Academic Year 2009/2010

English Paper

Smoking and the

example of Tunisia

Realized by:
Triki Tesnim

Framed by:
Mrs.Lamdani Kmar

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Plan
Introduction: a new invader
………………………………………………… 2

I. Different types of Smoking

………………………………………….. 3
1. Smokers………………………………………………………
…………. 3
• A cigarette
recipe…………………………………………………….
3
1. Smokeless
tobacco……………………………………………………..
7
2. Secondhand
smokers………………………………………………….. 9

I. Smoking
&health ……………………………………………………..
10
1. Impact on
heart………………………………………………………….
10
2. Impact on
lungs…………………………………………………………
10

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 3. Impact on
brain………………………………………………………….
12
4. Others…………………………………………………………
…………. 13

I. About
quitting…………………………………………………………..
17
1. Why how to quit………………………………………...
……………….. 17
2. Movements (the example of Tunisia; the year 2009)
……………….. 19
Conclusion
……………………………………………………………………..
21

Introduction:

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With the embarrassing situation we face due to
smoking, with the large and fast spread of its fatal
diseases and side effects it becomes urgent to move, to
act, to make decisions.
This expose is my contribution to face this urgent
situation we-not only smokers are concerned but also
non smokers- are living. Even if you are not a smoker
some of your friends are or your parents or your
teachers and if you really love them you have to do
something for them to save themselves and get their
independence!
For that reason I was charged in this work; when you
have to face an enemy at first you have to know all
about him for that reason I will deal with smoking in the
first part than its impact on our bodies and brains and
for the last part we will talk about quitting and we will
have a look at the example of Tunisia.

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I. Different types of smoking:
All forms of tobacco are harmful. Tobacco products and
delivery methods come in many forms. However tobacco is
packaged or delivered, it causes disease and addiction. Light or
low-tar cigarettes are just as harmful as regular cigarettes.

Fig1:percent of use of different types of smoking

1. Smokers:

Cigarette Ingredients
Cigarette smoke contains more than 4,000 chemicals,43 of them known as
cancer-causing. Some of these chemicals are also found in wood varnish,
the insecticide DDT, rat poison, and nail polish remover. The ashes, tar,

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gases, and other poisons— such as arsenic—in cigarettes harm your body
over time.They even make it harder for you to taste and smell things and
to fight infection.
This is the recipe for a cigarette:

Acetanisole, Acetic Acid, Acetoin, Acetophenone, 6-

Acetoxydihydrotheaspirane, 2-Acetyl-3- Ethylpyrazine, 2-Acetyl-5-
Methylfuran, Acetylpyrazine, 2-Acetylpyridine, 3-Acetylpyridine, 2-
Acetylthiazole, Aconitic Acid, dl-Alanine, Alfalfa Extract, Allspice
Extract, Oleoresin, And Oil, Allyl Hexanoate, Allyl Ionone, Almond
Bitter Oil, Ambergris Tincture, Ammonia, Ammonium Bicarbonate,
Ammonium Hydroxide, Ammonium Phosphate Dibasic, Ammonium
Sulfide, Amyl Alcohol, Amyl Butyrate, Amyl Formate, Amyl
Octanoate, alpha-Amylcinnamaldehyde, Amyris Oil, trans-Anethole,
Angelica Root Extract, Oil and Seed Oil, Anise, Anise Star, Extract
and Oils, Anisyl Acetate, Anisyl Alcohol, Anisyl Formate, Anisyl
Phenylacetate, Apple Juice Concentrate, Extract, and Skins, Apricot
Extract and Juice Concentrate, 1-Arginine, Asafetida Fluid Extract
And Oil, Ascorbic Acid, 1-Asparagine Monohydrate, 1-Aspartic Acid,
Balsam Peru and Oil, Basil Oil, Bay Leaf, Oil and Sweet Oil, Beeswax
White, Beet Juice Concentrate, Benzaldehyde,Benzaldehyde
Glyceryl Acetal, Benzoic Acid, Benzoin, Benzoin Resin,
Benzophenone, Benzyl Alcohol, Benzyl Benzoate, Benzyl Butyrate,
Benzyl Cinnamate, Benzyl Propionate, Benzyl Salicylate, Bergamot
Oil, Bisabolene, Black Currant Buds Absolute, Borneol, Bornyl
Acetate, Buchu Leaf Oil, 1,3-Butanediol, 2,3-Butanedione, 1-
Butanol, 2-Butanone, 4(2-Butenylidene)-3,5,5-Trimethyl-2-
Cyclohexen-1-One, Butter, Butter Esters, and Butter Oil, Butyl
Acetate, Butyl Butyrate, Butyl Butyryl Lactate, Butyl Isovalerate,
Butyl Phenylacetate, Butyl Undecylenate, 3-Butylidenephthalide,
Butyric Acid, Cadinene, Caffeine, Calcium Carbonate, Camphene,
Cananga Oil, Capsicum Oleoresin, Caramel Color, Caraway Oil,
Carbon Dioxide, Cardamom Oleoresin, Extract, Seed Oil, and
Powder, Carob Bean and Extract, beta-Carotene, Carrot Oil,
Carvacrol, 4-Carvomenthenol, 1-Carvone, beta-Caryophyllene,
beta-Caryophyllene Oxide, Cascarilla Oil and Bark Extract, Cassia
Bark Oil, Cassie Absolute and Oil, Castoreum Extract,Tincture and
Absolute,Cedar Leaf Oil, Cedarwood Oil Terpenes and Virginiana,
Cedrol, Celery Seed Extract, Solid, Oil, And Oleoresin, Cellulose
Fiber, Chamomile Flower Oil And Extract, Chicory Extract,
Chocolate, Cinnamaldehyde, Cinnamic Acid, Cinnamon Leaf Oil,

