Smokers ‘social’, those who do not do every day or who do not exceed 10 cigarettes a day, have almost the same probability of cardiovascular disease than the most active.

For too long, doctors insist the damage smoking causes both heavy smokers as liabilities, but did not put enough emphasis on the damage that light smokers also suffer, ie that light smokers and also sporadic (those who do not daily ), “said Dr. Alejandro Videla, pulmonologist and coordinator of the Smoking Clinic, Hospital Universitario Austral.

In general, when we think about smoking cessation, we are reminded of a “smoker type” addict, consuming more than 10 cigarettes per day. The problem is that casual smokers are increasing and pose a challenge to the health system because they are not considered “smokers” , which fosters the myth that smoking every bit as much and does not hurt.

“While it is clear that a person who smokes a pack of cigarettes per day has a greater risk charge than that which it does daily, they also have chances of getting smoking related diseases, “said the specialist.

The greatest danger is related to heart health. According to a study published last year in the journal Circulation , American Heart Association, the risk of heart disease is virtually the same regardless of whether little or much you smoke every day or occasionally .

It is also a greater possibility of lung cancer, cataracts, reproductive disorders (placenta previa, and ectopic pregnancy), osteoporosis and overall mortality, compared with a nonsmoker.

The risk of death from aortic aneurysm is about 3 times higher in smoking “light” than in nonsmokers . And women between 35 and 49 who consume between 1 and 4 cigarettes a day are five times greater risk of developing lung cancer.

The damage, beyond the amount.
“The board of abandonment or cessation proved effective in helping all smokers, regardless of the number of cigarettes consumed, because the damage is independent of dose”, postulated Videla, who helped draft the new National Directory of Tobacco Treatment Ministry of Health of the Nation.

He added that the damage depends not only on the quantity but also of “smoker’s genetic makeup, which is more or less susceptible to damage.”  This explains the fact that some people who smoke have equal bit more risk than smokers ” he said.

As for the possibility of leaving the service and to sustain this successfully, Videla recognized that smoking “light” are at an advantage: “They have low levels of addiction, making them easier to leave, compared with those who consume more than 10 cigarettes a day. However, there are people who still smoke has little difficulty in leaving. It is noteworthy that, until now, no treatment was tested specifically in the group of light smokers, but it stands to reason that the treatments used for more severe cases also effective in them.

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It is a paradox, maybe one of the largest in the history of mankind. The epidemic is claiming more deaths in the world-more than AIDS, wars, genocides, that is tolerated and encouraged by most governments around the world: it is smoking. Ten thousand people die each day because of cigarette smoke. It has been known for nearly a century that snuff kills, and not a day that goes by that does not appear that a new scientific study adds more evidence of the ravages of health ..

An important part of the paradox is that cigarette smoke, besides being bad for those who spend a percentage of your salary in it also hurts those who have to swallow it in spite of lack of legislation establishing a modicum of respect for the non-smoking and health policy to promote social education.

The figures speak for themselves. In the latest research carried out with passive smoking, which was just published in the latest issue of Circulation, has shown that after a non-smoker spends a half hour in a room where there’s smoke snuff, its stores of antioxidants (including vitamin C) down to a minimum. These are substances that protect, among other things, the arteries do not form plaques (causes of cardiovascular disease).

There have been many studies on passive smoking have shown that second-hand smoke causes cancer and cardiovascular disease in addition to other respiratory complications in children, sudden death and ear infections.

A simple Medline search by typing “passive smoking” (passive smoking) offers more than 20,000 studies published in refereed journals. However, the recent study published in Circulation is the first in which pathophysiological effects are environmental smoke in the body. It is known that the smoke of snuff has numerous oxidizing agents capable of producing free radicals and initiate a process called peroxidation.

Under normal conditions, antioxidants trap free radicals and exert a protective barrier against the oxidation mechanism. But if it fails this protection (such as when smoke is inhaled snuff), begins to accumulate bad cholesterol in macrophages, which is considered a precursor to atherosclerosis. This could be the main cause of coronary heart disease incidence is as high in smokers, which also have antioxidant levels in your blood.

This week marks the World Day without Snuff. It is officially May 31, but has been moved to today because 31 is a Sunday. As every year, the leader of the World Health Organization (WHO) wanted to send a message to this epidemic that threatens to grow unabated. This year has taken the form of alarm.

