CHAPTER 4: AWARENESS REGARDING DRUG ABUSE
Note for the Student-Teacher:
As primary school teachers, you are the first line of defense in protecting
children from substance abuse. While your students (ages 6–11) may not yet face
direct exposure, they are forming attitudes and behaviors that will influence
future choices. This chapter will equip you to understand substance abuse,
recognize warning signs, and create a protective school environment that builds
resilience in children.
4.1 UNDERSTANDING DRUGS AND DRUG ABUSE
4.1.1 What is a Drug?
Definition (WHO):
A drug is any substance that, when taken into the body, alters one or more of
its functions.
In Simple Terms:
Drugs are chemical substances that change how our body or mind works. Some
drugs are medicines (like antibiotics, fever pills) that heal
when used correctly under medical guidance. Others are harmful
substances (like heroin, tobacco) that damage health when misused.
Examples for Classroom Understanding:
- Medicine: Paracetamol
for fever (taken in correct dose, prescribed).
- Harmful
Drug: Smoking cigarettes or taking pills for "fun"
without medical need.
4.1.2 Key Terms
1. Drug Abuse:
Using drugs without medical need, in wrong amounts or ways, that harms health,
relationships, and daily functioning.
Example: A student taking someone else's
prescription pills to "feel high" or "stay awake."
2. Drug Addiction:
When a person becomes physically and mentally dependent on a drug—needs it
regularly, increases doses, and suffers withdrawal symptoms without it.
Example: A person who cannot start the day
without smoking, or feels sick without it.
4.2 WHY SHOULD PRIMARY TEACHERS BE CONCERNED?
- Early
Attitudes Form Early: Children observe family/community behaviors
toward tobacco, alcohol, or drugs.
- Gateway
Behaviors Start Young: Chewing tobacco (gutka), sniffing glue, or
sipping alcohol may begin in late childhood.
- You
Are a Role Model: Your behavior and words influence them.
- Prevention
is Easier Than Cure: Building self-esteem, decision-making
skills, and saying "NO" early creates lifelong protection.
4.3 COMMONLY ABUSED SUBSTANCES & THEIR EFFECTS
4.3.1 Tobacco/Nicotine (Smoking & Chewing)
Forms: Cigarettes, bidi, gutka, pan masala,
hookah, khaini.
Why People Start:
- Peer
pressure ("All my friends do it")
- Imitating
adults/parents
- Curiosity,
looking "cool" or "grown-up"
- Stress
relief (wrong belief)
- Easy
availability near schools
Effects on Health (Tell children in simple terms):
- Bad
breath, yellow teeth – unattractive smile
- Cough,
asthma – can't play kabaddi or run properly
- Weak
lungs – get tired quickly
- Wastes
money – instead of buying books or treats
- Can
cause cancer – of mouth, lungs, throat
- Harms
others – through second-hand smoke (family, friends breathe
poisoned air)
Teacher’s Role:
- Show
pictures of healthy vs. smoker's lungs.
- Teach
refusal skills: "No thanks, I'm an athlete" or "I care for
my health."
- Celebrate
"No Tobacco Day" (May 31) with posters, pledges.
4.3.2 Alcohol
Forms: Beer, wine, whiskey, vodka, desi liquor
(tharra).
Why People Start:
- Social
gatherings, celebrations
- Coping
with stress, sadness
- Family
habits (seeing parents drink)
- Media
glamorization (movies, ads)
Effects (Explain to older children simply):
- Bad
decisions – drunk people fight, embarrass themselves
- Accidents –
falls, burns, road accidents
- Hurts
family – spends money on alcohol instead of food/education
- Liver
damage – stomach pain, yellow eyes (jaundice)
- Addiction –
can't stop even when wanting to
Classroom Activity:
Role-play – refusing a drink at a wedding. Teach: "I'll have juice
instead."
4.3.3 Drugs (Narcotics & Others)
Common Drugs in Punjab Context:
- Cannabis
(Bhang, Charas, Ganja): Often used during festivals (Holi); can
lead to stronger drugs.
- Heroin/Smack: Highly
addictive, injected; spreads HIV through shared needles.
- Prescription
Pills: Sleeping pills, painkillers misused.
- Inhalants: Glue,
petrol sniffing (especially among street children).
