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Health education standards

Students will analyze the influence of family, peers, culture, media, technology, and other
factors on health behaviors.
Students will demonstrate the ability to access valid information and products and
services to enhance health

Performance indicators
Examine how the family influences the health of adolescents
Describe how peers influence healthy and unhealthy behaviors
Demonstrate refusal and negotiation skills to avoid or reduce health risks

Health goals
I will not fall into peer pressure
I will avoid using any form of tobacco
I will use resistance skill if I am being pressured into using tobacco products

I will use a projector, my laptop, 4 plastic sandwich bags, a pack of cigarettes, a tin of chewing
tobacco, a bag of pipe tobacco, one cigar. 12 envelopes with clues in each envelope. 10 quizzes
and a pen for grading.

Introduction: 15 min
1) Today were going to talk about a huge problem we are facing in this country. Our
country is in the presents of a murderer. This murderer isnt a person but an epidemic.
And this epidemic has killed 1,179 people today. This isnt just a one day problem,
400,000 people are killed every year from this epidemic. But what is it.

2) Everyone pull out a piece of paper and write down 5 different possibilities of what this
epidemic could be.

a. Write down some possibilities on the board.
b. Tobacco is right
c. Everyone take a few minutes and write down a way tobacco has effected your life
or someones life you know.. were not sharing this just for your notes

3) Tobacco quick history
a. 1612
b. 1800s
c. 1940s
d. 1964
e. Short commercial
Activity 25 minutes
4) Tobacco is ingested 4 different ways I have passed out an envelope with 4 hints that
match up with each way tobacco is ingested. Take a few minutes and figure out what they
are. (pace by the student/s with ADHD to keep them on track)
a. 1- Secondhand smoke, 2-smokeless (spit) tobacco, 3- cigarettes, 4- cigars, pipes,
b. Cigarettes
i. Most highly traded product with over 1 trillion cigarettes a year
ii. Cigarette smoke contains over 4,800 chemicals, 69 of which are known to
cause cancer. Smoking is directly responsible for approximately 90
percent of lung cancer deaths and approximately 80-90 percent of COPD
(emphysema and chronic bronchitis) deaths.2
iii. About 8.6 million people in the U.S. have at least one serious illness
caused by smoking. That means that for every person who dies of a
smoking-related disease, there are 20 more people who suffer from at least
one serious illness associated with smoking.3
iv. Among current smokers, chronic lung disease accounts for 73 percent of
smoking-related conditions. Even among smokers who have quit chronic
lung disease accounts for 50 percent of smoking-related conditions.4
v. Smokers die significantly earlier than nonsmokers: 13.2 years for men and
14.5 years for women.6
vi. 1997 and 2005 the amount of nicotine in Camel, Newport, and Doral
cigarettes may have increased by as much as 11 percent. Where about
20% could kill you
vii. 2X more likely to cause oral cancer than spit tobacco
c. Smokeless tobacco
i. Spit tobacco is not a safe substitute for smoking. It can cause oral cancers
and lead to addiction.
ii. Of the estimated 10 million users of ST, 3 million are under the age of 21.
Almost 25% of young users start by the 6th grade, and almost 75% start
by the 9th grade.
iii. Second leading cause of mouth cancer to smoking
iv. More addicting than cigarettes, nicotine is absorbed directly into your
blood stream
d. Cigars/pipes/cloves
i. Imported from Indonesia, Cloves are cigarettes ingrained with other spices
and herbs that are supposed to be more healthy but its not true. Cloves
contain two to three times the amount of nicotine and tar as American
ii. brands
iii. A single large cigar can contain more than a 1/2 ounce of tobacco -- as
much tobacco as an entire pack of cigarettes. One cigar also contains 100
to 200 milligrams of nicotine, while a cigarette averages only about 8
milligrams. That extra nicotine may be why smoking just a few cigars a
week is enough to trigger nicotine cravings.
iv. Oral cancer is very prevalent because usually people dont inhale these
e. Second hand smoke
i. Children Health issues
1. Ear infections
2. More frequent and severe asthma attacks
3. Respiratory symptoms (e.g., coughing, sneezing, shortness of
4. Respiratory infections (i.e., bronchitis, pneumonia)
5. A greater risk for sudden infant death syndrome (SIDS)
ii. Adult health issues
1. Heart Disease
2. For nonsmokers, breathing secondhand smoke has immediate
harmful effects on the cardiovascular system that can increase the
risk for heart attack. People who already have heart disease are at
especially high risk.3,5
3. Nonsmokers who are exposed to secondhand smoke at home or
work increase their heart disease risk by 2530%.3
4. Secondhand smoke exposure causes an estimated 46,000 heart
disease deaths annually among adult nonsmokers in the United
5. Lung cancer
6. Lung Cancer
7. Nonsmokers who are exposed to secondhand smoke at home or
work increase their lung cancer risk by 2030%.3
8. Secondhand smoke exposure causes an estimated 3,400 lung
cancer deaths annually among adult nonsmokers in the United
Conclusion: 20 minutes
f. Quiz 10 minutes (have ADHD student put head phones on and take the quiz in the
conference room)
i. Brief summary and explanation of what youre doing next week (
ii. Play video/ grade quizzes

During this lesson the students got a quick look into every form of tobacco using a fun detective
activity to uncover all the different forms. I will show them actual cigarettes, cigars, pipe
tobacco, and chewing tobacco and photos of clove cigarettes because they are more expensive.
While looking at the different forms of tobacco, I will discuss some effects of the products and
personal stories from each. While sharing stories of each I will explain the challenge of peer
pressure and how to rise above it. After the students see all the products I will give them a quick
and basic quiz on all the products. Then when there done I will show them a couple prevention
videos and a humorous Flintstones cigarette ad from many years ago while I grade the quizzes.
Right before the end of the period I will say they will be going into more detail on cigarettes the
next class.

Multicultural Infusion
During the opening detective activity I will have 2 envelopes in Spanish or the language
appropriate to the students so they can participate in the activity. While doing the quick
explanation of the products and sharing personal experiences I will have an aid in the class to
help explain the products and the stories with more clarity. During the quiz I will have it in
English and the appropriate language for the foreign students. Also have the students with
learning disabilities go into another room for silence or for an aid to read the quiz to them.

I will give the student an opportunity to handle and look at all the different forms of tobacco.
While there observing they will hear some side effects and bad personal experiences from me
and other classmates. Thus pushing how bad these products are for you, your family, and your

"General Smoking Facts." American Lung Association, n.d. Web. 30 Sept. 2013.