The Real Truth about Tobacco – Part 3

Dear World

World No Tobacco Day 2019

Simple Living Global has reported on this topic in 2017 and 2018 on World No Tobacco Day.

We have extensively covered throughout in a simple and easy to read format for every reader to get the Real Truth about Tobacco, which includes the stats, facts and many questions to consider.

The purpose is to bring more awareness so that we can learn and understand more about Tobacco.

There is enough evidence over the past century telling us clearly that Tobacco is killing us and yet we seem to want more and more proof of what it is doing to the human frame.

This 3 part should be more than enough proof, which requires nothing more and nothing less as it speaks volumes for those who are ready to take note.

This is the final part in our series – The Real Truth about Tobacco and the various forms we have created to ingest and inhale this toxic substance.

GLOBAL

1.1 BILLION SMOKERS

7 million each year die from Tobacco

The Tobacco epidemic is one of the biggest public health threats the world has ever faced.
World Health Organization | 2018 (1)

Over 1 billion smokers on earth

What exactly is this telling us all

Everyone knows that smoking is not for human consumption but yet we have a very large population doing exactly that – in all the various forms that we keep on creating.

WHY

Is anyone really listening to the statement last year from the World Health Organization.

How have we got to this point where we have a lifestyle choice that has become one of the biggest public health threats that our world has ever faced.

What is the real cost to humanity if we continue on this ill road in life, with a substance that has become so popular for various reasons. 

What is the cost to our health systems because we choose to use Tobacco for our pleasure.

What is the pain and suffering that is waiting along the road if we continue with Tobacco in any form.

What is needed to turn the tides once and for all

GLOBAL

Tobacco Markets | 2019 – 2024
Focus on Cigarettes | Roll your Own | Cigars | Cigarillos | Smokeless Tobacco

8.2 million tons – Global Tobacco Market | 2018

9.1 million tons by 2024 – market projection

70 species of Tobacco known – N. tabacum remains chief commercial crop

Tobacco contains a colourless volatile alkaloid – nicotine, which is responsible for

  • constricting peripheral blood vessels
  • increasing blood pressure
  • raising heart rate
  • stimulating brain functions

Dried Tobacco leaves are used for smoking in cigarettes | cigars | pipes | shisha

Chewing Tobacco used as snuff | snus | dipping tobacco

Global Tobacco Market Drivers/Constraints

The demand for Tobacco has recently witnessed a shift from the developed regions to the developing nations such as Asia and consumers increased income levels, larger populations and lenient government regulations. Introduction of numerous premium Tobacco products such as flavoured, long and skinny, coloured and e-cigarettes by the manufacturers has further created a positive outlook for the growth of the tobacco market.

A surge in investments in the research and development has resulted in the introduction of products with reduced levels of toxicants. This has helped in attracting a larger consumer-base for Tobacco products.

Higher levels of education along with rising awareness about health concerns related to Tobacco consumption, such as different types of cancer, cardiovascular diseases, pulmonary diseases etc., has hampered the growth of the market.

Apart from this, stringent regulations in the developed countries further restricts the market growth.

Type Insights

On the basis of type, the market has been segregated into cigarettes, roll your own, cigars, cigarillos, smokeless tobacco and others.

Currently, cigarettes represent the most popular product type, accounting for the majority of the global market. Their rising demand can be attributed to the surging population and tax regulations, especially in the developing countries.

Regional Insights

China has the leading position in the global tobacco market due to an increase in the production of tobacco leaves in the region. As smoking is considered cool among the younger generations, there has been a constant demand for tobacco in the country.

Other major regions include India | Brazil | United States | EU 15

Competitive Landscape

The market is highly concentrated with the presence of three large manufacturers which currently hold more than two-thirds of the total share. (2)

Hello

Did we know there are 70 species of Tobacco

What on earth does that mean to us on the street

Even if we are not good with Numbers – this is easy to work out.

1 gram or less of Tobacco is in each cigarette

8.2 million tons – how much are we consuming

The sums are not needed

The point is we have an industry that is trading this drug of choice in epic proportions.

The simple sum is any form of Tobacco is not good for our health.

