Welcome to the new and improved NHS Healthier Together website - now even easier to use, with clear advice and guidance to support you.

Welcome to this page, where we'll look at smoking and e-cigarettes (vapes) and what they mean for you. There's a lot of information out there, and it can be confusing, so let's break it down.

Image 1 of

Image 2 of

Image 3 of

Image 4 of

Image 5 of

Image 6 of

Image 7 of

Image 8 of

Image 9 of

Image 10 of

What is Smoking?

Smoking is when you burn tobacco, most often in a cigarette, and breathe in the smoke. This smoke contains lots of chemicals that are harmful to your body. Even if you don't smoke regularly, even trying it a few times can be risky because of how addictive nicotine is.

What's in a Cigarette?

Cigarettes are made from dried tobacco leaves, but they also contain hundreds of added chemicals. When you light a cigarette, it creates over 7,000 chemicals in the smoke, and at least 70 of these are known to cause cancer.

Some of the harmful ingredients found in cigarettes include:

  • Nicotine: This is the highly addictive drug that makes it hard to stop smoking. It affects your brain and makes your body crave it.
  • Tar: A sticky, brown substance that coats your lungs, damaging them and making it harder to breathe. It's a major cause of lung cancer.
  • Carbon Monoxide: A poisonous gas that reduces the amount of oxygen your blood can carry. This means your heart and other organs don't get the oxygen they need to work properly. It's the same gas found in car exhaust fumes.
  • Ammonia: Used in cleaning products.
  • Arsenic: A poison used in insecticides.
  • Butane: Found in lighter fluid.
  • Formaldehyde: Used to preserve dead bodies.
  • Lead: A poisonous metal.
  • Polonium-210: A radioactive element.

These are just a few examples – the list of harmful chemicals is much, much longer.

Myth Busting: Rollies vs. Cigarettes

You might have heard that 'rollies' (roll-your-own cigarettes) are more 'natural' or less harmful than pre-made cigarettes. This is a myth.

  • Just as harmful: Roll-your-own tobacco contains many of the same harmful chemicals and additives as manufactured cigarettes. When burned, they produce tar, carbon monoxide, and all the other poisons.
  • Often more harmful: Some studies suggest that people who smoke rollies may inhale more deeply and take longer puffs, potentially taking in more harmful substances per cigarette. Also, many people don't use filters with rollies, meaning more tar and nicotine reach their lungs.
  • Additives: Roll-your-own tobacco often contains additives to keep it moist and make the smoke easier to inhale, which can make them even more addictive.

Whether it's a pre-made cigarette or a rollie, smoking any kind of tobacco is harmful to your health.

When should you worry?

RED
AMBER
AMBER
Green

GREEN

AMBER

RED

Advice and Guidance

What Does Smoking Do to Your Body?

Smoking damages your body from head to toe, and the effects start quickly, even if you're young and only smoke occasionally.

  • Lungs: Smoking destroys your lungs' air sacs, making it hard to breathe and leading to conditions like bronchitis and emphysema. It significantly increases your risk of lung cancer.
  • Heart and Circulation: It damages your blood vessels, increasing your risk of heart disease, stroke, and circulation problems. Carbon monoxide makes your heart work harder.
  • Appearance: Smoking can make your skin look grey and wrinkled, stain your teeth and fingers yellow, and make your hair and clothes smell of smoke.
  • Fitness: It makes you get out of breath much faster, making it harder to play sports or even just run for the bus.
  • Other Cancers: Smoking increases your risk of many other cancers, including those of the mouth, throat, stomach, kidney, and more.
  • Lowered Immunity: It weakens your immune system, making you more likely to get sick.
  • Mental Health: While some people think smoking helps with stress, the addiction itself can cause stress and anxiety, especially when you can't smoke.

The good news is that your body starts to repair itself very quickly after you stop smoking. The sooner you quit, the more your body can recover.

What Happens When You Quit Smoking? Your Body Starts to Recover!

