Helping students say no to tobacco and other harmful drugs. A program of GRADE 5 Lesson plans & resources Grade 5 Acknowledgements The Lung Association is a registered, volunteer-based charity, committed to the improvement of respiratory health. Through fund raising activities, the Association supports medical research and Lung Association community health programs. The Lung Association wishes to thank the Ontario Physical and Health Education Association (OPHEA) for managing the revision of the Lungs Are For Life program. In addition, The Lung Association acknowledges the numerous individuals who have helped shape the program: Advisory Committee Dr. Roy Cameron, Centre for Behavioural Research and Program Evaluation, University of Waterloo Lorraine Fung, Environmental Health Workgroup, Ontario Public Health Association Darlene McBride, Lakehead District School Board Writing Team Bob Zacour, Lead Writer, Ottawa-Carleton DSB (retired) Rebecca Byers, Projects Leader, OPHEA Lynne Newell, Trillium Lakelands DSB Romilla Gupta, Toronto Public Health Lucie Olivier-Cyr, Hopewell Avenue, Ottawa Donna McNeely, The Lung Association Ann O’Shea-Taillon, Eamer’s Corners, Cornwall Larry Mackie, Brookville PS, Campbellville Christine Preece, Lambton Health Unit Reviewers Bill Abernethy, The Lung Association, Toronto (retired) Susan Boston, Algoma Health Unit Melina DiCarlo, Bonaventure Meadows PS, London Carol Karner, Region of York Health Services Doug Oliver, Riverside PS, Huntsville Margaret Preston, Central Senior PS, Lindsay Field Test Schools Algonquin Ave. PS, Thunder Bay Beachville PS, Beachville Briar Hill Jr, Toronto Byron Somerset, London Centennial Sr, Brampton Cherry Hill, Mississauga College St. PS, Smithville Connaught PS, Ottawa Corpus Christi, North Bay Cresthaven PS, North York Dunwich-Dutton PS, Dutton Eamer's Corners, Cornwall Earnscliffe Sr PS, Brampton Edward PS, St Thomas Elgin Court PS, St Thomas Evergreen PS, Kenora Gladys Speers, Oakville Grafton PS, Grafton Lucille St-Pierre, Region of Ottawa-Carleton Health Department Steve Scott, Pauline Johnson Junior PS, Agincourt Kathy Tanguay, Elkhorn PS, North York Helen Tunney, Region of York Health Services Claudia Westland, Northwestern Health Unit High Park Alternative, Toronto Highview PS, North York Holy Cross, Kemptville Holy Cross, Oshawa Holy Spirit, Scarborough Hopewell Ave. PS, Ottawa J. E. Benson, Windsor John XXIII, Oshawa John English Jr MS, Etobicoke John P. Robarts, London K. P. Manson, Severn Bridge Kakabeka Falls PS, Kakabeka Falls Kenollie PS, Mississauga Lambton Park, Toronto Loughborough PS, Sydenham M. B. McEachren, Lambeth Marlborough PS, Windsor Mattawa District PS, Mattawa Monsignor L. Cleary, Courtice Moonstone PS, Moonstone Mother Cabrini, Etobicoke Mother St Bride, North Bay Our Lady of Fatima, Belleville Our Lady of Fatima, North Bay Our Lady of Grace, Kitchener Oxbow PS, Ilderton Parkview PS, Komoka Pontiac School, Wikemikong Riverside PS, London Robert Baldwin, Milton Rolling Meadows, Burlington Rosedale PS, Hamilton Sir Isaac Brock, London Sir John A.Macdonald, Thunder Bay St Alexander, North Bay St Ambrose, Cambridge St Antoine Daniel, Victoria Harbour St Bernadette, Mississauga St Elizabeth Seton, Newmarket St Hedwig, Oshawa St John the Evangelist, Whitby St Joseph, Sarnia St Leo, Toronto St Mary, Brantford St Matthew, Toronto St Pius, Brantford St Teresa of Avila, Elmira St Teresa, Kitchener St Theresa, Brantford St Theresa Shrine, Scarborough Sylapps School, Oakville Tam O'Shanter Jr, Scarborough Thomas Gillbard, Cobourg Trafalgar PS, London Vernames School, Hamilton Victoria PS, London Waterfront School, Toronto Wolford PS, Merrickville Funding for this program has been provided in part by the Ontario Tobacco Strategy, Ministry of Health and Long-Term Care. No endorsement by the ministry is intended or should be inferred. Lungs Are For Life is endorsed as an educationally valid resource by the Ontario Physical and Health Education Association (OPHEA). Copyright 2000 The Lung Association. All rights reserved. Photocopying of this resource for classroom use is encouraged. For any other purpose, however, no part of this program may be reproduced, stored in a retrieval system, or transmitted in any form by any means, electronic or mechanical, without the prior written permission of The Lung Association. TM: Lungs are for Life is a trade-mark of The Lung Association ISBN 0-9687739-1-5 Grade 5 Helping students say no to tobacco and other harmful drugs Table of Contents: Grade 5 Teacher Introduction: Using This Program Page 3 3 3 4 4 5 A Message from the Writers Background Information Why Use This Program? What Makes This Program Effective? When and How to Use This Program Sample Letter to Parents Youth and Tobacco – The Facts The Grade 5 Program at a Glance 6 8 Subtask (Lesson) Subject Area 1. Checking Out the Respiratory System 2. The Respiratory and Circulatory Systems and the Effects of Smoking 3. Making Healthy Decisions 1 4. Making Healthy Decisions 2 5. Handling Peer Pressure 6. Individual and Small-Group Projects 7. Alcohol Use and Abuse Subject Index: HL-Healthy Living D-Drama S&T-Science and Technology LA-Language Arts MU-Music S&T, LA 9 S&T HL HL, LA HL, D HL, LA, D, M, VA, S&T HL, LA 12 14 17 19 22 25 M-Mathematics SS-Social Studies VA-Visual Arts AP-Active Participation Lungs Are For Life 1 Grade 5 Table of Contents: Grade 5 (continued) Appendices Page 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 27 28 29 30 31 32 33 34 36 37 38 39 40 41 42 43 44 45 46 The Health Project Facts on the Respiratory System: Teacher Reference Respiratory System In the Pink Exploring Lung Capacity The Diaphragm and Your Lungs Word Match Activity Tobacco Match Cards What I Like About Being Me Problem Solvers: Discussion Openers Thinking About Me Making Decisions with IBEAR IBEAR Model: The Problem-Solver What Would You Do? Group Work Checklist Role Play Rubric Rubric Organizer Sheet Portfolio Reflection Sheet Alcohol Fact Sheets Resources Websites Community Resources Local Lung Association Offices Videos 48 49 50 51 References 52 Poster Inside Your Lungs A Special Note To Grade 5 Teachers The Grade 5 Overall Expectations in the Healthy Living strand of the HPE curriculum focus on alcohol. Although the goal of the Lungs Are For Life program is primarily to prevent tobacco use, The Lung Association realizes that the expectations for alcohol must also be met. Therefore, a lesson on alcohol has been included that will meet these expectations. The subject of alcohol has also been integrated into many of the living skill activities, because the same decision-making, problem-solving, and refusal skills that are used ito prevent tobacco consumption are also effective in preventing alcohol consumption. Teachers may wish to integrate alcohol situations into Caroline and Jason’s journey. 2 Lungs Are For Life Teacher Introduction: Using This Program Grade 5 Teacher Introduction: Using This Program A Message from the Writers Welcome to Lungs Are For Life. As the writing team, we are very excited about this project. We read the research, listened to teachers and health professionals who used the program, and heard what focus groups and reviewers had to say. We then applied this information to one of the top-rated preventive smoking programs in the country to create a product that both teachers and health educators want. We feel that this program is simple and easy to use. It is based on strategies that can give students the skills to prevent them from starting to smoke or use other harmful drugs. As one teacher said to us, "We want an effective program so easy to implement that all you have to do is add water and stir." We hope you enjoy using the program. Background Information The Lung Association’s Lungs Are For Life program is a popular and successful program that has addressed respiratory health and smoking prevention since its development in 1984. Revised in 1993, and now again in 2000, Health Canada has rated it as one of the top three smoking prevention programs in the country. The writing team was able to take the best of the Lungs Are For Life program and enhance it with additional effective and successful strategies from other programs in order to prevent young people from using tobacco or other harmful drugs. To ensure its success with students, the program was field-tested in over 100 classrooms across the province. This edition focuses on meeting the expectations in the new Ontario Health and Physical Education Curriculum as well as the Ontario Ministry of Health and Long-Term Care's new Mandatory Health Programs and Services Guidelines for public health departments. Why Use This Program? Teachers and health professionals working with students in Grades 4 to 6 designed these units of study. Each grade module contains easy to use Subtask (Lesson) outlines and activities that you will need to implement a successful prevention program. The Lungs Are For Life program is designed to help students develop the skills they will need to prevent them from smoking or using other harmful substances such as cannabis. Coupled with the enthusiasm of your students, the activities you include in this program will help your students meet the expectations outlined in the Substance Use and Abuse component of the HPE Curriculum as well as many expectations in the other subject areas. Adolescence is the usual starting time for smokers. Almost all adult smokers began smoking before they could legally buy cigarettes. Young people in Grades 4 to 8 will begin to decide whether they will experiment with tobacco. It is vital to reach these children to help them develop the skills they will need to stay smoke-free all their lives. Reaching young people before their first cigarette is one of the goals of the Lungs Are For Life program. Lungs Are For Life 3 Teacher Introduction: Using This Program Grade 5 What Makes This Program Effective? The most promising of the prevention approaches uses the social influence model. The Lungs Are For Life program has been developed using this model. Research shows that those youths who use substances do so because of social pressures from: • peers • the family • the media • celebrities • internal pressures (e.g., the desire to be "cool" and popular). The Lungs Are For Life program provides students with information on health and social consequences and attempts to motivate them to resist pressures to use substances. The program will help students understand