Effects

What Can Smoking Take Away?

What can smoking take away? (Slideshow featuring fresh breath, white smile, healthy lungs, strong immune system, years off your life)
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fresh breath
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white smile
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healthy lungs
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strong immune system
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years off your life
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> Which effect of smoking freaks you out the most?

Which effect of smoking freaks you out the most?
This is a poll on your opinion of the health effects of smoking. After hearing the question, select your answer and vote.

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> Zombie Loves Chasing Smokers

Zombie: I love pursuing smokers…because their lungs run out of air
Zombie: I love pursuing smokers…because their lungs run out of air
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Smoking as a teen can permanently stunt your lungs and may affect your ability to run

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> 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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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

> Breath like an ashtray

GIF of mouth opening and closing, with ash falling out

Smoking makes your breath smell like an ashtray

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Quiz: Smoking Deaths Per Year, Toxic Chemicals, Depression

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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Wolf Bike Fail

Smoking as a teen can permanently stunt your lungs and may affect your stamina

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> Wheezing and Asthma

Breathe In. Breathe out. Smoking can make it hard to breathe (A circle expands and contracts, instructing you to breathe in and breathe out. The circle's movements become erratic.)

Smoking as a teen may lead to wheezing and asthma

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Straw City

People using screen readers may not be able to fully view information in this file.

The big bad wolf walks around a town with buildings made of straw. Scared pigs scream and run away as he passes. The wolf approaches a dress shop as a pig trying on her wedding dress shrieks in fear. The wolf huffs and puffs but cannot blow the building down.

Female Voiceover: Smoking as a teen can permanently stunt your lungs, taking the air out of even the biggest and baddest.

The wolf gives up disappointedly and pulls out a pack of cigarettes. The wolf has lost all power and the pigs are no longer afraid of him.

Text is displayed: The Real Cost logo, TheRealCost.gov, FDA logo.

For any more help, please email tobaccocampaigns@fda.hhs.gov.

Once upon a time, there was a Big Bad Wolf––but he smoked as a teen, stunting his lungs and ruining his perfect fairy-tale ending.

Check out how smoking affects your potential.

Cigarettes change the story

> Blood Chemistry

Droplets of blood in the shape of a skull

Smoking changes your blood chemistry and can lead to deadly blood clots.

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> Stained Nails

Image of hand with stained nails

Smoking can stain your nails

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> Wolf Regrets

Sad wolf: Cigarettes made me live unhappily ever after

Smoking as a teen can permanently stunt your lungs, taking the air out of even the biggest and baddest

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> Secondhand Smoke

Secondhand smoke causes firsthand consequences killing 40,000 nonsmokers in the U.S. every year (An odometer counting up to 40,000)
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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?

> Cigarettes Can Make You Lose Control

Image of teen attached to puppet strings

Cigarettes can make you lose control

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> Smoking Occasionally Can Lead to Daily Use

A teen is stuck inside a spinning hamster wheel with rungs made to look like cigarettes

Even smoking occasionally can lead to daily use

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> Stronger Flames

Stunted lungs equals stronger flames (Someone tries blowing out candles on a birthday cake but can't)

Smoking as a teen can leave you short of breath

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> Smokers Die 10 Years Sooner

Image of gravestone with a decomposing hand reaching out of the ground
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> 1 in 5 Deaths is Smoking-Related

Nearly 1 in 5 deaths in the U.S. is smoking-related
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> Higher Hoops

Stunted lungs equals higher hoops (Basketball player ready to take a shot as the hoop grows higher)

Smoking as a teen can permanently stunt your lungs and may affect your stamina

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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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> 3 Out Of 4 Teens

3 out of 4 teens who think they’ll stop smoking in a few years don’t
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> Nicotine cravings

GIF of wind-up toy with exposed brain walking back and forth

Even just a few cigarettes now and then can lead to nicotine cravings in some teens

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> Teeth and Gum Disease

Image of smoker's teeth

Smoking causes gum disease, which could cost you teeth

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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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> Brain Change

Image of brain hooked up to wires

Nicotine changes the way your brain works

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> hooked on cigarettes

Image of fish getting near a cigarette hook

Most people get hooked on cigarettes before they even realize it

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1 in 5 Deaths is Smoking-Related

  • Hoyert DL, Xu JQ. Deaths: Preliminary data for 2011. National vital statistics reports. 2012; 61(6):1-51.

