Preventing oral cancer and other tobacco-related diseases is a high priority for the ADA. About eight out of ten people with mouth and throat cancers use tobacco and the risk of developing these cancers increases with the amount smoked or chewed and duration of the habit.1 On average, 40 percent of those with the disease will not survive more than five years after being diagnosed.2 Tobacco products are also associated with higher rates of gum disease, one of the leading causes of tooth loss in adults.
The Association is especially concerned about recent attempts to market a new generation of tobacco products as a less harmful (or "reduced risk") alternative to smoking.
Smokeless tobacco is not a healthy alternative to using combustible tobacco products; all of these products pose health risks. Compared to cigarettes, smokeless tobacco products are less likely to cause lung cancer but they are associated with oral and pharyngeal cancers, as well as cancers of the stomach and pancreas.3,4,5,6 These cancers progress rapidly and can be deadly if not diagnosed and treated early.
- American Cancer Society, Detailed Guide: Oral Cavity and Oropharyngeal Cancer, 2010.
- Institute of Medicine, Ending the Tobacco Epidemic: A Blueprint for the Nation, 2007.
- International Agency for Research on Cancer, Smokeless Tobacco and some Tobacco-specific N-Nitrosamines, IARC Monographs Volume 89.
- The S.T.O.P. Guide (The Smokeless Tobacco Outreach and Prevention Guide): A Comprehensive Directory of Smokeless Tobacco Prevention and Cessation Resources. Applied Behavioral Science Press, 1997.
- Hatsukami, D & Severson, H, "Oral Spit Tobacco: Addiction, Prevention and Treatment," Nicotine and Tobacco Research 1:21–44, 1999.
- "The Smokeless Tobacco Outreach and Prevention Guide," Applied Behavioral Science Press, 1997.
Letters and Testimony
May 23, 2012—Coalition letter urging the House Committee on Appropriations to vote down any amendments to the FY 2013 Agriculture, Rural Development, Food and Drug Administration and Related Agencies appropriations bill that would weaken the FDA’s authority to regulate tobacco products.
March 20, 2012—Coalition letter commending the Department of Health and Human Services for launching the first nationwide media campaign to educate the public about the dangers of tobacco use.
March 8, 2012—Press release welcoming the 2012 Surgeon General's Report: Preventing Tobacco Use Among Youth and Young Adults.
- February 23, 2012—Letter urging the Senate Committee on Health, Education, Labor, and Pensions to table or vote against S.1461, the Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011.
- February 23, 2012—Coalition letter urging members of the Senate to oppose S.1461, the Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011.
- October 21, 2011—Letter expressing support for the Department of Defense’s proposed smoking cessation program for TRICARE beneficiaries.
- September 7, 2011—Coalition letter urging Rep. Sandy Adams (R-Fla. 24th) to oppose H.R. 1639, the Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011.
- June 30, 2011—Letter following-up on the FDA’s June 9 stakeholder discussion to gather input from public health advocates on the regulation of tobacco products.
- May 17, 2011—Letter urging the House Committee on Energy and Commerce to table or vote against H.R. 1639, the Traditional Cigar Manufacturing and Small Business Jobs Preservation Act of 2011.
- March 16, 2010—Coalition letter urging members of the House to adopt the slightly modified Senate version of S. 1147, the Prevent All Cigarette Trafficking (PACT) Act. (PDF)
- March 5, 2010—Coalition letter urging members of the Senate to support S. 1147, the Prevent All Cigarette Trafficking (PACT) Act. (PDF)
- October 9, 2009—Comments on approaches and actions the U.S. Food and Drug Administration should initially consider during its implementation of the Family Smoking Prevention and Tobacco Control Act. (PDF)
- June 12, 2009—Statement on passage of the Family Smoking Prevention and Tobacco Control Act.
- ADA Positions, Policies & Statements
- Cancer, Oral
- Chewing "Spit" Tobacco (Smoking Cessation)
- Smoking (Tobacco) Cessation
- American Cancer Society
- American Heart Association
- American Legacy Foundation
- American Lung Association
- Campaign for Tobacco-Free Kids
- CDC Office on Smoking and Health
- FDA Center for Tobacco Products
- National Cancer Institute
- National Institute of Dental and Craniofacial Research
For additional information, please contact:
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ADA Chicago Headquarters
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Chicago, IL 60611