U.S. Food and Drug Administration. (n.d.). Chemicals in every cigarette. https://www.fda.gov/tobacco-products/products-ingredients-components/chemicals-every-cigarette
Ammonia is added to cigarettes to keep you hooked.
Hover or click to discover the full facts.
U.S. Food and Drug Administration. (n.d.). Chemicals in every cigarette. https://www.fda.gov/tobacco-products/products-ingredients-components/chemicals-every-cigarette
Ammonia is added to cigarettes to keep you hooked.
Yes, some teenagers still think you can’t get addicted to vapes. Can you believe it?
Not the right answer. Keep guessing.
Centers for Disease Control and Prevention. (n.d.). 50th anniversary: Surgeon General’s report on smoking and health. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Research shows nicotine can be just as addictive as heroin, cocaine, or alcohol.
Brown, J. L., Rosen, D., Carmona, M. G., Parra, N., Hurley, M., & Cohen, J. E. (2023, August 17). Spinning a global web: Tactics used by Big Tobacco to attract children at tobacco points‑of‑sale. Tobacco Control. Advance online publication. https://doi.org/10.1136/tobaccocontrol-2021-057095
Cigarette ads are often placed right at kids’ eye level.
Exactly. 70% of young vapers say they’d quit if vapes didn’t come in fruity or menthol flavors.
No, it’s way more than that. Try again.
National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General (Surgeon General’s report). Centers for Disease Control and Prevention. https://www.ncbi.nlm.nih.gov/books/NBK99238/
Cheaper tobacco prices make it easier for teens to start, try, and keep smoking.
Truth Initiative. (2023, April 5). Netflix streams 1.1 billion minutes of tobacco‑related imagery in newest season of F1 racing show. Truth Initiative. https://truthinitiative.org/research-resources/tobacco-pop-culture/netflix-streams-11-billion-minutes-tobacco-related-imagery
The tobacco industry uses streaming and sports like F1 to get to you.
The charcoal, foil, and bowl of a hookah can expose you to heavy metals.
Not quite right. Keep guessing.
Public Health Law Center. (n.d.). *The verdict is in: Tobacco industry accountability and litigation* [PDF]. Mitchell Hamline School of Law. https://www.publichealthlawcenter.org/sites/default/files/resources/tclc-verdict-is-in.pdf
For years, tobacco brands have made vapes and cigs look cool to lure teens.
Federal Trade Commission. (2024). E‑Cigarette report for 2021. https://www.ftc.gov/system/files/ftc_gov/pdf/E‑CigaretteReportfor2021.pdf
Vape companies are making billions by getting teens like you hooked.
Yup, hookah smoke is toxic. It can clog your arteries and lead to heart disease.
That’s not it. Try again.
Centers for Disease Control and Prevention. (n.d.). Secondhand smoke. https://www.cdc.gov/tobacco/secondhand-smoke/index.html
Just a little secondhand smoke can still be harmful or even deadly.
U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf
Secondhand smoke increases your risk of cancer, heart problems, and stroke, even if you don’t smoke.
That’s right! Using smokeless tobacco can cause cancer of the mouth, throat, and pancreas.
No, keep guessing.
Yup. Smoking can cause strokes and heart disease.
No. No. No. Keep trying.
U.S. Department of Health & Human Services. (2024). Eliminating tobacco‑related disease and death: Addressing disparities (35th Surgeon General’s report). https://www.hhs.gov/sites/default/files/2024-sgr-tobacco-related-health-disparities-full-report.pdf
Secondhand smoke kills over 19,000 people every year.
Literally yes, new “heat-not-burn” devices still dose you with nicotine.
Love the energy, but wrong answer. Keep trying.
Centers for Disease Control and Prevention (US); National Center for Chronic Disease Prevention and Health Promotion (US); Office on Smoking and Health (US). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2010. Available from: https://www.ncbi.nlm.nih.gov/books/NBK53017/
People often start smoking again because of nicotine withdrawal symptoms.
DiFranza, J. R., Rigotti, N. A., McNeill, A. D., Ockene, J. K., Savageau, J. A., St Cyr, D., & Coleman, M. (2000). Initial symptoms of nicotine dependence in adolescents. Tobacco control, 9(3), 313–319. https://doi.org/10.1136/tc.9.3.313
Nicotine addiction can start just days or weeks after you first try it.
Yes, smoking doubles or even quadruples your risk of heart disease.
