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  • Summer 2010

How To Use This Pack
  • To download from website
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  • If you have any comments regarding this pack, or
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    contact me
    01622 221678
  • All information in this pack was correct and all
    links active at time of upload but may be subject
    to change

  • How to use this pack Guidelines on downloading,
    saving and printing
  • Introduction What do young people think about
  • Top 10 Websites The best of the web
  • Other resources Links to even more online
  • The Political Case Looking at tobacco issues
    from the global perspective
  • The Economic Case The real cost of smoking
  • The Health Case Does smoking really make you
    look older or just old?
  • Icebreakers Getting group work sessions off to a
    good start
  • Discussion Points Ideas to get a dialogue going
  • My Pledge We all have habits wed like to change
  • Smoking Myths Facts The truth about smoking
  • Smoking Myths Facts factsheet Were you right?
    Or do you still have a lot to learn?
  • Session Ideas Activities for smoking cessation
    group work
  • More session ideas And more of the same!
  • Smoking Costs Table How much do you spend a
  • Smoking Card Sort Are there any reasons to
  • Health Benefits Timeline Did you know you feel
    the health benefits of stopping smoking in
  • Circle of Friends We all like to do what our
    mates do but how many really smoke?
  • Whats in your cigarette? A few of the 4,000
    chemicals (and 69 carcinogens) in a cigarette

  • CURRICULUM CHAPTERS 10 (Healthy Living), 25
    (Working with Young Men Women)
  • CURRICULUM PACKS Healthy Living, Health
    Wellbeing 09, Alcohol Awareness
  • OTHER RESOURCES Healthaware Books
  • Were all aware of the statistics about smoking
    how half of all teenagers who are currently
    smoking will die from diseases caused by tobacco
    if they continue to smoke and how one in two
    long-term smokers will die prematurely as a
    result of smoking - but the traditional health
    related statistics and scares dont influence the
    thinking and behaviour of young people when it
    comes to smoking The real issue is that these
    health messages can fall on deaf ears with
    children, says Professor Anne McNeill, of the
    University of Nottinghams school of community
    health sciences. Young people live in the here
    and now. Thirty is a lifetime away and they cant
    imagine being that old. http//
  • The aim of this pack is to try and reframe the
    smoking cessation debate in ways that make it
    relevant to young people through political,
    economic and (to a lesser extent) health
    arguments where smoking impacts on skin and
    dental hygiene. Youll find a range of ice
    breakers, discussion points and session ideas to
    help with the planning, delivery and evaluation
    of work around smoking cessation.
  • The following have some interesting insights into
    approaching and designing smoking cessation work
    with young people

Reframing the Debate Allan Gregory
  • Traditionally, tobacco education has concentrated
    on the health impacts - however, Kent partners
    are advocating a new approach of 'reframing the
    debate' looking at tobacco industry tactics and
    the impact on the environment and peoples lives.
  • The Kent Tobacco Control Strategy states
  • Despite sustained education about the health
    effects of smoking, adolescents continue to
    smoke, suggesting that traditional approaches may
    educate, but they do not influence.  Young people
    tend to respond to social trends. Evidence from
    youth advocacy forums show they want just the
    facts to allow them to make up their own mind
    about tobacco, rather than being told the rights
    and wrongs of tobacco use. Social influence is
    probably therefore the best intervention.
  • The new Kent Tobacco Control Strategy  "Towards A
    Smokefree Generation" has the support of a wide
    range of Kent Partners.  In adopting and
    implementing the strategy, all partners will sign
    up to actively engaging young people in their
    tobacco control initiatives groups who want
    direct access to a range of services from
    Customs, Trading Standards, Health, Police, Fire
    Services, etc.  Should contact Allan Gregory
  • Support is also available from KASH (the Kent
    Alliance on Smoking Health) their website is
    in development but follow them on Twitter
  • Allan Gregory is a tobacco control officer for
    Kent County Council who has worked with young
    people to create campaigns to celebrate No
    Smoking Day and has already been runner up and
    winner in the Best Newcomers Category! He has
    funding to take a group of young people to the
    NSD launch in November and then follow up with an
    innovative NSD event in March . Allan also makes
    grants to youth led tobacco control projects and
    would like to hear from you if you have young
    people leading on smoking cessation work at your
    project if youre interested please contact
    Allan Gregory

