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
How They Hook YouHow They Hook You
Yeah, a real major league
role model
How They Hook YouHow They Hook You
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
Not A Safe AlternativeNot A Safe Alternative
Not A Safe AlternativeNot A Safe Alternative
Not A Safe AlternativeNot A Safe Alternative
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
Not A Safe AlternativeNot A Safe Alternative
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
National Spit Tobacco
Education Program
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Nicotine addiction can be hard to beat,
but establishing a quitting process can help.
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 1:
Decide to Quit and Make a List of Reasons Why
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 2:
Set a Date
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 3
See a Health Care Provider
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 4
Taper Off and Change Your Routine
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 5
Build A Support Team
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 6
Your Quit Day
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
Step 7
Staying Off Spit Tobacco
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery
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 - -
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery DEAR
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
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery DEAR
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.
The Cessation ProcessThe Cessation Process7 Steps to Recovery7 Steps to Recovery DEAR
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