Hey, c’mon now .

Hey, c’mon now . . .Hey, c’mon now . . .

Just Spit it OUT !Just Spit it OUT !

Facts About Spit TobaccoFacts About Spit Tobacco

Use is rising among young males Smokeless (spit) tobacco is marketed to

young people through sports and athletic events

Spit tobacco causes disease, including mouth cancer and nicotine addiction

Users can successfully quit

What is SPIT TOBACCO?What is SPIT TOBACCO?

Loose leaf chewing tobacco Plug chewing tobacco Dry snuff Moist snuff Fine cut tobacco

Who Uses Spit Tobacco?Who Uses Spit Tobacco?Smokeless Tobacco Use in US Males

12.7

5.6

2.2

8.4

0

5

10

15

1970 1991Campaign for Tobacco-free Kids

%

65+

18-24

age

Who Uses Spit Tobacco?Who Uses Spit Tobacco? About 16% of high school males in

Missouri use spit tobacco (about 2% of high school females)

4.6% of middle school students in MO

Why Spit Tobacco Use Why Spit Tobacco Use is Increasingis Increasing Increased smoking restriction in schools

and public places, including worksite Positive macho image of spit tobacco use

in advertising campaigns Introduction of milder and sweeter brands The suggestion that spit tobacco improves

overall athletic performance

How They Hook YouHow They Hook You

Positive image

Graduation method

Advertising

Spitters Make

Better Hitters


Yeah, a real major league

role model


Joe Garagiola

National Spokesperson

National Spit Tobacco Education Program

Garth Brooks PSA at

Nat’l Western Stock Show

Counter Measure in Sports

How They Hook YouHow They Hook YouThe following is what a representative of US Tobacco (the leading manufacturer of smokeless tobacco products) said about one of its spit tobacco brands:

“Cherry Skoal is for somebody who likes the taste of candy, if you know what I’m saying.”

How They Hook YouHow They Hook You“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”)

Spit Tobacco Spit Tobacco Graduation TheoryGraduation Theory

G ra dua tion T heory--B egin a t the bottom of the cha rt

S koa l B an d itsW in te rg reen

S koa l B an d itsM in t

H ap p y D aysM in t L on g C u t

S koa l L on g C u tW in te rg reen

S koa l L on g C u tM in t

S koa lW in te rg reen

S koa l B an d itsS w eet

H ap p y D aysS w eet L on g C u t

S koa l L on g C u tS w eet

S koa l B an d itsN a tu ra l

H ap p y D aysN atu ra l L on g C u t

S koa l L on g C u tN atu ra l

S koa lN a tu ra l

C op en h ag en

Methods of Marketing Methods of Marketing Spit Tobacco to YouthSpit Tobacco to Youth Techniques that appeal to the “individual,”

“risk taker,” “macho man,” and “rugged” Offer “free” gifts Educate youth on how to use the product Offer gear and coupons Advertise spit tobacco as a safe alternative

to smoking

Methods of Marketing Methods of Marketing Spit Tobacco to YouthSpit Tobacco to Youth

“Macho” man image Outdoors--fishing,

hunting Rodeos Car Racing Use it when you can’t

smoke

Methods of Marketing Methods of Marketing Spit Tobacco to YouthSpit Tobacco to Youth

Location

Location

Location

ChemicalsChemicals in Spit Tobaccoin Spit TobaccoDo You Really Want to Put These in Your Mouth?Do You Really Want to Put These in Your Mouth?

Cadmium (car batteries) Polonium 210 (nuclear waste) Lead (decreased IQ in children

nervous system damage) Formaldehyde (embalming fluid) Arsenic (rat poison) Cyanide (used in the gas chamber) Nitrosamines (potent cancer-causing

agents)

Chemicals in Spit TobaccoChemicals in Spit Tobaccocon’t.con’t.

Nickel Nicotine Pesticides Acetaldehyde Benzopyrene (cancer-causing) Hydrazine Uranium 235 and 238 Over 30 metals

Chemicals in Spit TobaccoChemicals in Spit Tobaccocon’t.con’t.

