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CHIDAMBARAM HOSPITAL
चिदंबरम अस्पताल,
ചിദംബരം ഹോസ്പിറ്റൽ
சிதம்பரம் மருத்துவமனை,
திசையன்விளை.627657

 

Chewing tobacco contains over 3000 chemicals and

28 carcinogens (chemicals that cause cancer) includ:

•    Polonium 210 (found in nuclear waste) 
•  
• Formaldehyde (used to preserve dead
•   bodies) 
• 
  
•    Nicotine (an addictive little chemical) 
•  
•   Cadmium (found in car batteries) 
•  
•  Arsenic (used in rat poison) 
•  
• Benzene (used in rubber cement) 
  
  
  Checklist
  Chewing tobacco causes cancer of the mouth(jaw, lip, tongue, cheek, floor and roof of themouth), throat and voice box.You can lose bones around your teeth and jaw.40 - 50% of users develop leukoplakia (white leathery patches that can develop into cancer) 
  Chewing tobacco causes damage to the inside of your mouth - it yellows, scratches and wears down your teeth. Plus it gives you cavities, eats away at your gums, causes receding gums, gum disease, loose teeth and bad breath...

  About half of all oral cancer victims die within five years.

  Swallowing tobacco juice causes cancer of the esophagus, pharynx, larynx, stomach and pancreas.

  Kidney disease can be caused by the salts inside most chewing tobacco.

  You can lose your sense of taste and smell significantly on first-use.

  Chewing tobacco can lead to high blood pressure, heart attacks and strokes. Chewing tobacco can result in fatigue, mood swings, depression, muscle weakness, and dizziness Each tin of snuff contains a lethal dose of

  nicotine.
  

  

  Information About Chewing Tobacco

  1.What is chewing tobacco?

  Chewing tobacco is one type of smokeless tobacco. It is available in

  loose leaf, plug (plug-firm and plug-moist), or twist forms.

  The user puts a wad of tobacco inside the cheek.

  The other common form ofsmokeless tobacco is called snuff. It is finely ground or shredded tobacco. It is packaged as dry, moist, or in sachets (tea bag-like pouches).

  Typically, the user places a pinch or dip between the cheek

  and gum.Smokeless tobacco products are sometimes called “spit” or “spitting”tobacco because people need to spit out the tobacco juices and salivathat build up in their mouth. Other common names include; chew, dip,and spit.

  
  

  

  2.What harmful chemicals are found in chewing tobacco?

  All tobacco, products contain nicotine, which is addictive.

  The amount of nicotine absorbed from chewing tobacco is 3 to 4 times the amount delivered by a cigarette. Nicotine is absorbed more slowly from chewing tobacco than from cigarettes, but more nicotine per dose is absorbed from chewing tobacco than from cigarettes.

  •Chewing tobacco and snuff contain approximately 28 cancer-causing agents.

  The most harmful carcinogens in smokeless tobacco are the

  tobacco-specific nitrosamines (TSNAs).

  •Other cancer-causing substances in chewing tobacco include

  N-nitrosamino acids, volatile N-nitrosamines, benzo(a)pyrene, volatile aldehydes, formaldehyde, acetaldehyde, crotonaldehyde, hydrazine, arsenic, nickel, cadmium, benzopyrene, and polonium-210. 

  
  

  

  3.What cancers are related to chewing tobacco use?

  Using chewing tobacco increase a person’s risk for cancer of the oral

  cavity and pharynx. Oral cancer can include cancer of the lip, tongue,

  cheeks, gums, and the floor and roof of the mouth.People who use oral snuff for a long time have a much greater risk for

  cancer of the cheek and gum than people who do not use smokeless

  tobacco products. 

  
  

  

  4.What are some of the other ways chewing tobacco

  can harm users’health?Some of the other harmful effects of using chewing tobacco include addiction to nicotine, oral leukoplakia (white mouth lesions that can become cancerous), periodontal (gum) disease, gingival (gum)recession, bad breath and cavities.
  

  

  5.Is chewing tobacco a good substitute for cigarettes?

  NO - In 1986, the Surgeon General of the United States concluded that the use of smokeless tobacco “is not a safe substitute for smoking cigarettes. It can cause cancer and a number of non-cancerous conditions and can lead to nicotine addiction and dependence.”

  The National Cancer Institute of the United States has officially

  recommended that the public avoid and discontinue the use of all

  tobacco products, including chewing tobacco products. Even Philip

  Morris one of the largest producers of chewing tobacco has stated that chewing tobacco is not a safe alternative to smoking.
  

  

  6.Should you use chewing tobacco to quit cigarettes?

  No - Because all types of tobacco use cause disease and addiction,

  switching to chewing tobacco is not a recommended strategy for people who want to quit smoking. Several non-tobacco methods have been shown to be effective for quitting cigarettes including nicotine replacement therapies such as the patch, nicotine gums, and lozenges,as well as drug therapies like Zyban (bupropion SR). Non-drug therapies such as individual and group counseling, and telephone quitlines have been shown to be very effective.
  

  

  7.Who uses chewing tobacco?