that tobacco use can: • make their breath smell • stink up their clothes • stain their teeth • lower their stamina • make their non-smoking friends avoid them • worsen their asthma • cause premature wrinkling of their skin In addition, this program will help students: • recognize and refute tobacco promotion messages from the media, adults, and peers • develop problem-solving and decision-making skills • develop refusal skills through role playing • affirm and make a declaration not to start smoking When and How to Use This Program This program has been designed to meet the Overall and Specific Expectations outlined in the Substance Use and Abuse component of the HPE Curriculum. In addition, many other expectations in Mathematics, Language, Science, and the Arts will be met. Prior to using the program, we recommend that you send out the following sample letter to parents. The program can be taught at any time during the year. However, you may want to teach it during National Non-Smoking Week (third week of January) or as the last or second-last component in the HPE curriculum. Students so taught may be able to practise some of their refusal skills prior to the spring and summer breaks. There are seven core Subtasks (Lessons) for this component, and we suggest that you allow 40 minutes for each. The Subtasks on the respiratory and circulatory systems (Subtasks 1 & 2) will also meet the Science and Technology Expectations or serve as a review. A Subtask on alcohol has been included that will meet the Healthy Living Expectations (Lesson 7). You may want to move this lesson up in the sequence of Subtasks. Alcohol situations have also been integrated into many of the living skills activities, as the same decision-making, problem-solving, and refusal skills that are used to prevent tobacco consumption are also effective in preventing alcohol consumption. Since this unit of study meets the expectations in other subject areas, you may want to consider an integrated approach. Several of the activities use a small peer-group discussion approach. This process attempts to harness and direct the powerful influence of the peer group to promote desirable health behaviours. A peer leader is required for many of the activities. You may wish to select the group members depending on the makeup of your class. However, it is important to allow each group to choose its their own peer leader who will serve as a role model and be responsible for leading the group through discussions. 4 Lungs Are For Life Teacher Introduction: Using This Program Grade 5 Sample Letter to Parents Guardian: Dear Parent or acco and t the use of tob n ve re p lp e h ram. to re For Life prog g in a program A n s ti g a n ip Lu ic rt ’s a n p o ti e soon b ve students ng Associa Your child will ethods to help gi be using The Lu m ill e w iv e ct W fe s. ef g d ru l drugs an other harmful d e most current se other harmfu th u r es o us ke o m ra sm og to sed pr m starting This newly revi revent them fro p to d e e n ill w the skills they buy bis. ey could legally th re fo e b g n birthday. such as canna ki o before their 16th o ntario began sm O cc in ba rs to ke to o ed sm ther s became addict lly decide whe Almost all adult er ca ok pi ty sm le e op es th pe y g 85% of ered a gatewa okers and youn d si sm n r o cigarettes, and c fo o e ls a tim is g the startin 8. Tobacco t this age Adolescence is ach children a o in Grades 4 to c re c a to b l to ta h vi it y w rl t a men lives. es. It is cle they will experi rmful substanc ke-free all their a o h r sm e y th a o st f o to d se y will nee drug for the u them start to e skills that the th p lo ve e d them, many of m r e fo d a b is to help th g n fluences tand that smoki oking. These in rs sm e d e n tt u re le a p ig o c e p e g and media t encourag Although youn l influences tha advertisements ia s c a ll so e f w o s a se , u a ke c Are For Life o smoke be lar. The Lungs embers who sm pu m po d ily m an , fa ic d n et a influences. tive, thin, athl include peers these types of ers look attrac st si ok For re sm to e s ak ill m sk ls lop the f the Lungs Are o portraya ve ls e a d o g to e le p th o f e o young p tte is one program helps their first cigare re fo e b le p o e gp Reaching youn harmful nd other drugs a g . n m ki o ra g sm ro f p o aking fe ts Li a process for m cover the effec e ill d w lu s c n in o d ss n a le , ts d re ntre ork assignmen le peer pressu w d e n The student-ce a m h o h to te st le e p b m cuss how ged to co to the body, dis will be encoura ild h c r u Yo s. n cisio responsible de r child's fluence on thei in e tiv si . u po yo a d of h wit ce the likelihoo or not, can have du s re er n ok ca sm e e ok ar sm er they n tell rents who Parents, wheth u smoke, you ca h shows that pa yo rc If ea it. t es R ou g. ab in em attitude to smok -smoker, explain by talking to th ex st ju an % e ar 50 or by e g okin don't smok rmfulness their children sm is to quit. If you to discuss the ha it t h ul is ic w ff di so al w ho ay m st ildren. You your children ju oking to your ch spaces. sm ds ar w to e ce of smoke-free an rt your attitud po im e th d uld like more smoke an ll me if you wo a c se a of secondhand le P . n o participati rns. ur interest and stions or conce e yo u r q fo y n u a yo k ve n a a h Th if you the program or information on , Yours sincerely Lungs Are For Life 5 Youth and Tobacco – The Facts Grade 5 Youth and Tobacco – The Facts Note to teachers: Use these pages as reference material. You may also want to duplicate them and provide them to your students. Teens are concerned about their appearance and social life … Dating – eight out of 10 guys and 7 out of 10 girls say they would not date someone who smokes. Wrinkling – smoking causes premature wrinkling. It makes the skin dry and leathery. Zits & Hair Loss – it takes longer for a smoker’s acne to heal. Smoking also causes hair loss in some teens. Yellow Teeth – smoking causes yellow teeth and tooth decay and contributes to oral cancer. The statistics … Smoking Isn't Popular – 87% of 12 to 14 year olds do not smoke, while 63% of secondary school kids don't smoke. Addictive – eight out of 10 teens who try smoking get hooked. Only 5% of student smokers think that they will be smoking in 5 years. But 5 years later, 80% of them are heavy smokers. Advertising – kids are twice as likely to be influenced by advertising as they are by peer pressure. They are three times more sensitive to advertising than adults. Norway banned tobacco advertising and halved the number of its children taking up smoking. Staggering Numbers – Canadian teenagers smoke more than a billion cigarettes a year, resulting in over $400 million in retail sales. The average teen smoker spends $1,000 a year on cigarettes. Premature Death – it is estimated that 55% of young men and 51% of young women who start smoking by age 15 will die before age 70 if they continue to smoke. Cocaine – cigarette smoking is more addictive and harder to quit than heroin or cocaine. Canadian Deaths – tobacco kills more than 40,000 Canadians per year. That's more than the total number of deaths from AIDS, traffic accidents, suicide, murder, fires, and accidental poisoning. Tobacco contains … Nicotine – a powerful mood-altering substance that is extremely toxic and addictive. Two to three drops of pure nicotine can kill you. Tar – a dark, sticky combination of hundreds of chemicals including poisons and cancer-causing substances. Carbon Monoxide – a deadly poisonous gas that replaces the oxygen in red blood cells. Smokers will perform more poorly in aerobic fitness tests. 4,000 Chemicals – including: ammonia, lead, benzene, arsenic, dioxin, and formaldehyde. Over 40 of these can cause cancer. 6 Lungs Are For Life Youth and Tobacco- The Facts Grade 5 Smoking can cause or promote … Cancer in the lungs, mouth, sinuses, throat, brain, breast, uterus, bladder, kidney, thyroid, lymph glands and blood. Serious Ailments, such as bronchitis, pneumonia, emphysema, strokes, heart attacks, ulcers, cataracts, gum disease, tooth decay, ear infections, dry skin, early aging, and impotence. Respiratory Problems, such as increased coughing, phlegm, wheezing, chest colds, and shortness of breath, even in smokers who smoke as little as one cigarette per week. Asthma Attacks or increased asthma symptoms. Colder Fingers and toes and a dulled sense of smell and taste. Environmental tobacco smoke (secondhand smoke) ... Causes the Same Ailments as those suffered by smokers. Contains More Hazardous Substances than inhaled smoke and contains 2.7 times as much nicotine, 70% more tar and 2.5 times greater carbon monoxide levels. Aggravates symptoms of hay fever and asthma. Is Responsible for an estimated 4,000 deaths per year. Quitting smoking … Over Half of Grade 12 Students are unable to quit, and more than 70% of these students still smoke eight years later due to nicotine addiction. 60% of Smokers Try to Quit – most smokers quit several times before stopping for good. 80% of Smokers Would Like to Quit. Tobacco and the law … Ontario Law prohibits the sale of tobacco to persons under 19. Advertising and Promotion of tobacco products is prohibited on TV, radio, and newspapers. Health Warnings must be on tobacco products and must list the toxins. References for these facts and statistics are given at the end of this resource. Lungs Are For Life 7 The Grade 5 Program at a Glance Grade 5 The Grade 5 Program at a Glance Overall Expectation For Healthy Living By the end of Grade 5, students will: Identify the influences (e.g. the media, peers, family) affecting alcohol use, as well as the effects and legalities of, and healthy alternatives to, alcohol use. This expectation will be expanded to include tobacco use. Subtask 1 – Checking Out The Respiratory System This unit is introduced with a story about Caroline and Jason, who are working together on a project about smoking prevention. Reference to these two students is made throughout the unit. This lesson focuses on the basic structure and function of the major organs in the respiratory system. By doing an optional experiment on lung capacity or how the diaphragm allows the lungs to breathe, students will gain a better understanding of how the lungs work. Subtask 2 – The Respiratory and Circulatory Systems and the Effects of Smoking Students will review the respiratory system and learn about the basic structure and function of the circulatory system and how they work together. The consequences of smoking will be explored. Subtask 3 – Making Healthy Decisions 1 Students will have the opportunity to identify their strengths and abilities and will explore what factors influence decision-making. A variety of discussion openers about decision-making will be presented, and students will work in small groups. Subtask 4 – Making Healthy Decisions 2 Students will explore a variety of case scenarios. The decision-making model IBEAR will be provided and students will have opportunities to practise this model. Subtask 5 – Handling Peer Pressure Students will learn four resistance techniques and assertiveness skills to deal with peer pressure and they will have the opportunity to practise them in role play situations. Students will perform short skits based on the decision-making scenarios from Subtask 4. Subtask 6 – Individual and Small-Group Projects Students will work either independently or in small groups to perform a task of their choice. They will be given options that reflect the multiple intelligences. The projects should portray an anti-substance abuse message and will be assessed with a rubric which the students create to suit their task. Subtask 7 – Alcohol Use and Abuse Students will be able to describe the short- and long-term effects of the use and abuse of alcohol, as well as the influences and social consequences. Through small-group discussion, students will learn selected information and report it to their group. 