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Babies vs. Plastics: The public health problem of our time—and how you can help

News Feed
Monday, April 22, 2024

Plastic is everywhere. We pump crude oil from the ground and then process it into just about anything we want.It’s on and in all your electronics. Kitchens and bathrooms are mostly coated in it. Around 60% of all clothing is technically considered a type of plastic. Then there’s furniture, cars, ships, and even the internal coating of drink cans.Our world is inundated with plastic, not just in our surroundings but also in our food and bodies. About 300 million tons of plastic are manufactured each year, including a mind-boggling five trillion plastic bags and 583 billion plastic bottles.That’s about 650 plastic bags per person annually, each taking about 1,000 years to disintegrate. All that plastic breaks down into microscopic fragments that can quickly enter our bodies.Studies show that microplastics can enter our bloodstream and even end up in our brains, causing inflammation, neurological disorders, or even neurodegenerative diseases such as Alzheimer’s or Parkinson’s.But there’s plenty of action being taken to try to change our addiction to plastic. The End Plastics Initiative, part of the Washington, D.C.,-based Earth Day organization, aims to reduce our dependence on plastic by 60% over the next 16 years.Reckon spoke with Aidan Charron, the director of Earth Day’s plastic initiative, about what’s happening in that world and how we can cut back.Reckon:There still seems to be a lack of public awareness about plastic. Some people don’t believe it’s harmful. What strategies do you use when encountering people who have no idea or are reluctant to think this stuff is bad for us?Aidan Charron:That’s part of the reason we wrote the Babies vs. Plastics report. There’s a main group of people that are saying they don’t want to believe the big issues we’re having with plastic. That’s hard to do when faced with all the evidence. If you don’t want to believe that oil is killing you, you have to understand at least that there are 16,000 possible chemicals and only 4,200 of them are non-toxic, and that’s only because those are the only ones that have been tested. I tell people to look into some of these chemicals and what they can do to our bodies and the environment.Why did you call it babies vs plastic?We wanted to convey the idea that plastic affects all of us and isn’t just floating in the sea far away.But it’s also not just hurting minority groups, like indigenous populations and Black and brown communities. It’s affecting everybody, including those in the frontline communities dealing with the most pollution types. We chose the name because we wanted people to know that our children are also being exposed to these chemicals among groups most of us don’t think about.Given that plastic is used in our clothes, phones, laptops, advanced medical devices, and even inside our bodies, is ending plastic a practical vision?We’re not completely crazy. We know plastic will never go away completely. That’s why we came up with the 60% reduction by 2040 goal. We do see that as feasible because 50% of all plastic is single-use. So if we phase out single-use plastic and make sure that all the materials are reusable, that requires us to transition backward even to some materials that are actually inert, like glass or aluminum, and in a lot of cases, stainless steel.We can go ahead and cut off 50% of our production right there. That involves coming up with alternatives to the plastic we put in laptops and, for example, building materials that don’t use regenerative materials. PVC piping, a widely used building material, is one of the most dangerous types of piping out there. If we can transition away from those things, that will eventually lead us to that 60% reduction goal.Is there a new technology out there that could replace plastics?We’re a little hesitant to talk about it because sometimes, the new technology or material in five years turns out not to be so great for the environment or people. The ones I’ve seen are pretty cool and are things like mycelium or mushrooms to replace  Styrofoam packaging. The question with things like that is, is it scalable? Is it expensive? What investments do we need to make to get it going?Then there’s hemp, right? Hemp is an extremely versatile material that we seem to ignore.The alternatives to fast-fashion clothing are well known, and it’s a sector where we can easily progress in replacing it. That would be organic hemp, organic cotton, and wool, which are all regenerative. It’s just better than wearing stuff that could also power a car. It’s wild to think we are wearing oil.How can regular people like me and my neighbors cut back on our plastic use?Every environmentalist you talk to will tell you to use more renewable and reusable materials. And that is really the simplest thing to do: use reusable water bottles, preferably made of glass, stainless steel, or aluminum.Transition away from Saran wrap to tin foil or aluminum foil if you can. I also use cotton and beeswax materials to cover my food. Plastic Tupperware has inserted itself into every part of society in the U.S. Switch to glass. By heating plastic food containers in a microwave, you’re exposing yourself to the plastics of the container and the microplastics already in your food.Many of these big plastic-using companies, like Coca-Cola, Pepsi, and Nestle, go to great lengths to greenwash us. And yet, I know they hire highly intelligent business executives and creatives who surely know the products they manufacture harm people, wildlife, and the environment.Do you ever think about who these people are, what they stand for, and how it would be much easier if they admitted what we already know about their products?Yes, it would be much easier if they were honest. Then, I wouldn’t have to work as hard to ensure that at least somebody’s being honest. Part of my job is talking to government officials and getting them to be honest about plastic use. Companies are a little bit more complicated. I understand they all have families and their living expenses. But it’s hard for me to think what the price is for someone to sell their soul and the souls of 8 billion people. I get it. A CEO making $200 million a year is a lot of money. But then you go down the line, like, you are a chemical engineer for Coca-Cola developing a new set of plastics for $80,000 a year. That’s all it took for you to sell out?Do you think that has to do with the fact that plastic is such an enormous and useful part of our culture and is elevated above how we feel about garbage, sewage, and littering? How might that change?I also think that. Hopefully, in my lifetime, more burdens will be placed on these companies regarding the damage they’re doing. Plastic is cheap and quick. But then there’s all the underlying health costs that producers don’t have to worry about.Plastic and its additive chemicals cost the healthcare industry $250 billion a year because of the different health issues it causes. That’s just in the U.S. Plastic producers don’t have to pay anything towards those costs. We’ll see big plastic changes if the healthcare industry becomes involved.In the same vein, do you think those big plastic producers will have to bear some legal responsibility for the health issues and pollution they cause in the same way the EPA is gradually going after companies that put chemicals forever in our food and water?For a long time, I felt like the EPA wasn’t doing nearly enough, and I do think it can do a lot more. However, I’m glad to see they’re starting to target some of these chemical companies, which makes me think it will eventually pivot to the plastics industry. We also have the global plastics treaty, which we hope can bring greater awareness and policy.I’ve also seen many more rules and regulations coming from the EPA, but I fear it’s all for show since the agency can’t enforce what’s already on the books.Honestly, I’ve been feeling the same way. It sucks because that’s what we’re relying on to fight these battles. The EPA has been heavily underfunded for years and still doesn’t have the funding to put toward lawsuits like petrochemical and chemical companies do. It’s hard to go up against some of the most profitable businesses ever, even for the government. Then, you get certain administrations coming through that gut funding, which makes auditing and environmental regulation much harder.

