Increased use of filtered, low-tar, and low-nicotine cigarettes
1988 Tobacco Sales to Young Persons Act increased smoking age to 18 and removed vending machines
Tobacco industry today
Increased public pressure has limited marketing, especially to youth
1998 $246 billion settlement with US states over smoking-related illness costs
2009 Tobacco Control Act authorized FDA regulation of tobacco products
Nicotine dependence
Produces tolerance effects and physical withdrawal symptoms
Prominent feature is strong craving to return to tobacco use
Smokers adjust behaviour to obtain stable nicotine dose
Health consequences of tobacco use
Increased risk of cardiovascular, lung, and respiratory diseases
Hazards to smokers, developing fetuses, and non-smokers exposed to secondhand smoke
Patterns of smoking behaviour
Prevalence rates declining, especially among youth
Attitudes toward smoking becoming less accepting among young people
But global trend of unabated smoking rates in Asia, Eastern Europe, Russia
Quitting smoking
Health risks diminish rapidly when quitting
But nicotine dependence is very strong, making quitting difficult
Wide range of cessation treatments available, with 50% eventually quitting permanently
Forms of smokeless tobacco
Loose-leaf
Fine-cut
Plug
Twist
Snuff
Drug use in sports
Ancient Greek athletes used hallucinogenic mushrooms to improve performance and connect to gods
In modern era, anabolic steroids are the principal performance-enhancing drugs
Legal status of steroids differs between Canada and US
How anabolic-androgenic steroids work
Synthetic forms of testosterone that act on androgen receptors in skeletal muscle and other tissues
Adrenocortical steroids have anti-inflammatory action useful for treating injuries
Steroid use was clearly out in the open during the 1968 Olympic Games
Steroids
Synthetic forms of testosterone that have been modified in a variety of ways
Steroids have a different legal status in Canada and the United States
Anabolic steroids in Canada
Schedule IV drug under the Controlled Drugs and Substances Act, legal to possess but illegal to sell or import
How Do Anabolic-Androgenic Steroids Work?
1. Synthetic forms of testosterone
2. Act at androgen receptors
3. Androgen receptors located in skeletal muscle and other places in the body
Adrenocortical steroids
A group of hormones secreted by the adrenal glands, their anti-inflammatory action makes them useful for treating arthritis and muscle injuries
Steroid use was clearly out in the open during the Olympic Games in Mexico City
1968
Many female athletes from eastern European countries in the 1960s and 1970s showed notable masculine features
The 2000 Summer Olympic Games in Sydney, Australia instituted the strictest drug-testing procedures to date for all competing athletes
2000
In 2004, the World Anti-Doping Code was created
The United States Anti-Doping Agency announced that international cycling champion Lance Armstrong would be banned for life from cycling, stripped of his seven Tour de France titles, and stripped of his bronze medal from the 2000 Olympic Games
2012
Concerns were raised about the use of anabolic steroids and other performance-enhancing drugs in major league baseball