8 Lungs Are For Life Subtask 1 – Checking Out The Respiratory System Grade 5 Subtask 1Checking Out The Respiratory System Specific Expectations Science 1. Life Systems: human organ systems – describe the basic structure and function of the major organs in the respiratory system. Language: Reading 1. Begin to identify a writer's or character’s point of view. 2. Use specialized terms in different subject areas. Summary The unit is introduced with a story about Caroline and Jason, who are working together on a project about smoking prevention. Reference to these two students is made throughout the unit. This lesson focuses on the basic structure and function of the respiratory system. By doing an optional experiment on lung capacity and how the diaphragm allows the lungs to breathe, students will gain a better understanding of how the lungs work. Lungs Are For Life Assessment/ Evaluation Unit portfolio What You Will Need Inside Your Lungs poster; Appendices 1 to 6; portfolio books for each student 9 Subtask 1 – Checking Out The Respiratory System Grade 5 Notes to Teacher Learning Strategies and Activities 1. Introductory Story 1. Introductory Story (10 minutes) Introduce the unit as the continuation of the Lungs Are For Life program and use the story The Health Project (Appendix 1) as the unit starter. The story involves two students, Caroline and Jason, as they set out on a class journey to learn about smoking and other substances. Read the story The Health Project (Appendix 1). Provide students with a copy of the story and have them work in pairs to discuss the two characters' points of view and possible topics Jason and Caroline would cover in their project. 2. Respiratory System Basics 2. Respiratory System Basics (5 minutes) Students focus on the breathing process and what happens to the body – the chest moves up and down, ribs move in and out, the abdomen expands and contracts. Have students stand, take a deep breath, and repeat. Elicit responses on what they feel. 3. Information on the Respiratory System 3. Information on the Respiratory System (10 minutes) Students are given information on how the respiratory system works. Teach the function of the diaphragm. See Appendix 2, Facts on the Respiratory System: Teacher Reference. 10 Give students factual information on the respiratory system (Appendix 2). Refer to Inside Your Lungs poster. Have students place both hands in the V of their rib cage and breathe in and out. Have them hold hands on the abdomen and give short, powerful hisses like a snake – feel the abdomen drop as you hiss and feel it move upward as you take in air between hisses. If time permits or if students require more background information, teachers may want to perform the optional experiments in Appendices 5 and 6 to give their students a better understanding of how the respiratory system works. Lungs Are For Life Subtask 1 – Checking Out the Respiratory System Grade 5 Notes to Teacher Learning Strategies and Activities 4. Respiratory System Review 4. Respiratory System Review (10 minutes) Students review parts of the respiratory system and their functions. Hand out the sheets Respiratory System and In the Pink (Appendices 3 and 4), and have students complete them and place in a portfolio. 5. Homework: Extensions 5. Homework: Extensions (5 minutes) It is recommended that students create a portfolio to keep their materials in and that they decorate the portfolio cover. The crossword or word search can be created manually or using a computer. As a homework assignment, have students decorate their portfolios after they have read the opening story. Use Jason and Caroline or ideas obtained from the discussion following the story as the theme. The Specific Expectation in Visual Arts – produce two-dimensional works of art – can be met here. In addition to decorating their portfolios, have students create a word search or crossword using the new vocabulary. Lungs Are For Life 11 Subtask 2 – The Respiratory and Circulatory Systems and the Effects of Smoking Grade 5 Subtask 2 – The Respiratory and Circulatory Systems and the Effects of Smoking Specific Expectations Science 1. Life Systems – Human Organ Systems: describe the basic structure and function of the major organs in the respiratory and circulatory systems. 2. Life Systems – Human Organ Systems: explain how the health of human beings is affected by environmental factors (e.g., smoking). Portfolio, reflections What You Will Need Inside Your Lungs poster; Appendices 7 and 8; tennis ball Summary Students will review the respiratory system and learn about the basic structure and function of the circulatory system and how they work together. The consequences of smoking will be explored. 12 Assessment/ Evaluation Lungs Are For Life Subtask 2 – The Respiratory and Circulatory Systems and the Effects of Smoking Grade 5 Notes to Teacher Learning Strategies and Activities 1. Review 1. Review (10 minutes) Review respiratory system organs and function, and take up any homework from the previous lesson. Complete the Word Match Activity (Appendix 7). Place in portfolio. 2. Check Out the Circulatory System 2. Check Out the Circulatory System (10 minutes) Explain how the heart works hand in hand with the lungs and is the main source of energy for the body. The heart is about the size of a fist and is situated just in front of the left lung but more toward the middle of the chest. The lungs place oxygen in the blood stream and the heart pumps the blood to every cell in the body. To find your pulse, place two fingers on the inside of your wrist directly above your thumb (or on the side of the neck). Count the beats for 10 seconds starting at 0 and multiply by six to find the beats in one minute. Have students try to do a heart's work by squeezing a tennis ball. Explain that the force needed to squeeze the ball is similar to the force needed to squeeze blood out of the heart. Try to squeeze 70 times in one minute to get an idea of how hard the heart works. Show them how to find their pulse and have students calculate how many times their heart beats in one minute. 3. Brainstorm the Consequences of Smoking 3. Brainstorm the Consequences of Smoking (20 minutes) The physiological consequences of smoking on the systems will be explored as well as the social consequences (review from Grade 4). Brainstorm ideas with the class on the consequences of smoking – differentiate between short-term, long-term, and social consequences. Make copies of the Tobacco Match Cards (Appendix 8), cut them up, and place in envelopes. In pairs, have students match 10 question-and-answer cards. If time permits, exchange questions and answers with another group. Have students pick three of the cards that they feel are most important and record them in their portfolios. Reflect on choices. 4. Homework: Extensions 4. Homework: Extensions (5 minutes) If smoking has so many negative consequences, why do people smoke? Survey a smoker and a non-smoker to find out reasons why they think people smoke. Ask the smoker if he or she has ever tried to quit. Ask the non-smoker why he or she never started. If time permits, have students share their crosswords and word-searches from Subtask 1 with their classmates (place originals in portfolio). Lungs Are For Life 13 Subtask 3 – Making Healthy Decisions 1 Grade 5 Subtask 3 – Making Healthy Decisions 1 Specific Expectations Healthy Living 1. Apply decision-making skills to make healthy choices about alcohol use, and recognize factors (e.g., the media, family members, friends, and laws) that can influence the decision to drink alcohol. This expectation will be expanded to include tobacco. Portfolio What You Will Need Chart paper and markers; Appendices 9 to 11 Summary Students will have the opportunity to identify their strengths and abilities and will explore what factors influence decisionmaking. A variety of discussion openers for decision-making will be presented, and students will work in small groups. 14 Assessment/ Evaluation Lungs Are For Life Subtask 3 – Making Healthy Decisions 1 Grade 5 Notes to Teacher Learning Strategies and Activities 1. Strengths and Weaknesses 1. Strengths and Weaknesses (5 minutes) Provide the opportunity for students to identify their own attributes, interests, and abilities. Give each student the sheet What I Like About Being Me (Appendix 9). Have them record a few ideas about themselves. 2. Brainstorming 2. Brainstorming (5 minutes) Advise the students that we all have strengths and weaknesses. Learning to identify them will help us to feel better about ourselves. The values of strengths and disadvantages of weaknesses should be noted. Brainstorm ideas on strengths and weaknesses and record on chart paper. 3. What If ... 