Did You Know...

Tobacco kills more Americans than AIDS, alcohol, car accidents, murders, suicides, drugs, and fires combined.

Nicotine is as addictive as heroin, cocaine and alcohol.

Tobacco companies are going after “replacement smokers” with fancy flavored products... that are still highly addictive of course.

Smoking exposes you to horrible toxins like carbon monoxide, arsenic (rat poison!), hydrogen cyanide (used in chemical weapons!), benzene (gasoline!) and formaldehyde (used to embalm dead bodies...EW!).

Holding one pinch of smokeless tobacco in your mouth for 30 minutes delivers as much nicotine as 3 to 4 cigarettes.

Just 30 minutes exposure to secondhand smoke can cause heart damage.

93% of Delaware middle school students and 96% of high school students who don't smoke think smoking does not make a person look cool.

Smoking a pack of cigarettes a day can cost over $2,000 a year. Just think of all the things you could buy with that cash...

Each year 1,100 Delawareans die a tobacco-related death. Nationwide, there are over 400,000 deaths.

Tobacco 411

New Smokeless Tobacco


  • Flavored, ground tobacco packaged in teabag-like pouches that are held between the lip and gum
  • No spitting required; marketed as an alternative to cigarettes for use where smoking is prohibited
  • Packaged in brightly colored tins similar to those containing breath mints

The Harmful effects:

  • Recent studies have linked daily use with an increased incidence of oral and pancreatic cancer

Tarditional Smokeless Tobacco


  • Fine-grain tobacco packaged in round tins
  • Pinch of tobacco is held between lower lip and gums
  • Tobacco juice usually spit out, sometimes swallowed by long-term users


  • Loose tobacco leaves packaged in pouches
  • Wad of tobacco held between cheek and gum
  • Tobacco juice usually spit out, sometimes swallowed by long-term users


  • Dry or moist, finely ground tobacco packaged in tins
  • Pinch held between cheek and gums or lower lip and gums
  • Dry, powdered snuff can also be inhaled into the nose

The Harmful effects:

  • These products contain 28 carcinogens (cancer-causing agents)
  • Users increase their risk for cancer of the oral cavity including cancer of the lip, tongue, cheeks, gums, and the floor and roof of the mouth



  • Flavored pellets or tabs of finely milled tobacco resembling candy or breath mints
  • Held in the mouth until they dissolve, about 15 minutes
  • Deliver about 1 mg of nicotine per orb, similar to one cigarette


  • Tobacco strips that look and act like dissolvable breath strips
  • Held in the mouth until they dissolve, about two to three minutes
  • Deliver about 0.6 mg of nicotine per strip


  • Tobacco sticks that look like oversized toothpicks
  • Held in the mouth until they dissolve, about 20 to 30 minutes
  • Deliver about 3.1 mg of nicotine per stick, similar to three cigarettes

The Harmful effects:

  • These products are so new, there is no health information available to help us understand what the effects could be in the future. However, given the high quantities of nicotine and the fact that these products are used in the mouth, there are projections that orbs, sticks and strips could cause threats similar to other oral tobacco products such as chewing tobacco.

Cigars and Cigarillos


  • Contain air-cured, fermented tobacco, with tobacco wrapper
  • Can measure more than seven inches long
  • One large cigar can contain up to 20 grams of tobacco – as much as an entire pack of cigarettes
  • Sometimes emptied of tobacco and filled with marijuana


  • Short, narrow version of cigars
  • Bigger than cigarettes and little cigars
  • May be filtered or tipped
  • Contain approximately three grams of tobacco
  • Often come in fruit or alcohol flavors
  • Are often smoked every day and inhaled like cigarettes

Little cigars

  • Available in both filtered and unfiltered versions
  • Often come in fruit or alcohol flavors
  • Contain about one gram of tobacco

The Harmful effects:

  • A single cigarette typically has less than a gram of tobacco, while a single cigar or cigarillo may contain as much as 5 to 20 grams of tobacco
  • Smoke breaks down in saliva, allowing the easy absorption of nicotine through the lining of the mouth in quantities that can cause addiction
  • Cigarillos increase the risk for early tooth loss
  • Cigarillos increase the risk for alveolar bone loss (loss of the bone that holds the tooth in place)
  • Cigarillos have been linked to erectile dysfunction in men

Bidis and Kreteks


  • Thin, hand-rolled cigarettes imported primarily from India
  • Tobacco wrapped in leaves of tendu or temburni (native Asian plants)
  • Come in candy and fruit flavors, including strawberry, vanilla, chocolate, cherry and mango; also available unflavored
  • Often mistaken as less harmful than cigarettes due to their natural herbal look
  • Many bidis are made by illegal child labor


  • Also called clove cigarettes
  • Imported from Indonesia and contain a mixture of tobacco, cloves and other additives

The Harmful effects:

  • Bidis and kreteks have higher concentrations of nicotine, tar and carbon monoxide than conventional cigarettes
  • More nicotine means they’re more addictive
  • Bidis and kreteks increase the risk for cancer and lung conditions such as emphysema, chronic bronchitis and pneumonia
  • They also are associated with higher risks for coronary heart disease and heart attack