spit: tobacco’s deadliest little secret niki sue mueller program director wyoming through with...
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Spit: Tobacco’s Deadliest Little Secret
Niki Sue MuellerProgram Director
Wyoming Through With Chewwww.throughwithchew.com
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What 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!
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What 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 polonium–210. (NCI-2003)
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Health 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)
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Big 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
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Harm 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)
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U.S. Smokeless Tobacco’s “Graduation Strategy”
UST document exhibited in the Marsee vs. UST lawsuit in 1986
All roads lead to Copenhagen
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“Graduation 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.”
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“Graduation Party”UST Sponsors College Parties
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Industry 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 UST’s marketing strategies by a former UST sales representative, Bob Deets
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UST’s Use Of Heroes To Promote ST
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Promoting Use of ST On Airplanes
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Rodeo and Football Were Used to Promote Spit Tobacco in
AdvertisingWalt Garrison was a pro football player in the early 70’sEarly association of alternative to smoking promotions
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UST Capitalizing on “Smoke Free Environments”
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ST Sent to Soldiers
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CHICAGO, October 16, 2006—Rates of spit tobacco use by high school males are nothing to smile about, reports Oral Health America’s 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”
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Kansas 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
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Why 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
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Goal 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
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CDC Guidelines
Nine main guidelines
Recommends states establish programs that are comprehensive, sustainable and accountable
Evidence based
www.cdc.gov
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Wyoming Through With Chew’s Comprehensive
Approach
Building partnerships
Promote cessation
Media advocacy
Counter advertising
Prevent youth initiation
Educate the public
Policy change
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Building Partnerships
Health care providers
State organizations
Decision makers
Employers/workplace
Faith based Communities
Native American populations
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Promote Cessation
Know your state protocol
Use all possible
opportunities to
promote cessation
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Increase 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
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Counter Advertising
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No Bull Poster
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Save The Date!February 17-23, 2008
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Policy Change Opportunities
Brief intervention among health care providersTobacco free workplacesTobacco free schoolsTobacco free community eventsReducing tobacco advertising and sponsorship
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Business Toolkit
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Native American Populations
Design materials so that they are culturally appropriate
Work with Native American communities to determine their specific needs
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In Summary
A comprehensive approach is the best way to reduce use ratesWork to allocate funds to smokeless tobacco programming through statewide Department of HealthLocal communities may have to work to educate on their specific spit tobacco challenges
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Contact Info
Visit:
www.throughwithchew.com
Contact:
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National Spit Tobacco Summit
•You are invited!•March 4-6 2008 in Oklahoma City, OK•Presentations from national experts•We can make a difference!