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258 Health and Physical Education - XI Table 1: Some of the Constituents of cigarette smoke Say “NO” to tobacco. Constituents Cancer causing Toxic metals Remember, one moment chemicals of wise decision is the Toluene Vinyl chloride Arsenic foundation for future happy life for you and Carbon monoxide Benzene Chromium your family. Butane Polonium 210 Cadmium Smokeless tobacco You have heard and seen the advertisements of pan masala and wondered what it is made up of. Pan masala contains supari, that is arecanut or betel nut, which is a traditional item and a part of many religious ceremonies in our country. Most of us believe that pan masala is not harmful as it is just a mixture of areca nut cuttings, commonly known as supari, food flavours and sweeteners. Actually it is a specialised, ingenious mix of traditional items and chemical products developed to cause addiction. New formulations of pan masala are constantly developed and introduced in the market to encourage initiation and sustained use of these and other similar products with an objective to deliver higher Case Study “highs” to the addicts. You must have seen the short film on Mukesh A dangerous fact which is not known is that continuous shown in theatres before use of tobacco causes oral cancer. Its use by the pregnant any film, who dies at a mothers is nearly as dangerous as alcohol drinking. If taken very young age due to eating Gutkha. Discuss during pregnancy, even the unborn babies are harmed by the case of Mukesh in the the chemicals present in gutkha and pan masala. class and the effects of smoking. Health hazards of tobacco and substance misuse Substance misuse affects all the aspects of life of the user. Smoking causes different types of cancers, the most common being lung cancer. Research has established that pan masala, gutkha, and khaini all cause oral cancer. All types of tobacco products that mention ‘low tar or additive-free’ are harmful. Substance misuse in any form leads to dependence andaddiction.Itaffectsthepersonalityandmakesoneangrier, volatile, depressed and tense. The day-to-day activities along with thinking and memory are affected, resulting in a negative impact upon the work in school/college/job. Effect of tobacco abuse among women Have you noticed attractive advertisements of lighted cigarettes? Though we mostly see men smoking, the young women are one of the biggest targets of the tobacco industry. The tobacco industry organises richly-funded Reprint 2026-27