Found It

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People using screen readers may not be able to fully view information in this file. Video description: We open on a teenage boy behind the bleachers, holding up a pencil with an strange creature hanging off the end. Teen 1: Check that out! A group of teens with him respond: ugh, whoa, what is it? One uses his phone as a flashlight as they film. The boy waves the creature at a girl and she jumps back. Teen 2: Not so close! Close-up on the creature, now moving in the boy's hand. Teen 1: Oh. Creature makes noise. Teen 3: What? It crawls up his arm and the boy falls back, trying to shake it off. Teen 2: Get it off! Teen 1: Uh, guys? A girl gets scared. A teen gasps. The creature crawls onto the boy's face and covers his mouth. He falls to the ground and the creature runs off. The boy's friends check on him. He makes choking noises and coughs. Teen 4: You alright? Teen 1 coughs. A couple of the teens follow the creature, still recording it, as it slithers into a cigarette pack on the ground. Male voiceover: If cigarettes looked as dangerous as they are, you'd run like hell. Find out the real cost of tobacco. Text is displayed: The Real Cost logo, Instagram.com/TheRealCost, FDA logo. For any more help, please email tobaccocampaigns@fda.hhs.gov.

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Cigarettes may not look dangerous, but that doesn’t mean they aren’t. Know the facts — you don’t want to get any closer.

Learn more about nicotine’s effects on teens.

If cigarettes looked as dangerous as they are, you’d #RunLikeHell

> tobacco basics

Tooth Takedown

A shooter game follows this text and is hidden due to inaccessibility to assistive technology.

The message of the game is that playing with cigarettes harms your teeth. Smoking can cause serious gum disease that makes you more likely to lose teeth. Go to the following link to find out what else can happen

> Brain Change

Image of brain hooked up to wires

Nicotine changes the way your brain works

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> Every Cigarette Takes 11 Minutes Off Your Life

Image of teen stuck in an hourglass

On average, every cigarette takes 11 minutes off your life

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> Effects

> Wrinkles and Grayish Skin

Image of teen elephant with gray skin and wrinkles wearing a hoodie

Smoking can cause wrinkles and grayish skin

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> Smoking Can Make Stress Even Worse

Image of pencil damaged by bite marks

Smoking can make stress even worse

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> Hydrogen cyanide

Image of insect eating insecticide soup

HYDROGEN CYANIDE: Found in insecticide and cigarette smoke 

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> Taking Control

> #7000Chemicals

Image of test tube with the coloring of a cigarette

Cigarette smoke is a toxic mix of over #7000chemicals

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> Nicotine is highly addictive

GIF of teen with spinning eyes

Nicotine is highly addictive

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question 1

What’s one reason smoking is so bad for your lungs?

What’s one reason smoking is so bad for your lungs?

Right.

If you are under 20, your lungs are still growing. If you smoke, they may never reach their potential size or perform at full capacity.

Wrong.

If you are under 20, your lungs are still growing. If you smoke, they may never reach their potential size or perform at full capacity.

<p>What’s one reason smoking is so bad for your lungs?</p>
Response Correct: 
<p><span class="response_answer">Right.</span><br><br> If you are under 20, your lungs are still growing. If you smoke, they may never reach their potential size or perform at full capacity.</p>
Response Incorrect: 
<p><span class="response_answer">Wrong.</span><br><br> If you are under 20, your lungs are still growing. If you smoke, they may never reach their potential size or perform at full capacity.</p>
Target Option: 
A

How many people in the U.S. die each day because of smoking?

How many people in the U.S. die each day because of smoking?

Right.

Every day, more than 1,300 people in the U.S. die from smoking-related causes.

Wrong.

Every day, more than 1,300 people in the U.S. die from smoking-related causes.

<p>How many people in the U.S. die each day because of smoking?</p>
Response Correct: 
<p><span class="response_answer">Right.</span><br><br>Every day, more than 1,300 people in the U.S. die from smoking-related causes.</p>
Response Incorrect: 
<p><span class="response_answer">Wrong.</span><br><br>Every day, more than 1,300 people in the U.S. die from smoking-related causes.</p>
Target Option: 
C

How many teen smokers—who think they will quit—keep smoking into adulthood?

How many teen smokers—who think they will quit—keep smoking into adulthood?

Right.

Research shows that 3 out of 4 teen smokers who think they will quit smoking in a few years—don’t.

Wrong.

Research shows that 3 out of 4 teen smokers who think they will quit smoking in a few years—don’t.

<p>How many teen smokers—who think they will quit—keep smoking into adulthood?</p>
Response Correct: 
<p><span class="response_answer">Right.</span><br><br>Research shows that 3 out of 4 teen smokers who think they will quit smoking in a few years—don’t.</p>
Response Incorrect: 
<p><span class="response_answer">Wrong.</span><br><br>Research shows that 3 out of 4 teen smokers who think they will quit smoking in a few years—don’t.</p>
Target Option: 
C

Congrats - Quiz

CONGRATS!