3. What If ... (10 minutes) Introduce decision-making skills by relating "what if" scenarios to the class. Have the students decide how to respond to the situations. Students will conclude that we are faced with decisionmaking situations every day. We must learn to distinguish between wise and unwise decisions. Discuss outside factors that influence making decisions (media, family, friends, laws). Orally present these situations: What if your friend says, "Let’s go to a movie." Brainstorm what things will affect your decision. Try others: Let’s play video games. Let’s go off the schoolyard at recess. Let’s have a cigarette. Let’s have a beer at the party. Make a list of factors that you must consider when making a decision. What is really important to me? What risks am I taking? What other things may influence me? What will make me feel good about myself? Can I live with my choices or decision? Lungs Are For Life 15 Subtask 3 – Making Healthy Decisions 1 Grade 5 Notes to Teacher Learning Strategies and Activities 4. Talk It Over 4. Talk It Over (15 minutes) Sometimes it is hard to know the right thing to do. Talking things over with someone often can help you make a good decision. Have students participate in a problem-solvers discussion circle. Put students in small groups. Cut apart Problem Solvers: Discussion Openers (Appendix 10), and place slips in a box. The first student selects a slip, reads it aloud, and then finishes the sentence the way he or she thinks best. Others in the group may offer their ideas. Keep taking turns until all have had a chance. 5. Homework: Extensions 5. Homework: Extensions (5 minutes) Take up homework from the previous lesson. What were the results of the surveys? 16 As a homework assignment, have students complete Thinking About Me (Appendix 11) and place in their portfolios. Lungs Are For Life Subtask 4 – Making Healthy Decisions 2 Grade 5 Subtask 4 – Making Healthy Decisions 2 Specific Expectations Healthy Living 1. Apply decision-making skills to make healthy choices about alcohol use, and recognize factors (e.g., the media, family members, friends, and laws) that can influence the decisions to drink alcohol. This expectation will be expanded to include tobacco. Oral and Visual Communication 1. Contribute ideas to help solve problems, and listen and respond constructively to ideas of others when working in a group. Assessment/ Evaluation Portfolio; group work checklist – self evaluation What You Will Need Chart paper; markers; Appendices 12 to 15 Summary Students will explore a variety of case scenarios. The decision-making model IBEAR will be provided and students will have opportunities to practise this model. Lungs Are For Life 17 Subtask 4 – Making Healthy Decisions 2 Grade 5 Notes to Teacher Learning Strategies and Activities 1. Introduction: IBEAR 1. Introduction: IBEAR (5 minutes) Introduce the IBEAR model of decision-making (Identify, Brainstorm, Evaluate, Act, Re-evaluate) Have students read more about Jason and Caroline. (Appendix 12, Making Decisions with IBEAR). 2. IBEAR To The Rescue 2. IBEAR To The Rescue (5 minutes) Review the IBEAR model and how to use it with a case study. Discuss the meaning of each term. Record the IBEAR model on chart paper to post in class. Read the students the following case study: Josh and Garnet (in Grade 5) were playing oneon-one basketball at the high school on Saturday morning when they were approached by two "cool" Grade 9 boys who had graduated last year from their school. Raul and Jack called over and said, "Hey, do you guys wanna go downtown?" Josh and Garnet were really excited to think high school boys would ask them to tag along and were eager to go. After a short discussion, Josh and Garnet realized that the older boys wanted them to go downtown so they could help them shoplift CDs. What should they do? Ask the class for help, and model the procedure for using IBEAR. 3. Decisions, Decisions, Decisions 3. Decisions, Decisions, Decisions (20 minutes) Students will work in groups to practise using the decision-making model IBEAR. Go over the Group Work Checklist (Appendix 15), before beginning the activity. Divide the students into small groups and give each group one of the What Would You Do? case studies from Appendix 14. Have them record their decision-making process on the template in Appendix 13 and place the sheet in the portfolio. 4. Group Work Checklist 4. Group Work Checklist (5 minutes) Students will evaluate themselves by using a checklist. 18 Have students complete the Group Work Checklist (Appendix 15) and place it in their portfolios. Lungs Are For Life Subtask 5 – Handling Peer Pressure Grade 5 Subtask 5 – Handling Peer Pressure Specific Expectations Healthy Living 1. Demonstrate resistance techniques (e.g., avoidance, walking away) and assertiveness skills (eg., saying no) to deal with peer pressure in situations pertaining to substance use and abuse. Drama 1. Create characters and portray their motives and decisions through speech (e.g., vocabulary, volume and movement (such as hand gestures, facial expressions, pace). 2. Evaluate dramatic presentations done in class. Assessment/ Evaluation Role play rubric What You Will Need Appendices 14 and 16 Summary Students will learn four resistance techniques and assertiveness skills to deal with peer pressure and they will have the opportunity to practise them in role play situations. In small groups, students will perform short skits based on the decision-making scenarios from Subtask 4, and they will evaluate them using a rubric. Lungs Are For Life 19 Subtask 5 – Handling Peer Pressure Grade 5 Notes to Teacher Learning Strategies and Activities 1. Brainstorming 1. Brainstorming (10 minutes) Students look at characteristics they admire in a friend. Write "What is a friend?" on the blackboard. Lead the class in a brainstorming session by saying: "A friend is someone who________________." Write suggestions on the blackboard. 2. Getting in the "No" 2. Getting in the "No" (10 minutes) Students practise the technique of saying No: stand up straight; speak loudly and clearly; look the offerer straight in the eye; sound like you mean what you're saying. Ask for a student volunteer to try to pressure you into something. Let the student decide what it will be. Model saying no and identify the aspects of the technique. Allow students to practise with a partner. They can decide on the situations. Ask a variety of questions: What could have happened? Is it easier if friends stick together? Why is it important to feel good about saying what you want? In what other type of situation could you say no? 3. Broken Record 3. Broken Record (2 minutes) Students practise the broken record technique: do not argue; just keep repeating the same answer over and over. Have two students demonstrate the broken record technique and then have students practise in pairs. 4. Reverse the Pressure 4. Reverse the Pressure (2 minutes) Practise reverse the pressure technique: ask questions back in a non-confrontational way, e.g., "Why are you picking on me?" 20 Demonstrate and have students practise the reverse the pressure technique in pairs. Lungs Are For Life Subtask 5 – Handling Peer Pressure Grade 5 Notes to Teacher Learning Strategies and Activities 5. Leave the Situation 5. Leave the Situation (2 minutes) Students practise leave-the-situation technique: just walk away from the person. Demonstrate and have students practise the leavethe-situation technique in pairs. 6. Try It Out 6. Try It Out (20 minutes) Role plays help build confidence, overcome shyness, boost morale, and improve social contacts. Select a resistance technique and apply it to one of the case studies from Appendix 14. Have the students work in pairs or triads and select a case study from Appendix 14 (or create their own) to perform as a role play. Encourage students to expand on the case studies and include pressuring situations. Discussion should follow each performance to ensure students understand the concepts. Additional Notes There may not be enough time to perform the role plays within this lesson. These could be incorporated at the beginning of the next lesson or completed at another time during the day. It is important that students have sufficient time to prepare, perform, and assess these role plays. Go over the role play rubric (Appendix 16) beforehand, and have them complete it after the role plays have been performed. They can do self- or peer-assessments, and the teacher can also assess them using the rubric. Students can place the rubrics in their portfolios. Lungs Are For Life 21 Subtask 6 – Individual and Small- Group Projects Grade 5 Subtask 6 - Individual and Small-Group Projects Specific Expectations Depending on the project, expectations can be provided from Healthy Living, Reading, Writing, Science, Oral and Visual Communication, and Drama. Summary Students will work either independently or in small groups to perform a task of their choice. They will be given options that reflect the multiple intelligences. The projects should portray an anti–substance abuse message and will be assessed with a rubric which the students create to suit their task. 22 Lungs Are For Life Assessment/ Evaluation Rubric organizer; reflections What You Will Need Appendices 17 and 18 Subtask 6 -– Individual and Small-Group Projects Grade 5 Notes to Teacher Learning Strategies and Activities 1. Choices 1. Choices (1 to 3 classes) It is important that students be given choices with regard to these performance tasks. Groupings should occur according to interests and strengths; therefore students may have to be directed. (This activity could take from one to three sessions to complete – it is up to the teacher). Students are given a choice of a topic according to their interests and strengths. The projects should portray an anti-substance abuse message and will be assessed with a rubric that the students create to suit their task. They should select a topic from one of the multiple intelligences: Verbal Linguistic Interpersonal poem, story, or song group video radio talk show team computer programs speech jigsaws debate letter or newspaper article Logical/Mathematical survey and graph results problem-solving puzzles experiments Visual/Spatial artwork photographs illustrations cartoons posters, charts Intrapersonal Musical/Rhythmical reflective journals learning logs diaries independent reading/reflections rock concert raps jingles background music songs Bodily/Kinesthetic role playing Lungs Are For Life 23 Subtask 6 - Individual and Small Group Projects Grade 5 Notes to Teacher Learning Strategies and Activities 2. Rubrics 2. Rubrics (10 minutes) The students create their own rubric on the rubric planner to fit the individual or group project. Students must have prior knowledge with creating rubrics. Hand out the Rubric Organizer sheet (Appendix 17) and have students personalize it to reflect their performance task before beginning the project. Complete self, peer, or teacher assessment, using the appropriate rubric at the completion of the projects. Have students place rubrics in their portfolios. 