The moment you smoke your last cigarette, your body begins an amazing process of trying to heal itself. The longer you go without smoking, the more your health improves. Here's a timeline of what happens:

  • 20 minutes after quitting smoking: In just 20 minutes, your blood pressure and pulse (heart rate) should start to return to their normal levels.
  • 8 hours after quitting smoking: 8 hours in and the harmful carbon monoxide levels in your blood should have now halved. This can also see your oxygen levels recover and start to return to their normal levels.
  • 1 day after quitting smoking: You made it to the end of a full day without smoking! All traces of carbon monoxide have usually left the body and your lungs start to clear.
  • 48 hours after quitting smoking: Day 2 of no smoking and your taste and sense of smell should be improving.
  • 72 hours after quitting smoking: Reach day 3 with no smoking and you should find breathing easier as your bronchial tubes start to relax. As breathing becomes easier you may also find your energy levels are starting to increase.
  • 2 to 12 weeks after quitting smoking: From 2 weeks after quitting smoking and over the coming months, you may notice that exercise and other physical activity is easier. This is because, at this stage, your lung function increases and your circulation improves, with blood flowing through to your muscles and heart much better. Your immune system should receive a boost too, so your body can fight off colds and flu better. Finally, you may feel up to putting up that shed, painting the hallway or anything else on your to-do list!
  • 3 to 9 months after quitting smoking: The breathing problems and wheezing you might have experienced when you were smoking should now be improving. That’s because around this point your lung function increases by up to 10%. The air sacs in your lungs – known as cilia – should have regrown, healing some of the damage caused by smoking. Smoking related tiredness should now have disappeared.
  • 1 year after quitting smoking: You’ve made it to a year without smoking! Take some time to give yourself a well-earned pat on the back. A year in and your risk of heart disease, attacks or a stroke is now half that of a smoker. Hopefully you feel much healthier – and wealthier, given what you’ve saved by not buying cigarettes for 12 months.

The longer you stay smokefree, the more benefits you'll see and the healthier you'll become!

The cost of smoking

Here's the thing about smoking: it costs you a ton of money. Think about it – with a pack of cigarettes costing around £15 right now, if you smoked just 10 a day, you'd be shelling out over £2,800 in a year. If you smoked a pack a day, that's more like £5,600 gone up in smoke annually! 

Imagine what you could do with that money instead: epic holidays, the latest tech gadgets, saving up for a car, or even putting it towards your future. And it's not just the cost of the cigarettes themselves; down the line, smoking could mean higher prices for things like insurance. 

All that cash that could be yours, funding your life and your dreams, is literally going up in smoke.

What About E-cigarettes (Vaping)?

E-cigarettes, or vapes, heat a liquid (e-liquid) to create a vapour that is inhaled. E-liquids usually contain nicotine, a flavouring, and a base liquid.

Compared to smoking cigarettes, vaping is considered much less harmful because it doesn't involve burning tobacco and producing tar and carbon monoxide. For adult smokers trying to quit, vaping can be a helpful tool.

However, this does not mean vaping is harmless, especially for young people who have never smoked.

  • Nicotine is addictive: Most vapes contain nicotine, which is highly addictive and can affect brain development in young people.
  • Unknown long-term effects: Vaping is still relatively new, and the long-term effects on health are not yet fully known.
  • Harmful chemicals: While fewer than in cigarette smoke, the vapour can still contain some harmful chemicals.
  • Gateway to smoking?: There are concerns that young people who vape may be more likely to try smoking cigarettes later.

If you don't smoke, don't vape. If you do vape, and you used it to quit smoking, the aim should be to eventually quit vaping too.

Where to Get Help with Your Smoking or Vaping

It can be really tough to stop smoking or vaping, especially with nicotine addiction. But you don't have to do it alone! There's lots of free, confidential help available.

  • NHS Smokefree: The NHS offers lots of support online, by phone, and through local services. They can provide advice, support, and information on stop smoking aids like patches, gum, or even vapes (if appropriate for quitting smoking). You can find your local service through the NHS website or call the National Smokefree Helpline.
  • Local Stop Smoking Services: Many areas have local services with trained advisors who can offer face-to-face or phone support. They can help you create a quit plan and provide access to stop smoking products.
  • Your GP or Pharmacist: Your doctor or a pharmacist can also give you advice and discuss options for quitting, including prescribing stop smoking medicines.
  • School Nurse or College Health Services: If you're at school or college, they may have health staff who can offer support and advice.
  • Helplines and Websites: Organisations like Action on Smoking and Health (ASH) also provide information and links to support.

Worried About a Friend or Family Member's Smoking Habits?

Worried About a Friend or Family Member's Smoking Habits?

