1. Smokeless
Tobacco 101

2. Smokeless tobacco is just that…tobacco products that are not smoked.

3. SNUS.
Snus is tobacco in a bag, like a tea bag. You put the bag in your mouth just like regular dip, but this form of tobacco, snus is spitless. Thus it allows for the nicotine fix without spitting… it allows for one to further their addiction to nicotine.

4. ORBS
Look at the packaging of this product, it almost looks like candy. To a young child this is a potential killer.
In addition, a survey released in May by the Virginia Foundation for Healthy Youth found that one out of three teens surveyed incorrectly identified flavored tobacco as candy. Almost 40 percent of people younger than 18 surveyed identified Camel Orbs Fresh as mints or candy based on its packaging, and among respondents who did not currently use tobacco, 27 percent said they would try Orbs based on the packaging.
(from

5. DISSOLVABLE STICKS
Another product that might be marketed toward youth. Any tobacco product with flavor is appealing to youth. Again a potential life threatening hazard to infants, young children and pets in the home.

6. DISSOLVABLE STRIPS
Another example of a dissolvable new tobacco product. These are like the breath strips that simple dissolve on the tongue.
All of the dissolvable nicotine products are designed so users can get their nicotine fix where they can’t smoke. There are up to 40 milligrams of nicotine in a cigarette, most of which burns off so the smoker only gets a few gram of nicotine. One pure drop of nicotine placed on the tongue of an adult would kill them… it’s that toxic, it’s that deadly.

7. E-cigarettes:
E-cigarettes have gained in popularity in the U.S. over the last few years. There is no tobacco in an e-cigarette, however there is nicotine which we all know is the addictive substance in tobacco products. E-cigarette nicotine solution comes in over 90 different flavors and there are those who believe that is to attract youth to the product.
The e-cigarette companies claim that the vapor produced from the e-cigs is just water vapor, but it has been proven that the vapor contains at least 10 toxic chemicals also present in cigarette smoke. The toxic chemicals include acetaldehyde, cadmium, lead, nickel, isoprene, toluene, nitrosonicotine, benzene, formaldehyde and nicotine…chemicals that cause cancer and birth defects.
E-cigarettes have not been out long enough to do long term studies on the health effects of vapers and from the sidestream vap.

8. Spit tobacco…
There is no safe form of commercial tobacco use due to the chemicals and additives that Big Tobacco puts into their products. Chewing tobacco and snuff contain higher levels of nicotine than cigarettes making it harder to quit than cigarettes. A tin of snuff delivers more nicotine than 60 cigarettes.
8-10 dips is equivalent to smoking cigarettes!

9. Why start? Role models Peer pressure Family To Look Older
Big Tobacco’s newest products…Since most states now have some form of law banning smoking indoors, like Arizona has the Smoke Free Arizona Act, the tobacco companies have had to come out with new products that could be used indoors in order keep people addicted to nicotine.
You see what the tobacco companies really sell is nicotine addiction. Every product they sell contains nicotine which is the addictive substance in tobacco products.
(Advance slide for “Why start?”)
Why start?
Role models
Peer pressure
Family
To Look Older
Tobacco Company Marketing

10. Why start? Big Tobacco Quotes
Role models
Peer pressure
Family
To Look Older
Tobacco Company Marketing
Big Tobacco Quotes
“Young adult smokers are the only source of replacement.”
- Phillip Morris
“It’s a well known fact that teenagers like sweet products.”
- Brown & Williamson
“Cherry Skoal is for someone who likes the taste
of candy, if you know what I mean.”
- US Smokeless Tobacco Co.

11. Flavors of Spit Tobacco:
Golden Blend
Straight
Select
Silver
Icy Mint
Menthol
Berry Blend
Citrus Blend
Frost
Key
Peach Blend
Vanilla Blend
Apple Blend
Spearmint
Sportsman Blend
Flavors of Spit Tobacco:
Wintergreen
Cinnamon
Classic
Cherry
Natural
Peach
Grape
Apple
Black
Mint
Ice
(This goes for a little comedy. The idea being the flavors pop up faster and faster until they’re all listed at the end.)
Here are 26 different flavors of spit tobacco, and there are different flavors of other smokeless products as well. The flavoring of tobacco products definitely appeals to younger and first time users.

12. (Used in car batteries)
Many of the same ingredients and chemicals are in both cigarettes and smokeless tobacco. Just because there is 28 carcinogens rather than 69, doesn’t make smokeless tobacco any safer. On the contrary…
As mentioned, there are over 3000 chemicals in smokeless tobacco, and 28 of those cause cancer. Nicotine, the addictive substance in tobacco products, is a carcinogen. So chemicals get into tobacco products in one of three ways. They are either in the tobacco plant naturally, the are in the fertilizers used by the tobacco farmers or they are added by the tobacco companies.
POLONIUM 210
(Nuclear Waste)
CADMIUM
(Used in car batteries)
HYDRAZINE
(Toxic Chemical)
SALT & SUGAR
NAME
YOUR
POISON
FORMALDEHYDE
(Embalming Fluid)
URANIUM 235
(Used in Nuclear Weapons)
ARSENIC
(Rat Poison)
ABRASIVES
500 Ingredients
28 are CANCER CAUSING!