Estimates of this organization, if it continues the pattern of consumption, by 2020 the snuff will have caused more deaths than AIDS, tuberculosis, maternal mortality, traffic accidents, suicide and homicide, all together .

Millions of children

Similarly, to follow the same rate, about 250 million children who are alive today will die from snuff. WHO believes that children have the right to grow without snuff, and that “we must change the environment until smoking is the pattern of normal social behavior.”

The latest scientific and governmental indifference with respect to one of the most serious health problems of today have hardened the tone of the annual address, this time emphasizing the youth: “To survive, the tobacco industry needs recruit new smokers each year to replace those that are dying from diseases related to snuff. These new smokers are often adolescents, “says the director of the WHO.

The nicotine in cigarettes has been clearly recognized as a drug of addiction and snuff dependence is classified within the group of mental illnesses and behavioral disturbances , according to the International Classification of Diseases (WHO ICD-10). Specialists in the field of substance abuse believe that snuff dependence is as or stronger than the dependence on substances such as heroin or cocaine.

Although non-smokers, 64% of the population, inhale only 1% of smokers smoke aspire, your risk of heart disease rises by 23% versus 80% in smokers.

A paper published in the Journal of the British Thoracic Society concluded that, in infants, had an increase of 72% of getting a respiratory disease if their mother was a smoker.

Similar results were found in a study conducted in California in which, for the first time, showed that passive smoking could be a direct cause of asthma infanticide l, and was not simply a factor aggravating the existing disease, as previously thought.

In adults, a study published earlier this year in Circulation showed that a woman living with a smoker that smoking has twice the risk of coronary heart disease than someone who lives in a smoke-free. The authors, from Harvard University in Boston, estimated that this translates into about 60,000 deaths annually in the U.S..

The data came from the Nurses’ Health Study, which was extracted a group of participants from 32,000 women who had never smoked and had no history of cancer, cardiovascular disease or stroke but who were exposed to smoke snuff a regular basis.

“This research confirms the need for legislation to restrict the snuff in public areas to protect the health of people and adds new data on the harms of passive smoking,” said a representative of the Action for Smoking and Britain Salus .

Many of the studies on passive smoking support each other and reinforce the results. For example, in 1997, a meta-analysis published in the British Medical Journal also lung cancer associated with passive smoking. And WHO has announced few days ago, is about to get another job that corroborates the results obtained so far.

In addition, this air pollution worsens asthmatic condition, and promotes bronchitis and pneumonia. Children living with parents who smoke at home more often suffer from respiratory infections and middle ear and have a higher risk of lung problems. Babies who are exposed to secondhand smoke are also more risk of sudden death.

In the May issue of Anesthesiology are new data showing that children who passively inhale smoke snuff are more likely to have complications from general anesthesia than other children.

The ratio is higher in girls than in boys and found that it is also higher in mothers with daughters who have a low cultural level.

Environmental snuff smoke contains carcinogens and all toxic agents. It is therefore logical that involuntary exposure to this smoke causes the same diseases in healthy nonsmokers.

As stated in the White Paper on Smoking in Spain, which has just published the National Committee for Smoking Prevention, which was presented yesterday at the Ministry of Health, the smoke inhaled by nonsmokers is a mixture of components with four sources different: the smoke exhaled by the smoker, was emitted from the cigarette in his spontaneous combustion; the pollutants emitted by cigarette smoking at the time, and which diffuse through the cigarette paper between puffs.

“Passive smoking is subject primarily to the smoke from the mainstream (which is produced by breathing cigarette smoke, with combustion at 900 ° C), whose composition is somewhat different to that of the side stream or secondary (the smoke produced without the aspiration of air through the cigarette, with combustion at about 600 ° C). “

Quitting passively

The smoke from the so-called secondary current has a higher content of carbon monoxide, ammonia, nitrosamines, and acrolein. This coupled with the fact that the particle size is smaller and therefore reaches deeper portions of the bronchopulmonary system, specialists suggests that it is more harmful smoke. According to the report, some of these components such as cadmium, an agent known to cause lung cancer in humans and animals, is six times higher in concentration in the stream of secondary smoke.

Quitting smoking is beneficial to all age groups, even in old age. It has been seen, for example, that five years after leaving the snuff, the risk of stroke drops to be placed at the same level as that of nonsmokers. But the problem is how to stop passive smoking.