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Bark Oil, and Extract, Cinnamyl Acetate, Cinnamyl Alcohol,
Cinnamyl Cinnamate, Cinnamyl Isovalerate, Cinnamyl Propionate,
Citral, Citric Acid, Citronella Oil, dl-Citronellol, Citronellyl Butyrate,
Citronellyl Isobutyrate, Civet Absolute, Clary Oil, Clover Tops, Red
Solid Extract, Cocoa, Cocoa Shells, Extract, Distillate And Powder,
Coconut Oil, Coffee, Cognac White and Green Oil, Copaiba Oil,
Coriander Extract and Oil, Corn Oil, Corn Silk, Costus Root Oil,
Cubeb Oil, Cuminaldehyde, para-Cymene, 1-Cysteine, Dandelion
Root Solid Extract, Davana Oil, 2-trans, 4-trans-Decadienal, delta-
Decalactone, gamma-Decalactone, Decanal, Decanoic Acid, 1-
Decanol, 2-Decenal, Dehydromenthofurolactone, Diethyl Malonate,
Diethyl Sebacate, 2,3-Diethylpyrazine,Dihydro Anethole, 5,7-
Dihydro-2-Methylthieno(3,4-D) Pyrimidine, Dill Seed Oil and Extract,
meta-Dimethoxybenzene, para-Dimethoxybenzene, 2,6-
Dimethoxyphenol, Dimethyl Succinate, 3,4-Dimethyl-1,2-
Cyclopentanedione, 3,5- Dimethyl-1,2-Cyclopentanedione, 3,7-
Dimethyl-1,3,6-Octatriene, 4,5-Dimethyl-3-Hydroxy-2,5-
Dihydrofuran-2-One, 6,10-Dimethyl-5,9-Undecadien-2-One, 3,7-
Dimethyl-6-Octenoic Acid, 2,4-Dimethylacetophenone, alpha,para-
Dimethylbenzyl Alcohol, alpha,alpha-Dimethylphenethyl Acetate,
alpha,alpha Dimethylphenethyl Butyrate, 2,3-Dimethylpyrazine,2,5-
Dimethylpyrazine, 2,6-Dimethylpyrazine,
Dimethyltetrahydrobenzofuranone, delta-Dodecalactone, gamma-
Dodecalactone, para-Ethoxybenzaldehyde, Ethyl 10-Undecenoate,
Ethyl 2-Methylbutyrate, Ethyl Acetate, Ethyl Acetoacetate, Ethyl
Alcohol, Ethyl Benzoate, Ethyl Butyrate, Ethyl Cinnamate, Ethyl
Decanoate, Ethyl Fenchol, Ethyl Furoate, Ethyl Heptanoate, Ethyl
Hexanoate, Ethyl Isovalerate, Ethyl Lactate, Ethyl Laurate, Ethyl
Levulinate, Ethyl Maltol,Ethyl Methyl Phenylglycidate, Ethyl
Myristate, Ethyl Nonanoate, Ethyl Octadecanoate, Ethyl Octanoate,
Ethyl Oleate, Ethyl Palmitate, Ethyl Phenylacetate, Ethyl
Propionate, Ethyl Salicylate, Ethyl trans-2-Butenoate, Ethyl
Valerate, Ethyl Vanillin, 2-Ethyl (or Methyl)-(3,5 and 6)-
Methoxypyrazine, 2-Ethyl-1-Hexanol, 3-Ethyl -2 -Hydroxy-2-
Cyclopenten-1-One, 2-Ethyl-3, (5 or 6)-Dimethylpyrazine, 5-Ethyl-3-
Hydroxy-4-Methyl-2(5H)-Furanone, 2-Ethyl-3-Methylpyrazine, 4-
Ethylbenzaldehyde, 4-Ethylguaiacol, para-Ethylphenol, 3-
Ethylpyridine, Eucalyptol, Farnesol, D-Fenchone, Fennel Sweet Oil,
Fenugreek, Extract, Resin, and Absolute, Fig Juice Concentrate,
Food Starch Modified, Furfuryl Mercaptan, 4-(2-Furyl)-3-Buten-2-
One, Galbanum Oil, Genet Absolute, Gentian Root Extract, Geraniol,

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Geranium Rose Oil, Geranyl Acetate, Geranyl Butyrate, Geranyl
Formate, Geranyl Isovalerate, Geranyl Phenylacetate, Ginger Oil
and Oleoresin, 1-Glutamic Acid, 1-Glutamine, Glycerol, Glycyrrhizin
Ammoniated, Grape Juice Concentrate,Guaiac Wood Oil, Guaiacol,
Guar Gum, 2,4-Heptadienal, gamma-Heptalactone, Heptanoic Acid,
2-Heptanone, 3-Hepten-2-One, 2-Hepten-4-One, 4-Heptenal, trans
-2-Heptenal, Heptyl Acetate, omega-6-Hexadecenlactone, gamma-
Hexalactone, Hexanal, Hexanoic Acid, 2-Hexen-1-Ol, 3-Hexen-1-Ol,
cis-3-Hexen-1-Yl Acetate, 2-Hexenal, 3-Hexenoic Acid, trans-2-
Hexenoic Acid, cis-3-Hexenyl Formate, Hexyl 2-Methylbutyrate,
Hexyl Acetate, Hexyl Alcohol, Hexyl Phenylacetate, 1-Histidine,
Honey, Hops Oil, Hydrolyzed Milk Solids, Hydrolyzed Plant Proteins,
5-Hydroxy-2,4-Decadienoic Acid delta- Lactone, 4-Hydroxy-2,5-
Dimethyl-3(2H)-Furanone, 2-Hydroxy-3,5,5-Trimethyl-2-
Cyclohexen-1-One, 4-Hydroxy -3-Pentenoic Acid Lactone, 2-
Hydroxy-4-Methylbenzaldehyde, 4-Hydroxybutanoic Acid Lactone,
Hydroxycitronellal, 6-Hydroxydihydrotheaspirane, 4-(para-
Hydroxyphenyl)-2-Butanone, Hyssop Oil, Immortelle Absolute and
Extract, alpha-Ionone, beta-Ionone, alpha-Irone, Isoamyl Acetate,
Isoamyl Benzoate, Isoamyl Butyrate, Isoamyl Cinnamate,Isoamyl
Formate, Isoamyl Hexanoate, Isoamyl Isovalerate, Isoamyl
Octanoate, Isoamyl Phenylacetate, Isobornyl Acetate, Isobutyl
Acetate, Isobutyl Alcohol, Isobutyl Cinnamate, Isobutyl
Phenylacetate, Isobutyl Salicylate, 2-Isobutyl-3-Methoxypyrazine,
alpha-Isobutylphenethyl Alcohol, Isobutyraldehyde, Isobutyric Acid,
d,l-Isoleucine, alpha-Isomethylionone, 2-Isopropylphenol, Isovaleric
Acid, Jasmine Absolute, Concrete and Oil, Kola Nut Extract,
Labdanum Absolute and Oleoresin, Lactic Acid, Lauric Acid, Lauric
Aldehyde, Lavandin Oil, Lavender Oil, Lemon Oil and Extract,
Lemongrass Oil, 1-Leucine, Levulinic Acid, Licorice Root, Fluid,
Extract and Powder, Lime Oil, Linalool, Linalool Oxide, Linalyl
Acetate, Linden Flowers, Lovage Oil And Extract, 1-Lysine, Mace
Powder, Extract and Oil, Magnesium Carbonate, Malic Acid, Malt
and Malt Extract, Maltodextrin, Maltol, Maltyl Isobutyrate, Mandarin
Oil, Maple Syrup and Concentrate, Mate Leaf, Absolute and Oil,
para-Mentha-8-Thiol-3-One, Menthol, Menthone,Menthyl Acetate,
dl-Methionine, Methoprene, 2-Methoxy-4-Methylphenol, 2-Methoxy-
4-Vinylphenol, para-Methoxybenzaldehyde, 1-(para-
Methoxyphenyl)-1-Penten-3-One, 4-(para-Methoxyphenyl)-2-
Butanone, 1-(para-Methoxyphenyl)-2-Propanone, Methoxypyrazine,
Methyl 2-Furoate, Methyl 2-Octynoate, Methyl 2-Pyrrolyl Ketone,

