f ■ 21 Herald - lantern - Dispatch 9 April '86 ^ ±±

Rx Health Watch by Dr Robert C. Beitman

Dear Dr. Beitman: Although we have forbidden our teenage son to smoke, he has begun to regularly use chewing tobacco, as have a number of his friends. Is there any danger in this? A.L. Palermo An estimated 10 million Americans have used smokeless tobacco within the past year, with three million of them under the age of 21. High school and even grade school students are being found among the addicts to smokeless tobacco. As a representative of the American Cancer Society and a concerned physician, in today's column I want to make very clear the health dangers involved in using these substances. LET US understand that there are several forms of smokeless tobacco. In chewing tobacco, the leaf may be pressed into bricks or cakes (called plugs), dried and twisted into ropelike strands (known as twists) or shredded (looseleaf). In these cases a portion of the product is either chewed or tucked into the cheek or between the gum and the lower lip. Snuff is the second major form of smokeless tobacco. There are two forms, dry and moist, made from powdered or finely cut tobacco leaves. Dry snuff can be sniffed, although in America the trend is to "dipping", where a small pinch is held in place between the lip or cheek and the gum. TOBACCO, whether sniffed, chewed or smoked, has ^^Greek Fisherman's Cap This authentic Greek Fisherman's Cap is dashingly nautical. Of warm wool and nylon with classic braid trim. m Country & Nautical Accents VHtage Shoppe* (Uo Crude. N J. (609) 886-5214 J

many cancer-causing substances in it. Polonium 210, a radioactive product, nitrosamines and hydrocarbons, all major cancer-causing products have been identified in smokeless tobacco. These cause cancers of the nose, trachea, esophagus, liver and mouth. Studies to date show that the risk of developing oral cancer is even greater for those using smokeless tobacco than for smokers - up to 48 percent for snuff dippers in one study, and 6 percent for chewers in another study. DENTISTS ARE the most likely to catch the first signs of oral cancer. A condition Known as "leukoplakia" is usually the first sign. This is a raised white patch on the inside of the mouth or gums that cannot be scraped off and cannot be assigned to any other known disease the person might have. Leukoplakia doesn't always, but it can turn into oral cancer in three to five percent of cases, so it must be watched. Smokeless tobacco is addicting just as is smoking tobacco. Studies of teenage boys using smokeless tobacco showed their levels of addiction to be very high and those who tried had great difficulty in stopping. /THE NICOTINE in the tobacco produces a physical need on the part of the user for more, as the body gets more and more accustomed to the nicotine, greater amounts are needed to get its effects: which are described by some as arousing, relaxing and euphoric. There are initial unpleasant side effects, sucn as dizziness, trembling and nausea, but most people will endure these to get at the chemical high offered by the nicotine. Attempts to stop will usually show all the effects of normal withdrawal from smoking. RECENTLY, tobacco manufacturers have undertaken an extensive campaign to promote the use of smokeless tobacco. Ads featuring popular entertainters and sports personalities are being used to try to change our image of smokeless tobacco from a dirty and unsociable habit to a healthful, attractive and appealing one to youth. Advertising may even imply that it is more healthful to use smokeless tobacco than smoking, the lesser of two evils, they seem to say. It's not. Dr. Beitman is president of the Cape May County Unit of the American Cancer Society. Letters tp the doctor should be addressed to his office. 108 N. Main St., Cape May Court House.

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DuFauIt Sent To Germany VILLAS — Army Private Joseph D. DuFault. son of Joseph D. and Carol A. DuFault of 200 E. Virginia Ave., has arrived for duty with the 202nd Military Police Company, West Germany. DuFault, a military police specialist, is a 1985 graduate of Lower Cape May Regional High School. Erma.

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