13. Effects on the mouth Bad breath Tooth decay Hairy Tongue
Tooth discoloration
Smokeless tobacco, especially snuff and leaf chewing tobacco, are extremely harmful to the mouth. Tooth discoloration and bad breath are about as good as it gets when discussing the risks.

14. Gum recession Tooth abrasion Leukoplakia
Leukoplakia is a white leathery patch that develops from the tobacco and its juices irritating the gums, tongue throat and lining of the mouth.
And receded gums never regrow, often leading to pain in the gums and teeth.

15. Cancer of the mouth (Cheek, Gums, Tongue, Lips
Other Health Effects
Stomach cancer
Cancer of the mouth (Cheek, Gums, Tongue, Lips
Pancreatic cancer
Linked to heart disease
(In case anyone questions “Sexual problems for men & women,” Mark offers… ) Decreased testosterone levels and is a vasoconstrictor. Lack of blood flow causes smaller softer erections. Decreases libido in both males and females and sexual satisfaction and desire go down the tubes even in younger people. Sperm production decreases and tobacco harms the ovaries in females and messes with their hormones.
Sexual problems for men & women
High blood pressure

16. Oral Cancer
Oral cancer is a devastating and disfiguring disease. The most effective way to remove oral cancer is to cut it out. Doctors usually cut some of the surrounding healthy tissue as well in hopes to get all the cancer and keep it from spreading.

17. Faces of Oral Cancer Rick Bender “The man without a face”
Rick Bender… At the age of 26 (March of 1989) he was diagnosed with cancer because of his use of Spit Tobacco. In April of 1989 he underwent the first of 4 major surgeries to remove the cancer. He lost 1/3 of his tongue, 1/2 of his jaw, 25% use of his right arm, as well as almost all his life and dreams of playing baseball. He is still fighting the effect of tobacco use today.
“The man
without a face”

18. Gruen Von Behrens “The face of tobacco”
Gruen Von Behrens… Started chewing at age 13 and dreamed of playing for the Chicago Cubs. Once a handsome young man who loved baseball and chasing girls, then at age 17 noticed a white spot on his lip. This picture is after 34 surgeries and thousands of treatments for his cancer. Gruen travels around the country speaking publically about his cancer and trying to get the message across to youth and adults that tobacco is not a safe product.

19. Tony Gwynn Before After
Hall of Famer Tony Gwynn, dubbed Mr. Padre, spent all 20 years of his MLB career with the San Diego Padres. His MLB stats include a .338 batting average, 3141 hits, 1138 RBI’s, 135 Homers and 543 doubles! One of the best and most consistent hitters all time in MLB. He was a 15 time All-Star, won 8 batting titles, 7 Silver Slugger awards, 5 Gold Gloves and entered the Hall of Fame in 2007.
Tony Gywnn died on June 16, 2014 of salivary gland (mouth) cancer at the age of 54. Tony Gwynn chewed tobacco and started every game in his career by putting a wad of tobacco in his mouth. Gwynn underwent several bouts of radiation and surgeries to remove tumors on both sides of his mouth.
Before
After
Tony Gwynn

20. Curt Schilling Before After
Arguably one of the best pitchers in the modern era, Curt played 20 years in MLB with 6 teams most notably the Philadelphia Phillies, Arizona Diamondbacks and Boston Red Socks making All-Star 6 times. Curt won 3 World Series Championships, including one with the Diamondbacks. He had 216 wins and 146 losses in his career with 3116 strike-outs.
Curt Schilling also dipped for 30 years, and he got oral cancer from it.
“I do believe without a doubt, unquestionably that chewing is what gave me cancer and I’m not going to sit up here from the pedestal and preach about chewing. I will say this: I dipped for about 30 years. It was an addictive habit. I can think of so many times in my life when it was so relaxing to just sit back and have a dip and do whatever, and I lost my sense of smell, my taste buds for the most part. I had gum issues, they bled, all this other stuff. None of it was enough to ever make me quit. The pain that I was in going through this treatment, the second or third day it was the only thing in my life that had me wish I could go back and never have dipped. Not once. It was so painful.”
Schilling lost 80 pounds during his radiation treatments… “This is my fault, I dipped for 30 years.”
Before
After
Curt Schilling

21. Sean Marsee (Advance slide to play video)
Sean, a standout track star and football player, started dipping when he was 12. Sean’s youngest brother Jason lives in Flagstaff and visits schools throughout Coconino County, talking about his brother’s story. This is a short clip of one of his talks.

22. (The video will play automatically
(The video will play automatically. Advance the slide once it’s finished.)

23. Nicotine it is considered more addictive than alcohol, cocaine, and heroin.

24. (Time for Gary’s interactive game.)

25. Need help quitting?
For more information on quitting tobacco or for assistance with ASHline call the Coconino County Public Health Services District at (928)