Monitoring Tobacco-Specific N-Nitrosamines and Nicotine in Novel Marlboro and Camel Smokeless Tobacco Products: Findings From Round 1 of the New Product Watch

Source: Abstract Introduction: Information on chemical composition of the new oral “spitless” smokeless tobacco products is scarce, and it is not clear whether there is some variability as a function of purchase place or time due to either unintended or intended manufacturing variations or other conditions. Methods: We analyzed tobacco-specific N-nitrosamines (TSNA) and nicotine in Marlboro Snus, Camel Snus, and dissolvable Camel products Orbs, Sticks, and Strips that were purchased in various regions of the country during the summer of 2010. Results: A total of 117 samples were received from different states representing six regions of the country. Levels of unprotonated nicotine in Marlboro Snus and Camel Snus varied significantly by regions, with the differences between the highest and the lowest average regional levels being relatively small in Marlboro Snus (∼1.3-fold) and large in Camel Snus (∼3-fold). Some regional variations in TSNA levels were also observed. Overall, Camel Snus had significantly higher TSNA levels than Marlboro Snus, and Camel Strips had the lowest TSNA levels among all novel products analyzed here. The amount of unprotonated nicotine in the dissolvable Camel products was comparable to the levels found in Marlboro Snus. Conclusions: Our study demonstrates some regional variations in the levels of nicotine and TSNA in Marlboro and Camel novel smokeless tobacco products. Continued monitoring of this category of products is needed as the existing products are being test marketed and modified, and new products are being introduced. This information is particularly important given its relevance to Food and Drug [...]

A tough one to chew on: smokeless tobacco and teens

Source: Medscape Today Author: Mary E. Muscari, PhD, CPNP, APRN-BC, CFNS Introduction One would think that the mere image of a bulgy cheek spewing brown, foul-smelling goo would be more than enough to turn anyone, especially appearance-conscious teens, off of using smokeless tobacco (ST). But then, these media-savvy adolescents probably have discovered snus, a smoke- and spit-free tobacco. According to a recent article in Reuters,[1] the use of ST is on the rise among US teens, reversing a downward trend in tobacco product use by adolescents. The Reuters article cites comments made by Terry Pechacek, PhD, Associate Director for Science, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), in a report to a US Congressional Panel. Among his comments is the suggestion that ST-using Major League Baseball® (MLB) players may be influencing young men to take up the cancer-causing habit. In his report, Dr. Pechacek noted that "the recent increases in ST use by adolescent boys and young adult men and the increasing dual use of cigarettes and ST products may portend a leveling off or even a reversal in the decline in smoking, the perpetuation of nicotine dependence, and continuing high levels of tobacco-related disease and death in the country."[2] Given this grim outlook, healthcare professionals need to kick up their fight against teen tobacco use by increasing their focus on smokeless forms of tobacco. Smokeless Tobacco ST (also known as spit, plug dip, chaw, rack, spits, grizz, [...]

2010-07-10T06:34:38-07:00July, 2010|Oral Cancer News|

Tobacco ‘mints’ tied to kids’ poisoning

Source: Author: JoNel Aleccia Smokeless, flavored tobacco products that look like candy and come in packages shaped like cell phones may be contributing to accidental poisonings in very young children, new research suggests. Nicotine-laced pellets, strips and sticks that dissolve completely in the user’s mouth — dubbed “tobacco candy” by critics — have joined chewing tobacco and snuff to become the second-most common cause of unintentional tobacco ingestion in kids younger than 6. Between 2006 and 2008, nearly 1,800 U.S. youngsters — almost 600 a year —accidentally consumed smokeless tobacco products, according to an analysis of 13,705 tobacco-related reports to the nation’s poison control centers. That’s a fraction of the nearly 3,600 poisonings a year that involved cigarettes and filter tips, but it worries authors of the new study published in the journal Pediatrics. "Novel smokeless tobacco products, including dissolvable, compressed tobacco products ... are now of major concern, with their discreet form, candy-like appearance and added flavorings that may be attractive to children," the authors write. Potential poisonings add to the growing list of worries from those who fear that tobacco makers thwarted by anti-smoking laws are trying to peddle their addictive products to a new generation of users. Tasty flavors and packaging that resembles Tic Tac mints could be a powerful draw to young users, critics say. “Our response has been one of dismay,” said Cathryn Cushing, a spokeswoman for the Oregon Tobacco Prevention & Education Program. Oregon is one of three states, along with Ohio and [...]

