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<br />FACTS about Tobacco Use <br /> <br />. Smokers spend approximately 21 percent more than the general baseline <br />population on health services, (RAND '02 study) <br />. Data show that each smoker costs an insurer about $1,041 more per year in <br />expenditures than a non-smoker. <br />. The costs of heaath care, increased fire insurance, damage to property, <br />absenteeism, and lost productivity average as much as $4,600 for each smoker per <br />year, (Weiss, Seattle University) <br />. The Centers for Disease Control (CDC) has estimated that employers spend <br />$3,856 per smoker per year in direct medical costs and lost productivity, (Aon <br />Forum 10/19/05) <br />. In the year after a smoking ban was instituted at the Harvard School of Health, <br />27% of the smo1l:ers there quit. In smoke-free hospitals, 36% of employees who <br />quit attribute their decision to the hospital's smoke-free policy. (Archives of <br />Internal Medicine) <br />. Cessation interventions are also cost-effective. Often the cost-effectiveness of an <br />intervention is measure in Quality Adjusted Life Years (QAL Y) saved, The cost <br />per QAL Y saved for tobacco cessation interventions is - $4500. <br />. Workers who take four 10-minute work breaks a day to smoke actually work one <br />month less per year than workers who don't take smoking breaks. <br />(Action on Smoking and Health, March 1994) <br />. For every persoq who dies of a smoking-attributable disease, there are twenty <br />more people suffering with at least one serious illness from smoking, (Aon <br />Forum 10/19/05) <br />. Nonsmoking workers exposed to second-hand smoke are 34% more likely to get <br />lung cancer, Waiters and waitresses have a 50% greater risk of lung cancer than <br />other workers mostly because of ETS exposure, (National Cancer Institute) <br /> <br />Smokeless TobaccQ Effects <br /> <br />. Increased heart rate caused by nicotine in the blood stream releasing hormones <br />(such as adrenaljne). <br />. Increased blood pressure caused by nicotine in the blood stream. Can cause <br />irregular heart b~ats as welL <br />. Nicotine constri~ts the blood vessels, slowing down the circulation of oxygen-rich <br />blood to the orgljns, <br />. Cancer of the m$uth (including the lip, tongue, and cheek) is one of the 10 most <br />common cancers in the world, The risk of mouth cancer is four times greater for <br />the smokeless tobacco user. It is particularly high where the tobacco is placed, <br />. Cancer of the throat: the risk of oral cancer is up to 50 times greater for the person <br />who chews toba~co, The longer smokeless tobacco is used, the greater the risk, <br /> <br />G-5 <br />