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Methyl Anisate, Methyl Anthranilate, Methyl Benzoate, Methyl
Cinnamate, Methyl Dihydrojasmonate, Methyl Ester of Rosin,
Partially Hydrogenated, Methyl Isovalerate, Methyl Linoleate (48%),
Methyl Linolenate (52%) Mixture, Methyl Naphthyl Ketone, Methyl
Nicotinate, Methyl Phenylacetate, Methyl Salicylate, Methyl Sulfide,
3-Methyl-1-Cyclopentadecanone, 4-Methyl-1-Phenyl-2-Pentanone,
5-Methyl-2-Phenyl-2-Hexenal, 5-Methyl-2-
Thiophenecarboxaldehyde, 6-Methyl-3,-5-Heptadien-2-One, 2-
Methyl-3-(para-Isopropylphenyl) Propionaldehyde, 5-Methyl-3-
Hexen-2-One, 1-Methyl-3Methoxy-4-Isopropylbenzene, 4-Methyl-3-
Pentene-2-One, 2-Methyl-4-Phenylbutyraldehyde, 6-Methyl-5-
Hepten-2-One, 4-Methyl-5-Thiazoleethanol,4-Methyl-5-Vinylthiazole,
Methyl-alpha-Ionone, Methyl-trans-2-Butenoic Acid, 4-
Methylacetophenone, para-Methylanisole, alpha-Methylbenzyl
Acetate, alpha-Methylbenzyl Alcohol, 2-Methylbutyraldehyde, 3-
Methylbutyraldehyde, 2-Methylbutyric Acid, alpha-
Methylcinnamaldehyde, Methylcyclopentenolone, 2-
Methylheptanoic Acid, 2-Methylhexanoic Acid, 3-Methylpentanoic
Acid, 4-Methylpentanoic Acid, 2-Methylpyrazine, 5-
Methylquinoxaline, 2-Methyltetrahydrofuran-3-One,
(Methylthio)Methylpyrazine (Mixture Of Isomers), 3-
Methylthiopropionaldehyde, Methyl 3-Methylthiopropionate, 2-
Methylvaleric Acid, Mimosa Absolute and Extract, Molasses Extract
and Tincture, Mountain Maple Solid Extract, Mullein Flowers,
Myristaldehyde, Myristic Acid, Myrrh Oil, beta-Napthyl Ethyl Ether,
Nerol, Neroli Bigarde Oil, Nerolidol, Nona-2-trans,6-cis-Dienal, 2,6-
Nonadien-1-Ol, gamma-Nonalactone, Nonanal, Nonanoic Acid,
Nonanone, trans-2-Nonen-1-Ol, 2-Nonenal, Nonyl Acetate, Nutmeg
Powder and Oil, Oak Chips Extract and Oil,Oak Moss Absolute, 9,12-
Octadecadienoic Acid (48%) And 9,12,15-Octadecatrienoic Acid
(52%), delta-Octalactone, gamma-Octalactone, Octanal, Octanoic
Acid, 1-Octanol, 2-Octanone, 3-Octen-2-One, 1-Octen-3-Ol, 1-Octen-
3-Yl Acetate, 2-Octenal, Octyl Isobutyrate, Oleic Acid , Olibanum
Oil, Opoponax Oil And Gum, Orange Blossoms Water, Absolute, and
Leaf Absolute, Orange Oil and Extract, Origanum Oil, Orris Concrete
Oil and Root Extract, Palmarosa Oil, Palmitic Acid, Parsley Seed Oil,
Patchouli Oil, omega-Pentadecalactone, 2,3-Pentanedione, 2-
Pentanone, 4-Pentenoic Acid, 2-Pentylpyridine, Pepper Oil, Black
And White, Peppermint Oil, Peruvian (Bois De Rose) Oil, Petitgrain
Absolute, Mandarin Oil and Terpeneless Oil, alpha-Phellandrene, 2-
Phenenthyl Acetate, Phenenthyl Alcohol, Phenethyl Butyrate,