Top 10 Websites
Other Resources
The Political Case
  • The Global Perspective
  • Growing tobacco uses a lot of land. It has been
    estimated that if food crops were grown instead
    of tobacco this land could feed between 10 and 20
    million people
  • In 2002, the Chief Executive Officer of Phillip
    Morris, one of the worlds biggest tobacco
    companies made 3.2 million in salary and bonuses
  • It would take a tobacco farmer in Brazil, 2,140
    years to earn what a tobacco company director
    earns in one year
  • A 1994 study reported that about 43 percent of
    tobacco estates in Malawi employ children
  • In 2007 the combined revenues of the three
    leading tobacco companies (PMI, BAT and JT) was
    147 billion
  • Channel 4 are screening Tobaccos Child Workers
  • Smoking and the Media
  • Studies show that smoking in movies misleads
    young people into thinking that tobacco use is
    normal, acceptable, socially beneficial and more
    common than it is
  • The current rate of smoking scenes in Hollywood
    films has returned to the high levels of the
    1950s, after reaching its lowest levels in 1980
  • The Big Sell
  • In 1997, a Big Tobacco executive once said, under
    oath, that he believed Gummy Bears were addictive
    like cigarettes. The tobacco industry has also
    likened the addictiveness of cigarettes to
    caffeine, television and MMs
  • In 1985, one tobacco vice president wondered, in
    reference to smoking-related deaths, if we should
    ban sleep since according to him the majority of
    people die in their sleep.
  • In 1997, one tobacco company CEO said he would
    probably "instantly" shut his doors " to get a
    better hold on things " if it were proved to his
    satisfaction that smoking causes cancer. That
    same company now admits on their website that
    smoking causes cancer, but theyre still open for
  • As late as 1999, tobacco companies placed
    in-store advertising signage at a childs eye
  • To find out more visit

The Economic Case
  • A tobacco company once gave 125,000 worth of
    food to a charity, according to an estimate by
    The Wall Street Journal. Then, they spent well
    over 22 million telling people about it. I guess
    when you sell a deadly, addictive product, you
    need all the good PR you can get (truth website)
  • Smoking costs not only in terms of the amount
    of money that a packet of cigarettes costs but
    also in terms of health and wellbeing. Smoking
    affects your skin, your fertility, clogs your
    arteries, causes premature ageing and a range of
    cancers. Financial estimates for the direct
    impact of smoking on the NHS came to 5.2 billion
    for 2005/6, which equates to 5.5 of the total
    NHS budget for that year a proportion that has
    not changed since the early 1990s and this is
    thought to be an underestimation because it
    doesnt include lost productivity and informal
    care the costs of treating disease caused by
    passive smoking, or the full range of conditions
    associated with smoking. 
  • Tobacco also has a cost to our environment
  • Tobacco plants are highly sensitive to disease
    and require huge amounts of pesticides to protect
    the crop. Since tobacco isnt a foodstuff, most
    of the chemicals used are unregulated
  • 1 in 8 trees cut down in the world is due to
    tobacco growing or drying nearly 9 million
    acres of forest are lost each year
  • 2,700 tonnes of cigarette litter is dropped on
    Londons streets alone each year. This is the
    equivalent of 6,750 million cigarette ends.
    Cigarette butts take at least 10 years to
  • Cigarette butts have been found in the stomachs
    of fish, birds, whales and other sea creatures,
    who mistake them for food.
  • Cigarettes matches are the most common cause of
    deadly house fires in the UK
  • The NHS has a smoking calculator that looks at
    the financial and health costs http//
  • Truth has an interactive useful cigarette
    showing all the ingredients from urine to
    embalming fluid to antifreeze that go to make
    up a cigarette http//
  • For more on the human cost see C4s Tobaccos
    Child Workers http//
    -4 (click on the Watch Now button to see the

