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Chewing tobacco
Type of smokeless tobacco product
Chewing tobacco is a type of smokelesstobacco product that is placed between the cheek and lower gum to draw out its flavor. It consists of coarsely chopped aged tobacco that is flavored and often sweetened; it is not ground fine like dipping tobacco. Unwanted juices are spat while chewing.
Using chewing tobacco can cause various harmful effects such as dental disease, oral cancer, oesophagus cancer, and pancreas cancer, coronary heart disease, as well as negative reproductive effects including stillbirth, premature birth and low birth weight.[3][4] Chewing tobacco poses a lower health risk than traditional combusted products.[5] However it is not a healthy alternative to cigarette smoking.[2] The level of risk varies between different types of products and producing regions.[5][6] There is no safe level of chewing tobacco use.[2] Globally it contributes to 650,000 deaths each year.[7]