It can be really hard to see someone you care about harming their health through smoking. You can help by:

  • Talking to them: Let them know you're worried and that you care about them. Try to talk to them when you're both calm and have time to chat properly.
  • Sharing Information: You could share information like what you've read on this page about the risks of smoking and the benefits of quitting.
  • Supporting them if they want to quit: If they decide they want to stop, be there for them. Encourage them, celebrate their successes (even small ones!), and try to be understanding if they find it difficult. Avoid nagging or making them feel guilty.
  • Suggesting sources of help: Let them know about the free support services available, like the NHS or local stop smoking services. You could even offer to help them find information or make a call.
  • Talking to someone yourself: If you're finding it hard to cope with your worry, it can help to talk to someone you trust, like another family member, a teacher, or a school counsellor. Childline is also there for you if you need to talk confidentially (call 0800 1111).

Remember, you can't force someone to quit, but your support can make a big difference if and when they are ready.

Local Resources in Hampshire, Isle of Wight, and Dorset

Local Resources in Hampshire, Isle of Wight, and Dorset

Here are some specific places you can find help in your local area:

  • Smokefree Hampshire: Provides free support to help people quit smoking. You can usually self-refer online or by phone. Check their website for contact details and information on local clinics or support options.
  • Smokefree Isle of Wight: Offers a funded stop smoking programme with expert mentors, free kits (including stop smoking aids), and online resources. Visit their website or call their helpline for details on eligibility and how to sign up.
  • Public Health Dorset: LiveWell Dorset offers free advice and support for quitting smoking in Dorset, including access to nicotine replacement therapy, behavioural support, and vape kits as part of their Swap 2 Stop campaign. You can contact LiveWell Dorset to find out more.

Even if you're not ready to quit right now, knowing the facts is the first step. If you are thinking about it, or are worried about someone else, please reach out for help. There are people who want to support you.

Self care and Prevention

Video Showcase

Related Conditions

No items found.

Further Information

A

Acute kidney injury

Acute kidney injury (AKI) is when the kidneys stop working over a short period of time – a few days or a few weeks. It is sometimes called acute kidney failure (AKF) or acute renal failure (ARF).

Allergy

Learn the basics about food allergies, their symptoms and how they are diagnosed. And if you have itchy eyes, a sneezy nose, wheezy chest or queasy stomach, you might have an allergy: find out more

Anaphylaxis

Anaphylaxis (pronounced ana-fill-ax-is) is a severe and potentially life-threatening allergic reaction. Learn more about what you can do to avoid having an anaphylactic reaction or what to do if someone else if having a severe allergic reaction.

Arthritis

Arthritis doesn’t just affect the elderly. Find out more about conditions affecting the bones and joints of children and young people; to hear the experiences of a young person with arthritis, click here. The Centre for Adolescent Rheumatology and the Children’s Chronic Arthritis Association provide extremely useful information for young people.

Asthma

Don’t let having asthma stop you living your life. Learn more about asthma and find ways to help you stay well.

Click here for videos on inhaler technique.

B

Brain tumour

Brain tumours are quite complex - at present, over 130 different types of 'high grade'(cancerous) or 'low grade' (non-cancerous) brain tumours are known. Find key information about brain tumours in young people including symptoms, diagnosis and treatments, and read advice on living with, or caring someone with, a brain tumour.

C

Cancer

7 young people are diagnosed with cancer every day in the UK. You don’t have to face cancer alone - find out about cancer types, treatments and living with cancer as a teen or young adult. This information has been written specifically for you and reviewed by other young people with cancer. Hear the stories of other young people with cancer.

Chronic Fatigue Syndrome

Chronic fatigue syndrome (CFS) is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.

For more information on CFS and the Specialist Chronic Fatigue (ME) Service for children and young people anywhere in the UK, please click here.

Chronic kidney disease

Chronic kidney disease (CKD) is a lifelong condition. The kidneys gradually stop working as well as they should. This usually happens over many years.

Chronic pain

The Pain Toolkit is for people who live with persistent pain and Healthcare teams who support them. It helps people all over the world self manage persistent pain.

Cleft lip and palate

There are many young people in the UK who are born with a cleft lip or palate. Some of them have shared their stories about everything from school to surgery.

Coeliac Disease

Growing up with coeliac disease, especially in your teenage years, can have its challenges, especially as you eat out more with friends. Don’t be embarrassed about having coeliac disease; it’s part of you and your friends will understand.