That’s not how smoking works. Try again.
Radiological Society of North America. (n.d.). Emphysema at CT lung screening increases death risk in asymptomatic adults [Press release]. https://press.rsna.org/timssnet/media/pressreleases/14_pr_target.cfm?ID=2539
Even nicotine free vapes can mess with your lungs.
Tobacco smoke has over 7,000 chemicals, hundreds of which are toxic, and around 70 can cause cancer.
Let’s be real, tobacco smoke is not harmless. Try again.
Centers for Disease Control Prevention. (2025, January 31). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
Pairing vapes and cigarettes can be more harmful than just smoking because you get extra nicotine and toxic chemicals.
Absolutely. Using nicotine as a teen may increase your risk of getting hooked on other drugs later.
Not it. Keep trying.
Centers for Disease Control and Prevention. (2024, October 24). About e-cigarettes (vapes). https://www.cdc.gov/tobacco/e-cigarettes/about.html
Vape smoke carries cancer-causing chemicals, metals, and toxic ingredients.
Centers for Disease Control and Prevention. (2024, October 17). E-Cigarette use among youth. https://www.cdc.gov/tobacco/e-cigarettes/youth.html
Vaping is a gateway to other tobacco products.
Fornell, D. (2024, October 8). Vaping with e-cigarettes linked to multiple cardiovascular risks. Cardiovascular Business. https://cardiovascularbusiness.com/topics/clinical/heart-health/vaping-e-cigarettes-linked-multiple-cardiovascular-risks
Nicotine in vapes can seriously damage your heart.
Over half of students have been exposed to secondhand smoke from cigarettes or vapes.
Nah! Try again.
Lee PH, Tervo-Clemmens B, Liu RT, et al. Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children. JAMA Netw Open. 2024;7(2):e240376. doi:10.1001/jamanetworkopen.2024.0376
Vaping can raise the risk of suicide attempts in kids.
Cigarette ads are often placed near snacks, candy, and drinks, at eye level for children.
Good try, but no. Keep guessing.
Rigotti, N. A. (2012). Strategies to help a smoker who is struggling to quit. JAMA, 308(15), 1573–1580. https://doi.org/10.1001/jama.2012.13043
Common withdrawal symptoms are anxiety, bad mood, restlessness, and trouble sleeping.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Smoking can cause cancer almost anywhere in your body, not just your lungs.
Hurt, R. D., Offord, K. P., Croghan, I. T., et al. (1996). Mortality following inpatient addictions treatment: Role of tobacco use in a community-based cohort. JAMA, 275(14), 1097–1103. https://doi.org/10.1001/jama.275.14.1097
Smokers with mental health issues are more likely to die from smoking than other drugs.
Centers for Disease Control and Prevention. (n.d.). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
Nicotine can damage the brain while it’s still developing, up to around age 25.
Parrott, A. C., & Murphy, R. S. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human psychopharmacology, 27(2), 150–155. https://doi.org/10.1002/hup.1247
People think smoking helps with stress, but it actually makes it worse.
U.S. Department of Health and Human Services. (2016). E-cigarette use among youth and young adults: A report of the Surgeon General [PDF].
https://e-cigarettes.surgeongeneral.gov/documents/2016_SGR_Full_Report_non-508.pdf
Before age 25, the brain is more vulnerable to nicotine’s effects, like mood swings, focus, and self-control.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress. (Archive version.)
https://archive.cdc.gov/#/details?url=https://www.cdc.gov/tobacco/sgr/50th-anniversary/index.htm
Smoking damages the parts of your lungs that help you breathe.
American Cancer Society. (n.d.). Cancer Statistics Center: Florida. https://cancerstatisticscenter.cancer.org/#!/state/Florida
1,690 people could die from cancer each day in the U.S.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress: A report of the Surgeon General. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Tobacco is the biggest preventable killer in Florida.
Centers for Disease Control and Prevention. (n.d.). People with certain medical conditions and COVID-19 risk.
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html
Smoking weakens your lung defenses and causes inflammation.
Vilcassim, M. J. R., Stowe, S., Majumder, R., Subramaniam, A., & Sinkey, R. G. (2023). Electronic Cigarette Use during Pregnancy: Is It Harmful? Toxics, 11(3), 278. https://doi.org/10.3390/toxics11030278
Nicotine may lead you to brain and blood vessel diseases.