Plastic is one of the great human inventions, but the downsides are deadly.

Plastic is everywhere. We pump crude oil from the ground and then process it into just about anything we want.

It’s on and in all your electronics. Kitchens and bathrooms are mostly coated in it. Around 60% of all clothing is technically considered a type of plastic. Then there’s furniture, cars, ships, and even the internal coating of drink cans.

Our world is inundated with plastic, not just in our surroundings but also in our food and bodies. About 300 million tons of plastic are manufactured each year, including a mind-boggling five trillion plastic bags and 583 billion plastic bottles.

That’s about 650 plastic bags per person annually, each taking about 1,000 years to disintegrate. All that plastic breaks down into microscopic fragments that can quickly enter our bodies.

Studies show that microplastics can enter our bloodstream and even end up in our brains, causing inflammation, neurological disorders, or even neurodegenerative diseases such as Alzheimer’s or Parkinson’s.

But there’s plenty of action being taken to try to change our addiction to plastic. The End Plastics Initiative, part of the Washington, D.C.,-based Earth Day organization, aims to reduce our dependence on plastic by 60% over the next 16 years.

Reckon spoke with Aidan Charron, the director of Earth Day’s plastic initiative, about what’s happening in that world and how we can cut back.

Reckon:

There still seems to be a lack of public awareness about plastic. Some people don’t believe it’s harmful. What strategies do you use when encountering people who have no idea or are reluctant to think this stuff is bad for us?

