Smokeless or Spit Tobacco

This page was most recently updated on July 28, 2004. F.W. Grannis Jr. MD

I have a very limited knowledge concerning so called smokeless tobacco, including chewing tobacco and snuff. Fortunately there are a number of excellent web sites available that give information on these substances, the health risks associated with their use and help on how to kick the habit.

Perhaps the best place to start is with the tobacco industry itself. Although they never would have released this document, it had to be given to the court in a trial against the tobacco industry. It was discovered by Anne Landman. I will let her take over the discussion.

In this personal and confidential 1982 memo, a prominent and long-time Philip Morris scientist admits that the correlation between the use of smokeless tobacco and oral cancer is "quite strong." (Cullman was the president of PM)

Title: Biological Effects of Smokeless Tobacco Products

Type of Document: Inter-Office Memo (personal and confidential)

(Philip Morris)

From: T.S. Osdene

To: Mr. Hugh Cullman

Date: 19820408

http://www.stat.org/ Page Count: 1

Site: Philip Morris Document Site http://www.pmdocs.com/

Bates No.: 2001207640

URL: Quote: "In response to your request of March 19th, I have had a search made on the biological effects of smokeless tobacco which would include fine cut chewing tobacco, moist snuff and other related products.

As you will see from the attached paper, there are a number of untoward biological effects associated with these materials. I believe the correlation between use of these substances and oral cancer is quite strong."

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Information about risks and addiction from West Virginia =========================================================================

STAT has excellent information on spit tobacco. Visit http://www.stat.org/ and click on "Printable Fact Sheets". This will take you to a number of files with information on spit tobacco, cigars and bidis, as well as cigarettes.

Don Young tells his story of the painful consequences of spit tobacco on this web site. Young Choices

To follow up on the Bret Butler story, you might first start at this story of former baseball player Bill Tuttle

As an illustration of the problems of maintaining the links in this web page, each of the links below was an excellent web page linked to this page. Each of the links has become inoperative over time because the web page containing the HTML files has either been closed or moved. If anyone has information on the new addresses of these web pages, please let me know. ========================================================================================= INOPERATIVE LINKS: ==========================================================================

Still more information on this topic including input from Nolan Ryan

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The two best and most comprehensive web pages dealing with this topic are, surprisingly, written by high school students! Jack Kline and Brian Peters.

I was delighted to see such high quality research being produced by these outstanding young students.

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A brief statement of the risks of smokeless tobacco. Risks

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Some prevelance data from the state of West Virginia

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Smokeless tobacco has been proposed by some to be a safe way for people to get nicotine in an alternative way and help kick the cigarette habit. At this site, the National Cancer Institute explains why this is not a good idea.

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This view is echoed by the Hazeldon Report

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Some myths about smokeless tobacco are discussed by the Mayo Clinic.

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This is an outstanding general review of the topic from Penn State

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To get the dentist's perspective on smokeless tobacco try Dentist



Frederic W. Grannis Jr. M.D