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    Teen smoking is an early warning sign for additional substance abuse

    problems. Youths age 12-17 who smoke are more than 11 times as likely to

    use illicit drugs and 16 times as likely to drink heavily as youths who do not

    smoke.

    As the U.S. Supreme Court noted in 1962, The first step toward

    addiction may be as innocent as a boy's puff on a cigarette in an alleyway.

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    Smoking typically precedes other drug use. Among youths who have

    used both cigarettes and marijuana by the 12th grade, 65 percent smoked

    cigarettes before marijuana; and 98 percent of those who had used both

    cocaine and cigarettes smoked cigarettes first.The earlier a person uses tobacco, the more likely they are to

    experiment with cocaine, heroin or other illicit drugs. Those who start smoking

    as a child are three times more likely to use marijuana and four times more

    likely to use cocaine than those who do not smoke as children.

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    In addition, more than half of all persons who start smoking beforeage 15 use an illicit drug in their lifetime, compared to only a

    quarter of those who do not start smoking until they are beyond age 17 -- with

    those who start smoking before age 15 are more than three times more likely to

    use cocaine.

    And those who start smoking before age 15 are seven times more

    likely to use cocaine than those who never smoke cigarettes at all.

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    The earlier a person uses tobacco, the more likely he or she is tobecome a regular drug user as an adult. People who start smoking as childrenare almost four times more likely to be regular users of an illicit drug and

    three times more likely to use cocaine regularly than those who do not smoke

    as children.

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    Heavy smokers are much more likely to use marijuana or harder

    drugs. Youths who smoke more than 15 cigarettes a day are more than twice

    as likely to use an illicit drug and 16 times more likely to use cocaine than

    those who smoke less frequently -- and are 10 times more likely to use anillicit drug and more than 100 times more likely to use cocaine than those who

    never smoke. Children who smoke a pack a day are also 13 times more likely

    to use heroin than children who smoke less heavily.

    In addition, 12- to 17-year-old daily smokers who smoke daily are

    approximately 14 times more likely to have binged on alcohol than those whodo not smoke, more than 100 times more likely to have used marijuana at least

    ten times, and 32 times more likely to have used cocaine at least ten times.

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    Heavy users of smokeless tobacco are significantly more likely to

    experiment with or regularly abuse illegal drugs. High school kids who use

    spit tobacco 20 to 30 days per month are nearly four times more likely to

    currently use marijuana than nonusers, almost three times more likely to everuse cocaine, and nearly three times more likely to ever use inhalants.

    Increases in cigarette prices reduce the demand for cigarettes and

    marijuana. Cigarette and marijuana are not substitutes (users do not increase

    their use of marijuana to compensate for smoking less or vice versa) and

    increases in cigarette prices, which reduce smoking, also reduce marijuana use.Deaths Cigarettes Smoking

    Source: xeoecigarette.wordpress.com

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    Drugs under international control include amphetamine-type stimulants,

    coca/cocaine, cannabis, hallucinogens, opiates and sedative hypnotics.

    Countries have decided to control these drugs because they pose a threat to

    health.

    While some of the physical effects of drugs might sound nice, they do not

    last long. Many people get depressed and lonely afterwards and start feeling

    sick. Also, it is common for people who use drugs to seem confused, have

    red eyes, sweat a lot and not care about their physical appearance.

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    What is it?

    Cannabis is a tobacco-like greenish or brownish material made up of the dried

    flowering tops and leaves of the cannabis (hemp) plant. Cannabis resin or"hash" is the dried black or brown secretion of the flowering tops of the

    cannabis plant, which is made into a powder or pressed into slabs or cakes.

    Cannabis oil or "hash oil" is cannabis resin in liquid form. Cannabis is by far

    the most cultivated, trafficked and abused illicit drug.

    How is it taken?All forms of cannabis are usually smoked. Cannabis resin and oil can also be

    ingested orally or brewed in tea.

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    How does it affect users?

    Cannabis can make users feel relaxed and heighten their sensory awareness.

    Thus, users may experience a more vivid sense of sight, smell, taste and

    hearing.

    What are the risks associated with cannabis use?

    Short-term effects include increased appetite and pulse rate.While high, users'

    intellectual and physical abilities are impaired. With large doses, users may

    experience severely altered sensory perceptions and slow and confused

    thinking. If the dose is very large, the effects of cannabis are similar to those of

    hallucinogens, and may cause anxiety, panic and even psychotic episodes.

    Regular users of cannabis risk developing dependency to the point where they

    lose interest in all other activities, such as work and personal relationships.