3. Portfolios 3. Portfolios (10 minutes) Have students reflect on their learnings over the course of the program by reviewing their portolios. 24 Have students complete the Portfolio Reflection Sheet (Appendix 18). Lungs Are For Life Subtask 7 – Alcohol Use and Abuse Grade 5 Subtask 7 – Alcohol Use and Abuse Specific Expectations Assessment/ Evaluation Healthy Living 1. Describe the short- and long-term effects of alcohol use and abuse. Reflections Oral and Visual Communication 1. Group Skills – speak clearly when making presentations. What You Will Need Appendix 19 Summary Students will be able to describe the short- and long-term effects of the use and abuse of alcohol, the influences, and social consequences. Through small-group discussion, students will learn selected information and report this information to their group. Lungs Are For Life 25 Subtask 7 – Alcohol Use and Abuse Grade 5 Notes to Teacher Learning Strategies and Activities 1. Jigsaw Activity 1. Jigsaw Activity (20 minutes) Introduce the lesson as a continuation of the Lungs Are For Life program. Indicate to the students that they are going to learn some information on alcohol use and abuse. A jigsaw will be used, and each student will become an expert on selected information. Divide the students into random groups of five. These will be the "home groups." Have the students number themselves off from one to five. All the number 1s will convene in one area and they will become "experts" on specific facts on alcohol use. Assign the other four groups in the same way. Cut up and provide each group with one of the Alcohol Fact Sheets (Appendix 19). The groups will discuss the information and select the three most important facts. They will need to take notes. The experts will then return to their home groups to share the information that they have learned. 2. Review 2. Review (5 minutes) Review the important points of the assignment. Use an overhead or blackboard to review each group's important information. Additional information can be provided from the second page of Appendix 19. (This can also be used as an extra for the jigsaw activity in large classes). 3. Reflections 3. Reflections (10 minutes) Students should reflect on what they have learned. They should complete the following sentences to put into their portfolios: My group studied … Three things that I shared with my home group were … Three things that I learned from others were … I liked (did not like) this activity because … 26 Lungs Are For Life Appendix 1 – Subtask 1 Grade 5 The Health Project Mrs. Johnston had just finished pairing up the students and now she was assigning the projects. "Oh great!" Caroline muttered. "What’s the problem?" Caroline’s friend Julie whispered. "Not only do I have to work with Jason …" Caroline began. "Oh no!" Julie interrupted giggling. "He thinks he’s so cool. He smokes like a chimney." "Yeah! And you’ll never guess what our topic is," Caroline groaned as she crumbled the strip of paper. "It’s smoking!" She sighed in disgust. Julie burst out laughing and everyone looked at the two girls. Mrs. Johnston gave them an exasperated look. Both Caroline and Julie said "sorry" at the same time. " What a loser!" She looked over at Jason. He had a big grin on his face and was giving her the thumbs-up sign . I hate him, I hate him, I hate him, Caroline said to herself. I’m going to end up doing all the work. Maybe, when she sees how useless he is, Mrs. Johnston will let me change partners. Mrs. Johnston, unaware of Caroline’s distress, told the class to pick up the project outline and to go work with their partners. The project would be due in two weeks and each team would then have to make a presentation to the class. Jason hadn’t moved, so Caroline picked up the outline from Mrs. Johnston’s desk and walked over to Jason’s desk. Mrs. Johnston has got to let me change partners, she kept thinking to herself. "Hi, Jason," Caroline muttered grudgingly, as Jason began to pull over a chair for her. He is kind of cute but his clothes reek of smoke, she thought as she got closer to his desk. To think that I actually used to like him last year. What happened to him? He used to be so funny and smart but now he just clowns around and hangs out with his older brothers and their friends. That whole group smokes all the time. I’ve even heard that they may be drinking and using pot. Jason caught the expression on her face. "Why are you looking at me that way? You think that I’m a goof off and you’re going to be stuck with the work, don’t you?" His own face took on a challenging look. "For your information, I’ve been smoking since the beginning of this year, so I know a lot about it." Caroline couldn’t believe what she was hearing. Mr. Cool thinks being addicted makes him an expert, she thought but didn’t say. "And it smells like it!" she shot back. "Whatever! Who better to do a project on smoking than a smoker? Now let’s get going on this outline." Did she hear right? Is Jason actually talking about getting to work? Caroline was amazed, as she glanced down at the assignment sheet. "Mrs. Johnston said that we have to look at the effects of smoking on the circulatory and respiratory systems and any other system that smoking may affect. We also have to look at the reasons why kids start to smoke and how they can refuse to smoke." "No way! This is going to be an amazing assignment," Jason replied. "I know lots of kids who smoke. We can interview them." "And I know lots of kids who are non-smokers and know how to refuse to smoke," Caroline fired back. "We can interview them too." Lungs Are For Life 27 Appendix 2 – Subtask 1 Grade 5 Facts on the Respiratory System: Teacher Reference The Cilia • • • • • • • The trachea and bronchioles are lined with millions of microscopic cilia. The cilia are like fine hairs. The cilia beat back and forth, 10 times a second, 24 hours a day. The beating of the cilia keeps the mucus moving inside the trachea and bronchioles. The mucus traps dirt, dust, smoke, etc., so that it can be removed from the lungs. The mucus flows to the throat where it can be swallowed. The cilia sweep our respiratory system clean. The Alveoli • • • • • • In the lungs the air travels through the bronchi, down the bronchioles, and into the alveoli. The alveoli are very small and cannot be seen with the human eye. The alveoli are tiny air sacs surrounded by tiny blood vessels called capillaries. This is where the blood cells inside the capillaries pick up the oxygen. There are millions of alveoli in the lungs and billions of blood cells in the capillaries. The red blood cells deliver the oxygen throughout the body. Inside The Alveoli • • • • • • The alveoli swell with air when we breathe in. The oxygen in the alveoli passes through the walls of the capillaries and is then picked up by the red blood cells. The red blood cells become oxygenated, the oxygen is carried throughout the body. As the blood circulates all over the body, oxygen is delivered to the cells and carbon dioxide (CO2) is picked up. The red blood cells are now deoxygenated. The carbon dioxide is returned to the alveoli by the deoxygenated red blood cells to be breathed out (exhaled). The Diaphragm • • • 28 The diaphragm is a strong muscle just below the lungs which powers the entire respiratory system. When the diaphragm moves downward, it allows air to flow into the lungs and they expand. When the diaphragm moves upward, it pushes air out of the lungs and they return to their normal size. Lungs Are For Life Appendix 3 – Subtask 1 Grade 5 Respiratory System Lungs Are For Life 29 Appendix 4– Subtask 1 Grade 5 In The Pink Is there anything inside your lungs? Or are they hollow like the inside of a balloon? The answer is that your lungs are not just hollow spaces. They are more like a sponge inside. Your lungs are filled with tubes called bronchial tubes (BRON-key-el). They start out at the bottom of your windpipe, or trachea (TRAY -key-a), like two large tree trunks. One tube leads into each lung. Each large bronchial tube branches out into lots of smaller bronchial tubes. It’s just like having an upside-down tree inside each lung. The bronchial tubes lead to small groups of bubbles called air sacs. The scientific name for air sacs is alveoli (al-VEE-o-lie). Oxygen goes from the air sacs into your blood. It is then carried to all parts of your body. The picture shows you what we mean. It’s called the respiratory tree (RESS-per-a-tor-ree). The smaller picture shows you what’s inside the bronchial tubes. The little hairs are called cilia (SILLY-a). The cilia help keep dirt out of the lungs by pushing a liquid that is also inside the bronchial tubes. This liquid is called mucus (MEW-cuss). Dirt gets trapped in the mucus. The cilia and mucus work together to keep your lungs clean and pink and healthy. Help Caroline and Jason complete the sentences below to find the secret message. L 1. Oxygen is carried to all parts of your body in your 2. Another name for alveoli is A 3. The bronchial tubes start at the bottom of your W 4. Dirt is kept out of your lungs by little hairs called C S 5. Air comes into your lungs through bronchial U 6. The cilia and mucus keep your lungs clean, pink and E 7. The parts of our body that help us breathe is called the system. D S R The secret message is 30 Lungs Are For Life 2 words Appendix 5 – Subtask 1 Grade 5 Exploring Lung Capacity Caroline and Jason had just completed their work on the respiratory system when Jason said, "Wow, there sure is a lot of stuff to learn. I still don’t understand exactly how the lungs work." Mrs. Johnston replied, "If you want to expand your project to include an experiment, I’ll give you the directions." "Great, that would be fun. Let’s do it!" Here are Mrs. Johnston’s directions. "Your lungs have a very important job to do – they must absorb as much oxygen as possible from the air. Did you know that adults’ lungs hold about five litres of air? Find out how much your lungs can hold by doing this simple experiment. This is your lung capacity". She then told them what they would need: Plastic tub One straw for each student A 500 mL measuring cup Water Masking tape Marker A clean 4L plastic jug 60 cm piece of flexible tubing Next she gave the procedure: 1. Place a piece of masking tape vertically along one side of the jug. 2. Add 500 mL of water at a time to the jug. Use felt marker to mark each 500mL level from the bottom up until the jug is full. 3. Add water to the large tub until it is about three-quarters full. 4. Insert the straw into one end of the tubing. Tape the place where the straw and tube come together. 