Aidan Charron:

That’s part of the reason we wrote the Babies vs. Plastics report. There’s a main group of people that are saying they don’t want to believe the big issues we’re having with plastic. That’s hard to do when faced with all the evidence. If you don’t want to believe that oil is killing you, you have to understand at least that there are 16,000 possible chemicals and only 4,200 of them are non-toxic, and that’s only because those are the only ones that have been tested. I tell people to look into some of these chemicals and what they can do to our bodies and the environment.

Why did you call it babies vs plastic?

We wanted to convey the idea that plastic affects all of us and isn’t just floating in the sea far away.

But it’s also not just hurting minority groups, like indigenous populations and Black and brown communities. It’s affecting everybody, including those in the frontline communities dealing with the most pollution types. We chose the name because we wanted people to know that our children are also being exposed to these chemicals among groups most of us don’t think about.

Given that plastic is used in our clothes, phones, laptops, advanced medical devices, and even inside our bodies, is ending plastic a practical vision?

We’re not completely crazy. We know plastic will never go away completely. That’s why we came up with the 60% reduction by 2040 goal. We do see that as feasible because 50% of all plastic is single-use. So if we phase out single-use plastic and make sure that all the materials are reusable, that requires us to transition backward even to some materials that are actually inert, like glass or aluminum, and in a lot of cases, stainless steel.

We can go ahead and cut off 50% of our production right there. That involves coming up with alternatives to the plastic we put in laptops and, for example, building materials that don’t use regenerative materials. PVC piping, a widely used building material, is one of the most dangerous types of piping out there. If we can transition away from those things, that will eventually lead us to that 60% reduction goal.

Is there a new technology out there that could replace plastics?

We’re a little hesitant to talk about it because sometimes, the new technology or material in five years turns out not to be so great for the environment or people. The ones I’ve seen are pretty cool and are things like mycelium or mushrooms to replace  Styrofoam packaging. The question with things like that is, is it scalable? Is it expensive? What investments do we need to make to get it going?

Then there’s hemp, right? Hemp is an extremely versatile material that we seem to ignore.

The alternatives to fast-fashion clothing are well known, and it’s a sector where we can easily progress in replacing it. That would be organic hemp, organic cotton, and wool, which are all regenerative. It’s just better than wearing stuff that could also power a car. It’s wild to think we are wearing oil.

How can regular people like me and my neighbors cut back on our plastic use?

Every environmentalist you talk to will tell you to use more renewable and reusable materials. And that is really the simplest thing to do: use reusable water bottles, preferably made of glass, stainless steel, or aluminum.

Transition away from Saran wrap to tin foil or aluminum foil if you can. I also use cotton and beeswax materials to cover my food. Plastic Tupperware has inserted itself into every part of society in the U.S. Switch to glass. By heating plastic food containers in a microwave, you’re exposing yourself to the plastics of the container and the microplastics already in your food.

Many of these big plastic-using companies, like Coca-Cola, Pepsi, and Nestle, go to great lengths to greenwash us. And yet, I know they hire highly intelligent business executives and creatives who surely know the products they manufacture harm people, wildlife, and the environment.

Do you ever think about who these people are, what they stand for, and how it would be much easier if they admitted what we already know about their products?

Yes, it would be much easier if they were honest. Then, I wouldn’t have to work as hard to ensure that at least somebody’s being honest. Part of my job is talking to government officials and getting them to be honest about plastic use.

Companies are a little bit more complicated. I understand they all have families and their living expenses. But it’s hard for me to think what the price is for someone to sell their soul and the souls of 8 billion people. I get it. A CEO making $200 million a year is a lot of money. But then you go down the line, like, you are a chemical engineer for Coca-Cola developing a new set of plastics for $80,000 a year. That’s all it took for you to sell out?

Do you think that has to do with the fact that plastic is such an enormous and useful part of our culture and is elevated above how we feel about garbage, sewage, and littering? How might that change?