2010-04-19T11:31:12-07:00April, 2010|Oral Cancer News|

Kids may mistake new tobacco products for candy

Source: Author: Melinda Williams FARMINGTON — New tobacco products often look like candy, and their packaging may look like cell phones or other electronics. “But there’s no such thing as a safe tobacco product,” Davis County health educator Isa Kaluhikaua told Board of Health members Tuesday. Kaluhikaua brought examples of smoking alternatives to show board members, most packaged in bright colors with appealing logos. There’s Snus, a no-spit tobacco pouch meant to be placed under the upper lip, and Orbs, dissolvable breath-mint sized tobacco, with a camel imprinted on each. There’s also Strips, dissolvable strips, like breath freshening strips, containing tobacco, and dissolvable Sticks. And, there’s an electronic cigarette. The products all contain tobacco or nicotine and have not been approved by the Federal Drug Administration. Kaluhikaua said if a child ingested three Orbs, they would get ill, and 10 could result in serious illness. Yet, she said, they look much like Tic-Tacs and come in a variety of flavors that children may mistake for candy. She said the Federal Drug Administration has not approved most of the products, yet they are being put out on the market pouvez trouver. “Some are designed to fit into creative packaging,” and are marketed as a safe alternative to smoking. Not all the products are on the market in Utah yet, Kaluhikaua said. That sobering message was a portion of Kaluhikaua’s annual tobacco report to the board which indicates that during 2009, only 6 percent of adults and 8.6 percent of youth [...]

2010-01-15T12:41:31-07:00January, 2010|Oral Cancer News|

CDC finds poisons in dissolvable tobacco products

Source: Notobacco Author: Staff Since the beginning of this year, Indianapolis has been a test market for new dissolvable tobacco products, mostly from Camel. These are smokeless, spit-free, made from finely milled tobacco, and held together by food-grade binders. They look like breath mints, breath strips, or toothpicks, and are designed to be placed in the mouth, on the tongue or between the cheek and gum, where they dissolve to release tobacco. Dissolvable tobacco products are now available in Daviess County in the form of Stonewall dissolvable tablets. The manufacturer, Star Scientific, states that Stonewalls are designed for heavy smokers and spit tobacco users. This company also makes Ariva brand dissolvable tablets. Indiana Tobacco Prevention and Cessation agency feels the tobacco companies are illegally using Hoosiers as unwitting participants in a potentially dangerous clinical trial of these products since they were not tested for safety before being sold to the public, as food products, drugs, and cosmetics would be. Dissolvable tobacco products may contain up to three times the amount of nicotine found in one cigarette. A cigarette smoker typically takes in about 1 milligram of nicotine. Camel dissolvable products are said to deliver about 0.6 to 3.1 milligrams of nicotine each, Ariva tablets have about 1.5 millgrams of nicotine each, and Stonewall tablets have about 4 milligrams of nicotine each. People who use these products may get a higher dose of nicotine than they are used to, possibly resulting in nicotine poisoning, which manifests through adverse reactions such as tremors, [...]

2009-10-06T20:21:43-07:00October, 2009|Oral Cancer News|

New products ingenious or insidious?

Source: Author: John Darling The use of smokeless tobacco in Jackson County has steadily risen in recent years among teens and adults — and now, officials fear the introduction earlier this year of new, candy-flavored "dissolvable tobacco" lozenges will make matters worse. Called Orbs, the pellets, which look and taste like breath mints, contain as much nicotine as a cigarette and could cause cancer of the mouth and throat, said Jane Stevenson, tobacco program coordinator for the county. Among eighth-grade males in Jackson County, use of smokeless tobacco jumped from 2 percent in 2001 to 7 percent in 2006, reported Stevenson. Among 11th-grade males, it rose from 10 percent in 2001 to 16 percent in 2006. Among adults here, 3 percent use smokeless tobacco. These figures are 1 to 4 percent higher than the state rates. "The increase of smokeless tobacco use here among teens is significant and alarming — and dissolvable tobacco is just as addictive as smoking," said Stevenson. "They are packaged to look hip and trendy and they carry the Camel logo. Usually, people are very loyal to their tobacco brand." The introduction of dissolvable tobacco pellets is in response to new laws prohibiting smoking in bars, restaurants and the workplace, said Mike Welch, owner of Puff's Magazine & Fine Tobacco, an Ashland smoke shop. The target market for dissolvable pellets, Welch added, is people who buy low-end generic cigarettes. His store won't be selling them, he said, because too many of his customers are concerned [...]

Some say candy-like tobacco tablets a danger to teens

Source: Author: Jane Smith, KGW staff They’re called Orbs, the first dissolvable tobacco product introduced by a major tobacco company, R.J. Reynolds. Oregon Partnership, a nonprofit group that works to prevent drug abuse among teens says the Orbs are a danger to young people. The tablets have some teenagers doing a double take.                        "It just looks like a normal mint and if it weren't in that container it would be easy to pass of as a regular mint," said Alex Hailey. “It's a tobacco product with nicotine it's addictive unfortunately kids will probably be attracted to it," said Pete Schulberg. But Reynolds denies marketing to kids, saying Orbs are meant for adults. The tablets hit the Portland market in January, the same month the city became smoke free in restaurants and bars. Some parents worry the products are a more socially acceptable way of putting nicotine into the hands of smokers. "I guess I'm wondering what's the purpose? It seems like it's trying to get around tobacco laws. It seems a little subversive," said one parent. The products are marked with warnings, it may cause mouth cancer and it’s not a safe alternative to cigarettes. While the products may be less harmful because they are smoke-free, they still contain nicotine and can be addictive, no matter what your age.

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