  In the past chewing tobacco was used mostly by young men living in

  rural areas.Today we are seeing increased use by young girls and

  people living in more urban settings. It is often used by teens

  participating in team sports. People in many other countries and regions,including India, parts of Africa, and some Central Asian countries, have a long history of chewing substances such as betel and areca nut.These

  products are used as antiseptics, breath fresheners and stimulants.

  These products are also known to cause oral cancers.
  

  

  8.What Laws Apply to Chewing Tobacco?

  In Ontario, chewing tobacco is treated the same as cigarettes. It is illegal to sell or supply chewing tobacco to people under the age of 19 years. It is also illegal to display this tobacco product anywhere it can be viewed or handled prior to purchasing it.

  
  

  

  9.Where can people find help to quit using chewing tobacco?

  Several organizations provide information about the health risks of

  chewing tobacco and how to quit: The Durham Region Health Department website has excellent information about tobacco and quitting smoking –

  www.region.durham.on.ca/health

  The Canadian Cancer Society – www.cancer.caNSTEP

  . www.nstep.org -

  This is an American organization.

  The mission of the National Spit

  Tobacco Education Program (NSTEP) is to prevent

  people, especially young people, from starting to use tobacco, and to

  help users to quit. NSTEP offers information and materials on spit

  tobacco use, prevention, and cessation.
  

  

  10.What other resources are available?

  Your dentist or doctor can be a good source of information about the

  health risks of chewing tobacco and about quitting. Friends, family

  members, teachers, and coaches can also help you quit chewing

  tobacco use by giving support and encouragement. 

  
  

  
  

  

   CHIDAMBARAM HOSPITAL
  चिदंबरम अस्पताल,
  ചിദംബരം ഹോസ്പിറ്റൽ
  சிதம்பரம் மருத்துவமனை,
  திசையன்விளை.627657
  
  - தீவிர சிகிச்சை மருத்தவம்
  - பொது மருத்துவரம்
  - பொது அறுவை சிகிச்சை
  - குழந்தை அறுவை சிகிச்சை
  - குழந்தை லேப்ராஸ்கோப்பி அறுவை சிகிச்சை
  - Cesarean section
  - Dilation and Curettage
  - Vulvectomy
  - Tubal Ligation
  - Trachelectomy
  - Selective Salpingography
  - Myomectomy
  - Hysterosalpingography
  -Endometrial or Uterine Biopsy
  - Colporrhaphy
  -Vaginal hystectomy
  - Appendicitis
  - Lymphangioma
  - Cleft lip and palate
  - Esophageal atresia and tracheoesophageal fistula
  - Hypertrophic pyloric stenosis
  - Intestinal atresia
  - Necrotizing enterocolitis
  - Imperforate anus
  - Undescended testes
  - Omphalocele
  - Gastroschisis
  - Hernias
  - Teratomas
  - Amputation
  - Appendectomy
  - Cholecystectomy
  - Colectomy
  - Cystoscopy
  - Hemorrhoidectomy
  - Hysterectomy
  - Hysteroscopy
  - Inguinal Hernia
  - Laparoscopy
  - Mastectomy
  - Thyroidectomy
  - Tracheostomy
  - Tonsillectomy and Adenoidectomy
  - Umbilical Hernia
  - லேப்ராஸ்கோப்பி அறுவை சிகிச்சை
  - மகப்பேறு மருத்துவம்
  - தாய்மை மருத்துவம்
  - மகளிர் நோய் இயல்
  - சர்க்கரை வியாதி மருத்தவம்
  - X - ரே (X-Ray)
  - ஈசிஜி (ECG)
  - இரத்த ஆய்வு (Blood Investigation LAB)
  - அல்ட்ராசவுண்ட் ஸ்கேன்
  (ULTRASOUNDSCAN)
  - பிசியோதெரபி பயிற்சி (PHYSIOTHERAPY)
  - முக வாதம் தூண்டுதல் பயிற்சி (BELLS PALSY STIMULATION)
  - துரக்கம்-முதுகு வலி நிவாரணத் பயிற்சி(TRACTION)
  - மெழுகு ஓத்தLம் (WAX BATH)
  - அகச்சிவப்பு கதிர் வலி நிவாரணத் ஓத்தLம்(INFRA RED Hot Fermentation)
  
  
  Dr.M.I. கிறிஸ்டோபர் சாமுவேல் MBBS,MS.,FIAGES.,லேப்ராஸ்கோப்பி அறுவை சிகிச்சை நிபுணர்.,
  DR.அலெக்ஸ் J கிறிஸ்டோபர் MBBS,MS,MCH.,(PAEDIATRIC SURGEON),லேப்ராஸ்கோப்பி அறுவை சிகிச்சை நிபுணர்.,
  DR.அருண் G கிறிஸ்டோபர் MBBS,MD(Anaesthesia)மயக்க மருந்து நிபுணர்,Pain Management., Dip.Diab., சர்க்கரை வியாதி மருத்துவர்.,
  PT.அந்தோணி றீகன் B.P.T
  (பிசியோதெரபி நிபுணர்)MCSE,COPA,D.Pharm.,