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|

Quantifying the effects of promoting smokeless tobacco as a harm reduction strategy in the USA

Source: http://tobaccocontrol.bmj.com Authors: Adrienne B Mejia et al. Background: Snus (a form of smokeless tobacco) is less dangerous than cigarettes. Some health professionals argue that snus should be promoted as a component of a harm reduction strategy, while others oppose this approach. Major US tobacco companies (RJ Reynolds and Philip Morris) are marketing snus products as cigarette brand line extensions. The population effects of smokeless tobacco promotion will depend on the combined effects of changes in individual risk with population changes in tobacco use patterns. Objective: To quantitatively evaluate the health impact of smokeless tobacco promotion as part of a harm reduction strategy in the US. Methods: A Monte Carlo simulation of a decision tree model of tobacco initiation and use was used to estimate the health effects associated with five different patterns of increased smokeless tobacco use. Results: With cigarette smoking having a health effect of 100, the base case scenario (based on current US prevalence rates) yields a total health effect of 24.2 (5% to 95% interval 21.7 to 26.5) and the aggressive smokeless promotion (less cigarette use and increased smokeless, health-concerned smokers switching to snus, smokers in smokefree environments switching to snus) was associated with a health effect of 30.4 (5% to 95% interval 25.9 to 35.2). The anticipated health effects for additional scenarios with lower rates of smokeless uptake also overlapped with the base case. Conclusions: Promoting smokeless tobacco as a safer alternative to cigarettes is unlikely to result in substantial health benefits at a population [...]

New evidence that smokeless tobacco damages DNA And key enzymes

Source: news.biocompare.com Author: staff Far from having adverse effects limited to the mouth, smokeless tobacco affects the normal function of a key family of enzymes found in almost every organ in the body, according to the first report on the topic in ACS' monthly journal Chemical Research in Toxicology. The enzymes play important roles in production of hormones, including the sex hormones estrogen and testosterone; production of cholesterol and vitamin D; and help the body breakdown prescription drugs and potentially toxic substances. Smokeless tobacco also damages genetic material in the liver, kidney and lungs. Krishan Khanduja and colleagues note widespread recognition of smokeless tobacco's harmful effects on the mouth, which include an increased risk of gum disease and oral cancer. The potential carcinogens and other chemicals in chewing tobacco and other smokeless products are absorbed into the blood and travel throughout the body. However, scientists have little information on smokeless tobacco's effects on other parts of the body. To fill that knowledge gap, the scientists evaluated changes in enzymes and genetic material in laboratory rats using extracts of smokeless tobacco. In addition to damage to the genetic material DNA, they found that smokeless tobacco extracts alter the function of the so-called CYP-450 family of enzymes. "These products are used around the world but are most common in Northern Africa, Southeast Asia, and the Mediterranean region," the report says. "Most of the users seem to be unaware of the harmful health effects and, therefore, use smokeless tobacco to 'treat' toothaches, headaches, [...]

Professor: Oral cancer deadlier than most

Source: enterprise-journal.com Author: Charles Dunagin Americans are dying of self-inflicted diseases that, for many, are “preventible,” says a professor at the University of Mississippi Medical Center’s Dental School. Dr. Karen Moak Crews, a 1975 graduate of McComb High School, is oral oncology and bio behavioral medicine director at UMC as well as a professor. Speaking to the McComb Rotary Club Wednesday, she warned against tobacco use of any type, including smokeless tobacco. Tobacco is the No. 1 cause of diseases and death in America, she said. Her main topic was oral cancer, which she said doesn’t get the publicity of some of the other cancers but is deadlier than most. The five-year survival rate for cancers in the mouth is 50 percent, she said, adding a big problem is late diagnosis. She urged regular screening by dentists for the disease. Risk factors, she said, include age, genetic mutation, nutrition, a sexually spread virus, alcohol and tobacco use. Citing statistics that alcohol in moderation — two ounces daily for a male and one ounce for a female — is considered safe by medical professionals, Crews said “there is no safe level for tobacco.”