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Most dentists do not talk to patients about their smoking for fear of importuning and they stop to visit. According Melech, which is the opposite happen. “There is a very nice empathy, the patient feels more loved, there is more concern for their health.”

Numerous studies worldwide have shown that smoking directly contributes to the development of periodontal disease (gum disease) and that they would be more severe compared to nonsmokers. It has also been determined that smoking alters the immune response against infections, decreases the ability to repair the tissues of the mouth and delayed wound healing, so the dentist may even contraindicate a particular treatment, such as titanium implants, for example, where it has been found after 5 years of postoperative observation, smokers are 2 times more risk of losing their teeth about non-smokers.

According to Claudio Melech, the risk of a failure in the placement of implants in smokers increases by 35%. “Not that 35 of 100 will fail, but increases the risk of poor treatment in such individuals,” explains, and adds: “Today it can even be dangerous from a legal standpoint if you do not talk beforehand with the patient about his chances. People should know the risks and complications involved in the practice that is going to perform, one can tell the patient: that these smoking you teeth are falling out. “

That is very important to make people aware of this situation, but not with terror campaigns, it does not work as Melech, “or else people would have already kicked the habit when they read the warning on cigarette packages for fear of acquiring cancer. ” What must be done according to professional, is to show people everything you earn by leaving the snuff of hand, “always point to positive factors.”

So … Why quit?

Simple. It will help reduce the potential to cause cancer of the mouth and lips, your teeth will shine and prevent further loss of it will reduce the risk of periodontal disease, improve your sense of taste and smell will improve the outcome of their dental treatment and will suffer the unpleasant halitosis, to name a few positive results.

Finally, Dr. Melech said that the role of dentists, barely a patient to your questions is whether you smoke or not, and beyond that, know how and from where, if you tried to quit and has failed, if you have used alternative therapies and if not, if he would do so responsibly and monitored. “It is vital to inform and question objectively the start of any treatment in smokers, especially in the case of implants. Having a failure that is complex, either by time, expectations and costs involved,” concluded the physician.

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Through direct exposure to cigarette smoke, the damage locally and snuff alter oral health. The temperature of the smoke and all accompanying irritants injure the lining of the mouth. The smoke in their transit through the mouth of its components deposited on the teeth , forming a resin film. This film adheres strongly to tooth staining in yellow staining. The tooth surface covered with smoke constituents facilitates the formation of dental plaque, which if not cleaned effectively, and form a calcified plaque that having nicotine, tar. acquires a dark brown color, which negatively affects both the health of your mouth and your aesthetics.

The inhibitory effect caused by the smoke makes the blood no gum , so the smoker does not see the progression of gingivitis (inflammation of gums) or periodontitis (which causes loss of teeth). In the case of smoking, plaque and tartar are empowered by smoke constituents, the main asset in their advance. The gum receives less blood and oxygen, while decreasing defense mechanisms against bacteria of the plaque, they become more aggressive and more actively destroy the tissues supporting the teeth.

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Emphasized that there is evidence that prior smoking the pregnancy has serious health implications, not just the mother but the product. This is because addiction during pregnancy may cause delay in the intrauterine growth product, resulting in children of low birth weight babies or even which may have withdrawal symptoms. He explained that this condition is explained as the concern that produces an addiction to stop, because the mother was going through blood chemicals from snuff.

Trevilla Mendez warned that “the baby has a disadvantage because they can even be susceptible to respiratory infections, “but not only that but it becomes a passive smoker to be in that environment and has the same risk as an adult passive smoker. In turn, Dr. Guadalupe Ponciano Rodriguez, coordinator of the clinic Against Smoking Faculty of Medicine, UNAM, said it is advisable to start treatment to stop smoking at least six months before pregnancy, but said it should be prescription and under supervision of a physician.

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Smoking is the recognized cause of 29 diseases (including 10 different types of cancer)

Because of its enormous importance, it should be noted that smoking causes over 90% of bronchitis cases diagnosed in our country, 95% of lung cancers, 30% of all coronary heart disease and also a well-established causal factor for esophageal cancer, bladder, oral cavity and larynx.

The women, besides being exposed to the same risks as snuff causes in men, are subject to additional risks. In addition to these smoking increases the risk of lung cancer and heart disease.