Tobacco users should quit all tobacco products to reduce health risks
CDC | Centers for Disease Control and Prevention (3)

This article will refer to Hookah and Shisha – both are the same

Hookah smoking is NOT a safe alternative to smoking cigarettes
American Lung Association (3)

Hookahs are water pipes used to smoked specially made tobacco that comes in different flavours such as 
apple | mint | cherry | chocolate | coconut | liquorice | cappuccino | watermelon

Other names for hookah are Narghile | Argileh | Shisha | Goza | Hubble-Bubble

Hookahs vary in size, shape and style

A typical modern hookah has a –

  • head with holes in the bottom
  • metal body
  • water bowl
  • flexible hose
  • mouthpiece

Hookah smoking is usually done in groups, with the same mouthpiece passed from person to person.

Hookah Use

Hookah use began in Ancient Persia and India

Today, hookah cafes are gaining popularity around the world

Hookah use by youth and college students is increasing

1 in 5 high school seniors used hookah in the past year
Monitoring the Future survey | 2010 (3)

Other studies found high prevalence of hookah use among college students

New forms of electronic hookah smoking – hookah pens | steam stones

Products are battery powered and turn liquid containing nicotine, flavourings and other chemicals into a vapor which is inhaled.

Very little information is currently available on the health risk of electronic tobacco products. (3)

Dear World

We have been told by the World Health Organization last year that Tobacco is the biggest ever public health threat that we have faced – so do we need to wait around for more research, more evidence, more information about electronic tobacco products.

The fact that an electronic tobacco product is now on the market tells us SOMETHING IS NOT RIGHT.

We keep creating new ways to take this poison and we forget that the suppliers are just giving us what we want. We, the consumers are the ones demanding the products and they simply deliver.

IMPORTANT NOTE
We cannot blame or judge the industry and all those who profit because we are the ones saying Yes.

If we want change then we as individuals have to make that change first.

There can only be a market if there are customers in the first place.

Right now there are over 1.1 billion customers for this toxic substance called Tobacco.

Tobacco is a poison and not for human consumption
Fact

Health Effects of Hookah

Using hookah to smoke tobacco poses serious health risks to smokers and others exposed to the smoke from the hookah.

Hookah Smoke and Cancer

The charcoal used to heat the tobacco can raise health risks by producing high levels of carbon monoxide, metals and cancer-causing chemicals.

Even after it has passed through water, the smoke from a hookah has high levels of these toxic agents.

Hookah tobacco and smoke contain several toxic agents known to cause lung, bladder and oral cancer.

Tobacco juices from hookahs irritate the mouth and increase the risk of developing Oral cancers.

Other Health Effects of Hookah Smoke

Toxic agents in hookah tobacco and smoke can cause clogged arteries and Heart disease.

Infection can be passed to other smokers by sharing a hookah

Babies born to women who smoked water pipes everyday while pregnant weigh less at birth.

Babies born to hookah smokers are also at increased risk of respiratory diseases.

Hookah Smoking Compared to Cigarette Smoking

Hookah smoking has many of the same health risks as cigarette smoking

Many hookah smokers think this practice is less harmful than smoking cigarettes.

Water pipe smoking delivers nicotine – the same highly addictive drug that is found in other tobacco products.

The tobacco in hookahs is exposed to high heat from burning charcoal and the smoke is as toxic as cigarette smoke.

The way a hookah is used, smokers may absorb more of the toxic substances also found in cigarette smoke than cigarette smokers do.

One hour hookah smoking session involves 200 puffs
Smoking an average cigarette involves 20 puffs

90,000 ml – amount of smoke inhaled in average hookah session
500 – 600 ml inhaled when smoking a cigarette

Hookah smokers may be a risk for some of the same diseases as cigarette smokers, which include –

  • Oral cancer
  • Lung cancer
  • Oesophagus cancer
  • Stomach cancer
  • Decreased fertility
  • Reduced lung function

Non Tobacco Hookah Products

Some flavoured and sweetened non tobacco products are sold for use in hookahs.

Adverts and labels for these products often claim that users can enjoy the same taste without the harmful effects of tobacco.

Studies of tobacco based shisha and ‘herbal’ shisha show that smoke from both preparations contain carbon monoxide and other toxic agents known to increase the risks for smoking-related cancers, heart disease and lung disease. (3)

Carbon Monoxide – poisonous gas formed by the burning of carbon, especially in the form of car fuel. (4)

Hookah Smokers Inhale Toxic Chemicals That May Harm the Heart, Report Warns 

There is growing evidence that hookah smoking affects Heart rate and Blood Pressure with chronic use linked to an increased risk of Heart disease, the American Heart Association warned on 8 March 2019.