5. Place one hand over the mouth of the jug and the other along the side. Quickly turn the jug upside down and place its mouth in the tub of water. Remove your hand when it and the mouth of the jug are under water. 6. Ask someone to raise the jug, making sure the mouth of the jug stays under water, and angle it slightly while you slide the free end of the tubing into the mouth of the jug. 7. Take as big a breath as you can and exhale into the straw. Your breath will force water out of the jug. Use the tape on the side of the jug to see how much water you force out – and how much air you force in. Record your results. Compare with results after you exercise. 8. Change the straw when it is the next person’s turn to try the experiment. Lungs Are For Life 31 Appendix 6 – Subtask 1 Grade 5 The Diaphragm and Your Lungs Caroline was excited. In her research, she had found an activity that shows how the diaphragm allows the lungs to breathe. "Let’s try this experiment!" she exclaimed. This is what Caroline has found out: The lungs are not muscles. They expand when they are filled with air because of the action of the diaphragm, a flat muscle at the base of the ribs, and the chest wall. To do the experiment she needs: • Plasticine • Blue balloon (represents your lungs) • Elastic band and masking tape • The upper half of a plastic 600 mL soft drink bottle with lid (represents your chest) • Yellow balloon (represents your diaphragm) (use at least a 30 cm balloon or larger if possible) • A straw (represents your throat). The procedure is: 1. Cut the top half off the yellow balloon and secure it over the open end (cut end) of the bottle with an elastic band. 2. Make a small hole in the bottle cap. Push the straw through. Seal the hole with plasticine. Fix the blue balloon onto the end of the straw with masking tape. 3. Screw the top back on the bottle with the blue balloon inside. 4. Gently stretch the yellow balloon (your diaphragm) downwards. This reduces the air pressure inside the bottle. More air is sucked in through the straw to fill the space, and inflates the blue balloon (your lungs). This is what happens when you breathe in. 5. Now push in the yellow balloon, to make the "diaphragm" contract. The air pressure inside the bottle increases and forces air out through the straw. The blue balloon deflates. This is what happens when you breathe out. 32 Lungs Are For Life Appendix 7 – Subtask 2 Grade 5 Word Match Activity Help Jason and Caroline match the words with their definitions. 1. Cilia _____ strong muscle just below the lungs 2. Trachea (windpipe) _____ needed by every cell in the body 3. Mucus _____ billions of these in the capillaries 4. Bronchial tubes _____ carries oxygen to all parts of the body 5. Oxygen _____ air sacs in the lungs 6. Diaphragm _____ main air tube 7. Alveoli _____ tiny hairs that filter the air 8. Capillaries _____ main branches from the trachea (windpipe) 9. Red blood cells _____ how much air your lungs can hold 10. Lung capacity _____ sticky substance Lungs Are For Life 33 Appendix 8 – Subtask 2 Grade 5 Tobacco Match Cards ✁ What is the drug found naturally in tobacco leaves that makes quitting difficult and your heart work faster? What replaces oxygen in the blood, forcing the heart to work harder and is also found in car and bus exhaust? Depending on individual body metabolism, what is the minimum number of cigarettes it would take for a youth to be hooked on nicotine? Tar Carbon monoxide What is the major cause of emphysema – a form of lung disease? Cigarette smoking Fewer than five What is the average time it takes for nicotine to reach the brain? Six to seven seconds Girls are just as likely to smoke as boys What is the muscular component of the cardiovascular system that maintains the circulation of blood? The heart Red blood cells What brings oxygen to our body? Respiratory system ✁ Who are more likely to smoke – boys or girls? Nicotine What is the sticky black "glob" that is made of many chemicals, stains teeth and fingers yellow, and makes breathing difficult? What carries oxygen all over our bodies and picks up waste carbon dioxide and carries it to the lungs to be exhaled? 34 Lungs Are For Life Appendix 8 – Subtask 2 Grade 5 Tobacco Match Cards (con’t) What consists of elastic spongy tissue that absorbs air? What is the effect of cigarette smoke on the cilia? What is the condition called when a person’s body becomes so accustomed to a drug that it can function normally only if that drug is present? ✁ Approximately how many chemicals are contained in environmental tobacco smoke (ETS) How many extra times a minute might your heart have to beat because you smoked one cigarette? Lungs What serves to trap the dust particles and filter any foreign matter that can enter the respiratory system? Mucus Smoking stops the sweeping action What chemical found in tobacco smoke is also found in mortuaries? Formaldehyde Addiction What is the effect of smoking cigarettes on the blood vessels? Constriction and narrowing of the blood vessels occur 4,000 What is the sign that the body of a smoker is trying to expel mucus buildup in the respiratory passages? Smoker’s cough Twenty What is the effect of being in a smoke-filled room for one hour? It is the equivalent of smoking one cigarette Lungs Are For Life 35 Appendix 9 – Subtask 3 Grade 5 What I Like About Being Me Caroline and Jason agree that kids need to understand what their strengths and weaknesses are to make it easier to make decisions. They decided to make a list of things they like about themselves and things that they might like to change. Things I like about myself (strengths) Things I might like to change (weaknesses) 36 Lungs Are For Life Appendix 10 – Subtask 3 Grade 5 Problem Solvers: Discussion Openers (Cut on the dotted lines) ✁ 1. If I’m not sure what to do, I … …………………………………………………………………………………………………...… 2. If my friends want me to do something I’m not sure is right, I … …………………………………………………………………………………………………...… 3. Someone at home who helps me with my problems is … …………………………………………………………………………………………………...… 4. Someone at school who helps me with my problems is … …………………………………………………………………………………………………...… 5. A friend I can talk to is … …………………………………………………………………………………………………...… 6. I know I’m doing the right thing when … …………………………………………………………………………………………………...… 7. Things or people in my life who influence me in my decision are … …………………………………………………………………………………………………...… 8. People who always think they are right … …………………………………………………………………………………………………...… 9. Some words to describe the kind of adult I wish to become are … …………………………………………………………………………………………………...… 10. I would persuade someone to stop smoking or drinking by … Lungs Are For Life 37 Appendix 11 – Subtask 3 Grade 5 Thinking About Me Caroline and Jason are starting to realize how important it is to maintain a healthy body. They have a few things they would like you to think about. Complete the sentences listing as many ideas as you can. 1. Telling others how we think and feel is important because … 6. "Going along" with the crowd will make me … 2. Students my age might start to smoke because … 7. I don’t want to try alcohol because … 3. Some good reasons not to start smoking are … 8. Some good reasons not to start drinking are … 4. Smoking can harm our bodies by … 9. One bad habit I have is … 5. A good way to say no to smoking is … 10. What I like best about my life is ... 38 Lungs Are For Life Appendix 12 – Subtask 4 Grade 5 Making Decisions with IBEAR Jason and Caroline have had a lot of opportunities to talk, and one day Jason says, "Sometimes it’s hard to know the right thing to do. I wish I had someone to talk things over with." Caroline responds, "Yeah, I know what you mean. I talk a lot with my friends, but sometimes I don’t agree with what they want to do. I’ve had people try to talk me into smoking and my friend Sarah has even had a beer! We need help sometimes if we’re going to make the right choices." Here is a simple model that Jason and Caroline can use to help them solve their problems. It is the IBEAR model. I B E A R – Identify the problem – Brainstorm – Evaluate – possible solutions your ideas Act on the best decision – Re-evaluate and decide if this was the best choice Lungs Are For Life 39 Appendix 1 3 – Subtask 4 Grade 5 IBEAR Model: The Problem-Solver Identify the problem. Brainstorm for alternatives. Evaluate the alternatives and choose one. Act on your decision. a) Say no b) Keep repeating c) Reverse pressure d) Leave the situation Re-evaluate your decision if necessary. 