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The Tobacco Reference Guide
by David Moyer, MD.


Chapter 17 Smokeless Tobacco

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Smokeless Tobacco: Historical

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In 1761, the British physician John Hill described five cases of nasal cancer that he

attributed to nasal snuff use. He wrote "No man should venture upon snuff who is not

sure that he is not liable to cancer, and no man can be sure of that".

Pediatrics, December 1985, p. 1009

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In the 1800's an American national characteristic was a distended cheek, the

identifying mark of the tobacco chewer. In a Lorillard ad, a happy farmer with a swollen

jaw exclaims, "It ain't toothache - its Climax."

Health Education, June 1987, p. 8

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Charles Dickens wrote in American Notes (1842): "In the hospitals, the students of

medicine are requested to eject their tobacco-juice into the boxes provided for that

purpose, and not to discolour the stairs." He declared that he could not understand

how Americans had won their reputation as riflemen, judging their poor aim when

spitting tobacco. Another British writer sardonically commented that the national

American symbol should not be the bald eagle, but rather the spittoon.

Health Education, June 1987, p. 8

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"At the turn of the century, it was discovered that tuberculosis was transmitted through

expectoration, and the practice of chewing and spitting quickly became socially

unacceptable and illegal in many public places. With the invention of the

cigarette-rolling machine, it was possible to produce a cheap new tobacco product.

By the early 1920's, cigarettes had replaced smokeless tobacco. Per capita

consumption of cigarettes in the United States rose dramatically, from 50 cigarettes

per year in 1900 to 4200 by 1965."

NEJM, May 12, 1988, p. 1281

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