I also think that. Hopefully, in my lifetime, more burdens will be placed on these companies regarding the damage they’re doing. Plastic is cheap and quick. But then there’s all the underlying health costs that producers don’t have to worry about.

Plastic and its additive chemicals cost the healthcare industry $250 billion a year because of the different health issues it causes. That’s just in the U.S. Plastic producers don’t have to pay anything towards those costs. We’ll see big plastic changes if the healthcare industry becomes involved.

In the same vein, do you think those big plastic producers will have to bear some legal responsibility for the health issues and pollution they cause in the same way the EPA is gradually going after companies that put chemicals forever in our food and water?

For a long time, I felt like the EPA wasn’t doing nearly enough, and I do think it can do a lot more. However, I’m glad to see they’re starting to target some of these chemical companies, which makes me think it will eventually pivot to the plastics industry. We also have the global plastics treaty, which we hope can bring greater awareness and policy.

I’ve also seen many more rules and regulations coming from the EPA, but I fear it’s all for show since the agency can’t enforce what’s already on the books.

Honestly, I’ve been feeling the same way. It sucks because that’s what we’re relying on to fight these battles. The EPA has been heavily underfunded for years and still doesn’t have the funding to put toward lawsuits like petrochemical and chemical companies do. It’s hard to go up against some of the most profitable businesses ever, even for the government. Then, you get certain administrations coming through that gut funding, which makes auditing and environmental regulation much harder.

Read the full story here.
Photos courtesy of

New Biomarker Could Detect Alzheimer’s Years Before Symptoms Appear

TSPO levels rise early in Alzheimer’s and persist throughout disease. Targeting this biomarker could open new treatment options. TSPO, a major marker of brain inflammation, may offer a way to detect Alzheimer’s disease long before memory problems and other symptoms develop. Findings published in Acta Neuropathologica suggest it could transform both diagnosis and treatment strategies. [...]