Cystic Fibrosis

Cystic fibrosis(CF) is one of the UK's most common life-threatening inherited diseases. Cystic fibrosis is caused by a defective gene. As a result, the internal organs, especially the lungs and digestive system, become clogged with thick sticky mucus resulting in chronic infections and inflammation in the lungs and difficulty digesting food. Find out more…

D

Diabetes

Being a teenager is hard enough, without having Type 1 diabetes. Find out more about successfully living with Type 1 diabetes and getting through your teenage years. Listen to the experiences of young people with diabetes by clicking here. Or, to read a diabetes-inspired comic click here

E

Eczema

‘Why do I have eczema?’ is a question asked by a lot of the young people with eczema. Find out more about eczema or listen to the experiences of other young people with eczema.

Epilepsy

If you’re a teenager with epilepsy, you probably have all sorts of questions about how epilepsy could affect your life. For example, will you be able to go on holiday with friends, go to concerts and clubs and drink alcohol? Or maybe you have a friend, brother or sister who has epilepsy and you just want to understand more about it. Or you can listen to the experiences of a young person with epilepsy by clicking here. Young epilepsy provides great help and support.

F

FSGS and IgM nephropathy

Focal segmental glomerulosclerosis (FSGS) and IgM nephropathy cause nephrotic syndrome. This causes swelling in the body, especially in their face, legs and feet.

G

Glomerulonephritis

Glomerulonephritisis a group of conditions that cause inflammation (swelling) in the kidneys. Children with glomerulonephritis have blood and protein in their urine, and may have swelling in their body, especially in their face and legs. Find out more…

H

Haematuria

Haematuriameans there is blood in the urine (wee). If there is a lot of blood, the urine may be red or dark brown. In most children, haematuria is not serious. In some children, it is a sign that there is a problem with their kidney and these children may need special treatment. Find out more…

Haemolytic Uraemic Syndrome

In haemolytic uraemic syndrome (HUS), the small blood vessels inside the kidneys are damaged. There are changes in the blood and the kidneys stop working properly.

Haemophilia

By the time you are a teenager, you may already be used to living with a bleeding disorder. However not all people with bleeding disorders are diagnosed earlier on in life, and a bleeding disorder may be entirely new for you. The information here should be able to reassure you about your bleeding disorder, and let you get on with the enjoyment of being a teenager..

Heart conditions

If you have a congenital heart condition, you might feel like you don't want to know every detail because it scares you. In fact you're not alone - many adults feel the same way. Find out more…

Henoch- Schonlein purpura (HSP)

Henoch-Schönlein purpura (HSP) is a condition that affects different parts of the body. Tiny blood vessels in the body become inflamed or swollen.

HIV

It’s difficult being a young person with HIV but you’re not alone. Hear the experiences of other young people living with HIV. Find ways of accessing local support as well as the Body & Soul Beyond Boundaries programme.

Click here to watch a video from the BBC called HIV Positive: Seriously, you can't catch it from kissing.

Hydrocephalus

If you’re a teenager or young adult affected by hydrocephalus, it’s important to remember that you’re not alone. You’ll find useful information to help you overcome the different challenges you may face.

Hypertension

Hypertension means that your blood pressure is too high. In some children, hypertension can be a serious condition. It can increase the risk of getting other diseases, especially if the hypertension continues into their adult years. Find out more…

I

Inflammatory Bowel Disease

Crohn’s Disease and Ulcerative Colitis are the two main forms of Inflammatory Bowel Disease, affecting more than 300,000 people in the UK. Yet it is largely a hidden disease, and one that causes stigma, fear and isolation – it’s thought that many people with the condition go undiagnosed and suffer in silence. It doesn’t have to be like this. Learn more….

Info about your child's medication

M

Medical ID and alert products

Don’t let a medical condition change your life. Change the way you deal with it – by living as best you can with the security of a Medi band or Medic alert medical ID bracelet or wristband.

Metabolic conditios

Climb is the leading patient organisation for Inherited Metabolic Disorders, supporting thousands of families worldwide.

Mitochondrial disease

Mitochondrial Disease is a chronic, genetic disorder that can be inherited in a number of ways. Because there are many forms of mitochondrial disease and therefore Mitochondrial disease presents very differently from individual to individual.

When a person has Mitochondrial Disease the mitochondria in the cells are not producing enough energy. Sometimes they are not very efficient or they do not work at all. Depending on which Mitochondria are affected will depend on which organs are affected.