40 Lungs Are For Life Appendix 1 4 – Subtasks 4 and 5 Grade 5 What Would You Do? Decision-Making Case Studies Case Study One You and a friend purchase some items from a large chain store in the mall. When you get your change, you realize that you have too much. What do you do? Case Study Two Maria has just moved to town and is starting a new school. She has made friends with Andrea who seems to be quite popular. Andrea is having a party on Friday and Maria is invited to go. Maria overhears Andrea telling her friends that she hopes Tony will bring the beer like last time. What should Maria do? Case Study Three Marcel and Jonathan are in Mrs. Patel’s Grade 5 classroom. Both boys came to school without their math assignments and are required to stay in school at recess. Jonathan is furious with his teacher and says to Marcel, "Let’s get even with her and go behind the portable for a few smokes." What should Marcel do? Case Study Four Delroy is 11 and he has a sister Jasmine, who is 14, and a brother Brad, who is 16. Neither is allowed to smoke in the house even though both parents smoke. Delroy admires his sister and brother because they have a lot of friends in high school with whom they "hang out". Brad has made it clear to Delroy that he can have smokes whenever he wants them and that Brad will get them for Delroy’s friends too. What should Delroy say to his brother? Case Study Five You and a friend are at a party. Before the party, your friend arranges with his parents to get a ride home for you both at the end of the evening. When it is time to leave, his brother and a friend arrive to pick you up instead of the parents. You notice that both boys have been drinking and there is even an open bottle of beer in the car. It isn’t very far to your house. What should you do? Lungs Are For Life 41 Appendix 15 – Subtask 4 Grade 5 Group Work Checklist Self-assessment of cooperative group skills Evaluate yourself according to the achievement levels of the Ontario Curriculum. Seldom Sometimes Usually Always I helped my team members 1 2 3 4 I contributed ideas to the group 1 2 3 4 I tried to help solve the problems 1 2 3 4 1 2 3 4 I was courteous to everyone 1 2 3 4 I did not use putdowns 1 2 3 4 I listened to others’ ideas 1 2 3 4 My overall assessment 1 2 3 4 1. Participation 2. Use of time I stayed on task 3. Behaviour 42 Lungs Are For Life Appendix 16 – Subtask 5 Grade 5 Role Play Rubric Name of role play scenario: People in group: Your name: CRITERIA 1 2 3 4 Clarity of Speech Voice is consistently hard to hear and difficult to understand Voice is sometimes hard to hear and difficult to understand Voice is clear and easy to understand most of the time Voice is consistently clear and easy to understand Expression of Feeling Speech is a monotone and expresses little feeling Speech expresses some feeling Speech expresses emotion and personality of character most of the time Speech consistently expresses emotion and personality of character Use of Body Language Little use of facial expressions or posture to help communicate emotions Some use of facial expressions or posture to help communicate emotions Use of facial expressions and posture to help communicate emotions most of the time Consistent use of facial expressions or posture to enhance communication Believability of the Role Role is not really believable Role has some believability Portrayal is believable most of the time Portrayal is believable; demonstrates sensitivity to character’s situation and listens and responds to other characters Final Lungs Are For Life 43 Appendix 17 – Subtask 6 Grade 5 Rubric Organizer Sheet Name of project: People in group: Your name: CRITERIA FEW (1) SOME (2) MOST (3) Final score 44 Lungs Are For Life ALWAYS (4) Appendix 18 – Subtask 6 Grade 5 Portfolio Reflection Sheet Review your portfolio and reflect on what you have learned over the course of the program. The piece that I select as the most important is because The piece that shows that I know how to is My problem-solving skills The item that I am most proud of is because Lungs Are For Life 45 Appendix 19 – Subtask 7 Grade 5 Alcohol Fact Sheets (Cut on the dotted lines) Alcohol Fact Sheet 1 – Drinking Influences Social pressure: pressure from family members, friends, role models, or other peers who drink alcohol. Advertising pressure: advertising links drinking alcohol with attractive people, lifestyles, and attitudes. Rebel: you want to defy authority and take a risk. Experimenting: you want to see what it is like. Dealing with stress: some people get used to drinking when they are stressed out, even though drinking puts extra stress on the body. ✁ Alcohol Fact Sheet 2 – Alcohol and the Law It is an offence in Ontario to sell alcoholic beverages to anyone under the age of 19 or to serve an intoxicated individual. It is an offence to drive a motor vehicle while intoxicated. In Ontario, alcohol is a factor in almost 45% of all motor vehicle accidents. In Ontario, an estimated 30% to 50% of violent crimes are alcohol-related. Alcohol is an important factor in 30% to 40% of all falls, drownings, and fires in Ontario. ✁ Alcohol Fact Sheet 3 – Social Consequences of Alcohol Abuse Inappropriate social behaviour Possible loss of friends Trouble with the police Trouble at school Trouble at home 46 Lungs Are For Life Appendix 19 – Subtask 7 Grade 5 Alochol Fact Sheets (con’t) (Cut on the dotted lines) Alcohol Fact Sheet 4 – Short-term Effects of Drinking Alcohol poisoning (if taken in large amounts) Poor judgment, release of inhibitions Poor physical coordination Slow reactions and reflexes Impaired reasoning Blurred vision Nausea, vomiting (if taken in large amounts) Frequent urination (may lose control of bladder) ✁ Alcohol Fact Sheet 5 – Long-term Effects of Heavy Drinking Liver damage (cirrhosis) Alcoholism Inflammation of the stomach Weakening of heart muscle Cancers of the esophagus, mouth, pharynx, liver Possible cause of breast and colorectal cancer Loss of brain cells ✁ Other Alcohol Facts Alcohol is a serious and potentially dangerous drug. Many people die every year from alcohol poisoning (overdose), as well as from the consequences of long-term heavy drinking. The effects of alcohol do not depend on whether the drink is beer, wine, or liquor, but on how much a person drinks, the situations in which drinking takes place, over what period of time, and other factors. One standard beer or one glass of wine has roughly the same amount of alcohol as one mixed drink. Most people with alcohol problems are ordinary people. They come from every walk of life. They hold jobs, go to school, and have families. People who drink even low amounts of alcohol can experience problems that affect their families, friends, co-workers, and others. Impaired driving accidents or workrelated injuries are examples. Lungs Are For Life 47 Resources Grade 5 Websites Some sites include information on other drugs Tobacco Prevention chemicals in tobacco smoke and the diseases caused by smoking. TeenNet The Surgeon General’s Report for Kids on Smoking www.cyberisle.org/teennet An interactive site with chat rooms and bulletin boards for teen issues including smoking. Has a calculator program that shows what you could buy if you stopped smoking. Health Canada Smokescreen www.hc-sc.gc.ca/hppb/smokescreen Offers videos and information on the dangers of smoking. Contains information about the tobacco industry, how to quit smoking, and facts on tobacco and its impact on health. Health Canada Tobacco Reduction www.hc-sc.gc.ca/main/hppb/ tobaccoreduction Offers information about tobacco control in Canada. Links to cool sites. www.cdc.gov/tobacco/sgr4kid s/ sgrmenu.htm On-line smoke-free magazine containing facts about dangers and the effects of smoking on health. Has examples of what kids have done in the U.S. to combat cigarette advertising and make schools smoke-free. The Great American Smokeout www.cancer.org/smokeout A colourful, interactive site with quizzes, games, and ideas for tobacco-awareness days in schools. Don’t Get Sucked In www.dontgetsuckedin.com Interactive site with games and links to other sites and the ability to send virtual postcards about smoking. Health Canada Tobacco Facts www.hcsc.gc.ca/main/hc/web/ english/tobacco.htm Contains facts, reports, surveys, programs and links. BC Ministry of Health Tobacco Facts www.tobaccofacts.org Features interactive fun and games, and facts about smoking and the tobacco industry. Has links to other interesting sites. Physicians for a Smoke-Free Canada www.smoke-free.ca Contains facts about cigarette sales and marketing strategies and an interactive exercise to determine amount of chemicals inhaled by smokers and through secondhand smoke. Nicotine Free Kids www.nicotinefreekids.com Voted #1 Teen Tobacco Site in the U.S. Interactive site which contains a lot of great information and activities for teens. Smoking Cessation One Step at a Time www.cancer.ca/tobacco/index. html Free self-help smoking cessation program. Quit Smoking Support www.quitsmokingsupport.com Chat rooms and bulletin boards, quit-smoking assistance, and teen information. Quit 4 Life Program www.quit4life.com Stories of teens who are trying to quit smoking. Interactive site offers realistic, supportive advice and a chat room. The Quit Net www.quitnet.org Free program to help smokers quit, featuring chat rooms, and lists of services. Tips for Teens Making Changes Youth to Youth www.hcsc.gc.ca/hppb/tobacco/yac/yac/index.html Site of Canada’s Youth Advisory Committee on tobacco provides a gathering point for teens from across the country to exchange ideas and concerns on ways to tackle tobacco use amongst youth. www.cdc.gov/tobacco/tipsteen.htm Links to other teen and tobacco sites that contain information about how to quit smoking, what’s in cigarettes, and posters. General The Lung Association www.badvertising.org Creative and thought-provoking spoofs on tobacco advertising. www.on.lung.ca Respiratory health information for Ontarians. Home of Lungs Are For Life on-line. Campaign for Tobacco Free Kids Canadian Health Network BADvertising Institute www.tobaccofreekids.org Youth and tobacco information and tobacco advertising information. Join Together Tobacco Project www.jointogether.org/sa Accessibility of cigarettes to youth. Teens and Tobacco Youth Media Network www.cdc.gov/tobacco/stand.htm Surprising information about the www.ymn.org Highlights actions taken by youth 48 groups and encourages youth to communicate health messages through the media. www.canadian-health-network.ca/ 1tobacco.html Provides easy access to information, resources, and FAQs about tobacco, including cool games and quizzes. Centres for Disease Control www.cdc.gov/health/smoking.htm The latest research on substance use Lungs Are For Life Resources Grade 5 Community Resources Canadian Cancer Society – Ontario Division www.cancer.ca Consult the phone book for a CCS office in your community Canadian Centre on Substance Abuse 75 Albert Street, Suite 300 Ottawa, Ontario K1P 5E7 Phone: (613) 235-4048 Fax: (613) 235-8101 www.ccsa.ca Centre for Addiction and Mental Health 33 Russell Street Toronto, Ontario M5S 2S1 Phone: (416) 595-6111 or 1-800-463-6273 www.camh.net Consult the phone book for a CAMH office in your community Ontario Curriculum Centre 439 University Avenue, 18th Floor Toronto, Ontario M5G 1Y8 Phone: (416) 591-1576 or 1-800-837-3048 Fax: (416) 591-1578 E-mail: [email protected] www.curriculum.org Ontario Physical and Health Education Association 1185 Eglinton Avenue East, Suite 501 Toronto, Ontario M3C 3C6 Phone: (416) 426-7120 Fax: (416) 426-7373 E-mail: [email protected] www.ophea.org Ontario Prevention Clearinghouse 16 Scarlett Road Toronto, Ontario M6N 4K1 Phone: (416) 763-1491 E-mail: [email protected] 180 Dundas Street, Suite 1900 Toronto, Ontario M5G 1Z8 Phone: (416) 408-2121 or 1-800-263-2846 Fax: (416) 408-2122 E-mail: [email protected] www.opc.on.ca Heart and Stroke Foundation