“Many young people mistakenly believe that smoking tobacco from a hookah is less harmful than cigarette smoking because the tobacco is filtered through water but there is no scientific evidence that supports that claim.

Smoking hookah carries health risks such as Diabetes, Obesity and increased risks of Heart disease and Heart attack.

From the review of evidence, we found that hookah smoke contains many of the same toxic chemicals that are present in cigarettes and sometimes these harmful chemicals are even higher in hookah than in cigarettes.” 
Aruni Bhatnagar – Professor of Medicine | University of Louisville, Kentucky | Director of the University of Louisville Diabetes and Obesity Center (5)

The report reviewed more than 100 studies on hookah smoking

HELLO – over 100 studies have been reviewed

Think about all the time and money we are consistently spending as researchers keep coming up with more and more evidence about the harm of Tobacco.

Are we wanting more and more research so we get some time to delay what we all know the Truth is.

Do we really need more or do we need to get Real and get Honest about what we all already know.

There is so much evidence about hookah smoking and if we join the dots it is very clear – it has tobacco and that is why it has a health risk.

Risks

Smoking cigarettes and hookah have similar effects on the body but “what happens with hookah is that you get a log of exposure in a small amount of time.”
Aruni Bhatnagar – Professor of Medicine | University of Louisville, Kentucky | Director of the University of Louisville Diabetes and Obesity Center (5)

For example, both cigarette and hookah smokers are exposed to the chemical carbon monoxide.

A single session of hookah use, typically 30 minutes long, exposes the smoker to higher levels of the chemical than a single cigarette.

The report states that during one hookah session, many litres of smoke filled with large quantities of the pollutant particulate matter are inhaled at higher concentrations than cigarettes. These particles can be harmful to our health because they irritate the eyes, nose or throat and smaller particles can get into the lungs and the blood.

Hookah also contains other harmful chemicals such as nicotine and lead that can affect a smoker’s cardiovascular system. Most of these chemicals are higher in concentration in hookah than in cigarette smoke. This is due to charcoal being burned in hookah and different durations and temperatures.

Long-term use of water pipes has also been linked to an increased risk of coronary artery disease, according to the report.

Observational studies from India and Pakistan showed that “people who use hookah on a regular basis have higher levels of risk in terms of developing heart disease.”
Aruni Bhatnagar – Professor of Medicine | University of Louisville, Kentucky | Director of the University of Louisville Diabetes and Obesity Center (5)

USA

50% of hookah users are age 18 – 24
Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA)
Data analysed in 2013 – 2014 (5)

What is Behind the Rising Numbers

Some of the factors behind hookah’s appeal are similar to what attracts young people to E-Cigarettes namely flavourful tobacco options and Social Media.

Flavours and sweeteners that can be added to the tobacco make the smoke less harsh and therefore easier to start and continue smoking hookahs, according to the research cited in the American Heart Association study.

Many consume hookah in cafes and lounges to give an image of being less habit forming, the report added.

“People believe that occasional use of hookah does not really matter because they would not get addicted. But there is evidence that even occasional use of hookah could be addictive and could be a catalyst for transitioning into other tobacco products, which is cigarettes.”
Aruni Bhatnagar – Professor of Medicine | University of Louisville, Kentucky | Director of the University of Louisville Diabetes and Obesity Center (5)

“Hookah smoking is still tobacco smoking
While the report focuses on Heart disease, one of the biggest killers worldwide, other research shows hookah is also linked to several Cancers and lung diseases.

The general public should be made aware of the harms of this hookah smoking through increased regulation and health promotion efforts.”
Dr. Mohammed Jawad – Research Postgraduate | Imperial College, London – not involved in the study (5)

What is Shisha

Shisha is the name for pipes containing water at the bottom and a platform at the top where flavoured tobacco or non-tobacco herbal mixtures is covered with foil.

Hot charcoal is then placed on top of the foil and when a user breathes through a hose, a vacuum is created, drawing smoke thorough the water and into the mouth, where it is inhaled into the lungs.

Shisha is a social activity with one pipe having a number of hoses or the hose being passed around.

Research Study
The Effects of Waterpipe Tobacco Smoking on Health Outcomes: An Updated Systematic Review and Meta-Analysis by Waziry et al (2016)

Published in the International Journal of Epidemiology, systematically reviewed studies investigating use of shisha and health outcomes. The authors of the research study identified 50 studies that fit these criteria and found evidence that use of waterpipes was associated with –

While it might be thought that herbal shisha is safer than tobacco shisha, the burning of the charcoal used to heat the pipe produces carbon monoxide and benzene, which are also inhaled through the pipe. There have been case reports of acute carbon monoxide poisoning after shisha use, which is not the case with cigarettes.

