SBIRT Initiative We Ask Everyone About Cigarettes - IDHS 4556

State of Illinois
Department of Human Services

We Ask Everyone About Cigarettes

The Illinois SBIRT?Initiative Screening, Brief Intervention, and Referral to Treatment

Did You Know?

Cigarette smoking is the leading preventable cause of death in the United States. In the U.S., cigarette smoking causes:

  • 480,000 deaths per year - that's 1 out of every 5 reported deaths
  • 90% of all lung cancer deaths
  • 80% of all deaths from chronic obstructive pulmonary disease (COPD)

What to expect when cutting back or quitting smoking cigarettes:

  • Change takes time.
  • You may have some withdrawal symptoms.
  • You will need support.

You don't have to do this alone:

  • Your doctor or behavioral health specialist can help you set up a plan
  • Contact your doctor if you are having any medical concerns

How can I learn more?

Visit this helpful website:

What's in a Cigarette?

The active drug in tobacco cigarettes is nicotine. Nicotine is highly addictive. Cigarettes also contain 43 known cancer-causing compounds and 400 other toxins including tar, carbon monoxide, formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT.

Cigarette smoking causes more deaths each year than all of these combined: 
  • HIV 
  • Motor vehicle accidents
  • Illegal drug use
  • Firearm-related incidents
  • Alcohol use

Smoking is estimated to increase the risk of developing serious diseases by:

  • Coronary Heart Disease 2 to 4 times
  • Stroke 2 to 4 times
  • Lung cancer (men) 25 times
  • Lung cancer (women) 25.7 times
  • Smoking causes diminished overall health, such as self-reported illness, absenteeism from work, and increased health care utilization and cost.

Effects of Smoking


  • Cataracts
  • Blindness
  • Macular degeneration


  • Asthma
  • Emphysema
  • Bronchitis
  • Increase in infections
  • Increased risk of pneumonia


  • Rheumatoid arthritis
  • Hip fractures



  • Decrease in sexual performance


  • Ectopic Pregnancy
  • Reproductive effects


  •  Stroke


  • Aortic aneurysm
  • Heart failure
  • Chronic obstructive pulmonary disease (COPD)


  • Throat
  • Mouth
  • Lung
  • Stomach
  • Liver
  • Pancreas
  • Kidney
  • Cervical
  • Bladder
  • Colorectal

What happens when you quit smoking:

In 8 hours: Excess carbon monoxide is out of your blood stream.

In 5 days: Most nicotine is out of your body.

In 1 week: Your sense of taste and smell improve.

In 12 weeks: Your lungs regain the ability to clean themselves.

In 3 months: Lung function improves.

In 12 months: Your risk of heart disease has dropped by 50%.

In 5 years: Your risk of stroke has decreased dramatically.

Something to try:

Community Resources:

Behavioral Specialist:

Name ________________________________

Contact ______________________________

Name ________________________________Contact ______________________________

Useful Websites/Literature:

Thanks to the Indiana Prevention Resource Center for sharing their original brochure with us. This publication was made possible by Grant Number TI23455 from the United States Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment to the Illinois Department of Human Services, Division of Alcoholism and Substance Abuse.

Programs, activities and employment opportunities in the Illinois Department of Human Services are open and accessible to any individual or group without regard to age, sex, race, sexual orientation, disability, ethnic origin or religion. The department is an equal opportunity employer and practices affirmative action and reasonable accommodation programs.

DHS 4556 (N-08-15) SBIRT?Cigarettes Printed by the Authority of the State of Illinois.  PO?#15-2111 650 copies