Snuff consumption has a multiplier effect of cardiovascular risks posed by oral contraceptives. Therefore, the likelihood of heart attack increases tenfold in women who smoke and continue this method of contraception. Women who smoke have an advance through menopause two to three years compared to women who never smoked, in parallel increasing the risk of osteoporosis.

Sometimes the risk of death smoking causes confusion is minimized and so interested, placing it among many other risks that we are forced to live every day.

Looking at the annual deaths due to causes of social impact and equally avoidable deaths we can see from consumption of snuff are tens of times more numerous than deaths from illegal drugs, AIDS and road accidents.

You know that, of 1,000 deaths that occur in Spain, 151 due to the consumption of snuff, 15 traffic accidents, 4 to AIDS and less than an illegal drug consumption. It is therefore important to know that it is wrong to equate the health impact of smoking with other everyday risks to which we are also subject, such as traffic accidents or exposure to air pollution.

Smoking accelerates the aging process
The appearance of wrinkles on the face is a natural phenomenon common to most older people, whether men or women. However, smoking causes dry skin and accelerates the onset of facial wrinkles prematurely.

While this fact can not be regarded as a serious health problem, it must be pointed out, if only to counter the image that advertising offers people who use snuff: young, attractive and radiant faces.

The consumption of snuff is very harmful to the health of those around you

In addition to the adverse effects to your health, the consumption of snuff has harmful effects on those who choose not to smoke but share with you while you smoke indoors (at home or at work).
Identification of Air Contaminated by Snuff Smoke (ETS) as carcinogenic to humans, made in 2002 by the International Agency for Research on Cancer (IARC), part of the WHO, it reflects the unanimity throughout the international scientific community on this issue.
The combustion of snuff causes a type of smoke contains over 4,000 chemicals. Of these, more than 50 are carcinogenic. Specifically the IARC has identified 69 carcinogens in the smoke of snuff, of which:
11 are carcinogenic to humans.
7 are probably carcinogenic to humans.
49 are carcinogenic to animals (not proven for humans).

These carcinogens include:
Tar: used to pave roads and streets.
Arsenic: deadly poison very powerful.
Cadmium and nickel, used in batteries.
Vinyl chloride: vinyl records.
Creosote, tar component.
Formaldehyde organic preservative used in forensic laboratories and pathology.
Polonium 210: Radioactive.
Urethane: used for packaging.
Other toxic irritant to eyes and upper respiratory tract:
Ammonia: Used in cleaners.
Acetone: solvent toxicity.
Acrolein: Powerful bronchial irritant and causes emphysema.
Hydrogen Cyanide: Deadly poison used as a rodenticide.
Carbon monoxide: Mortal indoors when there is a poor combustion (boilers, stoves, braziers ,…).
Methanol: Used as rocket fuel.
Toluene: Solvent toxic.
There are great differences among the substances that the smoker inhales directly in the act of smoking and inhaled by people, not smoking, are in an environment contaminated by smoke snuff. These differences are due to the combustion of snuff is different from that consumed inhaled spontaneously occurring in the latter form a higher content of waste products in smaller particles. These particles floating in the air, being smaller, can reach the deepest recesses of the bronchopulmonary system and therefore be more harmful. For example cadmium, a known lung carcinogen, is found in concentrations six times higher in the smoke inhaled by the involuntary or passive smoking than inhaled directly by smokers.
After 20 years of research, the evidence for increased risk of various diseases resulting from exposure to ETS are unquestionable.