Some smokeless tobacco products contain fiberglass and sand

That’s right, fiberglass and sand to cut the gums and mouth and ensure that users absorb more nicotine and other harmful chemicals into their bloodstream– as quickly as possible

The Real StoryThe Real Story

Brands Nicotine per gm of snuff

% US Market

CopenhagenSkoal fine cutKodiak

10.9 – 12 mg 92%

Skoal BanditsHawken

10.1 mg 3.2 mg 3%

Health Consequences of Health Consequences of Nicotine ExposureNicotine Exposure Increased heart rate Stroke High blood pressure Delayed wound healing Peptic ulcer disease Low birth weight babies and other

reproductive disorders

Oral Health Effects of Spit Oral Health Effects of Spit Tobacco UsageTobacco Usage Stained teeth

Rough patches in the mouth (leukoplakia)

Bad breath (halitosis)

Receding gum line

Oral cancer

Are You Hooked on Chew?Are You Hooked on Chew?

You have switched to a stronger brand You can’t go more than a few hours

without it You have strong cravings when you try to

quit You reach for a dip first thing in the

morning

Not A Safe AlternativeNot A Safe Alternative

Spit tobacco is just as addictive as smoking

Spit tobacco use is deadly Spit tobacco causes

bad breath, gum disease, tooth decay

Spit tobacco has many of the same poisons




At age 12, Sean Marcey started using spit tobacco

At age 19, he was DEAD A victim of oral cancer A victim of tobacco.

At age 18, he was diagnosed with tongue cancer


The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery

National Spit Tobacco

Education Program


Nicotine addiction can be hard to beat,

but establishing a quitting process can help.


Step 1:

Decide to Quit and Make a List of Reasons Why


Step 2:

Set a Date


Step 3

See a Health Care Provider


Step 4

Taper Off and Change Your Routine


Step 5

Build A Support Team


Step 6

Your Quit Day


Step 7

Staying Off Spit Tobacco


During the toughest moments of withdrawal and temptation,

try methods that are “DEAR”

The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery DEAR

– Delay: If you can wait another 30 minutes before taking a dip, or if you can put dipping out of your mind by doing something else and thinking positive thoughts, - - the urge may pass - -


Escape: When feeling irritable from nicotine withdrawal and presented with a confrontation,

consider walking away from the source and doing something else for a minute or two


Avoid: Stay away from situations where the temptation to use is high until you are confident you can remain tobacco-free. If you can't avoid these high risk situations, then plan ahead what you will do instead of dipping so that you will be able to resist the temptation to use.


Reward: Give yourself a reward (other than dipping!) every day you stay tobacco free.

Additional Information SourcesAdditional Information SourcesNational Center for Tobacco-Free Kids1400 Eye StreetSuite 1200Washington DC 20005

Tel: 202-296-5469 Fax: 202-296-5427 www.tobaccofreekids.org

American Legacy Foundation1001 G Street, NW, Suite 800Washington, DC 20001

202-454-5555 phone202-454-5599 fax www.americanlegacy.org

Additional Information SourcesAdditional Information SourcesOral Health AmericaOral Health America410 North Michigan Avenue 410 North Michigan Avenue Suite 352Suite 352Chicago, Illinois 60611-4211Chicago, Illinois 60611-4211

Tel.: (312) 836-9900Tel.: (312) 836-9900Fax: (312) 836-9986Fax: (312) 836-9986www.oralhealthamerica.orgwww.oralhealthamerica.orgwww.nstep.org www.nstep.org

Oral Cancer Foundation3419 Via Lido #205Newport Beach CA 92663Tel: 949-646-8000Fax: 949-376-1499www.oralcancerfoundation.org/

Additional Information SourcesAdditional Information Sources800 / ACS - 2345

www.cancer.org

888 / 842-6355

www.cdc.gov/tobacco

800 - 4 - CANCER

www.cis.nci.nih.gov

– Bureau of Health Promotion (tobacco control) 573-522-2820 [email protected]

– Bureau of Cancer Control 573-522-2841 [email protected]

– Oral Health Policy Unit 573-751-6247 [email protected]

Missouri Dept of Health & Senior Services P O Box 570 Jefferson City MO 65102-0570

Documents

Hey, c’mon now .