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Phenethyl Cinnamate, Phenethyl Isobutyrate, Phenethyl
Isovalerate, Phenethyl Phenylacetate, Phenethyl Salicylate, 1-
Phenyl-1-Propanol, 3-Phenyl-1-Propanol, 2-Phenyl-2-Butenal, 4-
Phenyl-3-Buten-2-Ol,4-Phenyl-3-Buten-2-One, Phenylacetaldehyde,
Phenylacetic Acid, 1-Phenylalanine, 3-Phenylpropionaldehyde, 3-
Phenylpropionic Acid, 3-Phenylpropyl Acetate, 3-Phenylpropyl
Cinnamate, 2-(3-Phenylpropyl)Tetrahydrofuran, Phosphoric Acid,
Pimenta Leaf Oil, Pine Needle Oil, Pine Oil, Scotch, Pineapple Juice
Concentrate, alpha-Pinene, beta-Pinene, D-Piperitone, Piperonal,
Pipsissewa Leaf Extract, Plum Juice, Potassium Sorbate, 1-Proline,
Propenylguaethol, Propionic Acid, Propyl Acetate, Propyl para-
Hydroxybenzoate, Propylene Glycol, 3-Propylidenephthalide, Prune
Juice and Concentrate, Pyridine, Pyroligneous Acid And Extract,
Pyrrole, Pyruvic Acid, Raisin Juice Concentrate, Rhodinol, Rose
Absolute and Oil, Rosemary Oil, Rum, Rum Ether, Rye Extract,
Sage, Sage Oil, and Sage Oleoresin, Salicylaldehyde, Sandalwood
Oil, Yellow, Sclareolide, Skatole, Smoke Flavor, Snakeroot Oil,
Sodium Acetate, Sodium Benzoate, Sodium Bicarbonate, Sodium
Carbonate, Sodium Chloride, Sodium Citrate, Sodium Hydroxide,
Solanone, Spearmint Oil, Styrax Extract, Gum and Oil, Sucrose
Octaacetate, Sugar Alcohols, Sugars, Tagetes Oil, Tannic Acid,
Tartaric Acid, Tea Leaf and Absolute, alpha-Terpineol, Terpinolene,
Terpinyl Acetate, 5,6,7,8-Tetrahydroquinoxaline, 1,5,5,9-
Tetramethyl-13-Oxatricyclo(8.3.0.0(4,9))Tridecane, 2,3,4,5, and
3,4,5,6-Tetramethylethyl-Cyclohexanone, 2,3,5,6-
Tetramethylpyrazine, Thiamine Hydrochloride, Thiazole, 1-
Threonine, Thyme Oil, White and Red, Thymol, Tobacco Extracts,
Tochopherols (mixed), Tolu Balsam Gum and Extract,
Tolualdehydes, para-Tolyl 3-Methylbutyrate, para-Tolyl
Acetaldehyde, para-Tolyl Acetate, para-Tolyl Isobutyrate, para-Tolyl
Phenylacetate, Triacetin, 2-Tridecanone, 2-Tridecenal, Triethyl
Citrate, 3,5,5-Trimethyl -1-Hexanol, para,alpha,alpha-
Trimethylbenzyl Alcohol, 4-(2,6,6-Trimethylcyclohex-1-Enyl)But-2-
En-4-One, 2,6,6-Trimethylcyclohex-2-Ene-1,4-Dione, 2,6,6-
Trimethylcyclohexa-1,3-Dienyl Methan, 4-(2,6,6-
Trimethylcyclohexa-1,3-Dienyl)But-2-En-4-One,2,2,6-
Trimethylcyclohexanone, 2,3,5-Trimethylpyrazine, 1-Tyrosine,
delta-Undercalactone, gamma-Undecalactone, Undecanal, 2-
Undecanone, 10-Undecenal, Urea, Valencene, Valeraldehyde,
Valerian Root Extract, Oil and Powder, Valeric Acid, gamma-
Valerolactone, Valine, Vanilla Extract And Oleoresin, Vanillin,

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 Veratraldehyde, Vetiver Oil, Vinegar, Violet Leaf Absolute, Walnut
Hull Extract, Water, Wheat Extract And Flour, Wild Cherry Bark
Extract, Wine and Wine Sherry, Xanthan Gum, 3,4-Xylenol, Yeast.

Here are some of the toxic ingredients in cigarettes... Why are cigarettes
with these deadly ingredients still not regulated or banned in spite of over 5
million deaths from smoking per year in the whole world?

2. Smokeless Tobacco
What Is Smokeless Tobacco?

Smokeless tobacco, also called spit tobacco, chewing tobacco, chew, chaw,
dip, plug, and probably a few other things, comes in two forms: snuff and
chewing tobacco.

Fig 2
Snuff is a fine-grain tobacco that often comes in teabag-like pouches that
users "pinch" or "dip" between their lower lip and gum. Chewing tobacco

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comes in shredded, twisted, or "bricked" tobacco leaves that users put
between their cheek and gum. Whether it's snuff or chewing tobacco, you're
supposed to let it sit in your mouth and suck on the tobacco juices, spitting
often to get rid of the saliva that builds up. This sucking and chewing allows
nicotine, which is a drug you can become addicted to, to be absorbed into the
bloodstream through the tissues in your mouth. You don't even need to
swallow.

You don't smoke it. You don't swallow it. All you do is slosh it around your
mouth and spit out the brown juices every few seconds. OK, so it actually is
pretty disgusting. After all, it's called smokeless or chewing tobacco. That
means you chew and spit it, not smoke it, so it can't be as bad as inhaling
tobacco smoke into your lungs, right?

• Smokeless tobacco is NOT a safe alternative to smoking cigarettes.

• The use of smokeless tobacco is considered to be a directly related
cause of oral cancer and gum disease.
• Smokeless tobacco use CAN lead to dependence on nicotine.
• Smokeless tobacco users have displayed blood nicotine levels
equivalent to those of cigarette smokers.
• If you dip, 2.0 mg. – 3.5 mg of nicotine per dip enters your bloodstream
twice the dose delivered by a standard 1 mg cigarette.
• Users who consume 8 to 10 dips or chews per day (one-third-1/2 of a
can of snuff or 1.3 – 1.2 of a pouch per day) receive a NICOTINE DOSE
equal to that taken by a heavy cigarette smoker (30-40 cigarettes daily).
• A recent report indicates that users who went through two cans of snuff
per week had a saliva nicotine level equal that of people smoking two
packs of cigarettes per day.
• Nicotine and other harmful chemicals found in tobacco are NOT
removed by spitting; they mix with saliva which, after contact with
tissues of the mouth and throat, is absorbed through the oral mucous
into the bloodstream.

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 Fig 3

• Smokeless tobacco users have a substantially increased risk of oral

health disorders.
• Just a few months of dipping or chewing is often enough to cause
development of white or red leathery patches (leukoplakia) on the gum
or cheek where the tobacco is held.
• Leukoplakia is the first step down a path to dental problems, followed by
severe gum inflammation and receding gums. This condition can be
reversed and corrected, however, if you quit using smokeless tobacco
and follow up with good dental care.
Fig 4

• Risk of cancer of the mouth increases, especially in parts of the mouth

where the tobacco is placed.
• Health risk for oral cancers decreases once you discontinue use of
smokeless tobacco products.
3. Secondhand smokers:
Secondhand smoke—also called environmental tobacco smoke—comes from a
burning tobacco product and from the smoke exhaled by smokers. Inhaling
secondhand smoke is called involuntary or passive smoking.

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 Fig 5

Nonsmokers who breathe secondhand smoke may:

-develop cancer or heart disease
-have breathing problems
-get colds and the flu more easily
-die younger than people who don’t breathe secondhand smoke
Pregnant women who breathe secondhand smoke may:
- give birth to low-weight babies
-have babies who are more likely to die of sudden infant death
syndrome (SIDS)
Children who breathe secondhand smoke may:
-have breathing problems, such as asthma
- get more ear infections
- develop more lung infections, such as pneumonia
Secondhand smoke is not a battle between “us and them.” It’s a battle for
public health – all of the public. As much as we need to awaken our brother
and sister smokers to the impact of forcing others to breath our addiction, we
must be more aware that the solution is love not hate, education not isolation,
and assistance not resistance. We need to learn that the moment a child or
teen succumbs to the pressures and influence of years of tobacco industry
marketing, that the lies, not the child, are the enemy.