A new study suggests that TSPO, a key biomarker of brain inflammation, may reveal the earliest stages of Alzheimer’s disease long before symptoms appear. Credit: StockTSPO levels rise early in Alzheimer’s and persist throughout disease. Targeting this biomarker could open new treatment options. TSPO, a major marker of brain inflammation, may offer a way to detect Alzheimer’s disease long before memory problems and other symptoms develop. Findings published in Acta Neuropathologica suggest it could transform both diagnosis and treatment strategies. “This is the first study to really examine how early this biomarker increases and where it begins rising in the brain,” said Tomás R. Guilarte, lead researcher and dean of FIU’s Robert Stempel College of Public Health & Social Work. “If we can use this information to help delay Alzheimer’s progression by even five years, it can drastically improve patients’ lives and reduce disease prevalence.” Longstanding research on TSPO Guilarte, a recognized authority on TSPO (translocator protein 18 kDa), has investigated the protein for more than 30 years. His research helped establish it as a dependable imaging marker for identifying neuroinflammation across multiple neurological, neurodegenerative, and psychiatric conditions. Researchers Daniel Martínez Pérez (L) and Dr. Tomás R. Guilarte (R) in the Brain, Behavior and the Environment Laboratory at Florida International University. Guilarte and Martínez Pérez published a study that found TSPO, a key biomarker of brain inflammation, could help detect Alzheimer’s disease years before memory loss and other symptoms set in. Credit: Chris Necuze, Florida International UniversityFor the current study, Guilarte and colleagues applied advanced imaging techniques to track TSPO activity in genetically engineered mouse models of familial Alzheimer’s. They then validated these results using donated brain tissue from members of the world’s largest community with early-onset familial Alzheimer’s, based in Antioquia, Colombia. These families carry the “paisa” mutation, first identified by the late Dr. Francisco Lopera, a co-author of the study who spent his career searching for ways to prevent Alzheimer’s. Individuals with this genetic variant often develop symptoms in their 30s or 40s and typically die in their 50s. L: The original cell image. R: The same cell image zoomed in and rendered in the special imaging software. Microglia (blue) signaling TSPO (red) are clustered around plaques (cyan). Researchers at Florida International University published a study that found TSPO, a key biomarker of brain inflammation, could help detect Alzheimer’s disease years before memory loss and other symptoms set in.  Credit: Chris Necuze, Florida International UniversityEarly changes in the hippocampus In the mouse model, researchers detected elevated TSPO levels in the subiculum – a critical part of the hippocampus – as early as six weeks of age, roughly equivalent to age 18–20 in humans. Microglia, the brain’s main immune cells, specifically those clustered around amyloid plaques, had the highest levels of TSPO. Notably, female mice had higher TSPO levels, mirroring real-world statistics: two-thirds of Alzheimer’s patients are women. Daniel Martínez Pérez holds tissue sample. Martínez Pérez, a researcher in Florida International University’s Robert Stempel College of Public Health & Social Work, is the first author of a study that found TSPO, a key biomarker of brain inflammation, could help detect Alzheimer’s disease years before memory loss and other symptoms set in. Credit: Chris Necuze, Florida International UniversityThe brain tissue samples from the Colombian patients with the paisa mutation showed the same pattern. Even in late-stage Alzheimer’s, TSPO remained high in microglia near plaques. These results raise new questions about TSPO’s function – whether it contributes to damage or protects the brain – and whether blocking or enhancing it could halt disease progression. Next steps in research The team is now working with a specially developed Alzheimer’s mouse model lacking TSPO to explore these questions further. They’re also expanding the study to include sporadic, late-onset Alzheimer’s cases, the form that accounts for over 90% of all diagnoses. Researchers Dr. Tomás R. Guilarte (L) and Daniel Martínez Pérez (R) in the Brain, Behavior and the Environment Laboratory at Florida International University. Guilarte and Martínez Pérez published a study that found TSPO, a key biomarker of brain inflammation, could help detect Alzheimer’s disease years before memory loss and other symptoms set in. Credit: Chris Necuze, Florida International University“The more we understand these processes,” said Daniel Martínez Pérez, first author and Ph.D. candidate in Guilarte’s lab, “the closer we get to tailoring treatments that can truly help – before it’s too late.” Reference: “Amyloid-β plaque-associated microglia drive TSPO upregulation in Alzheimer’s disease” by Daniel A. Martinez-Perez, Jennifer L. McGlothan, Alexander N. Rodichkin, Karam Abilmouna, Zoran Bursac, Francisco Lopera, Carlos Andres Villegas-Lanau and Tomás R. Guilarte, 17 July 2025, Acta Neuropathologica.DOI: 10.1007/s00401-025-02912-4 This work was supported by grants ES007062-24 to T.R.G. from the National Institute of Environmental Health Sciences (NIEHS), ES007062-23S1 to T.R.G. from the National Institute on Aging, and T32-ES033955 to A.N.R. from the NIEHS. Never miss a breakthrough: Join the SciTechDaily newsletter.

Living Near Polluted Missouri Creek as a Child Tied to Later Cancer Risk

By I. Edwards HealthDay ReporterTHURSDAY, July 17, 2025 (HealthDay News) — Folks who grew up near a polluted Missouri creek during the 1940s...

