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Smokeless Tobacco
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  MedlinePlus: Smokeless Tobacco http://www.nlm.nih.gov/medlineplus/smokelesstobacco.html
Resources from the U.S. National Library of Medicine.
  Smokeless Tobacco or Health http://cancercontrol.cancer.gov/tcrb/monographs/2/
Monograph from the National Cancer Institute. Epidemiology, clinical and pathological effects, carcinogenesis, nicotine effects and addiction, prevention, cessation, policy, and recommendations. All downloadable PDF files.
  National Spit Tobacco Education Program (NSTEP) http://www.nstep.org/
Educational program designed to reduce use of spit tobacco, especially among children. Grassroots efforts to build a nation-wide network of spit tobacco education and cessation resources.
  Smokeless Tobacco: Tips on How to Stop http://familydoctor.org/177.xml
Information from the American Academy of Family Physicians.
  Facts You Should Know About Smokeless (Spit) Tobacco http://www.health.gov.sk.ca/rr_smokeless_tobacco.html
Factsheet from Saskatchewan Health. Ingredients, effects, disease, addictive product, quit tips, prevention.
  Smokeless Tobacco Advertising and Promotional Expenditures and Revenues Up, According to FTC Report to Congress http://www.ftc.gov/reports/tobacco/smokeless98_99.htm
An all-time high of $170 million was spent advertising and promoting spit tobacco in 1999; FTC report breaks it down.
  Tobacco Intervention Network http://www.quittobacco.com/
Over 9,000 dentists, hygienists, cessation counselors, physicians, psychologists and other health professionals who want to help their patients quit the use of spit tobacco. How to quit spit tobacco, how health professionals can help their patients quit, news, and posters and videos on the subject.
  Spit Tobacco Prevention Network http://www.nospit.com/
Texas coalition working to eliminate spit tobacco use in the state.
  Tobacco Facts - Spit and Chew Tobacco http://www.tobaccofacts.org/tob_truth/spit.html
Factsheet on spit tobacco product, what's in it, and what it does to its customers, featuring the story of Rick Bender.
  Quit Smokeless Organization http://www.quitsmokeless.org/
When you're ready to quit, find the resources here that you need to kick the can. Info and support from people who've been there.
  Comments to FTC on Smokeless Tobacco http://www.ftc.gov/os/comments/tobaccocomments/
Collection of letters and documents submitted to the Federal Trade Commission regarding spit tobacco; covers policy questions, labelling, harm reduction, addiction, ingredients, and effects.
  Smokeless Tobacco Facts http://www1.umn.edu/perio/tobacco/smokeless.html
From the University of Minnesota Division of Periodontology. Short factsheet covers types of product; prevalence of use; industry advertising and promotion; effects of use; addiction.
  Spittin' Image http://sportsillustrated.cnn.com/inside_game/magazine/life_of_reilly/news/2002/03/13/life_of_reilly/
Column on spit tobacco in sports.
  ScienceDaily Magazine -- Use Of Smokeless Tobacco May Lead To Breast Cancer, Wake Forest Team Reports http://www.sciencedaily.com/releases/2000/05/000509003313.htm
Preliminary results suggest that using smokeless tobacco may dramatically increase the risk of breast cancer, Wake Forest University School of Medicine researchers reported.
  Spit Tobacco Advertising and Promotion Increasing http://www.ftc.gov/opa/2003/08/smokeless.htm
2003 FTC report finds that the spit tobacco industry has spent more promoting its product every year since 1987.
  Would a Switch from Cigarettes to Smokeless Tobacco Benefit Public Health? Yes http://www.acsh.org/healthissues/newsID.744/healthissue_detail.asp
Presents the case for recommending that smokers switch to smokeless tobacco products.
  Go Ask Alice!: Chewing tobacco risks http://www.goaskalice.columbia.edu/0750.html
Overview of plug, leaf, and snuff, and their effects.
  Skoal and Urban Cowboy http://www.sourcewatch.org/index.php?title=Skoal_Urban_Cowboy
A 1980 marketing report for Skoal provides an inside look at promotion of spit tobacco; in this report, U.S. Tobacco plans to link its brand to the popular 1980 movie "Urban Cowboy".
  Kids and Chew http://netnebraska.org/extras/statewide/pers/kidsandchew.html
Transcript of TV show on kids and spit tobacco in Nebraska explores why teens have been convinced that chew is a safe alternative to cigarettes.