There has been far less investigation of the constituents of shisha smoke compared to cigarette smoke, but the research that is available suggests tar, nicotine, carbon monoxide and a number of carcinogens seen in cigarette smoke are also present in shisha smoke.

Anecdotally, there seems to be a lack of understanding that the flavoured products used in waterpipes predominantly contain tobacco. Although there are some herbal products, which claim to be a safer alternative, most of the products available for use are flavoured tobacco.

While herbal products do not contain nicotine, they release a number of the same toxins as found in tobacco smoke and the carbon monoxide and benzene from the charcoal is still inhaled. (6)

Facts about Benzene

Benzene is a chemical liquid at room temperature
It has a sweet odour and is highly flammable

Benzene is formed from both natural processes and human activities
Natural sources of benzene include volcanoes and forest fires
Benzene is a natural part of crude oil, gasoline and cigarette smoke

Industries use benzene to make other chemicals used to make plastics | resins | nylons | synthetic fibres.

Other use – types of lubricants | rubbers | dyes | drugs | detergents | pesticides

A Major Source of Benzene Exposure is Tobacco Smoke

How Benzene works

Benzene works by causing cells not to work correctly

Example – it can cause bone marrow not to produce enough red blood cells, which can lead to anaemia.

It can damage the immune system by changing blood levels of antibodies and causing the loss of white blood cells.

The seriousness of poisoning caused by benzene depends on the amount, route and length of time of exposure as well as the age and pre-existing medical condition of the exposed person.

Immediate Signs | Symptoms of Exposure to Benzene   

Breathing in high levels of benzene may develop the following within minutes

  • Confusion
  • Death (at very high levels)
  • Dizziness
  • Drowsiness
  • Headaches
  • Irregular Heartbeat
  • Rapid Heartbeat
  • Tremors
  • Unconsciousness

Direct exposure of the eyes, skin or lungs to benzene can cause tissue injury and irritation.

Showing these signs and symptoms does not necessarily mean that a person has been exposed to benzene.

Long-Term Health Effects of Exposure to Benzene

The major effect of long-term exposure of a year or more is on the blood

Benzene causes harmful effects on the bone marrow and can cause a decrease in red blood cells, leading to anaemia. It can also cause excessive bleeding and can affect the immune system, increasing the chance for infection.

Some women who breathed high levels of benzene for many months had irregular menstrual periods and a decrease in the size of their ovaries.

The Department of Health and Human Services (DHHS) has determined that benzene causes cancer in humans. (7)

EXPOSURE TO BENZENE:  A MAJOR PUBLIC HEALTH CONCERN
World Health Organization

Benzene is carcinogenic to humans and no safe level of exposure can be recommended – World Health Organization (8)

UK

Rogue Shisha Bars – Councils ask for Stronger Powers

Councils have called for licensing powers to tackle “lawless” shisha bars that violate smoking and fire safety regulations by serving under 18s and allowing people to smoke indoors.

The Local Government Association (LGA) has been struggling to improve the regulation of premises that persistently flout regulations, as prosecutions are slow and owners making high profits are increasingly deterred by one-off fines of £2,500.

Council leaders said part of the problem is secrecy about the ownership of many premises, limiting the ability of councils and police to take action against them.

The number of shisha bars has trebled in recent years

“There are not strong enough punishments to deter irresponsible shisha bar owners.
The growing popularity of shisha bars and the lawless way some of them are being run exposes the loopholes that exists in our outdated and inflexible licensing system. Smoke free laws are not offering strong enough punishments to deter irresponsible shisha bar owners who are making lucrative profits, which mean Councils often need to carry out costly and lengthy investigations to take action against the same bar over and over again.”
Simon Blackbury – Local Government Association (9)

As well as violating smoking regulations, shisha tobacco is often imported illegally and sold without any duty being paid.

The LGA is calling for an expansion of the activities that councils can license. This would make it easier to vet licence holders prior to bars opening, monitor premises more effectively and revoke licences for repeat offenders.

Some bars that go against regulation get shut down after a year and then they re-open under a different name or in a different area, with the intent to make quick profits. (9)

Hello

For many, shisha bars are cool and fashionable

We have all night shisha bars and it brings customers of all ages and has become very popular.