Effects on a Person:
- Loss
of interest in studies, hobbies
- Mood
swings – angry, then sad
- Poor
memory, concentration
- Stealing
money to buy drugs
- Health
ruin – weight loss, infections, death
4.4 HOW TO RECOGNIZE SIGNS OF SUBSTANCE ABUSE (FOR
TEACHERS)
Behavioral Signs in School-Age Children:
- Sudden
drop in grades
- Skipping
school, lying
- Changing
friends (older, suspicious group)
- Red
eyes, smell of tobacco/alcohol
- Loss
of appetite, weight change
- Money
or items missing from class
- Aggressive
or overly quiet behavior
- Neglected
uniform, personal hygiene
Note: These signs could also indicate other
problems (stress, bullying). Do not jump to conclusions but
observe carefully and talk privately.
4.5 PREVENTION: WHAT CAN TEACHERS DO?
4.5.1 Build Protective Factors in Students
- Self-Esteem: Praise
efforts, display work, assign responsibilities.
- Coping
Skills: Teach deep breathing, talking about feelings.
- Decision
Making: Discuss "what-if" scenarios (e.g., "If
someone offers you a cigarette...").
- Healthy
Friendships: Group activities that promote teamwork.
- Goal
Setting: "When I grow up, I want to be..." charts.
4.5.2 Classroom Strategies
For Grades 1–3:
- Storytelling:
"The boy who said NO"
- Puppet
shows about healthy choices
- Coloring
"healthy habits" charts
For Grades 4–5:
- Debates:
"Is smoking cool?"
- Poster
making: "My drug-free promise"
- Guest
talk: Police officer/doctor explaining dangers
- Science
lesson: Effects of smoking on lungs (simple diagrams)
4.5.3 School-Level Actions
- Policy: Clear
no-tobacco, no-drugs policy.
- Environment: No
tobacco shops near school; clean, positive campus.
- Monitoring: Watch
for bullying/peer pressure.
- Parent
Involvement: Workshops on monitoring children, open
communication.
4.5.4 If You Suspect a Problem
- Talk
privately – show concern, not accusation.
- Listen –
"I've noticed you seem tired lately. Want to talk?"
- Inform
school counselor/principal.
- Contact
parents carefully – focus on child's well-being.
- Never
punish publicly – it increases shame and hiding.
4.6 ADDRESSING COMMON MYTHS (FOR OLDER CHILDREN)
Myth 1: "Smoking helps with stress."
Fact: It creates more stress—addiction, health worries, expense.
Myth 2: "Drinking makes you
brave/confident."
Fact: Alcohol reduces judgment; real confidence comes from skills
and self-respect.
Myth 3: "Everyone does it."
Fact: In Punjab, many youth choose sports, studies, arts over
substances.
Myth 4: "Chewing gutka is harmless."
Fact: It causes mouth cancer, stains teeth, and is addictive.
4.7 RESOURCES & SUPPORT
In Punjab:
- Drug
De-addiction Centers (Government & NGOs)
- Helplines: Childline
(1098), Police helpline
- School
Counseling Services (if available)
Role of Teacher: Keep a list of local resources;
know where to refer a family in need.
EXERCISE – Suggested Answers
1. What do you mean by Drug? Discuss their bad effects on
the body.
Introduction:
A drug is any chemical substance that alters the physical or mental functioning
of the body when consumed. While some drugs are medicinal, this question refers
to psychoactive substances abused for non-medical purposes.
Definition & Meaning:
According to WHO, a drug is any substance that, when taken into the living
organism, may modify one or more of its functions. In the context of abuse,
drugs refer to substances like tobacco, alcohol, cannabis, heroin, etc.,
consumed to experience intoxication, pleasure, or escape from reality.
Bad Effects on the Body:
A. Physical Effects:
- Brain
Damage: Impairs memory, concentration, decision-making.
- Heart
& Lungs: Smoking causes lung cancer, heart attacks; alcohol
weakens heart muscle.
- Liver
& Kidneys: Alcohol and drugs destroy liver cells (cirrhosis)
and kidney function.
- Weakened
Immunity: More infections, slow healing.
- Appearance: Skin
problems, bad breath, yellow teeth, weight loss/gain.
B. Mental/Emotional Effects:
- Addiction: Loss
of control, compulsive need for the substance.
- Mental
Illness: Depression, anxiety, paranoia, psychosis.
- Personality
Change: Aggression, irritability, apathy.
C. Social Effects:
- Family
Problems: Conflicts, financial strain, neglect.
- Education/Employment
Loss: Poor performance, absenteeism, dropout.
- Crime: Theft,
violence, illegal activities to fund addiction.
- Accidents: Under
influence, causing harm to self/others.
