CHEWING CHEWING CHEWING TOBACCO TOBACCO TOBACCO

WATCH YOUR MOUTH! WATCH YOUR MOUTH! WATCH YOUR MOUTH! The Facts The Facts The Facts Smokeless tobacco (chew, snuff, SNUS) users start Smokeless tobacco (chew, snuff, SNUS) users start Smokeless tobacco (chew, snuff, SNUS) users start as early as grade 7! The average age of first as early as grade 7! The average age of first as early as grade 7! The average age of first exposure is 15. exposure is 15. exposure is 15. Most parents didn’t know their child used chew until Most parents didn’t know their child used chew until Most parents didn’t know their child used chew until two years after they started! two years after they started! two years after they started! A user of smokeless tobacco consumes about 1-2 A user of smokeless tobacco consumes about 1-2 A user of smokeless tobacco consumes about 1-2 tins a week. The cost of a tin is less than $4 from the tins a week. The cost of a tin is less than $4 from the tins a week. The cost of a tin is less than $4 from the US and about $20 in Canada. A typical user spends US and about $20 in Canada. A typical user spends US and about $20 in Canada. A typical user spends around $1500 a year. around $1500 a year. around $1500 a year. Chewing tobacco is kept in the mouth for many hours Chewing tobacco is kept in the mouth for many hours Chewing tobacco is kept in the mouth for many hours (60 minutes = 8 cigarettes). Quitting is very difficult (60 minutes = 8 cigarettes). Quitting is very difficult (60 minutes = 8 cigarettes). Quitting is very difficult due to the culture and the high nicotine levels, nicotine due to the culture and the high nicotine levels, nicotine due to the culture and the high nicotine levels, nicotine acts like a stimulant and is addictive. acts like a stimulant and is addictive. acts like a stimulant and is addictive. Smokeless tobacco use is associated with gum Smokeless tobacco use is associated with gum Smokeless tobacco use is associated with gum disease and the development of oral cancer. At least disease and the development of oral cancer. At least disease and the development of oral cancer. At least 28 chemicals in smokeless tobacco have been found 28 chemicals in smokeless tobacco have been found 28 chemicals in smokeless tobacco have been found to cause cancer. to cause cancer. to cause cancer. There is NO safe form of tobacco. There is NO safe form of tobacco. There is NO safe form of tobacco.

WHERE TO GET HELP WHERE TO GET HELP WHERE TO GET HELP

Quitting is best done in the off -season. Prescription Quitting is best done in the off -season. Prescription Quitting is best done in the off -season. Prescription drugs like Champix has been shown to be of limited drugs like Champix has been shown to be of limited drugs like Champix has been shown to be of limited help. Nicotine patches have not been shown to help. help. Nicotine patches have not been shown to help. help. Nicotine patches have not been shown to help. Don’t be confrontational, they need support to quit. Don’t be confrontational, they need support to quit. Don’t be confrontational, they need support to quit. Get help from your Dentist, Doctor or Pharmacist. Get help from your Dentist, Doctor or Pharmacist. Get help from your Dentist, Doctor or Pharmacist. Any user MUST see their oral health care provider Any user MUST see their oral health care provider Any user MUST see their oral health care provider yearly to check for signs of cell changes in the mouth. yearly to check for signs of cell changes in the mouth. yearly to check for signs of cell changes in the mouth.

S POR T M EDICINE& S CIENCE S POR T M EDICINE& S CIENCE S POR T M EDICINE& S CIENCE CHEWING CHEWING CHEWING TOBACCO TOBACCO TOBACCO

Don’t Get Me Started! Don’t Get Me Started! Don’t Get Me Started!

PARENTS AND COACHES PARENTS AND COACHES PARENTS AND COACHES

If your child participates in sports like baseball, hockey, If your child participates in sports like baseball, hockey, If your child participates in sports like baseball, hockey, football, bandy and rugby the likelihood of trying chew is football, bandy and rugby the likelihood of trying chew is football, bandy and rugby the likelihood of trying chew is very high (up to 75% try it). Its use is almost exclusively very high (up to 75% try it). Its use is almost exclusively very high (up to 75% try it). Its use is almost exclusively limited to males. limited to males. limited to males. In hockey and baseball, chew use starts as early as 12, In hockey and baseball, chew use starts as early as 12, In hockey and baseball, chew use starts as early as 12, many teams over 16 have about 50% of the kids using! many teams over 16 have about 50% of the kids using! many teams over 16 have about 50% of the kids using! Talk to your coaches about it. Even if you keep it out of Talk to your coaches about it. Even if you keep it out of Talk to your coaches about it. Even if you keep it out of the locker room it will still be in their mouths! the locker room it will still be in their mouths! the locker room it will still be in their mouths! You should talk to your child about smokeless tobacco. You should talk to your child about smokeless tobacco. You should talk to your child about smokeless tobacco. Do it yearly. Do it yearly. Do it yearly. Most athletes start using smokeless tobacco because: Most athletes start using smokeless tobacco because: Most athletes start using smokeless tobacco because: • they were bored on a road trip, • they were bored on a road trip, • they were bored on a road trip, • it seemed like the thing to do in sport • it seemed like the thing to do in sport • it seemed like the thing to do in sport (a sense of bonding and fitting in), (a sense of bonding and fitting in), (a sense of bonding and fitting in), • time and peer pressure, and • time and peer pressure, and • time and peer pressure, and • many professional athletes chew tobacco and the • many professional athletes chew tobacco and the • many professional athletes chew tobacco and the young athlete may view this as permission. young athlete may view this as permission. young athlete may view this as permission.

WHAT’S THE RISK WHAT’S THE RISK WHAT’S THE RISK

Smokeless tobacco use is highly habit forming and can Smokeless tobacco use is highly habit forming and can Smokeless tobacco use is highly habit forming and can lead to oral cancer, gum and tooth disease, high blood lead to oral cancer, gum and tooth disease, high blood lead to oral cancer, gum and tooth disease, high blood pressure and stroke, and heart disease. pressure and stroke, and heart disease. pressure and stroke, and heart disease. Chew delivers more nicotine than cigarettes, which Chew delivers more nicotine than cigarettes, which Chew delivers more nicotine than cigarettes, which results in a physical dependency being created. Once results in a physical dependency being created. Once results in a physical dependency being created. Once started it is very difficult to quit, so prevention is the key to started it is very difficult to quit, so prevention is the key to started it is very difficult to quit, so prevention is the key to success. success. success.

145 Pacific Avenue, 145 Pacific Avenue, 145 Pacific Avenue, Winnipeg MB R3B 2Z6 Winnipeg MB R3B 2Z6 Winnipeg MB R3B 2Z6

S POR T M EDICINE& S CIENCE Tel. (204) 925-5750 S POR T M EDICINE& S CIENCE Tel. (204) 925-5750 S POR T M EDICINE& S CIENCE Tel. (204) 925-5750 www.sportmed.mb.ca www.sportmed.mb.ca www.sportmed.mb.ca January 2013 January 2013 January 2013 Prepared by the Sport Medicine & Science Council of Manitoba Prepared by the Sport Medicine & Science Council of Manitoba Prepared by the Sport Medicine & Science Council of Manitoba