Putting smokeless tobacco in your
I don’t smoke. I just dip every now
mouth is every bit as dangerous as
and then. What is the harm?
SMOKELESS DOESN'T MEAN
Smokeless or spit tobacco
comes in several forms:
• snuff (moist and dry)
• loose leaf (chewing tobacco)
• plug (looks like a brownie)
• twist (looks like a twisted rope)
• snus (looks like a tiny pouch)
Tobacco 101: Module 8 3
So, what is in the stuff that makes Smokeless tobacco has harmful
it so bad? chemicals, too.
• Smokeless tobacco has more
than 28 chemical compounds
that are known to cause
• Just like cigarette smoking,
smokeless tobacco is
• Also like smoking, smokeless
tobacco is bad for the heart.
Tobacco 101: Module 8 4
That only happens to a few Did you know that most spit
people. What else can smokeless
tobacco do to me? tobacco users have mouth sores?
Spit tobacco users are
from four-to-seven times
more likely than nonusers
to get oral cancer.
Tobacco 101: Module 8 5
Slide 3: The Nemours Foundation. “Smokeless Tobacco,” accessed January 11, 2012,
– Centers for Disease Control and Prevention. 2011. “Fact Sheet: Smokeless Tobacco Facts.”
– North Carolina Health and Wellness Trust Fund, Tobacco Reality Unfiltered website. “Brush Up on Your Tobacco
Facts,” accessed January 11, 2012, http://www.realityunfiltered.com/TobaccoFacts.aspx
– North Carolina Health and Wellness Trust Fund. Tobacco Reality Unfiltered website. “TRU Stories,” accessed
January 10, 2012, http://www.healthwellnc.com/trustories/default.htm
Slide 5: North Carolina Health and Wellness Trust Fund. 2010. “North Carolina Spit/Smokeless Tobacco
Tobacco 101: Module 8 6
Slides 1 and 2: Photographs courtesy of iStockphoto.
Slide 3: Photographs courtesy of RTI International.
Slide 4: Photograph courtesy of North Carolina Health and Wellness Trust Fund.
Slide 5: Photograph courtesy of Centers for Disease Control and Prevention Public Health Image
Library (photographer Sol Silverman, Jr., DDS).
Photographs are used for illustrative purposes only, and any persons depicted are models.
Tobacco 101: Module 8 7
Prepared by Sterling Fulton-Smith, North Carolina Department of Health and
Human Services; Sandhya Joshi, RTI International; Caley Burrus, Duke
University; Ronny Bell, Maya Angelou Center for Health Equity; and Barri Burrus,