Smokeless tobacco
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Smokeless tobacco is a form of tobacco that is used by means other than smoking. Its use involves chewing, sniffing, or placing the product between the gum and the cheek or lip. Smokeless tobacco comes in various forms, including snuff, which is a powdered tobacco, and chewing tobacco, which comes in the form of leaves or plugs. Other types include snus, a moist form of snuff popular in Sweden, and dissolvable tobacco products. Despite its name, smokeless tobacco is not a safe alternative to cigarette smoking. It contains the same addictive chemical, nicotine, that is found in cigarettes.
Health Risks
The use of smokeless tobacco has been associated with several health risks. It increases the risk of developing cancer, particularly cancers of the mouth, esophagus, and pancreas. Users of smokeless tobacco are also at increased risk for oral diseases, including gum disease and tooth decay. Additionally, the nicotine in smokeless tobacco can lead to nicotine addiction and dependence, similar to that experienced by cigarette smokers.
Regulation and Prevalence
The regulation of smokeless tobacco varies by country. In some regions, such as the European Union, the sale of certain types of smokeless tobacco, like snus, is banned. However, in other areas, such as the United States and Sweden, smokeless tobacco products are legal and regulated. The prevalence of smokeless tobacco use also varies widely between countries, with higher rates of use observed in regions where the products are culturally ingrained or less regulated.
Harm Reduction
Some advocates of smokeless tobacco argue that it can serve as a harm reduction strategy for individuals who are unable to quit nicotine altogether. They suggest that switching from smoking to smokeless tobacco can reduce the risk of smoking-related diseases. However, many health organizations, including the World Health Organization, caution against promoting smokeless tobacco as a safer alternative due to the significant health risks it poses.
Conclusion
While smokeless tobacco is often marketed as a less harmful alternative to smoking, it carries significant health risks. Public health efforts focus on reducing the use of all tobacco products, including smokeless tobacco, to improve overall health outcomes.
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Contributors: Prab R. Tumpati, MD