The University of Miami Medical School

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hardening (fatty atherosclerotic plaques) in the lining of their coronary arteries, the arteries that supply the heart. These changes pave the way for later heart attacks; 6) Smoking stains the lungs brownish black and this starts with the very first cigarette and 7) Perhaps most disturbingly, a study from the University of California in San Francisco, showed that smoking mutates lung cells during teenage years and this forever increases the risk of lung cancer, even if you quit smoking later on; and the younger you start smoking the greater the risk! For example, a person who smokes one pack/day between the ages 13 and 23 has a greater risk for subsequently developing lung cancer than a person who smokes one pack/day between the ages of 23 and 33. The risk for developing lung cancer for a person who began smoking regularly at age 13, is 350% higher than that for one who started smoking at age 23. Furthermore, studies have shown that smokers who begin young are more likely to develop severe nicotine addiction and are less likely to break the habit. (see Summary table on pg 56).

VIDEO EXAMPLES:
Jay Taylor: 19 year old with abnormal pulmonary function tests. Jay, at the age of 19 had the pulmonary function (small airway function) of a 66 year-old non-smoking man. (see Video Script pgs 49-50).

Brook Bartlett: an 18 year-old smoker who already noted changes in her breath and in her voice. (see Video Script pgs 39-40).

15. What are the cosmetic consequences of smoking? (Video Examples)

1) bad smelling breath, hair, hands and clothes, 2) yellow staining of teeth, nails and fin-gers 3) gum disease 4) facial wrinkles, 5) in females, higher waist to hip fat ratio. (See Video Script pgs 48-49). (see slides t and u)

16. What are the social consequences of smoking? Can you find examples in the Video?

Smoking causes bad breath, smelly hair, smelly clothes and reduces social appeal. Surveys show that most kids don't smoke and prefer to date non-smokers and this is an increasing trend. Furthermore, second hand smoke offends many people because it stinks, causes unpleasant respiratory symptoms and is proven to cause serious disease (see question 18 on pgs 28-29).

VIDEO EXAMPLES:
Andrea Rosaler: school teacher: "Smoking is disgusting! I can't even be in a room with people who smoke. It makes me nauseous! (see Video Script pg 38)

Brooke Bartlett: teenage smoker: "In restaurants it becomes a problem with people not wanting to sit in a smoking section with me, or if there is not even a smoking section hav-ing to go outside and have a cigarette". (see Video Script pgs 39-40)

Jay Taylor: teenage smoker: "It's embarrassing to me to have to depend on a cigarette. You know, I have to have one, I have to have one. It's very embarrassing to me. When I'm with people that don't smoke, I feel like I have to separate myself from the group in order

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