The Health Case
  • I smoke fewer than 5 a day whats the problem?
  • Studies show that people who smoke five
    cigarettes a day are three times more likely to
    die of heart disease. Smoking just one cigarette
    a day trebles your risk of lung cancer and raises
    the risk of chronic lung disease, as well
    as cancer of the mouth, throat, bladder, pancreas
    and many more. It also makes it more difficult
    to conceive, lowers sperm count and causes more
    complications in pregnancy. Study after study
    shows that the risks increase the more you smoke,
    but all risks start with just one cigarette.
  • Theres no problem - if I give up smoking when
    Im older Ill be OK. Anyway, it takes ages
    before giving up makes any difference.
  • Someone who starts smoking at 15 is three times
    more likely to die from cancer due to smoking
    than someone who starts smoking in their
    mid-20s. And your lungs start to clean up after
    24 hours so the sooner you quit the quicker you
    can start looking good and feeling great!
  • Menthol cigarettes and rollies are safer than
    ordinary cigarettes, right?
  • Menthol cigarettes are not safer than any other
    brand. In fact, they may even be more dangerous.
    The added menthol produces a cooling sensation in
    the throat when the smoke is inhaled. It also
    decreases the cough reflex and covers the dry
    feeling in the throat that smokers often have.
    People who smoke menthol cigarettes can inhale
    deeper and hold the smoke in longer. Its proven
    that rollies cause a higher level of tobacco in
    the lungs.
  • But light, mild or low tar are better for
    me, arent they?
  • No. If you smoke 'light', 'mild' or 'low tar'
    cigarettes you are likely to inhale as much tar,
    nicotine and other poisons as those people who
    smoke regular cigarettes. The use of these
    misleading descriptions was banned from cigarette
    packaging in the EU in September 2003. For more
    information about 'light' and 'mild' cigarettes
  • If I give up Im going to get fat!
  • You might put on a few pounds but thats
    healthier than smoking! And there are specially
    designed exercise programmes to help you get fit
    and quit exercise actually helps you to give
  • I like smoking it makes me feel relaxed and it
    makes me look cool and more mature.
  • You might think you feel relaxed but , actually,
    smoking a ciagrette increases your heart rate.
    And the only way cigarettes make you look older
    is by ageing your skin and giving you wrinkles!
  • For more information on smoking and your health
    NHS Atlas of Risk http//

  • Walking Vote set up two signs saying YES and NO
    at either end of the room. Then ask the following
    questions and get young people to vote by using
    their feet! After each question ask a few young
    people to talk about their choice.
  • HEALTHY LIVING Have you ever smoked? Do you get
    your 5 a Day? Do you eat fast food/takeaways more
    than once a week? Do you exercise once a week? Do
    you sunbathe? (do you think thats a healthy
  • TRUE OR FALSE? (all statements are true) getting
    older increases your chance of getting
    cancer/most cases of lung cancer are caused by
    smoking/getting sunburnt increases your risk of
    getting skin cancer/eating healthily can help
    guard against cancer/being overweight increases
    your risk of getting diabetes or heart disease
    (why did you think that was true/false?)
  • FUTURE PLANNING Did you clean your teeth this
    morning? Do you have any savings in a bank
    account or building society? Would you like to be
    able to see into the future (what was the reason
    for your answer?)
  • Smokefree Friends Put the group into pairs,
    trying to pair up young people who dont know
    each other so well. Give each of them a few
    minutes to find out the following information
    from each other do you smoke? What do you think
    about smoking? Whats your best idea for
    encouraging people to stop smoking? Then go round
    the group and ask each pair to feedback about
    each other.
  • Human Knot Ask the group to stand in a small
    circle facing each other. Everyone sticks their
    hands into the center of the circle and randomly
    grabs someone else's hand with each of their own
    hands. The objective of the game is to untangle
    this "human knot" without anyone letting go of a
    hand, ending up with one large circle (although
    sometimes, two separate or linked circles might
    be the end result). The participants have to step
    over or under each others linked arms, with the
    close physical proximity and silly maneuvers
    breaking the ice between strangers. This game
    also requires team work and decent leadership
    skills in one or more participants. You can make
    the point that, although being tangled up is like
    the dependency of smoking, by working with other
    people we can break that dependency.
  • Height Order ask the group to arrange themselves
    in a line in height order (you could also do this
    by age, date of birth or alphabetical order of
    names). Make the point that, by working together
    in a team, you can achieve results just as
    youll achieve better results by working with
    other people to stop smoking rather than going it

Discussion Points
  • Paper Carousel Quit Lists Write the following
    four questions on 4 pieces of flipchart paper
  • What gets people to stop smoking? How do people
    stop smoking? What are the good things you get
    from stopping smoking? How can you help someone
    you know who is trying to stop smoking?
  • Now divide the group into 4 and give each group
    a different coloured pen and one of the 4
    questions. Give each group a set amount of time
    to brainstorm their responses, then move the
    groups round to the next question until each
    group is back to their original question. Allow
    some time for the group to read the responses and
    comment on them, then ask them to choose a set
    number of points to feed back on (could be as few
    as 2 or as many as you like). The paper carousel
    is a good way of getting young people to discuss
    issues, comment on each others choices and
    reflect on their learning.
  • Making Changes discuss some of the bad habits you
    have that you might like to change. Discuss how
    we can all make changes but sometimes we need
    some help and moral support to make them, however
    good our willpower! Now make your pledge about
    what you intend to change these can be pinned
    up on the wall, pasted in a book or hung from a
    tree branch to represent a Tree of Change,
    removing pledges from the branches when they are
  • The Costs of Smoking Draw the outline of a body
    on a sheet of flip chart paper and ask young
    people to brainstorm the costs of smoking any
    that affect health/beauty (lung cancer, wrinkles,
    stained teeth) draw inside the body and any
    others (secondary smoke, smelly clothes etc)
    outside the body. This article http//www.costofsm has some other costs you might like to
    introduce to get young people thinking about the
    way that the cost of smoking is potentially
  • Smoking Myths Facts Using the smoking myths
    and truths information below either as a straight
    quiz or as a team game divide the group into 2
    teams. Tell them they will each draw a statement
    from a container and they must decide between
    them whether the statement is a myth or a fact
    (explain that myths refer to untrue information
    passed around as fact). If they identify whether
    the statement is myth or fact correctly they
    score 1 point. If they can say why its a myth or
    fact they gain a bonus point. During the plenary,
    ask questions like why young people would take
    those risks, and how would they stop their peers
    from taking risks with their sexual health. Cut
    up the statements below and keep the factsheet
    for answers) . More ideas can be found here
  • Smoking Keyring http//
    000/8468313.stm Would this invention make you
    think twice about smoking? Can you think of any
    better ideas to get the no smoking message