    Furthermore, cannabis smoke also contains 50 per cent more tar than high tar

    cigarettes, thus putting users at an increased risk for lung cancer and other

    respiratory diseases.

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    What is it?

    Cocaine is a fine white or off-white powder that acts as apowerful stimulant. In its pure form, cocaine is extractedfrom the leaves of the coca plant. On the street, it can be

    diluted or "cut" with other substances to increase thequantity. Crack is cocaine that has been further processedwith ammonia or sodium bicarbonate (baking soda) andlooks like small flakes or rocks.

    Prevalence rates for lifetime use of cocaine are typicallybetween one and three per cent in developed countries,with higher rates in the United States and in the producercountries of South America.

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    Long-term users of cocaine risk a number of health problems, some of them

    depending on the ingestion method. Sniffing cocaine severely damages nose

    tissue, smoking can cause respiratory problems, whilst injection can lead to

    abscesses and infectious diseases.Other risks, regardless of ingestion

    method, include dependency, malnutrition, weight loss, disorientation,

    apathy and a state similar to paranoid psychosis.

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    What is it?

    Ecstasy is a psychoactive stimulant. In fact, the

    term "ecstasy" does not refer to a single substance,

    but rather to a range of substances similar in

    chemistry and effects. It is usually distributed as a

    tablet or pill but can also be a powder or capsule.

    The tablets can be in many different shapes and

    sizes.

    Over the last decade or so, ecstasy use has made its

    way into the mainstream culture in certain

    countries. Younger people in particular often seemto possess a skewed sense of safety about ecstasy

    use, believing rather erroneously that the substance

    is safe and benign.

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    How is it taken?

    It is usually taken orally but can also be snorted or injected.

    How does it affect users?Ecstasy can heighten users' empathy levels and induce a feeling ofcloseness to people around them. It is often used at "rave parties" toincrease participants' sociability and energy levels.

    What are the risks associated ecstasy use?In the short term, ecstasy can make the body ignore distress signalssuch as dehydration, dizziness and exhaustion, and it can also interferewith the body's ability to regulate temperature. Furthermore, ecstasycan severely damage internal organs such as the liver and the kidneys,and sometimes lead to convulsions and heart failure.

    Large doses of ecstasy also cause restlessness, anxiety and severevisual and auditory hallucinations.

    Longer-term ecstasy use can damage certain brain regions, resulting inserious depression and memory loss.

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    What are they?

    Hallucinogens, or "psychedelics", are drugs that alter

    users' state of consciousness and produce different

    kinds of hallucinations.The main types of hallucinogens are d-lysergic acid

    diethylamide (LSD), hencyclidine (PCP),

    hallucinogenic amphetamines, mescaline and

    psilocybe mushrooms.

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    What is it?

    LSD is a semi-synthetic drug derived from lysergic acid, which is found in a

    fungus that grows on rye and other grains.

    LSD, commonly referred to as "acid", is one of the most potent hallucinogens.It is usually sold on the street as small squares of blotting paper with drops

    containing the drug, but also as tablets, capsules or occasionally in liquid form.

    It is a colourless, odourless substance with a slightly bitter taste.

    How is it taken?It is usually swallowed.

    How does it affect users?

    Taking LSD leads to strong changes in thought, mood and senses in addition tofeelings of empathy and sociability. However, the exact effects of LSD vary

    depending on the mental state of the user and the environment when taking the

    drug.

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    What are the risks associated with LSD use?

    Short-term, LSD produces delusions and distorted perceptions. The userssense of depth and time changes and colours, sound and touch seem more

    intense.

    Some LSD users experience severe, terrifying thoughts and feelings such as

    fear of losing control, fear of insanity and death, and despair.

    The physical effects are small compared to the psychological and emotionaleffects. They include dilated pupils, increased heart rate and blood pressure,

    loss of appetite, sleeplessness, dry mouth and tremors.

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    What is it?Heroin is an addictive drug with painkilling propertiesprocessed from morphine, a naturally occurringsubstance from the Asian opium poppy plant. Pureheroin is a white powder. Street heroin is usuallybrownish white because it is diluted or "cut" withimpurities, meaning each dose is different.

    How is it taken?

    It is usually injected but can also be snorted, smoked orinhaled.

    How does it affect users?Heroin can make users feel an initial surge of euphoria,along with a feeling of warmth and relaxation. Users alsooften become detached from emotional or physicaldistress, pain or anxiety.

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    What are the risks associated with heroin use?

    Short-term effects include constricted pupils, nausea, vomiting, drowsiness,

    inability to concentrate and apathy.

