Transcript Hey, c’mon now . . . Just Spit it OUT !

Hey, c’mon now . . .
Just Spit it OUT !
Facts About Spit Tobacco
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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?
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Loose leaf chewing tobacco
Plug chewing tobacco
Dry snuff
Moist snuff
Fine cut tobacco
Who Uses Spit Tobacco?
Smokeless Tobacco Use in US Males
15
12.7
10
8.4
%
age
65+
18-24
5.6
5
2.2
0
1970
1991
Campaign for Tobacco-free Kids
Who Uses Spit Tobacco?
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About 16% of high school males in
Missouri use spit tobacco
(about 2% of high school females)
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4.6% of middle
school students
in MO
Why Spit Tobacco Use
is Increasing
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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 You
Spitters
Make
Better
Hitters
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Positive image
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Graduation method
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Advertising
How They Hook You
Yeah, a real
major league
role model
How They Hook You
Counter Measure
in Sports
Joe Garagiola
National Spokesperson
National Spit Tobacco
Education Program
Garth Brooks PSA at
Nat’l Western Stock Show
How They Hook You
The 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 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
Graduation Theory
Graduation Theory--Begin at the bottom of the chart
Copenhagen
Skoal
Wintergreen
Skoal Long Cut
Wintergreen
Skoal Long Cut
Mint
Happy Days
Mint Long Cut
Skoal Bandits
Wintergreen
Skoal Bandits
Mint
Skoal
Natural
Skoal Long Cut
Sweet
Skoal Long Cut
Natural
Happy Days
Sweet Long Cut
Happy Days
Natural Long Cut
Skoal Bandits
Sweet
Skoal Bandits
Natural
Methods of Marketing
Spit Tobacco to Youth
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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
Spit Tobacco to Youth
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“Macho” man image
Outdoors--fishing,
hunting
Rodeos
Car Racing
Use it when you can’t
smoke
Methods of Marketing
Spit Tobacco to Youth
Location
Location
Location
Chemicals in Spit Tobacco
Do You Really Want to Put These in Your Mouth?
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Cadmium (car batteries)
Polonium 210 (nuclear waste)
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Lead (decreased IQ in children
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nervous system damage)
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Formaldehyde (embalming fluid)
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Arsenic (rat poison)
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Cyanide (used in the gas chamber)
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Nitrosamines (potent cancer-causing
agents)
Chemicals in Spit Tobacco
con’t.
Nickel
 Nicotine
 Pesticides
 Acetaldehyde
 Benzopyrene (cancer-causing)
 Hydrazine
 Uranium 235 and 238
 Over 30 metals
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Chemicals in Spit Tobacco
con’t.
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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 Story
Brands
Copenhagen
Skoal fine cut
Kodiak
Skoal Bandits
Hawken
Nicotine per
gm of snuff
% US
Market
10.9 – 12 mg
92%
10.1 mg
3.2 mg
3%
Health Consequences of
Nicotine Exposure
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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
Tobacco Usage
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Stained teeth
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Rough patches in the mouth (leukoplakia)
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Bad breath (halitosis)
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Receding gum line
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Oral cancer
Are You Hooked on Chew?
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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 Alternative
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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 Alternative
Not A Safe Alternative
Not A Safe Alternative
Not A Safe Alternative
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At age 12, Sean
Marcey started
using spit tobacco
At age 18, he was
diagnosed with
tongue cancer
At age 19, he was DEAD
A victim of oral cancer
A victim of tobacco.
The Cessation Process
7 Steps to Recovery
National
Spit Tobacco
Education
Program
The Cessation Process
7 Steps to Recovery
Nicotine addiction
can be hard to
beat,
but establishing a
quitting process
can help.
The Cessation Process
7 Steps to Recovery
Step 1:
Decide to Quit
and Make a List
of Reasons Why
The Cessation Process
7 Steps to Recovery
Step 2:
Set a Date
The Cessation Process
7 Steps to Recovery
Step 3
See a Health
Care Provider
The Cessation Process
7 Steps to Recovery
Step 4
Taper Off and
Change Your
Routine
The Cessation Process
7 Steps to Recovery
Step 5
Build A
Support
Team
The Cessation Process
7 Steps to Recovery
Step 6
Your
Quit
Day
The Cessation Process
7 Steps to Recovery
Step 7
Staying Off
Spit Tobacco
The Cessation Process
7 Steps to Recovery
During the toughest moments of
withdrawal and temptation,
try methods that are “DEAR”
The Cessation Process
7 Steps to Recovery
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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 Process
7 Steps to Recovery
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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 Process
7 Steps to Recovery
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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 Process
7 Steps to Recovery
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DEAR
Reward: Give yourself a reward
(other than dipping!) every day
you stay tobacco free.
Additional Information Sources
National Center for Tobacco-Free Kids
1400 Eye Street
Suite 1200
Washington DC 20005
Tel: 202-296-5469
Fax: 202-296-5427
www.tobaccofreekids.org
American Legacy Foundation
1001 G Street, NW, Suite 800
Washington, DC 20001
202-454-5555 phone
202-454-5599 fax
www.americanlegacy.org
Additional Information Sources
Oral Health America
410 North Michigan Avenue
Suite 352
Chicago, Illinois 60611-4211
Tel.: (312) 836-9900
Fax: (312) 836-9986
www.oralhealthamerica.org
www.nstep.org
Oral Cancer Foundation
3419 Via Lido #205
Newport Beach CA 92663
Tel: 949-646-8000
Fax: 949-376-1499
www.oralcancerfoundation.org/
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Additional Information Sources
800 / ACS - 2345
www.cancer.org
888 / 842-6355
www.cdc.gov/tobacco
800 - 4 - CANCER
www.cis.nci.nih.gov
Missouri Dept of Health & Senior Services
P O Box 570
Jefferson City MO 65102-0570
– 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]