of Ontario Parents against Drugs Council on Drug Abuse www.on.heartandstroke.ca Consult the phone book for a HSFO office in your community Ministry of Health and Long-Term Care 5700 Yonge Street, 5th Floor Toronto, Ontario M2M 4K5 Phone: (416) 314-5493 www.gov.on.ca/health/english/program/t obacco /tobacco_mn.html 7 Hawksdale Road North York, Ontario M3K 1W3 Phone: (416) 395-4970 Fax: (416) 395-4972 E-mail: [email protected] www.sympatico.ca/pad Public Health Department Consult your phone book for a public health office in your community National Clearinghouse on Tobacco and Health 170 Laurier Avenue West, Suite 1000 Ottawa, Ontario K1P 5V5 Toll Free: 1-800-267-5234 Phone: (613) 567-3050 Fax: (613) 567-5695 www.cctc.ca/ncth/index.html Lungs Are For Life 49 Resources Grade 5 Local Lung Association Offices The Lung Association Hamilton-Wentworth Eastern Region www.lung.ca 502 Concession Street Hamilton, Ontario L9A 1C4 Phone: (905) 383-1616 Cornwall and Area Ontario Provincial Office 573 King Street East, Suite 201 Toronto, Ontario M5A 4L3 Information Line: 1-800-972-2636 Phone:(416) 864-9911 Fax: (416) 864-9916 E-mail: [email protected] www.on.lung.ca Southwestern Region Bruce, Dufferin and Grey 1035 Second Avenue East Owen Sound, Ontario N4K 2H8 Phone: (519) 371-2321 Elgin, London and Middlesex Niagara Region 40 Front Street North, Unit D Thorold, Ontario L2V 1X5 Phone: (905) 227-8800 Waterloo Region 30 Dupont Street East, Lower Level Waterloo, Ontario N2J 2G9 Phone: (519) 886-8100 113 Second Street East Cornwall, Ontario K6H 1Y5 Phone: (613) 932-4999 Kingston and Area The Woolen Mill 4 Cataraqui Street, Suite 301 Kingston, Ontario K7K 1Z7 Phone: (613) 545-3462 Hastings-Prince Edward 199 Front Street, Suite 107 Belleville, Ontario K8N 5H5 Phone: (613) 969-0323 Wellington County 317 Speedvale Avenue East, Lower Level Guelph, Ontario N1E 1N3 Phone: (519) 822-7739 Lanark-Leeds-Grenville Northern Region 6 Glenn Wood Place, Suite 1 Brockville, Ontario K6V 2T3 Phone: (613) 345-1034 Huron-Perth Algoma Area Ottawa-Carleton Jenny Trout Centre 342 Erie Street, Suite 121 Stratford, Ontario N5A 2N4 Phone: (519) 271-7500 72 Northern Avenue East, Suite 6 Sault Ste. Marie, Ontario P6B 4H4 Phone: (705) 256-2335 3 Raymond Street Ottawa, Ontario K1R 1A3 Phone: (613) 230-4200 Cochrane Area Renfrew County Chatham-Kent 143 Wellington St. West, Suite 114 Chatham, Ontario N7M 1J5 Phone: (519) 352-3790 23-25 Pine Street South, Lower Concourse Timmins, Ontario P4N 2J9 Phone: (705) 267-7323 Sarnia-Lambton Kenora-Rainy River Area 656 Lakeshore Road Sarnia, Ontario N7V 2T2 Phone: (519) 332-5864 P.O. Box 67 Kenora, Ontario P9N 3X4 Phone: (807) 468-8466 Oxford County Sudbury and Area 480 Egerton Street London, Ontario N5W 3Z6 Phone: (519) 453-9086 l8 Light Street Woodstock, Ontario N4S 6G8 Phone: (519) 537-3101 Windsor-Essex 275 Oak Avenue Windsor, Ontario N9A 5E5 Phone: (519) 256-3433 McMaster Region Brant County 25 William Street Brantford, Ontario N3T 3K3 Phone: (519) 753-4682 Haldimand-Norfolk 203 John Street Simcoe, Ontario N3Y 2Y6 Phone: (519) 426-4973 Halton Region 2200 Speers Road Oakville, ON L6L 2X8 Phone: (905) 847-1033 50 99 Renfrew Street Pembroke, Ontario K8A 5R7 Phone: (613) 732-4733 Central Region Durham Area 40 King St. West, Suite 202 Oshawa, Ontario L1H 1A4 Phone: (905) 436-1046 Georgian Bay Area 296 Cedar Street Sudbury, Ontario P3B 1M7 Phone: (705) 673-3116 206-48 Alliance Boulevard Barrie, Ontario L4M 5K3 Phone: (705) 733-7759 North Bay Area 269 Main Street. West, Suite 411 North Bay, Ontario P1B 2T8 Phone: (705) 497-9937 Temiskaming Area 22 B Duncan Avenue Kirkland Lake, Ontario P2N 3L1 Phone: (705) 567-5755 Thunder Bay Area 107 Johnson Avenue Suite 201 Thunder Bay, Ontario P7A 4L8 Phone: (807) 345-3215 Kawartha-Haliburton Area Unit A, 285 Aylmer Street North Peterborough, Ontario K9J 7M4 Phone: (705) 742-6637 Toronto Area 601-365 Bloor Street East Toronto, Ontario M4W 3L4 Phone: (416) 922-9440 York Area 4581 Highway 7, Suite 103C Unionville, Ontario L3R 1M6 Phone: (905) 947-8577 Peel Area 5025 Orbitor Drive Building 6, Suite 100 Mississauga, Ontario L4W 4Y5 Phone: (905) 602-8388 Lungs Are For Life Resources Grade 5 Videos Videos are a good way to supplement the learnings of the Lungs Are For Life program. Contact your local health department, school board media centre, or local library for their video listings. The National Clearinghouse on Tobacco and Health can assist you in identifying appropriate video titles and can also direct you on where to find them. National Clearinghouse on Tobacco and Health 170 Laurier Avenue West, Suite 1000 Ottawa, Ontario K1P 5V5 Toll Free:1-800-267-5234 Tel: (613) 567-3050 Fax: (613) 567-5695 www.cctc.ca/ncth/index.html The Lung Association also has a number of videos that can help support Lungs Are For Life. Check with your local Lung Association office (a listing is located in this section) for availability of the following titles: As the World Burns (1988) 18 minutes Offers students scenarios that lead peers through the dangers of smoking. Hugh McCabe: The Coach’s Final Lesson (1987) 18 minutes Documents Coach McCabe's thoughts, emotions, and physical condition as his cancer progresses. I Am Joe’s Lung (revised) 25 minutes Explains the construction of the lungs and the effects of smoking, neglect, and pollution. Stand Up for Yourself (1990) 15 minutes Presents effective techniques to say no to tobacco, alcohol, and other drugs. Tobacco and You (1990) 23 minutes Uses a talk-show format to discuss the harmful effects of smoking. The hosts also interview teen smokers. Yes, No, Maybe? Decision Making Skills (1990) 18 minutes Introduces a five-step decision-making process. Lungs Are For Life 51 References Grade 5 References Addiction Research Foundation (1996). Facts on Tobacco: A binder of prevention, protection, cessation facts. Ontario Tobacco Research Unit, Toronto, Ontario. Adlaf, E.M. et al. (1997). Ontario Student Drug Use Survey: 1977-1997. Addiction Research Foundation Research Document No. 136, Toronto, Ontario. Bassirullah, Hafeeza (2000). A review of smoking prevention programs, Ontario Physical and Health Education Association, Toronto, Ontario. Bassirullah, Hafeeza (2000). Recommendations for Smoking Prevention Programs, Ontario Physical and Health Education Association, Toronto, Ontario. The Body Image Coalition of Peel (1997). Everybody Is a Somebody, Facilitator’s Guide. Campbell, Steve et al. (1999). Science and Technology: The Human Body. Addison Wesley, Don Mills, Ontario. Canadian Association for the Advancement of Women and Sport and Physical Activity (1997). Evening the Odds. Ottawa, Ontario. Canadian Cancer Society (1996). Tobacco: The Facts. Toronto, Ontario. Canadian Council on Social Development (2000). The Progress of Canada’s Children into the Millenium. Ottawa, Ontario. Canadian Intramural Recreation Association (1999). Health In Perspective (HIP). Ottawa, Ontario. Centre for Addiction and Mental Health (2000). Alcohol and Drug Prevention Programs for Youth: What Works. Toronto, Ontario. Centre for Addiction and Mental Health (1999). Ontario Student Drug Use Survey. Toronto, Ontario. Centre for Disease Control and Prevention (1996). Guidelines for School Health Programs to Prevent Tobacco Use and Addiction. Morbidity and Mortality Weekly Report, Vol. 43, Atlanta, Georgia, USA. Halton Public and Roman Catholic School Boards (1999). Motive 8: Halton’s Grade 8 Substance Abuse Prevention Program. Burlington, Ontario. Health Canada (1996). Back Talk: Media-Wise and Feeling Good. Health Canada Publications, Ottawa, Ontario. Health Canada (1996). Improving the Odds. Tobacco Programs Unit, Ottawa, Ontario. Health Canada (1994). School Smoking Prevention Programs: A National Survey. Ministry of Supply and Services, Ottawa, Ontario. Heart and Stroke Foundation (1998). Tobacco Fact Sheets. Ottawa, Ontario. Heart and Stroke Foundation (1999). The Changing Face of Heart Disease. Ottawa, Ontario. Health Canada (1999). Trends in the Health of Canadian Youth, Ottawa, Ontario. 52 Lungs Are For Life References Grade 5 Hobbs, F. et al. (1997). Monitoring Ontario Tobacco Strategy. Youth and Tobacco in Ontario, 1997: A cause for concern. Ontario Tobacco Research Unit. Toronto, Ontario. Johnston, Lori (1999). “Flavoured Cigarettes a Hot Teen Trend”. The Ottawa Citizen, May 11. Ministry of Health (1994). The Action Guide For Smoke-Free High Schools. Toronto, Ontario. Ministry of Health and Ministry Responsible for Seniors & Ministry of Education (1999). bc.tobaccofacts: A Tobacco Prevention Resource for Teachers, Grades 6 & 7. Victoria, British Columbia. National Cancer Institute of Canada (1995). Marketing and Youth: Examination of Youth Attitudes and Behaviour to Tobacco Industry Advertising and Sponsorship. Toronto, Ontario. National Clearinghouse on Tobacco and Health (1997). Selling Acceptability: The Marketing of Tobacco. Ottawa, Ontario. Ontario Physical and Health Education Association (2000). A Survey of Teachers Who Have Used the Lungs Are For Life Program. Toronto, Ontario. Ontario Physical and Health Education Association (1996). ACTION (Alcohol, Cannabis and Tobacco Health Promotion Project for Youth). Toronto, Ontario. Ontario Physical and Health Education Association (1996). You Can Make a Difference: Helping Young Women Choose a Tobacco Free Lifestyle. Toronto, Ontario. Ottawa Board of Education (1990). Be Smoke Free: A Smoking Prevention Program For Grade Five Students. Ottawa, Ontario. Ottawa Board of Education (1990). Don’t Start: A Smoking Prevention Program For Grade Four Students. Ottawa, Ontario. Parry Sound/Muskoka Health Department (1994). Smoke Free Classes 2000. Parry Sound, Ontario. Statistics Canada (1998). Towards a Healthy Future: Second Report on the Health of Canadians. Federal, Provincial and Territorial Advisory Committee on Population Health. Ottawa, Ontario. Steinberg, Shawna (1998). “Have Allowance Will Transform Economy,” Canadian Business Magazine, March 13. Tye, J.B., Warner, K.E., & Glantz, S.A. (1987). “Tobacco Advertising and Consumption: Evidence of a casual relationship”, Journal of Public Health Policy, 8, 492-508. University of Waterloo Behaviour Research Group (1996). Keep It Clean. University of Waterloo, Waterloo, Ontario. U.S. Department of Health and Human Services (1992). “Recent Trends in Adolescent Smoking”. Advance Data, 221, 59-64. Wyse, Liz (1995). Make It Work. Scholastic, Richmond Hill, Ontario. Lungs Are For Life 53
© Copyright 2026 Paperzz