THURSDAY, July 17, 2025 (HealthDay News) — Folks who grew up near a polluted Missouri creek during the 1940s through 1960s may have higher odds for cancer now, new research shows.The study focused on Coldwater Creek in St. Louis County. The area was contaminated with radioactive waste from the U.S. government’s atomic bomb program during World War II.Back then, uranium was processed in St. Louis and nuclear waste was stored near the city’s airport. That waste leaked into Coldwater Creek, which runs through several residential neighborhoods.Researchers found that people who lived within one kilometer (0.62 miles) of the creek as kids had an 85% higher risk of developing certain cancers later in life compared to those who lived more than 20 kilometers (12.4 miles) away.Those cancers include leukemia, thyroid cancer and breast cancer, which are known to be linked to radiation exposure.“The closer the childhood residence got to Coldwater Creek, the risk of cancer went up, and pretty dramatically," lead researcher Marc Weisskopf, a professor of epidemiology at Harvard T.H. Chan School of Public Health, told The Wall Street Journal.For the study, Weisskopf’s team surveyed more than 4,200 adults who lived in the St. Louis area as children between 1958 and 1970.These people had donated their baby teeth years ago for radiation research. The new survey asked about cancer and other health issues.About 1 in 4 participants said they had been diagnosed with cancer. Risk dropped the farther someone lived from the creek as a child.Outside experts who reviewed the findings described them as concerning.“It emphasizes the importance of appreciating that radioactive waste is carcinogenic, particularly to children, and that we have to ensure that we have to clean up any remaining waste that’s out there,” Dr. Rebecca Smith-Bindman, a radiation risk expert at the University of California, San Francisco, told The Journal.In 2024, the U.S. Army Corps of Engineers began placing warning signs along parts of the creek that still have radioactive waste, The Journal reported.The U.S. Agency for Toxic Substances and Disease Registry reported in 2019 that contamination have raised the risk of leukemia and lung and bone cancer. Later exposures, starting in the 2000s, were linked to a slight increase in lung cancer for those who lived nearby.But the agency said it’s hard to link any one person’s cancer directly to radiation. Genetics, lifestyle and other factors could also play a role.In this study, radiation exposure wasn’t directly measured. Cancer cases were also self-reported, not confirmed by medical records. Weisskopf plans to measure radiation levels using the stored baby teeth in future research.Radiation exposure has long been tied to cancer, but this study is among the first to look at lower, long-term environmental exposure in the U.S., not just high levels from nuclear disasters or bombings."Radiation, when it’s given unnecessarily, only causes risk," Dr. Howard Sandler, chair of radiation oncology at Cedars-Sinai in Los Angeles, told The Journal.SOURCE: The Wall Street Journal, July 16, 2025Copyright © 2025 HealthDay. All rights reserved.

Disposable Vapes Release Toxic Metals, Lab Study Says

By Dennis Thompson HealthDay ReporterFRIDAY, July 11, 2025 (HealthDay News) — People using cheap disposable vape devices are likely inhaling high...

By Dennis Thompson HealthDay ReporterFRIDAY, July 11, 2025 (HealthDay News) — People using cheap disposable vape devices are likely inhaling high levels of toxic metals with every puff, a recent study says.After a few hundred puffs, some disposable vapes start releasing levels of toxic metals higher than found in either last-generation refillable e-cigarettes or traditional tobacco smokes, researchers reported in the journal ACS Central Science.These metals can increase a person’s risk of cancer, lung disease and nerve damage, researchers said.“Our study highlights the hidden risk of these new and popular disposable electronic cigarettes — with hazardous levels of neurotoxic lead and carcinogenic nickel and antimony — which stresses the need for urgency in enforcement,” senior researcher Brett Poulin, an assistant professor of environmental toxicology at the University of California-Davis, said in a news release.Earlier studies found that the heating elements of refillable vapes could release metals like chromium and nickel into the vapor people breathe.For this study, researchers analyzed seven disposable devices from three well-known vape brands: ELF Bars, Flum Pebbles and Esco Bar.Before they were even used, some of the devices had surprisingly high levels of lead and antimony, researchers reported. The lead appears to have come from leaded copper alloys used in the devices, which leach into the e-liquid.The team then activated the disposable vapes, creating between 500 and 1,500 puffs for each device, to see whether their heating elements would release more metals.Analysis of the vapor revealed that:Levels of metals like chromium, nickel and antimony increased as the number of puffs increased, while concentrations of zinc, copper and lead were elevated at the start. Most of the tested disposables released higher amounts of metals than older refillable vapes. One disposable released more lead during a day’s use than one would get from nearly 20 packs of tobacco cigarettes. Nickel in three devices and antimony in two devices exceeded cancer risk limits. Four devices had nickel and lead emissions that surpassed health risk thresholds for diseases other than cancer. These results reflect only three of the nearly 100 disposable vape brands now available on store shelves, researchers noted.“Coupling the high element exposures and health risks associated with these devices and their prevalent use among the underage population, there is an urgent need for regulators to investigate this issue further and exercise regulatory enforcement accordingly,” researchers wrote.SOURCES: American Chemical Society, news release, June 20, 2025; ACS Central Science, June 25, 2025Copyright © 2025 HealthDay. All rights reserved.