I. Smoking & Health:

1. Smoking’s Impact on the Heart
Smoking is a principal, preventable cause of premature death in the
developed world. It is a major cause of coronary artery disease (CAD), a
condition where the blood vessels supplying the heart muscles become
narrowed leading to chest pains (angina) or heart attacks. Heart attacks lead
to damage of the heart muscle, which can lead to the failure of the heart to

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pump adequately. This can cause fluid build-up in the lungs as well as in the
limbs. This condition, called heart failure, is very common and associated with
a very high rate of disability and death.
Smoking multiplies the effect of other risk factors for CAD like high blood
pressure, high cholesterol and diabetes. Men who smoke have a 60%-70%
greater death rate than those who don’t. Sudden death may be the first
manifestation of CAD in young male smokers. Women smokers have a 10
times increased risk of developing CAD than non-smokers.
Low tar cigarettes and smokeless tobacco are not effective substitutes for
discontinuing the use of tobacco products. Passive smoking in those who have
never smoked increases the risk of CAD.
Smoking cessation produces immediate and long-term benefits. There is a
substantial decrease in the risk of a heart attack within 1 year of stopping
smoking. Those who quit smoking prior to the age of 50 have half the risk of
dying in the next 15 years compared to continuing smokers.
2. Smoking’s Impact on the Lungs
Whenever you watch a person smoking, think of the smoke that goes into the
lungs that doesn’t come out. Also, remember that the smoker is not only going
to smoke that one cigarette. He will probably smoke another within a half-
hour. Then another after that. In fact, he will probably smoke 20, 40, 60 or
even more cigarettes by the end of the day. And tomorrow will be the same.
After looking at cigarettes like this, you don’t want to smoke a cigarette, do
you?
The Palmolive bottle demonstration accurately portrays the actual amount of
smoke that goes in as compared to the small amount that you see the smoker
blow out. Most smokers believe they exhale the majority of smoke they inhale
into their lungs. But, the demonstration of the Palmolive bottle shows that
most of the smoke remains in the lungs. When you visualize all the smoke that
remains, it does not paint a pretty picture of what is happening in the smoker.
Maybe not a pretty picture, but an accurate one.
When an ex-smoker watches a person smoke a cigarette, he often fantasizes
about how much the smoker is enjoying it–how good it must taste and make
him feel. It is true he may be enjoying that particular cigarette, but his lungs
do not.

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 Fig 6:comparison of lungs

the demonstration shows that the smoke had darkened the bottle after about
a few hundred cigarettes. You can start to see how the smoker’s lungs below
became so discolored. Smokers don’t just put a total of a few hundred
cigarettes in their system; they literally deliver hundreds of thousands of
cigarettes over their shortened lifetime. This discoloration effect is more than
just aesthetically unpleasant–it is in fact deadly.

Fig 7: a smoker lung

Cancer is actually many different diseases with many different causes. If we

look at cancer trends over the last century we see some amazing changes.
While cancer was always around, it was different sites that were primary
problems. Lung cancer, at the turn of the century was almost unheard of. If a
doctor saw a case he would have easily gotten it printed up in a medical
journal. Now, it is the major cause of cancer death in our society, killing more
men and women than any other site. The primary difference between now and
then is smoking. In the past smoking was a limited practice. A very small
percentage of people smoked and even the ones who did smoked many fewer
cigarettes. Cigarettes were not even mass produced till the very end of the
1900’s.
We always hear of a cancer epidemic, how more and more people die of
cancer every year. Actually, if you pull the smoking related sites out of the

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equation, cancer deaths have been on a decline.
But the smoking cancers; lung, mouth, lip, tongue, throat, larynx, pancreas,
esophagus, pharynx, urinary bladder have all seen marked increases over the
20th century. These cancers have gone from obscurity to some of the major
causes of death in our world.

Fig 8:cancer death rates

3. Impact on brain:
Alzheimer’s Disease: Smoking Speeds Up Mental Decline
In the elderly years, the rate of mental decline is up to five times faster in
smokers than in nonsmokers, according to a study of 9,200 men and
women over age 65.
Higher rates of mental decline were found in men and women — and in
persons with or without a family history of dementia or Alzheimer’s
disease - the researchers reported in the March issue of the journal
Neurology.
Smoking likely puts into effect a vicious cycle of artery damage, clotting
and increased risk of stroke, causing mental decline, writes researcher A.
Ott, MD, a medical microbiologist with Erasmus University Medical Centre
in the Netherlands.
The bottom line: The study provides substantial evidence that chronic
tobacco use is harmful to the brain and speeds up onset of Alzheimer’s
disease, Ott says.
You know smoking causes lung cancer, emphysema, and heart disease,
but you’re still lighting up. To help you get on the wagon, we’ve compiled
a second list of little known ways your life can go up in smoke if you don’t
kick the habit.

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From an increased risk of blindness to a faster decline in mental function,
here are 10 compelling — and often surprising — reasons to stick to your
commitment.
4. Others:
Lupus: Smoking Raises Risk of Autoimmune Disease
Smoking cigarettes raises the risk of developing lupus — but quitting cuts
that risk, an analysis of nine studies shows.
Systemic lupus erythematosus — known as lupus — is a chronic
autoimmune disease that can cause inflammation, pain, and tissue
damage throughout the body. Although some people with lupus have mild
symptoms, it can become quite severe.
For the analysis, Harvard researchers reviewed studies that examined the
relationship between cigarette smoking and lupus. Among current
smokers, there was “a small but significant increased risk” for the
development of lupus, they report. Former smokers did not have this
increased risk, according to the study, which appeared in the March issue
of Arthritis & Rheumatism.
SIDS: Maternal Smoking Doubles Risk
Smoking increases the risk of sudden infant death syndrome, or SIDS, a
European analysis shows.
The researchers compared 745 SIDS cases with more than 2,400 live
babies for comparison and concluded that just under half of all deaths
were attributable to infants sleeping on their stomachs or sides. Roughly
16% of SIDS deaths were linked to bed sharing, but for unknown reasons,
bed sharing was particularly risky when the mother smoked. The risk was
very small when mothers did not smoke during pregnancy, the
researchers say.
Maternal smoking alone was associated with a doubling in SIDS risk. The
risk was 17 times greater, however, for babies who bed shared and had
mothers who smoked. The findings are reported in the Jan. 17 issue of The
Lancet.
“The safest thing to do is to put the baby to bed on his back with no
bedcovers in the same room with parents who don’t smoke,” London
School of Hygiene and Tropical Medicine epidemiologist Robert G.
Carpenter, PhD, tells WebMD.
Colic: Smoking Makes Babies Irritable, Too
Exposure to tobacco smoke may increase babies’ risk of colic, according to
a review of more than 30 studies on the topic.
Colic often starts a few weeks after birth, peaking at about 5 to 8 weeks of
age. It usually goes away by 4 months of age. Babies’ symptoms include
irritability, inconsolable crying, red face, clenched fists, drawn-up legs, and
screaming.