Why are we not listening to the Local Government Association and what they have to say about costly and lengthy investigations, which can lead to the shisha bar closing down, only to reopen elsewhere.

In other words, no real change

What is missing and why are we allowing this in our neighbourhoods, towns and cities.

Do we – those who do nothing have a Responsibility

Electric Hookahs Might be no Safer than Traditional Charcoal Based

Traditional hookahs burn charcoal as a heat source but recently electrical heating elements (EHEs) have been introduced to the market. Reinforced by product advertising and package labelling, many hookah smokers believe that EHEs are less harmful than charcoal.

In traditional hookahs, smokers burn charcoal on top of a tobacco preparation known as ma’ssel – a mixture of tobacco, glycerine, water and flavourings. The resulting smoke bubbles through the water at the bottom of the pipe before being inhaled through a tube by the smoker.

Previous studies have shown that charcoal contributes most of the harmful polycyclic aromatic hydrocarbons (PAHs) and carbon monoxide found in hookah smoke. Manufacturers have therefore developed EHEs for hookahs and in some cases, advertising them as “toxicant-free” or “carbon monoxide free.”

Researchers examined emissions from a hookah using charcoal or one of three commercially available EHEs as the heat source with an automatic smoking machine.

They found the EHEs reduced carbon monoxide and PAH emissions by 80%.

However, emissions of acrolein – a highly reactive irritant thought to be responsible for nearly all non-cancer respiratory diseases in cigarette smokers was several orders of magnitude higher with EHE use, compared with charcoal use.

In addition, levels of some other volatile aldehydes were higher in EHE-produced smoke than in charcoal-produced smoke.

The researchers say that marketing EHEs as safer than charcoal might be misleading. (10)

Note – aldehyde is a chemical substance made from alcohol (11)

Heat Not Burn Devices (HNB)   

Heat-not-burn (HNB) devices can alter vital physiological functions in the lung.

HNB devices may not be a safer option than Cigarette Smoking or E-Cigarette vaping.

This does not support the recommendation of their use over other nicotine delivery products.

While cigarette smoking still remains one of the most pressing global health issues of our time, newer forms of smoking device have been introduced across the globe in the last decade.

Electronic nicotine/non-nicotine delivery systems commonly known as electronic cigarettes (eCig) heat a solution (e-liquid) to create vapour; the latest addition to this list is the introduction of heat-not-burn (HNBs) tobacco products.

HNBs are hybrids between e-cigarettes and traditional cigarettes
They are equipped with a device that heats the product, without burning to generate aerosol and the product being heated is not a liquid but real tobacco.

E-cigarette vaping is comparatively new but its use is increasing at an alarming rate. It is estimated to surpass the use of traditional cigarettes by 2024

$10 Billion e-cigarette global sales in next 5 years (12)

Emerging data shows that e-cigarette use, particularly among youth is associated with future cigarette use.

Over half of the people interested in one brand of HNB are never-smokers

Therefore, both e-cigarettes and HNB products may represent a gateway for nicotine addiction among never-smokers, rather than a substitute use for harm-reduction purposes in current smokers.

It is now clear that e-cigarette vapour contains high levels of toxic compounds, which adversely affect respiratory, gastrointestinal and cardiovascular systems both  
in vitro – in the lab

in vivo – in the living organism

It is important to recognise that HNB products are comparatively new but emerging research suggests that HNB products emits substantially high levels of carbonyls. (12)

Sohal, Eapen, Naidu and Sharma (2019) found that exposure to HNB products was as toxic as cigarette smoke at even low levels of concentration.

The research suggests that HNB products are as effective as cigarette smoke in inducing chemokine release from the human bronchial epithelial cells and the human airway smooth muscle. (12)

Chemokine functions include attracting white blood cells to sites of infection and tissue damage.

The data suggests that like traditional cigarettes and e-cigarettes, HNB exposure contributes to altered mitochondrial function which can further exaggerate airway inflammation, airway remodelling and lung cancer through active EMT (Epithelial-Mesenchymal Transition), as seen in smokers.

Mitochondrial dysfunction also underpins many normal physiological processes and in certain pathological conditions, such as obesity or with an oxidant trigger such as smoke, e-cigarettes and HNB, it may impact lung diseases.

Cigarette smoking and e-cigarettes can exaggerate respiratory infections by increasing microbial adherence to the airways; HNB may increase respiratory infections through similar mechanisms.