A year later, the tobacco war still isn’t won

Source: www.mercurynews.com Author: Patty Fisher A year ago this week, I was celebrating with health advocates across the country when they won their 20-year battle to get the federal government to regulate dumb and deadly cigarettes. I can't believe it took that long to convince Congress that nicotine, the powerful addictive drug in tobacco, should be treated like any other drug sold to the public. After years of marketing cancer sticks to kids and denying that they manipulated the amount of nicotine in their products to hook smokers, shameless tobacco companies at last had to answer to the Food and Drug Administration. They were given a year to stop their clever tricks such as making candy-flavored smokes and using labels like "light" and "low-tar" to make cigarettes sound less harmful. On Tuesday, the new rules will take effect. But those devoted to the anti-smoking cause know the toxic battles are far from over. With a $12.8 billion marketing budget, tobacco companies will find subtle new ways to attract new smokers. "They are always just one step ahead of us," said Margo Sidener of Breathe California. "The tobacco companies have the best advertising people in the world, unfortunately." Smoking on the screen It doesn't help that cigarette makers get lots of free advertising in movies and on TV. When Sigourney Weaver infamously puffed on a cigarette in "Avatar," it wasn't just a ridiculous endorsement of smoking for the most massive worldwide audience of children and adults ever. Worse, it made no [...]

Garagiola, who quit, warns about chewing tobacco

Source: nytimes.com Author: George Vescey Joe Garagiola has been to too many funerals. Some of them were for friends who chewed tobacco, the way Garagiola used to do. Now Garagiola has been given the gift of time. He intends to use it to speak out against the habit of chewing tobacco. “I tell these guys, ‘You may not like what I say, but with lung cancer you die of lung cancer,’ ” Garagiola said the other day, with the zeal of a convert. “With oral cancer, you die one piece at a time. They operate on your neck, they operate on your jaw, they operate on your throat.” Garagiola is one of America’s gifted talkers — starting in bullpens and dugouts, moving on to broadcasting games, then doing game shows, the “Today” show. He is still talking. Last month he traveled to a Congressional hearing to speak against smokeless tobacco. The trip itself was a gesture of courage, because he was recovering from brain surgery for what he calls a nonmalignant ailment, which he said was not linked to the tobacco habit he beat 50 years ago. Last Friday, Garagiola received great news. After a CAT scan six months after surgery, doctors told him he was clear. He took a deep breath and celebrated by doing what he does best. Speaking about the lobbyists for new smokeless products, he said: “They tell you it’s a safe alternative, but my answer is, Hey, don’t jump out the 50th floor, jump out [...]

Smokeless tobacco can take you out of the game

Source: www.healthcanal.com Author: staff Another baseball season is under way and fans are heading to the ballpark to watch their favorite players hit home runs, steal bases, and argue over what's fair and foul. Marshall Posner, MD, says that the first step in reducing oral cancer risk is to avoid tobacco use altogether. Unfortunately, they will also see something else that many consider to be "foul" — players chewing tobacco. Dana-Farber Cancer Institute and the Massachusetts Dental Society (MDS) are partnering to spread the word that chewing tobacco, otherwise known as spit, dip, chew, or smokeless tobacco, is not a safe alternative to smoking. In fact, it's very addictive and a serious health risk. According to a Massachusetts survey released earlier this spring, teens may be turning away from cigarettes to other forms of tobacco, including smokeless tobacco. The report was funded by the United States Centers for Disease Control and conducted by state education and health departments. The survey asked middle- and high-school students about their tobacco habits and found that for the first time, students are using smokeless tobacco and cigars more than cigarettes. Of those high-schoolers who were surveyed, 16 percent admitted to smoking cigarettes in the past 30 days, while 17.6 percent admitted to using other tobacco products, such as smokeless tobacco. "Chewing tobacco is the most dangerous form of tobacco because it comes in contact directly with the oral mucosa," states David P. Lustbader, DMD, an MDS Trustee and an oral and maxillofacial surgeon at [...]

Smokeless tobacco risks ‘overblown’?