Exposure to environmental tobacco smoke causes:
An increased risk of lung cancer between 20 and 30% over those not exposed.
An increased risk of mortality from ischemic heart disease by 25%.
An increase in heart attacks close to 82%.
A reduction in birth weight among children of mothers exposed to ETS
A significant increase in the frequency of chronic respiratory symptoms (such as cough, sore throat and other minor respiratory symptoms.)
An increase of minor symptoms such as eye irritation.
The snuff smoke exposure is especially harmful to pregnant women and children
During pregnancy the fetus is the youngest involuntary smoker presenting a higher risk of spontaneous abortion, premature birth or low birth weight, which makes the risk of perinatal death.
Finally, if the parent or both smoke during childhood of their children, increases the risk of sudden infant death and increases the risk of respiratory infections, asthma, pneumonia and otitis media among their children compared to children Parents who do not smoke. Asthmatic children exposed to ETS have more frequent and severe symptoms. Children who live with smokers have worse overall health and experience more absenteeism.
The snuff smoke exposure in children:
Increases the likelihood of developing bronchitis, asthma, pneumonia and middle ear disease.
Asthmatic children exposed to snuff smoke have more frequent and severe symptoms.
Why say that smoking is now an epidemic problem?
For the many people who have begun to affect the mid-50′s of XX century until today. Since the Spanish brought the first leaves of snuff in America, 400 years passed without its use in our country reached epidemic proportions today.
This dimension epidemic is mainly due to its own economic changes of industrialization, in particular: the development of new farming techniques, the massive increase in imports of snuff, cheaper production processes, the incorporation of the industrialization process in the manufacture cigarettes and the development of increasingly sophisticated techniques of promotion.
All these factors, together with the lack of regulatory measures, led to the use of snuff was fired at mid-century, reaching its highest point in the mid 80′s. Since then, the consumption of snuff in our country remains very high, although with a very slight downward trend.

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Second-hand smoke causes snuff called “passive smoking”, which ranks third in the list of preventable deaths worldwide. Despite that affects us all, children and pregnant women are the population most vulnerable to its effects.

High levels of toxicity
Concentrations of toxic substances such as carbon monoxide and nicotine, among others, are higher in secondhand smoke than in the set (three times more nicotine and tar, and five times more carbon monoxide). This is compounded by the fact that environmental smoke particles are smaller with burn more slowly, which also produce more toxic substances, allows them to enter the nose and mouth more easily than the smoke inhaled directly to the shed. The result is very harmful act by different mechanisms and the smoke that the smoker swallows with their puffs.

Thus, it was found that the concentrations of tar and carbon monoxide in tobacco smoke are similar to those of a smoker snuff “normal” five cigarettes a day.

A person who is eight hours in a room of 30 m 2 in which three cigarettes smoked per hour blow a smoke equivalent to two or three cigarettes during the whole of that time.

Serious health risks
Although these concentrations are influenced by the amount of active and passive smokers, the number of cigarettes smoked per hour, and the ventilation of the room where they are and their size, temperature and humidity, the fact is that secondhand smoke of snuff can cause serious heart disease, lung cancer, asthma attacks and an increased number of respiratory tract infections, diseases that are most vulnerable infants and children in general, pregnant women and the chronically ill, especially those with respiratory diseases.

Why they are not addicted?
Although the effects of cigarette smoke “at rest” seriously harm the health of passive smoking, and it is known that on average come to swallow so much venom as four or five cigarettes smoked per day, not snuff out to be dependent because, despite to high concentrations of nicotine present in secondhand smoke, passive smoking is absorbed at a rate much lower than the smoker. This limits the chances of addiction and dependency, together with the fact that smoke “smokes” passive smoking acts by different mechanisms that sucked “assets” that make nicotine does not exert its influence on the brain immediately, quickly, however, is necessary in order to produce reactions in the brain causing addiction. Unlike the passive, active smokers the deep drag the nicotine reaches the brain within seven seconds.

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Impotence or erectile dysfunction is defined as the inability to obtain or maintain an erection sufficient to achieve satisfactory sexual activity. According to multiple studies show, among the most common causes of this disorder are diabetes, some drugs and snuff, in addition to depression, anxiety or low self-esteem. Impotence affects mostly self-esteem and even relationships. A study of the Sexual Dysfunction Association estimates that about 21% of couples who are separated by breaking their relationship problems arising from this disorder.

Snuff in the veins
The content of cigarettes affects the vascular system of the penis and cause a significant alteration of the central nervous system. A study at the University of Florence, recently published in the International Journal of Impotence Research, corroborates these findings and provides new data about it. The paper analyzes a group of 1,150 male smokers who underwent a detailed psychological questionnaire and various biochemical parameters.

According to the results, smokers tend to show greater activation of the hypothalamic-pituitary axis, which is the basis for the functioning of the endocrine system. Furthermore, also have higher levels of testosterone and testicular volume.

Despite the apparent validity of these data, paradoxically, the incidence of ED among smokers is higher, at least in the baseline study. Not only that. In the paper cited the use of ultrasound showed a lower penile blood flow during erection. The results are explained by the direct effect of snuff on blood vessels, which has a clear and demonstrable damage.