    Furthermore, heroin is very addictive, and development of tolerance and

    physical and psychological dependence occurs rapidly.

    Long-term heroin use has a variety of severe health effects. Among other

    things, it can cause severe weight loss and malnutrition that can lead to

    damaged veins and liver disease. It can also lead to menstrual irregularity,

    sedation and chronic apathy.

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    What is it?Methamphetamine is part of the group of drugs called

    amphetamine-type stimulants (ATS). It is a synthetic drug

    that is usually manufactured in illegal laboratories.

    Methamphetamine comes as a powder, tablet or as crystals

    that look like shards of glass.

    How is it taken?

    It can be swallowed, sniffed/snorted, smoked or injected.

    How does it affect users?

    Users experience a temporary rise in energy, often

    perceived to improve their performance at manual or

    intellectual tasks. Users also feel postponement of hunger

    and fatigue.

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    What are the risks associated with methamphetamine use?

    Short-term, users can lose their appetite and start breathing faster. Their heartrate and blood pressure may increase and the body temperature may go up and

    cause sweating. With large doses, users may feel restless and irritable and they

    may experience panic attacks.

    Excessive doses of methamphetamine can lead to convulsions, seizures and

    death from respiratory failure, stroke or heart failure.

    Long-term methamphetamine use can lead to malnutrition, weight loss and the

    development of psychological dependence. Once chronic users stop taking

    methamphetamine, a long period of sleep, and then depression, usually

    follows.

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    Smokers, especially heavy smokers, are more likely to drink alcoholand to become problem drinkers than nonsmokers. Adolescent smokers, for

    example, are three times more likely to use alcohol than adolescents who do

    not smoke.11 In addition:

    Smokers are over 30% more likely to consume alcohol and ten times

    more likely to develop alcoholism than nonsmokers.

    80% to 95% of all alcoholics also smoke cigarettes, and 70% of all

    alcoholics are heavy smokers who consume more than one pack of cigarettes

    per day.

    The initiation of regular cigarette smoking typically precedes the

    onset of alcoholism by many years.

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    Youths who have drank alcohol and smoked cigarettes at least once inthe past month are 30 times more likely to have smoked marijuana than those

    who report refraining from smoking or drinking alcohol.

    Heavy users of smokeless or spit tobacco are almost 16 times more

    likely than nonusers to currently consume alcohol, as well.

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    As the U.S. Surgeon General's report, Reducing Tobacco Use, noted:

    "Research on patterns of substance abuse among youth generally concludes

    that youth begin with tobacco, or alcohol, or both and some youth progress to

    marijuana and other drug use. . . . Other research concludes that cigarette

    smoking is a significant predictor of both the possibility and the frequency of

    other drug use. . . . This research suggests that cigarettes and other substances

    are complements for one another and that higher cigarette prices, by

    discouraging smoking among youth, could significantly reduce youth and

    adult drinking and illicit drug use."

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    Effects of smoking

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    Nobody lights up like Eastern Europe, where average annual

    consumption can exceed 2,000 cigarettes per person. The very highest rate isin Serbia (2,861 cigarettes per person per year), according to data from 71countries compiled by the World Lung Foundation and American Cancer

    Society. Fourth-place Russia, not far behind at 2,786 cigarettes per person peryear, is now finally dealing with its smoking problem.

    Annual per capita cigarette consumption rates. Gray countries have no data available. (Max Fisher / Washington

    Post)

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    Proposed new restrictions in Russia modeled after laws in Westerncountries that coincided with a drop in smoking rates would limit cigarette

    advertising and public smoking in Russia, and more than double excise taxes

    on cigarretes. A Wall Street Journal article on the Kremlinscampaign details

    Russiascigarette problem, which costs 400,000 lives and $48.1 billion every

    year.The international smoking data is mapped out above. Itsa fascinating

    bit of comparative data, with some potentially surprising pieces of information:

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    The highest rates are all in Eastern Europe. The one Eastern Europeanexception is Romania, which had similarly bleak numbers until it enacted

    tough anti-smoking laws in 1997.

    The biggest smokers outside of Eastern Europe are South Koreans,

    Kazakhs, and Japanese, in that order. Chinas smoking rate still lags behind

    Koreas and Japans (1,711 cigarettes per person in China versus 1,958 inKorea and 1,841 in Japan), but China is the worlds largest overall consumer

    of cigarettes. As the country urbanizes and develops, dontbe shocked if they

    rise in the rankings.

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    Current Users by Substance (in thousands)

    Current Users Who are Dependent (in thousands)

    *Dependence on cigarettes is based on daily use.Source: National Survey on Drug Use and Health,2011