My Pledge
My first step towards change
Smoking Myths Facts
Smoking Myths Facts - factsheet
  • Smoking helps you relax False it doubles your
    heart rate
  • Smoking makes giving birth easier because the
    baby is smaller True but smaller babies have
    more health problems
  • Cigar smoking is safe because you dont inhale
    False you are still at risk of mouth cancers
    because cigars contain the same carcinogens
    (cancer causing chemicals) as cigarettes
  • The only cancer caused by smoking is lung cancer
    False smoking causes a range of cancers like
    mouth, throat and bladder cancer
  • When you stop smoking you feel the benefits
    almost immediately True within 20 minutes blood
    pressure is back to normal
  • When inhaled, nicotine reaches the brain faster
    than any other drug True nicotine reaches the
    brain in 8 seconds as opposed to 12 seconds for
    heroin and cocaine
  • Cigarettes contain weedkiller and rocket fuel
    True there are over 4,000 chemicals in a
  • Tobacco was once known as herba panacea or
    herbal cure all True it was thought to cure
    many diseases including lung problems
  • Stopping smoking causes weight gain True but
    gaining weight that you can lose later is much
    healthier than smoking
  • You can smoke and take the pill without any
    problem False the combination can cause blood
    clots and even stroke
  • Smokers are generally white middle class men
    False most smokers are women and young people
    from low income brackets, especially in the
    developing world
  • The tobacco plant is poisonous True its often
    used as a natural pesticide
  • On average, smokers live 7 years less than non
    smokers True each cigarette takes 5 ½ minutes
    off your life
  • Workers on tobacco farms can suffer tobacco
    poisoning True workers can absorb the poison
    from the leaves through their skin
  • Herbal cigarettes produce tar and carbon monoxide
    True although they dont contain nicotine
    they do have all other nasties
  • Second hand smoke causes cancer True 4 of the
    chemicals in second hand smoke are known to cause
  • Nicotine replacement patches are as bad for you
    as cigarettes False they dont contain tar,
    carbon dioxide and the other 4,000 chemicals
    found in a cigarette
  • 69 of the chemicals used in cigarettes can cause
    cancer True though nicotine isnt one of them
    (but it is highly addicitive)
  • Smoking while pregnant can cause miscarriage True
    all the chemicals in cigarettes are passed to
    the foetus in the womb