Given current findings and those of previous studies, in a manner very similar to cigarette smoke and e-cigarettes, HNB products have the potential to –
Increase oxidative stress and inflammation, infections, airway remodelling and initiate EMT-related changes in the airways of users of these devices. (12)

Hello – this is bang up to date news

2019 study telling us HNB same as cigarettes

Is this a wake up call or do we want to wait for more clinical studies to be conducted to tell us the same news but in another way.

Mitochondria

Specialised structures unique to the cells of animals, plants and fungi.
They serve as batteries, powering various functions of the cell and the organism as a whole.

The main function of mitochondria is to metabolise or break down carbohydrates and fatty acids in order to generate energy. (13)

Epithelial-Mesenchymal Transition

The epithelial-mesenchymal transition is the process by which polarised epithelial cells that are connected via adhesion lose their characteristics and acquire migratory and invasive properties characteristic of a mesenchymal cell. This occurs during developmental processes such as neural tube formation, and when metastasis is initiated in cancer. (14)

Epithelial Cells

Epithelial cells are the first cell types to come into contact with external stimuli, such as chemicals and particulate materials. (15)

Mesenchymal Cells

Loosely organised undifferentiated mostly mesodermal cells that give rise to such structures as connective tissues, blood, lymphatics, bone and cartilage. (16)

Mesoderm

The middle germ layer of an animal embryo, giving rise to muscle, blood, bone and connective tissue. (17) 

Betal Nut | Areca Nut

Areca Nut | Tobacco | Alcohol use are among the leading causes of Oral Cancer. (18)

Areca nut is also known as beta nut – a fruit that is chewed and spat out
Similar to chewing tobacco

It is highly addictive, stains the teeth and leaves mouth area red

10 – 20% of the world population chew areca nut in some form

4th widely used psychoactive substance after Nicotine Alcohol Caffeine

The most common method of use is thin strips sliced and rolled into a betal leaf with slaked lime powder or crushed seashells.

This leaf package is known as –
Betal Quid
Betel Nut Chew
Betel Paan

They can contain Tobacco and other additives like
Cloves | Cardamom | Nutmeg | Aniseed | Coconut | Sugar | Syrups (19)

Areca nut with or without Tobacco – carcinogenic to humans

Risk of malignancy further increases with addition of smokeless Tobacco

Lime used in Betal Quid has high concentrations of arsenic

Areca Nut users have –

Bleeding gums
Halitosis
Increase gingival lesions
Periodontal pockets
Poor oral hygiene
Poor periodontal health
Recession

Mild to severe physiological loss of tooth structure – common among users (20)

PAPAU NEW GUINEA

98% with mouth cancer chew areca nut

80% population chew areca nut

Malignant mouth cancer – highest rate in the world

Mouth cancer – highest killer of men
3rd highest cause of death in women

Habitual betal chewers – children age 8 years (21)

Behavioural risk factors for oral diseases –

ALL shared with other major non-communicable diseases –

Hello

How has this stuff not made it to the front page News headlines across the world.

We have a direct link telling us that the majority of one country are consuming areca nut daily and it has the leading malignant mouth cancer in the world.

8 out of 10 in this country are chewing areca nut

Can we all agree SOMETHING IS NOT RIGHT

How are we going to get on the front foot and stop kids as young as 8 years old from taking this habit that they see all around in others – supposedly their role models in life.

A single nation – a microcosm of our world, heavily reliant on a psychoactive substance in daily life.

How are they coping

How is their health system doing

What is the toll to individuals, their families, communities, towns and cities if chewing tobacco is seen and accepted as a normal part of life because the masses are doing it.

Have we stopped to consider that how these people are living is far removed from their natural state of being, simply because they are having to use a drug to get through the day. 

Dear World

What if we could agree that nothing is working

What if we could agree that there needs to be real change.

What if real change can only come from those who walk the talk.

In other words, Real people who live in a way that is not harming their body and they consistently maintain this way of being, without perfection.

What if we all need real education to bring awareness.

What if we start to change the current education system by incorporating Simple basic learning about human life.

What if schools everywhere have to bring in a basic introductory course about human life to prepare us for real living without causing harm.

What if our current form of Intelligence1 is not really that Intelligent2 if we have a whole country dying because of a lifestyle choice.

What if we need to challenge our current intelligence and all those in the academic world by saying that we cannot rely any longer on more and more research.