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Colic affects an estimated 5%-28% of babies born in Western countries. Its
causes have been attributed to everything from exposure to cow’s milk
proteins to feeding difficulties to maternal depression or anxiety.
Tobacco smoke appears to raise levels of a gut hormone called motilin in
the blood and intestines. Motilin increases the contractions of the stomach
and intestines, increasing the movement of food through the gut. “Higher-
than-average motilin levels are linked to elevated risks of infantile colic,”
the researchers write in the October issue of the journal Pediatrics.
An Increased Risk of Impotence
Guy concerned about their performance in the bedroom should stop
lighting up, suggests a study that linked smoking to a man’s ability to get
an erection. The study of nearly 5,000 Chinese men showed that men who
smoked more than a pack a day were 60% more likely to suffer erectile
dysfunction, compared with men who never smoked cigarettes.
Overall, 15% of past and present smokers had experienced erectile
dysfunction, more commonly known as impotence. Among men who had
never smoked, 12% had erection problems, according to the study,
presented last year at the American Heart Association’s annual
Conference on Cardiovascular Disease Epidemiology and Prevention in
Miami.
Blindness: Smoking Raises Risk of Age-Related Macular
Degeneration
Smokers are four times more likely to become blind because of age-
related macular degeneration than those who have never smoked. But
quitting can lower that risk, other research shows.
Age-related macular degeneration is a severe and progressive condition
that results in loss of central vision. It results in blindness because of the
inability to use the part of the retina that allows for ’straight-ahead’
activities such as reading, sewing, and even driving a vehicle. While all the
risk factors are not fully understood, research has pointed to smoking as
one major and modifiable cause.
“More than a quarter of all cases of age-related macular degeneration with
blindness or visual impairment are attributable to current or past exposure
to smoking,” Simon P. Kelly, MD, an ophthalmic surgeon with Bolton
Hospitals in the U.K, wrote in the March 4, 2004 issue of the BMJ. He came
to his conclusion after reviewing three studies involving 12,470 patients.
But other studies show that former smokers have an only slightly
increased risk of age-related macular degeneration, compared with never
smokers, he writes.
Rheumatoid Arthritis: Genetically Vulnerable Smokers Increase
Their Risk Even More

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People whose genes make them more susceptible to developing
rheumatoid arthritis are even more likely to get the disease if they smoke,
say Swedish researchers.
In fact, certain genetically vulnerable smokers can be nearly 16 times
more likely to develop the disease than nonsmokers without the same
genetic profile, according to the study in the October issue of the journal
Arthritis & Rheumatism.
Swedish researchers asked participants about their smoking habits and
screened their blood for a gene-encoding protein sequence called the
shared epitope (SE), which is the major genetic risk factor currently linked
to rheumatoid arthritis. Compared with people who had never smoked and
lacked SE genes, current smokers with SE genes were 7.5 times more
likely to have rheumatoid arthritis.
Smokers with double SE genes were almost 16 times more likely to have
rheumatoid arthritis, while smokers without SE genes were only 2.4 times
more likely to be affected.
Snoring: Even Living With a Smoker Raises Risk
Smoking – or living with a smoker — can cause snoring, according to a
study of more than 15,000 men and women.
Habitual snoring, defined as loud and disturbing snoring at least three
nights per week, affected 24% of smokers, 20% of ex-smokers, and almost
14% of people who had never smoked. The more people smoked, the
more frequently they snored, the researchers reported in the October
issue of the American Journal of Respiratory and Critical Care Medicine.
Even nonsmokers were more likely to snore if they were exposed to
secondhand smoke in their homes. Almost 20% of these nonsmokers
snored, compared with nearly 13% who had never been exposed to
secondhand smoke at home.
Acid Reflux: Heavy Smoking Linked to Heartburn
People who smoke for more than 20 years are 70% more likely to have
acid reflux disease than nonsmokers, researchers reported in the
November issue of the journal Gut.
Roughly one in five people suffer from heartburn or acid reflux, known
medically as gastroesophageal reflux disease or GERD.
The researchers based their findings on two major public health surveys
conducted in Norway in the 1980s and 1990s. Just more than 3,100 people
who complained of having heartburn and 40,000 people without reflux
symptoms answered questions about lifestyle factors including diet,
exercise, alcohol consumption, and tobacco
Some research out in 2004 shows that active smoking may play a much
larger role in increasing breast cancer risk than previously thought.
In the study, published in the Jan. 7 issue of the Journal of the National
Cancer Institute, researchers looked at breast cancer risk among 116,544
Page | 20
women in the California Teachers Study who reported their smoking
status. Between 1996 and 2000, 2,000 of the women developed breast
cancer.
The prevalence of breast cancer among current smokers was 30% higher
than the women who had never smoked — regardless of whether the
nonsmokers had been exposed to secondhand or passive smoke.
Those at greatest risk: Women who started smoking before age 20, who
began smoking at least five years before their first full-term pregnancy,
and who had smoked for longer periods of time or smoked 20 or more
cigarettes per day.
Pregnant or Breastfeeding
It is no longer a question of whether or not the unborn will be harmed by
nicotine use during pregnancy, but of the degree, number, types,
noticeability and lifetime impact of the harms actually inflicted. At a
minimum, nicotine will cause the developing brain to grow millions of extra
acetylcholine receptors in the cortex, striatum, and cerebellum regions
(1995, 1999). At a minimum, it will unnaturally regulate the pre-birth flow
of more than 200 neurochemicals within the unborn’s mind and body,
including dopamine, serotonin and adrenaline.
Pregnant women would be wise to reflect upon just how amazingly toxic
nicotine is. Drop for drop it is more lethal than strychnine or diamondback
rattlesnake venom, and three times deadlier than arsenic. Just 2-3 drops
on the skin (40-60mg) will kill a 160 pound human. The average smoker
puts 1 mg of nicotine into their bloodstream with each cigarette. If the
entire 1 mg was put on the skin of a 1 pound rat, the rat would die.
The problem isn’t just smoked nicotine. On Januuary 8, 2006, Professor
Theodore Slotkin, a leading nicotine research toxicologist at Duke
University Medical Center, stated:
1. “There is abundant evidence that the major problem for fetal
development is exposure to nicotine rather than other components of
cigarette smoke.”
2. “NRT, especially by transdermal patch, delivers more nicotine to the
fetus than smoking does.” According to Dr. Slotkin, a recent study found
that the brains of fetal mice wound up with 2.5 times higher nicotine
concentrations than found in the mother’s blood when a slow continuous
nicotine feed, as would be the case with the nicotine patch.
3. “There are only two studies of the effectiveness of NRT in pregnancy,
and both show that it doesn’t work. Counseling works better. Pregnant
smokers who cannot quit spontaneously tend to smoke on top of the use
of NRT, worsening the fetal effects.”
Although you have probably long dreamed of someday ending your brain’s
chemical addiction upon nicotine, the sudden news of pregnancy and deep
concern for the growing life inside can make it seem like you’re being
forced to quit. It can leave the” junkie mind” feeling deprived of someday

