special subjects
Smoking and Other Tobacco Use
Introduction
Tobacco use is a major individual and public health problem. Using tobacco is harmful to almost every organ in the body. is highly addictive when inhaled into the lungs. Cigarette smoking, which is the most harmful form of tobacco use, is the most common form used by adults. Vaping are the most common form of tobacco use among teens. A small percentage of people who smoke use cigars or pipes (including hookah). Some people use oral tobacco products such as chew and dip. Smoking increases the risk of Acute Coronary Syndromes (Heart Attack; Myocardial Infarction; Unstable Angina) , Nicotineis the addictive substance in tobacco. People who stop usingnicotinemay become irritable, anxious, sad, and restless during the period of withdrawal. (See also Smoking Cessation and When smoking cigarettes,nicotinereaches the brain rapidly (within 10 seconds) and is highly addictive. In addition tonicotine, cigarettes contain tar and carbon monoxide, along with almost 4,000 other ingredients, many of which are toxic. These tobacco ingredients cause significant risk of disease and death. Cigarette smoking remains the leading cause of preventable disease and death in the United States and globally. About 2 in 3 people who smoke long term will die prematurely of a disorder caused by smoking. Over half a million Americans die each year from a tobacco-related disease: that is, 1 in 5 deaths in the United States are related to smoking. Smoking is deadly because people who smoke inhale hundreds of substances, many of which can cause , Although mostnicotineexposure is from smoking tobacco, children may accidentally ingestnicotine(usually by eating cigarettes or butts left in ashtrays or sometimesnicotinegum, patches, or e-liquid). Additionally, smoking is the most common cause of unintentional home fires in the United States. The Federal Emergency Management Agency (FEMA) estimates that about 7,800 smoking-related fires occur in residential buildings each year, causing about 275 deaths, 750 injuries, and $361 million in property loss. (SeeFEMA: Residential Building Smoking Fire Trends [2012-2021].) Tobacco use in the United States has declined over the past 50 years. Yet, due to population growth, the absolute number of people who smoke in the United States has remained about the same at nearly 46 million adults. Cigarettes are marketed heavily, to adolescents as well as adults, primarily at the point of sale. Every day, about 1,600 youth under age 18 smoke their first cigarette, and nearly 200 youth start smoking daily. 