What if we need to bring an understanding in a real and tangible way about the harm caused when we consume any drug.

What if we could bring video footage and real life suffering into schools to educate on the dangers of what Tobacco does to the human frame.

What if anecdotal evidence does hold meaning and can no longer be seen as weak or not as robust as large numbers and hypothesis after hypothesis that very few understand.

What if we can no longer allow the world of academia and the rules it creates, to lead the way for humanity as the current mess we are in tells us it is not working.

What if we need to find Another Way to get on the front foot, as we have become so reliant on research to tell us and prove to us what we all know and have felt way before the study comes out.

What if this Website is presenting another way that is not so popular right now as man is yet to wake up to what is really going on.

What if this website is a blessing for our world as it consistently delivers another dose of Simple and Real stuff that makes sense.

This book is the first of many more in our Real Truth series to bring more awareness on topics that affect our true health and wellbeing.

Our book is for humanity – those who are ready for another way because we know what is not working.

THE END

 

References   

(1) (2018, March 9). Tobacco. World Health Organization. Retrieved May 25, 2019 from
https://www.who.int/news-room/fact-sheets/detail/tobacco

(2) (2019, February 19). Global Tobacco Markets, 2019 – 2024 – Focus on Cigarettes, Roll Your Own, Cigars, Cigarillos, Smokeless Tobacco and Others. www.globenewswire.com Retrieved May 28, 2019 from
https://www.globenewswire.com/news-release/2019/02/19/1736705/0/en/Global-Tobacco-Markets-2019-2024-Focus-on-Cigarettes-Roll-your-Own-cigars-Cigarillos-Smokeless-Tobacco-and-Others.html

(3) (2018, January 17). Hookahs. Centers for Disease Control and Prevention (CDC). Retrieved May 28, 2019 from
https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/index.htm

(4) (n.d). Cambridge Dictionary. Retrieved May 28, 2019 from
https://dictionary.cambridge.org/dictionary/english/carbon-monoxide

(5) Avramova, N. (2019, March 8). Hookah Smokers Inhale Toxic Chemicals that May Harm the Heart, Report Warns. CNN. Retrieved May 23, 2019 from
https://edition.cnn.com/2019/03/08/health/hookah-smoking-toxic-chemicals-heart-study-intl/index.html?no-st=1556943746

(6) Gage, S. (2016, April 19). Hooked on Shisha? Why Hookahs Might be More Harmful Than You Think. The Guardian. Retrieved May 28, 2019 from
https://www.theguardian.com/science/sifting-the-evidence/2016/apr/19/hooked-on-shisha-why-hookahs-might-be-more-harmful-than-you-think

(7) (2018, April 4). Facts About Benzene. Centers for Disease Control and Prevention (CDC). Retrieved May 28, 2019 from
https://emergency.cdc.gov/agent/benzene/basics/facts.asp

(8) (2010). Exposure to Benzene: A Major Public Health Concern. World Health Organization (WHO). Retrieved May 25, 2019 from
https://www.who.int/ipcs/features/benzene.pdf

(9) Skopeliti, C. (2019, February 23). Councils Ask for Stronger Powers to Deal with Rogue Shisha Bars. The Guardian. p. 27

(10) American Chemical Society. (2019, May 22). Electric Hookahs Might be No Safer than Traditional-Charcoal Based Ones. ScienceDaily. Retrieved May 30, 2019 from
https://www.sciencedaily.com/releases/2019/05/190522120547.htm

(11) (n.d). Cambridge Dictionary. Retrieved May 30, 2019 from
https://dictionary.cambridge.org/dictionary/english/aldehyde

(12) Sohal, S. S., Eapen, M. S., Naidu, V. G. M., & Sharma, P. IQOS Exposure Impairs Human Airway Cell Homeostasis: Direct Comparison with Traditional Cigarette and E-Cigarettes. ERJ Open Res 2019; 5: 00159-2018.