Page | 21
quitting on its own terms. Instead of embracing the opportunity to live
your own long held dream of quitting, far too many mothers-to-be quit
only for the baby. Sadly, roughly half of all who quit during pregnancy
relapse to smoking nicotine within hours, days or weeks of giving birth.
Instead of beginning a wonderful nicotine-free life together, these new
babies have an actively feeding drug addict for a mother. Instead of being
greeted by sweet smelling kisses, these babies bond their love with
sensing the arrival of the nasty smells and odors of the over 4,000
chemicals that were just sucked into their mother’s mouth and deposited
upon her face, hands and clothing. Forced to either breathe lingering
clouds of toxins or watch their mother depart at least hourly to tend and
care for her addiction, when it comes to fresh air or love these new babies
live a constantly interrupted life.
Your selection of your primary quitting motivation, and keeping it
adequately fueled, is critical to permanent nicotine dependency recovery.
Quitting for your unborn child all but assures nicotine relapse once you
convince yourself that the greatest dangers have passed. By quitting for
you, and allowing your baby to inherit the fruits of your decision, you set
the stage to permanently arrest your dependency. Keep in mind that after
giving birth most new mothers experience a brief period of minor sadness
that may last up three weeks. What are the odds of you getting through
this brief period without experiencing relapse if you failed to develop your
own personal core recovery motivations and have no dreams or desires of
your own to muster and rely upon?
You’re not giving up anything of value.You are coming home to an
amazing sense of calm during crisis, to a clean, fresh and healthy you that
your new baby will inherit, love and enjoy.
And there’s more …
Smoking and Metabolism
Metabolism describes the physical and chemical processes that create and
use energy within a living cell or organism. How our bodies break down
the food we eat and convert it to energy is a function of metabolism.
Metabolic rate describes how fast these processes occur. Approximately
70% of the calories we burn each day are used to keep our organs working
properly.
Cigarette Smoking and Metabolism
Cigarette smoking increases a person’s metabolic rate in part by forcing
the heart to beat faster. When a cigarette is inhaled, the smoker’s heart
may beat 10 to 20 times more per minute for a period of time. This causes
extra stress on the heart and plays a role in heart disease, the most
common cause of smoking-related death. And think about this: A smoking
habit of 20 cigarettes a day puts approximately the same amount of stress
on the heart as 90 pounds of extra weight would. When we stop smoking,
heart rate slows down somewhat, causing metabolism to dip a bit as well.

Page | 22
While shifts in metabolism, along with dietary changes, can signal a slight
weight gain, we can take steps to build our metabolic rate back up in ways
that benefit our health rather than destroy it, as smoking does. If weight
gain due to smoking cessation is something you fear or is a reality you’re
struggling with, use the tips below to help you keep your weight stable as
you recover from nicotine addiction.
Using Exercise to Boost Metabolism and Minimize Weight Gain
And babies born to mothers who smoke:
- May be smaller than normal at birth
- Are more likely to die of sudden infant death syndrome (SIDS)
- May be cranky, restless, and get sick more often
- are more likely to have learning problems as they develop the good news
is that quitting can help you have a healthy baby. It helps to quit any time
during your pregnancy, but it’s even better to quit before you become
pregnant.

I. About quitting:
1. Why and How to QUIT:
Not everyone has feelings of withdrawal, but many smokers do.
You may experience one or many symptoms of withdrawal and
they may last for different periods of time. Common feelings of
smoking withdrawal include:
- feeling down, blue, or depressed
- feeling anxious, nervous, or restless
- having trouble thinking clearly
- being unable to sleep feeling tired or run down
- feeling hungry or gaining weight
Many people don't quit smoking because they think it's too hard to do.
They think they'll quit someday.
It's true, for most people quitting isn't easy. After all, the nicotine in
cigarettes is a powerfully addictive drug. But with the right approach, you
can overcome the cravings. But you have to know that Medications
alone can’t do all the work!
The Difficulty in Kicking the Habit
Smokers may have started smoking because their friends did or because it
seemed cool and prestigious. But they keep on smoking because they
became addicted to nicotine, one of the chemicals in cigarettes and
smokeless tobacco.

Page | 23
Nicotine is both a stimulant and a depressant. That means it increases the
heart rate at first and makes people feel more alert (like caffeine). Then it
causes depression and fatigue. The depression and fatigue — and the drug
withdrawal from nicotine — make people crave another cigarette to perk
up again. According to many experts, the nicotine in tobacco is as
addictive as cocaine or heroin.
Put it in writing. People who want to make a change often are more
successful when they put it in writing. So write down all the reasons why
you want to quit smoking, such as the money you will save or the stamina
you'll gain for playing sports. Keep that list where you can see it, and add
to it as you think of new reasons.
Get support. People whose friends and family help them quit are much
more likely to succeed. If you don't want to tell your parents or family that
you smoke, make sure your friends know, and consider confiding in a
counsellor or other adult you trust.
Think about your triggers. You're probably aware of the situations
when you tend to smoke, such as after meals, when you're at your best
friend's house, while drinking coffee, or as you're driving. These situations
are your triggers for smoking — it feels automatic to have a cigarette
when you're in them. Once you have figured out your triggers, try these
tips:
• Avoid these situations. For example, if you smoke when you
drive, get a ride to school, walk, or take the bus for a few weeks. If
you normally smoke after meals, make it a point to do something
else after you eat, like read or call a friend.
• Change the place. If you and your friends usually smoke in
restaurants or get takeout and eat in the car, suggest that you sit in
the no-smoking section the next time you go out to eat.
• Substitute something else for cigarettes. It can be hard to get
used to not holding something and having something in your mouth.
If you have this problem, stock up on carrot sticks, sugar-free gum,
mints, toothpicks, or even lollipops.
• Keep yourself busy. Many people find it's best to quit on a
Monday, when they have school or work to keep them busy. The
more distracted you are, the less likely you'll be to crave cigarettes.
Staying active is also a good way to make sure you keep
your weight down and your energy up, even as you're
experiencing the symptoms of nicotine withdrawal.
• Quit gradually. Some people find that gradually decreasing the
number of cigarettes they smoke each day is an effective way to
quit. However, this strategy doesn't work for everyone — you may
find you have to stop completely at once. This is known as "cold
turkey."

