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Spit: Tobacco

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Spit: Tobacco s Deadliest Little Secret Niki Sue Mueller Program Director Wyoming Through With Chew www.throughwithchew.com What is Spit (Smokeless) Tobacco? – PowerPoint PPT presentation

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Title: Spit: Tobacco


1
Spit Tobaccos Deadliest Little Secret
  • Niki Sue Mueller
  • Program Director
  • Wyoming Through With Chew
  • www.throughwithchew.com

2
What is Spit (Smokeless) Tobacco?
  • Snuff is finely ground or shredded tobacco.
    Typically, the user places a pinch or dip between
    the cheek and gum
  • Chewing tobacco is available in loose leaf and
    plug with the user putting a wad of tobacco
    inside the cheek
  • Smokeless is not harmless!

3
What is in Spit Tobacco?
  • contains 28 carcinogens
  • The most harmful are the tobacco-specific
    nitrosamines (TSNAs) that are formed during the
    growing, curing, fermenting, and aging of
    tobacco.
  • cancer-causing substances include N-nitrosamine
    acids, volatile N-nitrosamines, benzo(a)pyrene,
    volatile aldehydes, formaldehyde, acetaldehyde,
    crotonaldehyde, hydrazine, arsenic, nickel,
    cadmium, benzopyrene, and polonium210.
    (NCI-2003)

4
Health Effects
  • Spit Tobacco users are 50 times more likely to
    get oral cancer than non-users
  • Spit tobacco use may cause cancer of the
    esophagus, larynx, stomach and pancreas and can
    form within five years of regular use
  • Leukoplakia is a white, leathery patch which
    forms in the mouth and is considered a
    pre-cancerous lesion
  • (S.T.O.P Guide, 1997 Hatsukami, D. Seversen,
    Nicotine and Tobacco Research, 1999)

5
Big Tobacco Enters Smokeless Market
  • PM USA is test marketing a smoke-free and
    spit-free tobacco pouch product, called Taboka,
    designed especially for adult smokers interested
    in smokeless tobacco alternatives to smoking
  • Camel Snus, the first smokeless-tobacco product
    to be rolled out by a major U.S. tobacco company

6
Harm Reduction Strategy
  • Harm reduction is a term used by the tobacco
    industry referring to a strategy that encourages
    tobacco users who cannot or will not quit smoking
    to switch to an alternative nicotine-delivery
    product that is potentially less harmful than
    their regular product,
  • (Robins R, ed. The Seduction of Harm
    Reduction Proceedings from the September 2004
    Summit. Sacramento, CA Department of Health
    Services 2005)

7
U.S. Smokeless Tobaccos Graduation Strategy
  • UST document exhibited in the Marsee vs. UST
    lawsuit in 1986
  • All roads lead to Copenhagen

8
Graduation Strategy
  • 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.


9
Graduation PartyUST Sponsors College Parties
10
Industry Quotes
  • Moist smokeless tobacco is the only growing
    segment of the tobacco industry from the UST
    website
  • Cherry Skoal is for somebody who likes the taste
    of candy, if you know what I am saying. Quoted
    in Wall Street Journal article on USTs marketing
    strategies by a former UST sales representative,
    Bob Deets

11
USTs Use Of Heroes To Promote ST
12
Promoting Use of ST On Airplanes
13
Rodeo and Football Were Used to Promote Spit
Tobacco in Advertising
  • Walt Garrison was a pro football player in the
    early 70s
  • Early association of alternative to smoking
    promotions

14
UST Capitalizing on Smoke Free Environments
15
ST Sent to Soldiers
16
  • CHICAGO, October 16, 2006Rates of spit tobacco
    use by high school males are nothing to smile
    about, reports Oral Health Americas National
    Spit Tobacco Education Program (NSTEP). Research
    by the independent group finds that nationally
    about one out of seven high school males
    currently use spit (or smokeless) tobacco
    products, and in some states that number is one
    out of four. Spit tobacco excise taxes, which
    can reduce use by children, are arguably low,
    also resulting in a national D grade.
  • Male HS use Kansas D
  • Excise tax Kansas F

17
Kansas Use Rates
  • Male High School Use Rate 17.4
  • Female High School Use Rate 3.8
  • Tobacco Industry Advertising in Kansas per year
    125.9 million dollars

18
Why Tax Matters
  • Increasing tax is the single best way to reduce
    tobacco use
  • Most effective is to base tax on price, not
    weight
  • UST has been effective in 8 states to get a
    weight based tax

19
Goal of Comprehensive Tobacco Control Programs
  • is to reduce disease, disability and death
    related to tobacco use by
  • Preventing initiation among youth
  • Promote quitting
  • Identifying and eliminating the disparities
    related to tobacco use and its effects among
    different population groups
  • Eliminating nonsmokers exposure to ETS

20
CDC Guidelines
  • Nine main guidelines
  • Recommends states establish programs that are
    comprehensive, sustainable and accountable
  • Evidence based
  • www.cdc.gov

21
Wyoming Through With Chews Comprehensive Approach
  • Building partnerships
  • Promote cessation
  • Media advocacy
  • Counter advertising
  • Prevent youth initiation
  • Educate the public
  • Policy change

22
Building Partnerships
  • Health care providers
  • State organizations
  • Decision makers
  • Employers/workplace
  • Faith based Communities
  • Native American populations

23
Promote Cessation
  • Know your state protocol
  • Use all possible
  • opportunities to
  • promote cessation

24
Increase Awareness
  • Participate in Through With Chew Week
  • Counter advertising
  • Media advocacy
  • Educate why price matters
  • Health effects
  • Changing social norms
  • Get on the agenda at statewide conferences

25
Counter Advertising
26
No Bull Poster
27
Save The Date!February 17-23, 2008
28
Policy Change Opportunities
  • Brief intervention among health care providers
  • Tobacco free workplaces
  • Tobacco free schools
  • Tobacco free community events
  • Reducing tobacco advertising and sponsorship

29
Business Toolkit
30
Native American Populations
  • Design materials so that they are culturally
    appropriate
  • Work with Native American communities to
    determine their specific needs

31
In Summary
  • A comprehensive approach is the best way to
    reduce use rates
  • Work to allocate funds to smokeless tobacco
    programming through statewide Department of
    Health
  • Local communities may have to work to educate on
    their specific spit tobacco challenges

32
Contact Info
  • Visit
  • www.throughwithchew.com
  • Contact
  • nikisue_at_throughwithchew.com

33
National Spit Tobacco Summit
  • You are invited!
  • March 4-6 2008 in Oklahoma City, OK
  • Presentations from national experts
  • We can make a difference!
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