(13) Vidyasagar, A. (2015, April 30). What Are Mitochondria? www.livescience.com. Retrieved May 30, 2019 from
https://www.livescience.com/50679-mitochondria.html

(14) (n.d). Epithelial-Mesenchymal Transition. Nature.com. Retrieved May 29, 2019 from
https://www.nature.com/subjects/epithelial-mesenchymal-transition

(15) (2014). Epithelial Cells. Science Direct. Retrieved May 29, 2019 from
https://www.sciencedirect.com/topics/neuroscience/epithelial-cells

(16) (n.d). Merriam-Webster Dictionary. Retrieved May 29, 2019 from
https://www.merriam-webster.com/dictionary/mesenchyme

(17) (n.d). Dictionary.com. Retrieved May 29, 2019 from
https://www.dictionary.com/browse/mesodermal

(18) (2018, September 24). Oral Health. World Health Organization (WHO). Retrieved May 29, 2019 from
https://www.who.int/news-room/fact-sheets/detail/oral-health

(19) (2019, May 8). Betel Nut. Alcohol and Drug Foundation. Retrieved May 29, 2019 from
https://adf.org.au/drug-facts/betel-nut/

(20) (n.d). Areca Nut. Science Direct. Retrieved May 29, 2019 from
https://www.sciencedirect.com/topics/neuroscience/areca-nut

(21) Lahari-Wiliams, L. (2018, March 5). Papua New Guinea’s Mouth Cancer “Epidemic”. PMN 531. Retrieved May 29, 2019 from
http://radio531pi.com/blog/papua-new-guineas-mouth-cancer-epidemic

Share

Comments 1

  1. HOT SMOKING NEWS

    Neuroscience News – 5 June 2019

    https://neurosciencenews.com/schizophrenia-smoking-14173/

    Tobacco smokers are at increased risk of developing schizophrenia and psychosis.

    Researchers are saying that nicotine is most likely responsible for the link.

    The review of 8 long-running studies has found strong evidence of an association between smoking and mental illness, which they suggest is mostly likely caused by nicotine.

    The findings have raised serious concerns about the increasing use of nicotine through e-cigarettes by young adults.

    “People who smoke tobacco have an approximately twofold increased risk of developing schizophrenia or psychosis.
    While e-cigarettes reduce some of the harms associated with smoking, governments need to consider their potential to harm the mental health of young people.
    More research is urgently needed to examine the association between e-cigarette use and psychosis, particularly in adolescents and young adults.”
    Until there is a better understanding of the harm of e-cigarettes, it would be safest that liquid nicotine remains illegal to buy in Australia without a prescription.”
    Dr. Scott – Associate Professor | University of Queensland

    This is bang up to date news Dear World – are we listening?
    Was this something we were not hoping for or even expecting?

    We have all known for a very long time that smoking is harmfull for the human body.

    We have since learned that the nicotine is not only addictive but has many other side effects.

    Now we are learning that this is having an affect on our mental health.

    How serious is this and are we going to wake up and listen to what this research is spelling out, or are we going to continue to wait for even more research to tell us what we already know?

    The fact is – more and more of our young population are finding ways to take nicotine and becoming addicted.

    We have created something that suits their lifestyle – e-cigarettes.

    Whilst it was said it was to wean smokers off cigarettes there seems to be another group – teens and adolescents who are the biggest users.

    What exactly is this telling us?
    Have we joined the dots here?

    If we now have liquid nicotine causing psychotic disorders – what is going to happen to the future generation of adults who are the current users – our youth?

    Young adults are the largest consumer group for the e-cigarette market and this is a fast growing industry.
    For more on e-cigarettes read part 2 of this series
    https://simplelivingglobal.com/the-real-truth-about-tobacco-part-2/

    Do we blame the vaping shops and suppliers or do we take a look at why there is such a strong demand that is on the increase?

    What is going on for our high school children and college students?
    What is going on for our teenagers and all our youth of today?

    Do we need to get on the ground and find some real anecdotal evidence?
    Do we need to answer every question that this 3 part series on the Real Truth about Tobacco is presenting?

    What is needed is to bring awareness and real education to everyone and start it from day dot at school as nothing thus far is working.

    Those presenting – like the author of this book need to deliver because they are free from the ills of tobacco and having never ingested it, they have the vibration to reflect the Truth without any doubt.

    In other words, what they say holds a quality because they are not tainted or moved in any way by what tobacco brings.

    It is time to turn the tides and not wait for more and more evidence and more and more research telling us the harm of this toxic substance called Tobacco.

    Simple Living Global have done the research, joined the dots and applied a dose of common sense so that we can all wake up to THE REAL TRUTH ABOUT TOBACCO.

    To continue and give even more evidence would not change anything as enough has been said to deliver the Truth – Tobacco is not for human consumption and we have enough proof that could fill up libraries telling us so.

Leave a Reply

Your email address will not be published. Required fields are marked *