Page | 24
And finally Reward yourself. As you already know, quitting smoking isn't
easy. Give yourself a well-deserved reward! Set aside the money you
usually spend on cigarettes. When you've stayed tobacco free for a week,
2 weeks, or a month, buy yourself a treat like a new CD, book, movie, or
some clothes. And every smoke-free year, celebrate again. You earned it!
2.Tunisia launches vast anti- tobacco campaign:
Tunisia has the biggest rate of smoking-mortality in the Mediterranean and
the biggest rate of smokers too in fact for three Tunisians there are two
smokers! So it is really urgent to react and face the situation.
In 21 August 2009 this article was published in “tunisiaonlinenews”:
“The WHO has opted for Tunisia to host and organize in November 2009
the world conference on fighting against smoking. In this regard, we have
to point out that Tunisia has proclaimed the year 2009, a year of fight
against tobacco and currently is launching a vast anti-tobacco campaign
and hopes to significantly restrain the number of smokers during the next
five years.
Actually this strategy focuses more on reducing essentially, two points
each year, the rate of smokers which is currently around 35% so the local
authorities have started to distribute Posters and leaflets to the population
with a view of sensitizing them to the dangers of smoking.
In this perspective, sensitization campaigns were launched on the beaches
on the southern suburbs of Tunis, notably in Hammam Lif, Ezzahra and
Bordj Cedria at the initiative of the Tunisian Organisation of Education and
the Family (OTEF), jointly with the Ministry of health.
Moreover, the campaign will take advantage of major festivals, cultural
exhibits, sports events and national holidays to raise awareness as to the
dangers of smoking, especially in public places.”
An article written by Fakhfakh R, Hsairi M, Belaaj R, Ben Romdhane
H, Achour N.in the magazine titled Revue describes the trends in
tobacco sales and smoking prevalence in the Tunisian population,
estimates the consequences of smoking on mortality of this population,
and discusses anti-tobacco actions: educational actions, legislative
measures and price increases. Sales Data were collected from the Tunisia
tobacco company. Smoking prevalence data from surveys, conducted by
several institutes, and numbers of deaths by causes have been estimated
from WHO for the year 1998. Tobacco sales increased from 4.96 g per
adult per day in 1981, to 6.3 g, in 1993, then decreased widely. The
proportion of smokers was 30% in 1996. 55% among men versus 5.6%
among women. Among 17 to 24 years old young adults, the proportion of
smokers was 29.2% in 1994 (50% among men versus 3.9%, among
women). Mortality attributable to tobacco in Tunisia has been estimated to
6430 deaths in 1997 (5580 among men versus 850 among women). These

Page | 25
deaths represent 22% of the total male deaths and 4% of the female ones.
Anti-tobacco measures have been reinforced by the enactment of anti-
tobacco law. Proportion of young smokers remaining elevated, it is
expected that consequences of the tobacco addiction in Tunisia, in term of
mortality, will be even heavier in the next two decades, if efficient anti-
tobacco actions are not implemented.

There are some other articles about smoking in Tunisia:

• Epidemiology and prevention of tobacco use in Tunisia:
2005 Jun; 40(6):652-7.
• Trends in tobacco smoking and consequences on health in
France.
1998 Jul-Aug; 27(4):514-9.
• Trends in tobacco consumption in Tunisia
East Mediterr Health J. 2000 Jul; 6(4):678-86.
• Mortality due to smoking in Tunisia in 1997
Tunis Med. 2001 Aug-Sep; 79(8-9):408-12.

3. Famous quotes:
The only ’safer’ cigarette is your last one.
Duane Alan Hahn .................................
You own yourself, so if you want to do something that destroys yourself,
go ahead. Just don’t harm others when you do.
Jim Goebel .................................
To see what is right, and not do it, is want of courage, or of principle.
Confucius .................................
If you resolve to give up smoking, drinking and loving, you don’t actually
live longer; it just seems longer.
Clement Freud .................................
Smoking is a custom loathsome to the eye, hateful to the nose, harmful to
the brain, dangerous to the lungs, and in the black, stinking fume thereof
nearest resembling the horrible Stygian smoke of the pit that is
bottomless.
King James I of England .................................
Smoking kills. If you’re killed, you’ve lost a very important part of your life.
Brooke Shields .................................
I’ll tell you why I like the cigarette business. It cost a penny to make. Sell it
for a dollar. It’s addictive. And there’s a fantastic brand loyalty.
Warren Buffett .................................
If you resolve to give up smoking, drinking and loving, you don’t actually

Page | 26
live longer; it just seems longer.
Clement Freud .................................
Giving up smoking is the easiest thing in the world. I know because I’ve
done it thousands of times.
Mark Twain

Conclusion:
There is no doubt of the harmful effect of smoking
whatever it is active or passive even smokers know and
they are sure of its harm but they are unable to change
this habit and get free for them I will say that everyone
has a mistake in his life no one is perfect but the best
scenario is to be aware of your mistake and do not stop
in this step you have to correct it and for that we have
to try try and try again just don’t give up!
You are just a smoker there are others who are
alcoholic or marijuana addicted ….
Don’t look at the dark side just have confidence and
have a great will to help yourself!

Break the addiction before the

addiction breaks you!
Page | 27
 References:

2005 National Survey on Drug Use & Health: National

Results
Kidshealth.org
Wikipedia
Woot.com
www.ihec.org
www.drugabuse.gov
whyquit.com
www.rekaaz.com
ayaam.com
www.tunisia.com

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www.tunisiaonlinenews.com
Smoking-quit.info

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