Trying to Quit Smoking? These Expert-Backed Tips Can Help

By David Hill, MD, Chair, Board of Directors, American Lung Association HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — According to...

THURSDAY, July 10, 2025 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention (CDC), in 2022, the majority of the 28.8 million U.S. adults who smoked cigarettes wanted to quit; approximately half had tried to quit, but fewer than 10% were successful.Many folks say quitting smoking was the hardest thing they have ever done. This includes people who have climbed mountains, corporate ladders, tackled childbirth and raised families.Successfully overcoming tobacco addiction is a process, and it takes time. It can’t be done at once. Individuals taught themselves how to smoke, vape or chew tobacco products and practiced for so long that the behavior became as automatic as breathing, eating or sleeping.Quitting, then, is a process of overcoming addiction and learned behaviors. Individuals must learn to manage nicotine addiction, unlearn their automatic behavior of tobacco use, and replace it with healthy new alternatives.Because tobacco dependence is a chronic relapsing condition, Freedom From Smoking® identifies quitting tobacco use and maintaining abstinence as a process in which a person may cycle through multiple periods of relapse and remission before experiencing long-term lifestyle and behavior change.The CDC suggests that it takes eight to 11 attempts before quitting permanently.It’s essential to understand three challenges associated with quitting and create a plan to address each with proven-effective strategies:1. Psychological Link of Nicotine Addiction Over time, using tobacco products becomes an automatic behavior that needs to be unlearned.  After quitting, emotions can overwhelm a person.  Grief can also play an important role in the quitting process.  Create support systems through counseling classes, and among family, friends and co-workers. Mark a calendar for every day you are tobacco-free and reward yourself for days you avoid use. Use positive self-talk when cravings arise, such as “the urge will pass whether I smoke or not” or “smoking is not an option for me.”2. Sociocultural Link of Nicotine AddictionCertain activities and environmental cues can trigger the urge to smoke. As people mature, social factors or cues play a role in continuing use.  People who use tobacco may be reluctant to give up those connections or routines.  Identify your triggers and use replacements such as cinnamon sticks, doodling on a notepad or finding another activity to keep your hands busy. Create change and break routine by using the 3 A’s — AVOID (the situation), ALTER (the situation) or ALTERNATIVE (substitute something else). Keep a quit kit/survival kit with you at all times with items you can use to replace tobacco product use when the urge comes.3. Biological (Physical) Link of Nicotine AddictionAddiction occurs when a substance — like nicotine, alcohol or cocaine — enters the brain and activates the brain’s receptors for that substance, producing pleasure.  When a person quits, the brain’s nicotine receptors activate, creating cravings and withdrawal symptoms.  Over time, the receptors become inactive, and the withdrawal symptoms and urges to use fade away. Use cessation medications approved by the U.S. Food and Drug Administration (prescription or over-the-counter) in the proper doses for the full time period recommended by a clinician. Do not stop treatment early. Exercise alternative ways to release dopamine such as physical activity or listening to music.  Use stress management techniques, including deep breathing and relaxation exercises, daily if possible.Nearly 2 in 3 adults who have ever smoked cigarettes have successfully quit, according to the CDC You can, too! To learn more about strategies for countering the challenges associated with the three-link chain of nicotine addiction, visit Quit Smoking & Vaping | American Lung Association.Dr. David Hill is a member of the Lung Association's National Board of Directors and is the immediate past chair of the Northeast Regional Board of the American Lung Association. He serves on the Leadership Board of the American Lung Association in Connecticut and is a former chair of that board. He is a practicing pulmonary and critical care physician with Waterbury Pulmonary Associates and serves as their director of clinical research. He is an assistant clinical professor of medicine at the Yale University School of Medicine, an assistant clinical professor at the Frank Netter School of Medicine at Quinnipiac University, and a clinical instructor at the University of Connecticut School of Medicine.Copyright © 2025 HealthDay. All rights reserved.

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