Title: Spit: Tobacco
1Spit Tobaccos Deadliest Little Secret
- Niki Sue Mueller
- Program Director
- Wyoming Through With Chew
- www.throughwithchew.com
2What 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!
3What 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)
4Health 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)
5Big 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
6Harm 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)
7U.S. Smokeless Tobaccos Graduation Strategy
- UST document exhibited in the Marsee vs. UST
lawsuit in 1986 - All roads lead to Copenhagen
8Graduation 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. -
9Graduation PartyUST Sponsors College Parties
10Industry 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
11USTs Use Of Heroes To Promote ST
12Promoting Use of ST On Airplanes
13Rodeo 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
14UST Capitalizing on Smoke Free Environments
15ST 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
17Kansas 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
18Why 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
19Goal 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
20CDC Guidelines
- Nine main guidelines
- Recommends states establish programs that are
comprehensive, sustainable and accountable - Evidence based
- www.cdc.gov
21Wyoming Through With Chews Comprehensive Approach
- Building partnerships
- Promote cessation
- Media advocacy
- Counter advertising
- Prevent youth initiation
- Educate the public
- Policy change
22Building Partnerships
- Health care providers
- State organizations
- Decision makers
- Employers/workplace
- Faith based Communities
- Native American populations
23Promote Cessation
- Know your state protocol
- Use all possible
- opportunities to
- promote cessation
24Increase 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
25Counter Advertising
26No Bull Poster
27Save The Date!February 17-23, 2008
28Policy Change Opportunities
- Brief intervention among health care providers
- Tobacco free workplaces
- Tobacco free schools
- Tobacco free community events
- Reducing tobacco advertising and sponsorship
29Business Toolkit
30Native American Populations
- Design materials so that they are culturally
appropriate - Work with Native American communities to
determine their specific needs
31In 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
32Contact Info
- Visit
- www.throughwithchew.com
- Contact
- nikisue_at_throughwithchew.com
33National Spit Tobacco Summit
- You are invited!
- March 4-6 2008 in Oklahoma City, OK
- Presentations from national experts
- We can make a difference!