You've completed all the quiz questions.

How'd you do? If you're trying to make up your mind about tobacco, it's good to know the facts.

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What Counts As Tobacco?

There's no safe tobacco, but what counts as tobacco? (slideshow featuring types of tobacco including Dip, Cigarette, Roll-Your-Own, and Hookah (Waterpipe)
1
Cigarette
2
Roll-Your-Own
3
Dip
4
Hookah (Waterpipe)
5
And More
6
1
2
3
4
5
6
1 of 6
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> Dangerous Chemicals In All Tobacco Products

All tobacco products contain dangerous chemicals. Not just cigarettes
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Dance

People using screen readers may not be able to fully view this information. Video description: A tiny bully is bullying a teenager while he’s taking pictures with his date at prom. Bully: Hey, handsome. Remember me? Cheeeese! You and me, outside, right now. Let’s hit it! Bully drags teen away from his prom date. Cut to later: teen and his date are dancing. Bully: Hey, Romeo! Time to cha cha cha outside, champ. Let’s go! Move it! Come on, twinkle toes. Don’t forget who your real date is. Bully pushes teen off the dance floor. Male voiceover: Cigarettes are bullies. Don’t let tobacco control you. Text is displayed: The Real Cost logo, #CigarettesAreBullies, FDA logo. For any more help, please email tobaccocampaigns@fda.hhs.gov.

Cigarettes are a lot like bullies. They can boss you around, take you away from the fun, and even ruin your big night. Smoke just a few and they could start telling you what to do.

Learn more about smoking and nicotine addiction.

Why let cigarettes ruin your big night?

#7000Chemicals

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

    0003, 0007, 0045, 0046, 0047, 0049, 0101, 0103

Brain Change

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

    0014, 0016

Dangerous Chemicals In All Tobacco Products

  • Food and Drug Administration (FDA). Harmful and potentially harmful constituents in tobacco products and tobacco smoke: established list. Silver Spring, MD: Federal Register; 2012. 77(64). http://www.fda.gov/downloads/TobaccoProducts/GuidanceComplianceRegulatoryIInformation/UCM297981.pdf. Accessed August 18, 2014.

    0031, 0281, 0282
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: Nicotine Addiction. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1988. 

    0031
  • U.S. Department of Health and Human Services (USDHHS). How Tobacco Smoke Causes Disease. The Biology and Behavioral Basis for Smoking-Attributable Disease (Executive Summary). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010. 

    0031
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 

    0031, 0005, 0006, 0054

Every Cigarette Takes 11 Minutes Off Your Life

  • Shaw M, Mitchell R, Dorling D. Time for a smoke? One cigarette reduces your life by 11 minutes. British Medical Journal. 2005; 320(7226):53. 

    0002

How many people in the U.S. die each day because of smoking?

  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 

    0031, 0005, 0006, 0054

How many teen smokers—who think they will quit—keep smoking into adulthood?

  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults (Fact Sheet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

    0015

Hydrogen cyanide

  • Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Cyanide (Update). Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service; 2006.

    0207
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Secondhand Smoke: What It Means To You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006.

    0043, 0207, 0104, 0208, 0210

Nicotine is highly addictive

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

    0013, 0017, 0093, 0012

Smoking Can Make Stress Even Worse

  • Parrott A. Does cigarette smoking cause stress? The American Psychologist. 1999; 54(10):817-820.

    0056

What Counts As Tobacco?

  • Food and Drug Administration (FDA). Harmful and potentially harmful constituents in tobacco products and tobacco smoke: established list. Silver Spring, MD: Federal Register; 2012. 77(64). http://www.fda.gov/downloads/TobaccoProducts/GuidanceComplianceRegulatoryIInformation/UCM297981.pdf. Accessed August 18, 2014.

    0031, 0281, 0282
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: Nicotine Addiction. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1988. 

    0031
  • U.S. Department of Health and Human Services (USDHHS). How Tobacco Smoke Causes Disease. The Biology and Behavioral Basis for Smoking-Attributable Disease (Executive Summary). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010. 

    0031
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 

    0031, 0005, 0006, 0054

What’s one reason smoking is so bad for your lungs?

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

    0020, 0026, 0010, 0075

Wrinkles and Grayish Skin

  • Just M, Ribera M, Monsó E, Lorenzo JC, Ferrándiz C. Effect of smoking on skin elastic fibres: morphometric and immunohistochemical analysis. British Journal of Dermatology. 2007;156(1):85-91. 

    0028
  • Ortiz A, Grando SA. Smoking and the skin. International Journal of Dermatology. 2012; 51:250–262.

    0028, 0029, 00285
  • Urbánska M, Ratajczak L, Witkowska-Nagiewicz. Analysis of knowledge about tobacco smoking influence on skin condition. Przeglad Lekarski. 2012; 69(10):1055-1059.

    0028