What is in Tobacco Smoke and How Can it Affect Me?

What is the nature of this substance which hascarbon dioxide is that the former binds much more
caused so much controversy and is of such concerntightly to hemoglobin and is very slow to be removed.
to governments, religious bodies, and science? TheThus the blood can accumulate rather high levels of
tobacco plant is a member of the vegetable familycarbon monoxide and slowly starve the body of
Solanaceae. The plant was named Nicotiana abacus inoxygen. When the cardiac system detects insufficient
honor of the French ambassador to Portugal in thelevels of oxygen, the heart may begin to flutter and
1850s, Jean Nicety, who believed the plant hadoperate inefficiently. In extreme cases heart attack
medicinal value and encouraged its cultivation. Onemay result.
chemical constituent of tobacco is nicotine. WhenEach cigarette causes a brief boost in the CO level
cultivated with various chemical fertilizers andwhich lasts for a few minutes and then declines until
insecticides, pro-cussed into cigarettes, and finallythe next cigarette is smoked.
burned, many other physical constituents result.However, each cigarette adds slightly to the overall
Tobacco smoke contains thousands of elements.level. When people smoke normally, their CO levels are
Most are delivered in such minute amounts that theylowest in the morning and level off at their highest
are not usually considered in discussions of the medicalvalues by midday. The typical twenty-per-day smoker
effects of cigarette smoking. In fact, there are soachieves levels averaging between 25 and 35 parts
many that it will take years of research to discoverper million. However, even these "average" smokers
which constituents are harmful. Thereof undisputedmay hit short-term levels of greater than 100 parts per
importance, however, are tar, carbon monoxide, andmillion. Firefighters are now routinely checked with
nicotine.portable CO analyzing machines while combating fires.
Troy is defined, rather arbitrarily, as the total particulateIf their levels exceed 150 parts per million them may be
matter (TPM), minus water and nicotine, which isrelieved and given oxygen, since even these generally
trapped by the Cambridge filter used in smokehealthy people run a risk of heart attacks.
collection machines. Persons who have usedNicotine is a drug that occurs naturally in the leaves of
ventilated-cigarette holders (for example, MD4) in anNicotiana abacus. It is generally thought of as a
effort to give up smoking have probably noticed thestimulant since it provokes many nerve cells in the
accumulation in the filter of a thick, black materialbrain and height-ends arousal. However, its effects are
reminiscent of road tar. Tar, not present in unburnedso complex that no simple label is completely accurate.
tobacco, is a product of organic matter being burned inFor instance, by stimulating certain nerves in the spinal
the presence of air and water at a sufficiently highcord (Crenshaw cells), nicotine relaxes many of the
temperature. Tobacco products such as snuff andmuscles of the body and can even depress knee
chewing tobacco do not deliver tar.reflexes. Its effects also vary depending on how much
Official figures for tar delivery of cigarettes in someis smoked. For example, nerve cells that are stimulated
countries printed on cigarette packets, do not reflectby the nicotine from a few cigarettes may be
tar contained in the tobacco or evening the smoke.depressed by smoking more cigarettes.
These estimates reflect the amount collected from theNicotine closely resembles one of the substances that
standard cigarette-smoking machines. The levels mayoccur naturally in the body (acetylcholine), and the body
be useful for cigarette comparisons, but are otherwisehas an efficient system to break nicotine down
misleading to people who think that their intake of tar is(detoxification) and eliminate it in the urine (excretion). In
mainly determined by their brand of cigarettes. Onefact, when given dose of nicotine is ingested, for
study showed that very low-tar cigarettes with officialinstance by smoking, about one-half is removed from
yields of only a few milligrams delivered 15 -20the blood stream within 15to 30 minutes. The pattern of
milligrams when smoked the way a person mightnicotine accumulation and elimination when cigarettes
actually smoke them.are smoked. Note that these patterns are similar to
Tar is one of the major health hazards in cigarettethose observed for carbon monoxide.
smoking. It causes a variety of types of cancer inAnother feature of nicotine is that it is well absorbed
laboratory animals. Also, the minute separate particlesthrough the mucosa or the very thin skin of the nose
fill the tiny air holes in the lungs (the alveoli) andor mouth which is dense with capillaries. This is why
contribute to respiratory problems such aschewing tobacco and taking snuff are effective ways
emphysema. In the light of these facts many cigaretteto ingest nicotine. In the form of cigarette smoke,
manufacturers have reduced the tar yields in theirnicotine transfers directly from the alveoli of the lungs
cigarettes in an effort to provide "safer" cigarettes.into the arterial blood stream and rushes directly to the
Unfortunately, tar is important to the taste of thebrain. It requires less than 10 seconds for inhaled
cigarette and the satisfaction derived from smoking.nicotine to reach the brain, so that even though the
Thus, when many people smoke low-tar cigarettes, toquantities are small, the effects may be strong. This is
get maximum enjoyment they inhale so deeply thateven quicker than giving nicotine intravenously, since
they defeat the purpose of this type of cigarette. It isthe venous blood supply must first pass through the
ironic that cigarettes engineered to deliver low-tarheart, then into the arterial stream of the lungs and,
yields when smoked by machines deliver higher yieldsfinally, to the brain.
when smoked by people.Repeated exposure to nicotine, when it is smoked,
Carbon monoxide (CO) is a gas that results whenre-salts in very rapid tolerance or diminished effect.
materials are burned. Carbon monoxide production isThat is, during the day, as cigarettes are smoked, the
increased by restricting the oxygen supply, as is thesmoker gets less and less of a psychological and
case in a cigarette. Carbon monoxide is also producedphysical effect-even though toxins are building up in the
by internal combustion engines (as in cars) and evenbody. In fact, much of this tolerance is lost overnight.
by gas cookers and heaters. Like carbon dioxideAs a result, cigarette smokers often report that their
(CO2), which also results from burning, carbonfirst cigarette of the day "tastes the best" or may
monoxide easily passes from the alveoli of the lungseven make them lightheaded if smoked too quickly. As
into the blood stream. There it combines withthe day wears on and more cigarettes are smoked,
haemoglobin to form carboxyhaemoglobin (Cobh).people often smoke more out of habit or to avoid
Hemoglobin is that portion of the blood which normallydisco-fort than for pleasure.
carries carbon dioxide out of the body (CO2 isResearch to date on the hazards of cigarette smoking
produced by normal metabolic processes) and oxygensuggests that nicotine is not as hazardous as the tar
back into the body. When the hemoglobin is all boundand carbon monoxide in cigarette smoke. Its role is
up by either carbon monoxide or carbon dioxide, amore insidious, since people ingest these other
shortage of oxygen may result.substances (tar and CO) as bay-product of their
A critical difference between carbon monoxide andefforts to obtain nicotine.