Session Ideas
  • DIY smoking calculator Use any of the smoking
    cost calculators online or ask young people to
    complete the table below to get an idea of how
    much you would save a month or a year if you gave
    up smoking. Now invent your own calculator what
    would really encourage you to give up smoking?
    Being able to buy an iPod after a month? Being
    able to have a nice holiday? Develop a
    handout/poster/webpage to encourage other young
    people to make informed choices about their
  • Smoking Card Sort print out the card sheet then
    cut each card out separately. Either deal the
    cards out to the group at random or leave them in
    a central pile and ask young people to select
    them one at a time. The ask them to place them
    under the headings Reasons to smoke and
    Reasons not to smoke. Encourage a discussion
    about their choices - some are obvious, but some
    may be ambiguous low birth weight may be seen as
    desirable, the high addiction level of nicotine
    is a reason not to smoke but the fact that
    cigarettes contain nicotine may be seen as a
    reason why people have to smoke. The fact that
    its illegal to buy cigarettes may encourage risk
    taking behaviour in under 18s. The cost of
    growing tobacco is extremely high but some may
    argue that buying cigarettes aids farmers in the
    developing world.
  • Smoking Leaflets download some smoking cessation
    leaflets here http//
    77223/ or obtain hard copies from Health
    Promotions. Ask young people to review and rate a
    number of them are they relevant? Would they
    encourage you to stop smoking? How would you
    improve them? Divide the group into smaller
    groups and ask them to design leaflets that they
    would find effective. Then bring the group
    together and compare the different leaflets why
    did they take the approach that they took? Which
    one leaflet would be the most effective and why?
  • Anti Smoking Ads http//
    ventionDefault.htm and http//
    deos.html look at the ideas for advertising here
    discuss with the group do they agree that anti
    smoking advertising that focuses on
    cosmetic/social effects is more effective than
    ads that focus on health effects? These ads have
    caused a storm of controversy in France because
    of their sexual nature does the group find them
    effective (please screen for appropriateness)
    endo-shocks-French.html Now divide the group
    into smaller groups and ask them to brainstorm
    and storyboard their own anti smoking ads. You
    can then support each group to produce a video of
    their ad (camera phones are good for this) or you
    can bring the group back together to compare the
    different ideas, vote on the most effective and
    then ask the whole group to film and edit their
    ad. Why not upload to a site like TruTube
    http// or Digital Kent

Session Ideas
  • I Want to Break Free video The We Quit site
    have done a remake of the classic Queen song with
    Duncan Banantyne from Dragons Den visit
    http// and click on Win A Spa
    Weekend to see the video, and Queens original,
    in a pop up window. Scroll down for ideas on
    props, costumes and staging then let your
    imagination go wild! If Queen dont do it for
    you, visit http//
    and watch the Why do you Keep Running, Boy?
    video. Now either recreate with your own props
    and dance moves or use it to inspire your own
    anti smoking song using any style of music to
    get the message across.
  • Flash Mob Everyones seen the T-Mobile dancing
    flash mob ads why not stage an anti smoking
    flash mob outside your centre or even in your
    local high street for ideas and examples see
  • http//
  • You could research figures for deaths serious
    illnesses in your area and find a way to present
    those in a flash mob format http//www.kmpho.nhs.u
  • Make your choice video Have a look at the
    Metropolitan Polices Choose Your Ending
    campaign http//
    nife_crime/index.htm This uses a series of
    youtube videos that have used annotations to give
    you a choice as to where the story should go. Why
    not develop a similar campaign focusing on
    smoking what are the temptations to smoke? And
    what are the choices once you start to smoke?
  • Health Benfits Timeline Game use the health
    benefits timeline as a template write the
    benefits on strips of card and then write the
    timeline on a piece of flipchart paper. Now give
    young people a benefit card and ask them to place
    it on the timeline where you think it goes. Once
    youve used all the cards, ask the group to
    discuss their choices and review them as
    necessary tell them they have another X minutes
    to put the cards in their final order. Once this
    is done, compare their timeline to the official
    one. How well did they do? Are they surprised at
    how quickly some of the benefits occur? Is there
    anything in the timeline that would discourage
    young people from giving up smoking? Anything
    that would encourage them to quit?

Smoking Cost Table
Can you complete the table 1 pack cigarettes
Smoking Card Sort
Health Benefits Timeline
Information from http//
Circle of Friends
How many friends do you have? Mark a segment for
each friend in the circle (this one is marked for
4, but youll need to add more just draw lines
that pass through the centre point)
Whats in your cigarette?
A lot of the chemicals in a cigarette have common
everyday uses can you link the name to the
Image From http//
Whats in your cigarette - answers
  • Cadmium (batteries causes cancer)
  • Toluene (industrial solvents e.g. Engine
  • Hexamine (barbecue lighter fuel)
  • Methanol (rocket fuel)
  • Carbon Monoxide (car exhaust fumes - poisonous)
  • DDT (pesticide used for crop spraying - causes
    cancer environmental damage)
  • Acetic Acid (vinegar)
  • Acetone (nail varnish remover)
  • Formaldehyde (embalming fluid cancer risk)
  • Ammonia (household cleaner can cause cancer)
  • Stearic Acid (candles)
  • Arsenic (rat poison causes cancer)
  • Hydrogen Cyanide (Gas used by the Nazis as Zyklon
    B in the gas chambers, still used in executions
    in the USA )
  • Nicotine (Pesticide)
  • Ethanol (fuel, particularly as a biofuel causes
  • Methane (gas produced by cows responsible for
    global warming)
  • Butane (lighter fluid)

Get Smokefree Escape the Maze!
Up in Smoke
Reason to quit
Reason to quit
Reason to quit
Reason to quit
Reason to quit