1. Smokeless Tobacco

2. What is Smokeless? Chewing Tobacco Chew Spit Snuff Dip Snus Dissolvable **There is no safe form of tobacco

3. Smokeless Tobacco Products Chewing Tobacco  Available in loose leaf, plug, or twist that users place between their cheek and gum Snuff  Finely ground tobacco leaves packaged in tea bag-like pouches that users “pinch” or “dip” between their lower lip and gum

4. Smokeless Tobacco Products Snus  Spitless, teabag-sized pouch of moist snuff tobacco that is tucked inside the cheek  Place under the lip for about 30 minutes  Nicotine levels about twice those of nicotine replacement therapy  Increases the risk of cardiovascular disease, pancreatic cancer, and oral cancers

5. Dissolvable Tobacco Made of finely ground tobacco Orbs, Sticks, and Strips that melt in the mouth within 3 to 30 minutes Flavoring and packaging appeals to youth Easy for kids to use/hide

6. Smokeless Tobacco Sticks Finely-milled tobacco coated on a 2 ½ inch birch wood dowel 10 smokeless tobacco sticks per pack Intended to be merchandised in the moist smokeless tobacco category, behind the counter At retail in limited distribution at select stores in Kansas in March 2011 Rich Tobacco Sticks, Original Tobacco Sticks, Mint Tobacco Sticks and Smooth Mint Tobacco Sticks

7. Attracting Kids to Tobacco Use The new Camel dissolvables have a clear appeal to children. They look like candy, are flavored like candy, and are easily concealed so could be used easily by kids, even in school, without being detected.

8. What’s in it? Arsenic Ammonia Acetone Formaldehyde Cyanide Nicotine Tar

9. Nicotine Levels SOURCES: “Federal Trade Commission Tar, Nicotine, and Carbon Monoxide Report,” 2000; “Snus News and Other Tobacco Products,” November 22, 2008; Brandweek, “R.J. Reynolds Preps Dissolvable Tobacco,” 2008; American Cancer Society, “Smokeless Tobacco and How to Quit,” 2009; Daily Tech, “Study – E-Cigarettes Fail at Nicotine Delivery, No Better than Unlit Cigarette,” 2010.“Federal Trade Commission Tar, Nicotine, and Carbon Monoxide Report,” “Snus News and Other Tobacco Products,”“R.J. Reynolds Preps Dissolvable Tobacco,” “Smokeless Tobacco and How to Quit,” “Study – E-Cigarettes Fail at Nicotine Delivery, No Better than Unlit Cigarette,” PRODUCTAMOUNT OF NICOTINE CIGARETTE1 mg - 2 mg per cigarette SNUS6 mg - 8 mg per pouch NICOTINE LOZENGES and STICKS 0.6 mg – 3.1 mg each pellet or stick SNUFF & CHEW3.6 mg – 4.5 mg E-CIGARETTE0 – 16 mg per cartridge

10. Who Chews? Nearly 20% of high school boys and 2% of high school girls 12 th graders: 6.7% in in 2004 to 7.9% in 2012 10 th graders: 4.9% in 2004 to 6.6% in 2010 More than half who used smokeless tobacco in the past month also reported past month cigarette smoking

11. NOT A SUBSTITUTE FOR SMOKING According to the US Surgeon General: “The oral use of smokeless tobacco represents a significant health risk. It is not a safe substitute for smoking cigarettes. It can cause cancer and a number of non-cancerous oral conditions and can lead to nicotine addiction and dependence.”

12. Health Risks Contains 28 chemicals known to cause cancer. Increases the risk for cancer of the oral cavity, which can include cancer of the lip, tongue, cheeks, gums, and mouth. Other effects include oral leukoplakia (white mouth lesions that can become cancerous), gum disease, and gum recession. High risk of addiction. The amount of nicotine absorbed from smokeless tobacco is 3-4 times greater than that delivered by a cigarette.

13. Health Risks Bad breath and yellow teeth Mouth sores Cancer Bleeding and cracking of lips and gums Cavities Increased heart rate, high blood pressure, and irregular heartbeats  greater risk of heart attack and stroke Heart disease Precancerous mouth lesions

14. Smokeless Tobacco & Sports Long-standing association with sports – especially baseball, but now hockey too Chewing tobacco myth 75% of young athletes have tried chewing tobacco 50% of football, baseball, and hockey players are now regular users Tobacco-Free Sports Initiatives

15. Major League Baseball The 2012 MLB season has been the first ever to be played with restrictions on smokeless tobacco use by big-league players, managers and coaches  Cannot carry product in uniforms or any time fans are present  Banned from using smokeless tobacco during televised interviews

16. Tobacco Industry Trends Tobacco companies continue to produce and market new smokeless tobacco products to attract new users and keep smokers addicted. Smokeless tobacco has shifted from a product used primarily by older men to one used mostly by young boys. Increased use and marketing Offer products in mint flavors Camel Snus Campaign

17. Tobacco Industry Advertising & Political Influence Annual tobacco industry spending on marketing its products nationwide: $8.5 billion, that’s more than $23 million each day Annual tobacco industry contributions to federal candidates, political parties, and PACS: Over $2 million Tobacco industry expenditures lobbying Congress in 2010: $16.6 million

18. Public Health Concerns Products designed to be more socially acceptable than cigarettes Attractive to youth because they are easy to hide Tobacco industry targeting youth and young adults to get them hooked and keep them hooked for life

19. QUIT TODAY! If you or someone you know is ready to quit smoking, call 1-866-NEW-LUNG For FREE help