Conclusion:
Drug abuse devastates every aspect of life—physical, mental, social, and
economic. For children, even indirect exposure (via family) affects safety and
development, making teacher awareness crucial for early intervention and
prevention education.
2. What are the bad effects of Alcohol? Write in detail.
Introduction:
Alcohol, though socially accepted in many circles, is a depressant drug with
wide-ranging harmful effects when consumed excessively or regularly.
Bad Effects of Alcohol:
A. Physical Health Effects:
- Liver
Damage: Fatty liver, alcoholic hepatitis, cirrhosis (scarring),
liver failure.
- Heart
Disease: High blood pressure, irregular heartbeat, cardiomyopathy
(stretched heart muscle).
- Digestive
Problems: Gastritis, ulcers, pancreatitis.
- Cancer: Mouth,
throat, esophagus, liver, breast cancer.
- Brain
Damage: Shrinks brain tissue, memory loss, Wernicke-Korsakoff
syndrome.
- Weakened
Immunity: Susceptibility to tuberculosis, pneumonia.
B. Mental & Behavioral Effects:
- Addiction
(Alcoholism): Inability to control drinking despite negative
consequences.
- Mental
Disorders: Depression, anxiety, increased suicide risk.
- Impaired
Judgment: Risky behaviors (unprotected sex, violence, accidents).
- Blackouts: Memory
gaps during drinking episodes.
C. Social & Economic Effects:
- Family
Breakdown: Domestic violence, marital conflict, child
neglect/abuse.
- Financial
Loss: Spending on alcohol instead of basic needs, education.
- Work/School: Poor
performance, absenteeism, job loss, dropout.
- Social
Harm: Drunk driving accidents, public disorder, crime.
D. Effects on Children in Alcoholic Families:
- Emotional
Trauma: Fear, insecurity, shame.
- Role
Reversal: Child becomes caretaker.
- Poor
Academic Performance: Lack of support, stress.
- Increased
Risk: Becoming alcoholics themselves.
Conclusion:
Alcohol's harm extends far beyond the drinker, damaging families and
communities. In Punjab, where alcohol consumption is prevalent, teachers must
educate children about its risks and promote healthy coping mechanisms and
alternatives.
3. What are the bad effects of Smoking?
Introduction:
Smoking, primarily through cigarettes, bidis, or hookah, and tobacco use via
chewing (gutka, pan masala) are among the leading preventable causes of death
and disease worldwide.
Bad Effects of Smoking:
A. Health Effects on the Smoker:
- Cancer: Lung,
mouth, throat, esophagus, pancreas, bladder, cervix.
- Lung
Diseases: Chronic bronchitis, emphysema, COPD (chronic
obstructive pulmonary disease), asthma.
- Heart
& Circulation: Coronary heart disease, heart attacks, stroke,
peripheral artery disease (poor blood flow to limbs).
- Reproductive
Harm: Infertility, impotence, pregnancy complications
(miscarriage, premature birth, low birth weight).
- Other
Organs: Stomach ulcers, tooth loss, gum disease, vision loss
(cataracts, macular degeneration).
- Weakened
Body: Reduced immunity, slower healing, osteoporosis.
B. Immediate Effects (Noticeable Early):
- Bad
breath, yellow teeth, stained fingers.
- Chronic
cough, shortness of breath.
- Reduced
fitness, fatigue.
- Poor
sense of taste and smell.
C. Effects on Others (Second-hand & Third-hand
Smoke):
- Family
Members: Increased risk of lung cancer, heart disease.
- Children: More
ear infections, asthma attacks, respiratory infections, Sudden Infant
Death Syndrome (SIDS).
- Pregnant
Women: Harm to fetus.
- Third-hand
Smoke: Residue on clothes/furniture harms infants who crawl and
touch surfaces.
D. Social & Economic Effects:
- Financial
Drain: Money spent on tobacco instead of food, education.
- Social
Isolation: Smell, health concerns limit social interaction.
- Work/School: Decreased
productivity, increased sick days.
- Fire
Hazards: Cigarettes cause house fires.
E. Specific to Smokeless Tobacco (Gutka, Pan Masala):
- Oral
cancer, leukoplakia (white mouth patches).
- Tooth
decay, gum recession.
- Addiction
to nicotine.
Conclusion:
Smoking and tobacco use offer no benefits—only addiction and disease. For
teachers in Punjab, where tobacco use is culturally embedded in forms like
hookah and gutka, educating children from a young age about its dangers is a
critical public health responsibility. Empowering students to refuse their
first puff can save a life.