Source: www.tobacco-news.net Author: staff The Wall Street Journal “Numbers Guy” blog said that while smokeless tobacco products remain far less popular than cigarettes in the United States, a collection of products that deliver nicotine without smoke—including dip, chew, snuff and newer items that look more like chewing gum—have sparked a heated debate about health risks. Opponents of these products have presented numbers that suggest smokeless tobacco is an enormous public-health threat akin to cigarettes, while supporters, including some scientists, suggest smokeless items could offer a solution to smoking’s toll on public health. Both claims are based on misinterpretations of the data, said the report. Critics of smokeless tobacco have spoken out recently about elevated risks of oral cancer and dangers these items pose to children who accidentally ingest them. All of these risks appear to be overblown, said the blog, particularly compared with smoking, which is far more likely to kill than smokeless alternatives. But researchers who recommend these products as alternatives for smokers seeking to quit also are relying on hazy figures, the report added. Much of their evidence comes from Sweden, where use of smokeless products has risen in recent decades as smoking, and lung-cancer rates, have fallen. Many scientists who study tobacco use remain unpersuaded that the drop in cancer rates stemmed from the increase in use of smokeless products. In pressing the case for more stringent regulation of smokeless tobacco, a National Cancer Institute physician last week testified before Congress that smokeless-tobacco products can multiply users’ [...]

Aspen Dental announces donation to Oral Cancer Foundation

Source: www.prnewswire.com Author: press release Aspen Dental announced today that the company will donate $2,300 to the Oral Cancer Foundation as part of its commitment to oral cancer detection and treatment. The amount represents a $5 donation for every Vizilite Plus® screening conducted at Aspen Dental offices during Oral, Head, and Neck Cancer Awareness Week (April 12-18, 2010). Vizilite Plus is a blue-light, "glowstick" technology that helps detect oral cancer. According to the Oral Cancer Foundation, more than 35,000 Americans are diagnosed with oral or pharyngeal cancer each year, and oral cancer is responsible for approximately 8,000 deaths annually. Oral cancer is often discovered late in its development, which means that the death rate is particularly high. Aspen Dental has a longstanding commitment to oral cancer awareness. Most recently, Aspen Dental sponsored Oral Health America's National Spit Tobacco Education Program (NSTEP, www.nstep.org), at the Little League Baseball World Series in August 2009. The NSTEP program educates youth and their parents about the risks of smokeless tobacco use. About Aspen Dental One of the largest and fastest-growing providers of denture and dental care services in the U.S., Aspen Dental practices are committed to providing patients with affordable, high-quality care under the Aspen Dental brand, ranging from preventive care to general dentistry to restoration. Aspen Dental has grown from 13 offices and three states in 1998 to more than 235 locations in 20 states. More than 350 licensed dentists and 200 dental hygienists work with Aspen Dental throughout Arizona, Connecticut, Florida, Illinois, [...]

House Committee convenes hearing on smokeless tobacco

Source: Cancer.gov Author: Staff The House of Representatives Committee on Energy and Commerce, Subcommittee on Health, held a hearing on April 14: “Smokeless Tobacco: Impact on the Health of Our Nation's Youth and Use in Major League Baseball.” NCI’s Deputy Director of the Division of Cancer Control and Population Sciences Dr. Deborah Winn testified before the committee, as did Dr. Terry Pechacek, associate director for science in the CDC’s Office on Smoking and Health. The full panel of witnesses included representatives of Major League Baseball (MLB) and the MLB Players Association (MLBPA); Dr. Greg Connolly, a dentist and Harvard professor who has conducted research on smokeless tobacco for more than 20 years; Gruen Von Behrens, an oral cancer survivor and tobacco prevention advocate; and baseball legend Joe Garagiola, Sr., who continues to work as an MLB announcer and is a vocal advocate for ridding MLB of smokeless tobacco. Dr. Winn’s testimony recognized smokeless tobacco, which includes snuff and chewing tobacco, as an established cause of oral, pharyngeal, pancreatic, and esophageal cancers, and stressed that there is no safe level of tobacco use. She also addressed questions from members of the committee regarding MLB players using smokeless tobacco on the field, and therefore on television. Media depictions of tobacco use have been shown to contribute to an increase in youth tobacco use, explained Dr. Winn. NCI’s “Monograph 19: The Role of the Media in Promoting and Reducing Tobacco Use” provides additional information on this topic. Dr. Pechacek provided an overview of current [...]

2010-04-21T12:49:53-07:00April, 2010|Oral Cancer News|
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