SMOKELESS DOES NOT

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SMOKELESS DOES NOT MEAN HARMLESS
Shane Reif
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WHAT IS SMOKELESS TOBACCO???The two main types
of smokeless tobacco in the United States are
chewing tobacco and snuff.

• Chewing tobacco comes in the form of loose leaf,
  plug, or twist.

• Snuff is finely ground tobacco that can be dry,
  moist, or in sachets (tea bag-like pouches).

BOTH FORMS ARE DANGEROUS!!
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Smokeless Tobacco manufacturers
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National Tobacco Co.
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Swisher International
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Swedish Match
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Conwood Company
Portland, OR
Austin, TX
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U S Smokeless Tobacco Co.
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New users of smokeless tobacco . . . are most
likely to begin with products that are milder
tasting, more flavored and/or easier to control
in the mouth. After a period of time, there is a
natural progression of product switching to
brands that are more full-bodied, less flavored,
have more concentrated tobacco taste than the
entry brand.
(UST document, The
Graduation Theory)
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The National Drug Strategy Network reports that
the most popular brands of spit tobacco in the
U.S. are the ones with the most nicotine per
gram. For nicotine to be absorbed into the
bloodstream, the tobacco must have a pH of over
7. 
Brand of snuff market Milligrams of nicotine per gram pH
Copenhagen 42 11.4 8.6
Original Fine Cut Skoal 20 10.4 7.6
Skoal Long Cut Cherry 3 11.4 7.5
Skoal Bandits Wintergreen 2 7.5 6.9
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Campaign for Tobacco-Free Kids
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Smokeless Tobacco
Spit Tobacco
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Holding an average-size dip in your mouth for 30
minutes gives you as much nicotine as smoking
three cigarettes. A 2-can-a-week snuff dipper
gets as much nicotine as a 1 ½ pack-a-day smoker
does.
National Institute of Dental and Craniofacial
Research
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Unburned tobacco contains nitrosamines, which are
known to cause cancer in laboratory animals.
Moist snuff contains nitrosamines up to 100 times
the lawful level permitted in regulated products
like bacon.
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A study of snuff carcinogenesis.Brunnemann KD,
Rivenson A, Adams JD, Hecht SS, Hoffmann
D.American Health Foundation, Naylor Dana
Institute for Disease Prevention, Valhalla, NY
10595
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Hydrazine (rocket propellant)
Cadmium (Used in car batteries)
Uranium 235 (used in nuclear weapons)
N-Nitrosamines (cancer causing agents)
Nicotine (addictive drug)
Acetaldehyde (irritant)
Polonium 210 (nuclear waste)
Benzopyrene (cancer-causing agent)
Formaldehyde (embalming fluid)
National Cancer Institute
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WHO CHEWS?

• In Kansas 17.4 of high school males use
  smokeless tobacco.
• White males are more likely to be smokeless
  tobacco users.
• Of the 12 to 14 million American users, one third
  are under age 21, and more than half of those
  developed the habit before they were 13.
• Peer pressure is just one of the reasons for
  starting the habit.

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Marketing to Youth
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Cherry Skoal is for somebody who likes the taste
of candy, if you know what I mean. Sales
representative for US Smokeless Tobacco Co.
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Social EffectsWhat Can Chewing Tobacco Do to Me?

• BAD BREATH
• YELLOWISH BROWN TEETH
• MOUTH SORES
• CRACKED AND BLEEDING LIPS
• LOSS OF TEETH
• SHRINKING GUMS
• HAIRY TONGUE

• The more immediate effects can disrupt your
  social life bad breath and yellowish-brown
  stains on your teeth. You'll also get mouth sores
  (about 70 of spit tobacco users have them). But,
  it gets a lot more serious than that.

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• OK, smokeless tobacco seems to be pretty
  disgusting
• But so what? You chew and spit it, not smoke it,
  so it can't be as bad as inhaling tobacco smoke
  into your lungs, right?

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WRONG
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Smokeless does not mean harmless
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Health Effects

• SMOKELESS TOBACCO CONTAINS 28 CANCER-CAUSING
  AGENTS. IT IS A KNOWN CAUSE OF HUMAN CANCER.
• ORAL CANCER MEANS CANCER OF THE MOUTH AND CAN
  OCCUR IN THE LIPS, THE TONGUE, THE FLOOR OF THE
  MOUTH, THE CHEEKS, OR GUMS.
• CHEWING TOBACCO DOESNT JUST CAUSE CANCER IN THE
  MOUTH. SOME OF THE CANCER-CAUSING AGENTS IN THE
  TOBACCO CAN GET INTO THE LINING OF YOUR STOMACH,
  YOUR ESOPHOGUS, AND INTO YOUR BLADDER.

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The risk of cancer of cheek and gums may increase
nearly 50-fold among long-term snuff
users. American Cancer Society
The five-year survival rate for white patients is
56 percent and for African American patients is
only 34 percent. Centers for Disease Control
and Prevention
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Very graphic pictures of cancers
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98 of guys who use chewing tobacco say their
male friends dont mind at all.
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Oddly enough there are no figures for how their
girlfriends feel about it.
Centers for Disease Control and Prevention
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WANT TO HELP SOMEONE YOU KNOW QUIT USING TOBACCO?

• The majority of tobacco users want to quit, but
  have been unable to do so.
• The 24-hour toll-free Kansas Tobacco Quitline
  provides screening, counseling, support materials
  and referral for tobacco cessation assistance
  based on individual's readiness to quit.
• For more information on quitting call the Kansas
  Tobacco Quitline at 1-866-KAN-STOP
  (1-866-526-7867).

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• Special counseling available for smokeless
  tobacco users.
• Special counseling available for people under the
  age of 18.
• Tell someone you know about the Kansas Tobacco
  Quitline Today!