  Obituary: anti-spit tobacco crusader Bill Tuttle http://tc.bmjjournals.com/cgi/content/full/7/4/443
Former major-league baseball player Bill Tuttle died in 1998 after a long battle with oral cancer. His life and death show what spit tobacco does to its customers, and how it's promoted by its manufacturers.
  Know the Dangers: Mouth Problems http://www.quitnet.com/library/guides/Beat_The_Habit/BTH_Danger.jtml
The warning signs of mouth cancer.
  A girl and her chew: one woman's story of spit tobacco use http://tc.bmjjournals.com/cgi/content/full/8/2/217
"I had my first chew just before my 17th birthday...I had been a smoker for over three years at that point...I did quit smoking eventually. Chew proved much harder for me to stop."
  Pharmacokinetics and pharmacodynamics of moist snuff in humans http://tc.bmjjournals.com/cgi/content/full/8/4/387
Article in scientific journal. Tested several brands of snuff. Measured results in human volunteers. "Large amounts of nicotine were delivered rapidly to the bloodstream".
  Chewing Tobacco Hampers Ability to Perform Complex Tasks http://www.sciencedaily.com/releases/1999/11/991117050042.htm
The nicotine in spit tobacco reduces an individual's ability to perform complex tasks that require hand and body movements to adjust to new visual feedback, according to new research.
  Spit Tobacco: Know the Score http://www.regionsix.com/Resource Library/Tobacco/Tobacco-Spit Tobacco-Know the Score.pdf
Fact sheet from the National Oral Information Clearinghouse (NOHIC).
  Would a Switch from Cigarettes to Smokeless Tobacco Benefit Public Health? No http://www.acsh.org/healthissues/newsID.745/healthissue_detail.asp
Presents the case against recommending that smokers switch to smokeless tobacco products.
  Baseball Star Bagwell Snuffs Out Spitting Tobacco http://www.usatoday.com/news/health/spotlight/2001-07-31-bagwell-tobacco.htm
Jeff Bagwell stops using spit tobacco after pre-cancerous lesions started appearing inside his cheek; story explains.
  Baseball's Bad Habit http://www.motherjones.com/news/outfront/1996/07/broydo.html
Magazine article on spit tobacco, its use in baseball, and how it's promoted.
  Carcinogens in 5 leading brands of snuff http://www.ncbi.nlm.nih.gov/pubmed/7494230?dopt=Abstract
Scientific paper measures levels of carcinogenic N-nitrosamines in 5 leading U.S. brands of moist snuff.
  Former Baseball Player Warns Arkansas Teens against "Smokeless" Tobacco http://www.uams.edu/today/2003/012303/tobacco.htm
Article about a program on "smokeless" tobacco.
  Native Women's Use of Smokeless Tobacco May Increase Risk of Breast Cancer http://www.oncolink.com/resources/article.cfm?c=3&s=8&ss=23&id=616
A study of Cherokee women in the U.S. showed the risk of breast cancer is nearly eight times that of women who do not use smokeless tobacco.
  Spit Tobacco: Does Smokeless Mean Harmless http://www.mayoclinic.com/invoke.cfm?objectid=BDFA0D03-F8D7-42B2-A8D23038227F0F3A&locID=
Mayo Clinic article explains why spit tobacco, also known as chew, snuff, or dip, causes addiction, disease, and death just like cigarettes and other tobacco products.
  Study Exposes Dangers of Snuff For Smokers to Quit http://www.ascribe.org/cgi-bin/spew4th.pl?ascribeid=20021024.133604&time=14%2054%20PDT&year=2002&public=1
As tobacco companies promote smokeless tobacco as a safer alternative to cigarettes, many smokers who take up snuff in an effort to quit instead end up using both products, warns a researcher. Furthermore, nonsmokers who use snuff are more likely than those who don't to eventually begin smoking.
  Expert Commentary: Dangers Of Chewing Tobacco http://www.intelihealth.com/IH/ihtIH/WSIHW000/21827/24753/184343.html?d=dmtICNNews
"Don't be fooled by the label 'smokeless'...the industry would love to have you believe that chewing tobacco and snuff are a safe alternative to cigarettes. In fact, what the medical professionals call 'spit tobacco' is just as addictive -- and just as likely to cause cancer and heart disease -- as cigarettes." The facts.

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