    0006
  • 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

3 Out Of 4 Teens

  • 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

Blood Chemistry

  • 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, 0097
  • U.S. Department of Health and Human Services (USDHHS). Let’s Make the Next Generation Tobacco-Free: Your Guide to the 50th Anniversary Surgeon General’s Report on Smoking and Health (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; 2014.

    0082, 0097

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, 0097

Cigarettes Can Make You Lose Control

  • 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

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

Higher Hoops

  • 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.

    0026, 0072

hooked on cigarettes

  • Doubeni CA, Reed G, DiFranza JR. Early course of nicotine dependence in adolescent smokers. Pediatrics. 2010;125(6):1127-1133.

    0011, 0050
  • Ursprung WW, DiFranza JR. The loss of autonomy over smoking in relation to lifetime cigarette consumption. Addictive Behaviors. 2010;35(1):14-18.

    0011, 0050
  • 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
  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General (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.

Nicotine cravings

  • Doubeni CA, Reed G, DiFranza JR. Early course of nicotine dependence in adolescent smokers. Pediatrics. 2010;125(6):1127-1133.

    0011, 0050
  • Ursprung WW, DiFranza JR. The loss of autonomy over smoking in relation to lifetime cigarette consumption. Addictive Behaviors. 2010;35(1):14-18.

    0011, 0050

QUIZ: Cigarette smoking causes 480,000 deaths per year

  • 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

QUIZ: Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression

  • Minnix J, Blalock J, Marani S, Prokhorov A, et al. Self-Efficacy Mediates the Effect of Depression on Smoking Susceptibility in Adolescents. Nicotine & Tobacco Research 2011; 13(8):699-705.

    0061
  • National Institute of Mental Health (NIMH). Expert panel addresses high rates of smoking in people with psychiatric disorders. https://www.nimh.nih.gov/news/science-news/2009/expert-panel-addresses-high-rates-of-smoking-in-people-with-psychiatric-disorders.shtml. Updated February 18, 2009. Accessed August 18, 2014.

    0061
  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use among Youth and Young Adults: 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; 2012.

    0038, 0039
  • Ziedonis D, Hitsman B, Beckham JC, et al. Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine & Tobacco Research. 2008; 10(12):1691-1715.

    0061

QUIZ: When you smoke, toxic chemicals reach every organ in your body

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease (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; 2010. 

    0042, 0027, 0071, 0265

Secondhand Smoke

  • 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

Smokers Die 10 Years Sooner

  • Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine. 2013; 368(4):341–350.

    0003

Smoking Can Make Stress Even Worse

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

    0056

Smoking Occasionally Can Lead to Daily Use

  • Waters K, Harris K, Hall S, Nazir N, Waigandt A. Characteristics of social smoking among college students. Journal of American College Health. 2006; 55(3):133-139.

    0051, 0052

Stained Nails

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

    0028, 0029, 00285

Stronger Flames

  • 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.

    0026, 0072

Teeth and Gum Disease

  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: 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; 2004.

    0073, 0068
  • Watts A, Addy M. Tooth discolouration and staining: a review of the literature. British Dental Journal. 2001; 190(6):309-316.

    0070

What Can Smoking Take Away?

  • Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine. 2013; 368(4):341–350.

    0003
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: 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; 2004.

    0073, 0068
  • 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
  • U.S. Department of Health and Human Services (USDHHS). Let’s Make the Next Generation Tobacco-Free: Your Guide to the 50th Anniversary Surgeon General’s Report on Smoking and Health (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; 2014.

    0082
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General (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; 2014.

    0073
  • Watts A, Addy M. Tooth discolouration and staining: a review of the literature. British Dental Journal. 2001; 190(6):309-316.

    0070

Wheezing and Asthma

  • 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.

    0026, 0072

Wolf Bike Fail

  • 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.

    0026, 0072

Wolf Regrets

  • 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.

    0026, 0072

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

Zombie Loves Chasing Smokers

  • 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.

    0026, 0072