Activities like running, swimming, cycling or even simple ones likes walking or breathing can be difficult or completely impossible if you are suffering with Mitochondrial Diseases.

For help and for more information, visit the Abel Foundation website by clicking here.

Mitrofanoff

Bladder problems are not a subject that is openly discussed, hence there is a general lack of public knowledge on what it is like to have Mitrofanoff. Mitrofanoff Support offers emotional support and reassurance to anyone who may be about to have, or already has a Mitrofanoff and the people closest to them.

Multicystic dysplastic kidney (MCDK)

A multicystic dysplastic kidney (MCDK) is a kidney that has not developed normally in the womb. Instead of a working kidney, there is a bundle of cysts, which are like sacs filled with liquid. Find out more

Muscular Dystrophy

Living with a neuromuscular condition can be a steep learning curve, but support is available. Find out more…

N

Nephrotic syndrome

In nephrotic syndrome, the kidneys leak too much protein into the urine, leading to a drop in the levels of protein in the blood. This causes swelling in the body, especially in the face, legs and feet. Find out more… About half of children with steroid-sensitive nephrotic syndrome (SSNS) have frequent relapses. This means that although the nephrotic syndrome gets better with steroids, it keeps coming back in a short space of time. Learn more about frequently relapsing nephrotic syndrome.

Neurofibromatosis

Neurofibromatosis type 1 is a condition that causes lumps called neurofibromas to grow on the covering of nerves. Although doctors sometimes call the lumps tumours, they are not cancer. This information sheets offers you some facts and advice to help you.

P

Post-infectious glomerulonephritis (PIGN)

PIGN causes inflammation (swelling) in the kidneys. Young people with PIGN have blood and protein in their urine, and may have swelling in their body, especially around their face and legs. Find out more…

Primary immunodeficiency

If you are a young person with a primary immunodeficiency, there are probably loads of questions you’d like to know the answers to, things you maybe feel a bit embarrassed to ask about or you simply don’t know who to ask. Learn more here…

Proteinuria

Proteinuria means there is an abnormal amount of protein in the urine (wee). Normally there is very little protein that is lost in the urine. Find out more…

R

Renal dysplasia

Renal dysplasia (or kidney dysplasia) means that a kidney does not fully develop in the womb.The affected kidney does not have normal function – which means that it does not work as well as a normal kidney. It is usually smaller than usual, and may have some cysts, which are like sacs filled with liquid. Find out more…

Renal hypoplasia

Renal hypoplasia (or kidney hypoplasia) means that part of a kidney does not fully develop in the womb. The kidney may only be slightly smaller than usual or it may be tiny. Because of its size, it may not work as well as a normal-sized kidney. Find out more…

S

Scoliosis

Advice on what you can do if you have scoliosis or if you have just been diagnosed with it. Find out more…

Sickle Cell Disease

Advice for young people living with sickle cell disease. You are not alone. Click here for more information.

Spina bifida

Spina bifida literally means ‘split spine’. A fault in the development of the spinal cord and surrounding bones (vertebrae) leaves a gap or split in the spine. The spinal cord has not formed properly, and may also be damaged. Find out more

Syncope

Syncope (pronounced sin-co-pee) is a medical term for a blackout that is caused by a sudden lack of blood supply to the brain. Reflex syncope is one of the most common forms of syncope. Find out more…

T

Thalassaemia

Thalassaemia is a complex condition affecting the blood that requires constant monitoring and treatment. However, it is no longer just a disease of childhood; with our current level of knowledge, of treatment, of support and care there is no reason for a young person with thalassaemia to not reach their full potential.

Tuberous Sclerosis

An estimated 1 million people worldwide have TSC. Some will be diagnosed with TSC very early in life whilst others may not be diagnosed until later childhood, adolescence or adulthood. Find out more…

U

Urinary tract infection (UTI)

A urinary tract infection (UTI) is a common infection that may cause you pain when you pee. Sometimes it can result in a kidney infection. Find out more…

V

Von Willebrand Disease

Von Willebrand disease is the most common type of bleeding disorder: it’s estimated that around 1% of the world population may be affected. It affects the blood’s ability to clot and can cause symptoms such as easy bruising, nosebleeds, and heavy periods. It may also be hard to stop bleeding after injury or surgery. Find out more…