the United States.

The drug in tobacco that makes it addictive is nicotine. It is a mild stimulant and has several effects on the body. People use tobacco in several ways – most often people smoke cigarettes, but they can use it in other ways as well, like chewing it or inhaling vapor from e-cigarettes. Read more here https://www.drugabuse.gov/publications/drugfacts/cigarettes-other-tobacco-products.

Cigarette smoking is one of the most harmful health behavior because it is the number one cause of preventable death in the United States – https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm. Some of these risks are from nicotine, and some are from other substances that are contained in the smoke from tobacco products. Additionally, the smoke from cigarettes and other smoked products can affect the health of others. This is called secondhand or passive smoking and is linked to illness and death – https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/cessation-fact-sheet#what-are-the-risks-of-tobacco-smoke-to-nonsmokers.

Pie chart showing annual deaths from smoking in the US. Main causes are heart disease (33%), lung cancer (29%), chronic obstructive pulmonary disease (21%), and others.
From CDC.gov
Image shows graphic of a human body that highlight the dangers of smoking. This includes cancers of the mouth, throat, lungs, stomach, liver, pancreas, kidneys, cervix, bladder and colorectal. This also includes increased risk of stroke, blindness, heart disease, respiratory diseases like pneumonia and chronic obstructive pulmonary disease, diabetes, reproductive and sexual health effects for both men and women, and reduced immune function.
From CDC.gov

People use tobacco in a variety of products – smoked and smokeless. Learn more about different tobacco products here – https://www.fda.gov/consumers/consumer-updates/recognize-tobacco-its-many-forms.

There has been a rise in the use of e-vaporizers or e-cigarettes in recent years. These products are not regulated in the same way as other tobacco products. They still deliver nicotine to the user (and are thus addictive), as well as a host of other chemicals which may be carcinogens. Recently, several cases of severe respiratory illness and one death was linked to the use of e-cigarettes – https://www.pbs.org/newshour/nation/illinois-patients-death-may-be-first-in-u-s-linked-to-vaping.

While rates of tobacco smoking have been steadily declining in recent years (the latest numbers show that 14% of people in the US smoke), there is no safe level of smoking or using tobacco.

Image that says cigarette smoking is down but about 34 million american adults still smoke. Certain groups smoke more - men, adults 25-64 years old, people with lower education and living below the poverty level, uninsured or on medicaid, american Indians and Alaskan natives, and LGBTQ people.
From CDC.gov

Many people want to quit smoking or using tobacco, but they may not know how to start. There are many free and local resources available for quitting. Benefits of quitting are many and include a lower risk of illness and death, as well as less coughing, better breath and a brighter smile.

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