From the psychological point of view of smokers in the study of Florence, one of the references in this field, showed higher levels of anxiety and dissatisfaction than non-smokers. Particularly, with regard to their professional and personal life.

The causes of impotence
Smoker’s impotence is due to circulatory problems. The snuff affects penile blood flow, reducing blood pressure in its interior. During erection large amounts of blood flow in the arteries enter the penis. The penile venous system, through a kind of valve is compressed to prevent blood from flowing out, being trapped in cavities called cavernous sinuses. This mechanism is altered in smokers, leading to difficulties in initiating and also to maintain an erection long enough.
Also, the penile arteries of smokers are affected by accelerated atherosclerosis, with increased deposits of cholesterol and, therefore, with lower blood flows.

Nicotine, through the stimulus that causes the brain, causes rapid contractions of the penile tissue, with spasm of the arteries, reducing blood flow still more. Also the effect of nicotine produces a dilated venous system that keeps blood trapped in the penis, making it very difficult aspect of maintaining an erection.

Evidences come from afar
Smoking can cause impotence is something that has been considering for years. The first systematic work back to the early eighties, when the association between the consumption of snuff and cardiovascular and cardiorespiratory began to take shape.

Although scientific evidence took some time to come, the succession of research, some of them encouraged by organizations such weight as the American Heart Association (AHA), finally settling on events theory: if the snuff causes alterations in blood vessels supplying the heart, and by extension the cardiovascular system, so does penile blood flow.

And the facts, accumulated after more than two decades of research, is overwhelming: according to most studies published to date, smoking doubles the risk of impotence in men aged between 30 and 40. The risk varies depending on the study, between 50% and 60% chance compared to nonsmokers, although some work as an alarming rise to 80%. The amount of snuff used to achieve these levels of risk is around 20 cigarettes a day, although it is considered that tends to grow in parallel with the consumer.

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For those who never had this harmful and damaging habit can not understand it, but smoking is many things. For example, for someone who is lonely or has done with your partner simply light up a cigarette gives you a feeling of companionship and pleasure. The same is true for many people, instead taking refuge in food, they do through this service. Others do not conceive finish lunch or dinner or a coffee if you turn one.

Behind these behaviors, according to therapists, there is a background that is related to trying to hide emotions or unresolved situations (leaving aside the coupling produced by nicotine). Precisely this is because it is so difficult to quit, and it is not the cause of the addiction but the symptom, ie not figure out what caused us to start with such a defect.

For this reason, it is suggested that before attempting to eradicate the habit treatments, to look at what situation we were going through when we started smoking . Sometimes it is difficult to detect individually, therefore, we recommend that complements your plan of action to quit with a session with a therapist to help you delve into the origin.
There are plenty of treatments available in the market. From here, we propose the following:

Laser method
It helps you to quit acting on items that are in the ears or hands as does acupuncture.

Electronic Cigarette
It is a replacement for cigarettes in a lifetime. Has LED technology and mimics, through, steam smoke. Of course, contains no nicotine or chemicals.

Bupropion SR
This is a drug that is only sold by prescription.

Acupuncture
Dealing with different pressure points on the ears low level of anxiety and nervousness, facilitating the process of quitting snuff.

Nicotine patches and gum
By these means, the dose of nicotine delivered increasingly lower to reduce the addiction gradually.

Nasal Spray
Spray like gum and patches, since the spray is used when a person feels a lot like smoking.

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With this slogan the Ministry of Health launches new campaign to try us aware of the great danger that our children are exposed to every time you light a cigarette.

The snuff smoke not only pollutes the indoor, but seriously affects the respiratory system of children, which is more sensitive the lower the child’s age. Being the most affected fetuses of pregnant smokers (both active and passive).

Every time we go to a child to a place with smoke, we are forced to smoke passively, forcing him to breathe air polluted by smoke snuff. In this way our children become involuntary smokers, innocent victims of our addiction.

We must be aware of the effects of snuff to always avoid, exposing this danger to children and pregnant women.

Following the increase in respiratory illnesses in children (bronchitis, bronchiolitis, asthma attacks, etc), we take very seriously the health of the youngest, always choosing smoke free, especially when we get together with children or pregnant. “For heaven’s sake. Choose smoke free.”

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