Centers for Disease Control and Prevention. (n.d.). COPD: Tips from former smokers. https://www.cdc.gov/tobacco/campaign/tips/diseases/copd.html
80% of deaths from pulmonary disease is because of smoking.
U.S. Department of Health and Human Services. (2014). Let’s make the next generation tobacco-free: A consumer guide on the health consequences of smoking (Consumer Guide). https://www.hhs.gov/sites/default/files/consequences-smoking-consumer-guide.pdf
Every smoker who dies is replaced by two younger ones.
NCD Alliance. (2015). The African Tobacco Situation: A 2015 overview [PDF].
https://ncdalliance.org/sites/default/files/resource_files/TA5_2015_WEB.pdf
Tobacco killed 100 million people globally in the 1990s, more than both World Wars combined.
Ozga, J. E., Sargent, J. D., Steinberg, A. W., Tang, Z., Stanton, C. A., & Paulin, L. M. (2022). Childhood cigarette smoking and risk of COPD in older U.S. adults: A nationally representative replication study.
Chronic Obstructive Pulmonary Diseases, 9(4), 510–523. https://journal.copdfoundation.org/jcopdf/id/1508/Childhood-Cigarette-Smoking-and-Risk-of-COPD-in-Older-US-Adults-A-Nationally-Representative-Replication-Study
Starting to smoke before 15 raises your risk of pulmonary disease compared to those who start later.
Centers for Disease Control and Prevention. (n.d.). Lung cancer risk factors. https://www.cdc.gov/cancer/lung/basic_info/risk_factors.htm
Smokers are way more likely to die from lung cancer than non-smokers.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Almost every two minutes, someone in the U.S. finds out they have lung cancer.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Nicotine pouches can contain high levels of nicotine, an addictive chemical.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Nicotine pouches are not safe for youth.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Nicotine pouches could lead you to use other drugs.
Centers for Disease Control and Prevention. (n.d.). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Most tobacco free pouches have synthetic nicotine which is basically the same as natural nicotine.
Tobacco Atlas. (2023, October 26). Youth. https://tobaccoatlas.org/challenges/youth/
About 50 million teens globally are using smokeless tobacco.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
An hour of hookah means one hundred times the smoke of a cigarette.
Le, T. T. T., & Mendez, D. (2021). An estimation of the harm of menthol cigarettes in the United States from 1980 to 2018. Tobacco Control, 31(4). Advance online publication. https://doi.org/10.1136/tobaccocontrol-2020-056256
Menthol cigarettes created 10 million new smokers in less than 40 years.
Federal Trade Commission. (2023). Smokeless tobacco report for 2022 (FTC Report). https://www.ftc.gov/system/files/ftc_gov/pdf/2022-Smokeless-Tobacco-Report.pdf
Tobacco companies use deals like ‘buy one, get one free’ to trick people to buy more smokeless tobacco.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
The charcoal in hookahs releases toxins that can harm your heart and lungs.
Keep America Beautiful; Burns & McDonnell Project Team. (2021, May). 2020 National Litter Study: Summary Report. https://kab.org/wp-content/uploads/2021/05/Litter-Study-Summary-Report-May-2021_final_05172021.pdf
Every year, the US is trashed with 5.7 billion cigarette butts.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
Hookah tobacco and smoke have toxic chemicals that can cause cancer.
U.S. Food and Drug Administration. (n.d.). Hookah tobacco (shisha or waterpipe tobacco). https://www.fda.gov/tobacco-products/products-ingredients-components/hookah-tobacco-shisha-or-waterpipe-tobacco
Hookah smokers can breathe in bacteria hiding in the hose.
Mary P. Martinasek, Kenneth D. Ward, Allison V. Calvanese, Change in Carbon Monoxide Exposure Among Waterpipe Bar Patrons, Nicotine & Tobacco Research, Volume 16, Issue 7, July 2014, Pages 1014–1019, https://doi.org/10.1093/ntr/ntu041
Hookah smokers consume toxic amounts of carbon monoxide.
Cobb, C., Ward, K. D., Maziak, W., Shihadeh, A. L., & Eissenberg, T. (2010). Waterpipe tobacco smoking: an emerging health crisis in the United States. American journal of health behavior, 34(3), 275–285. https://doi.org/10.5993/ajhb.34.3.3
Hookah is just as addictive as smoking cigarettes.
Le, T. T. T., & Mendez, D. (2021). An estimation of the harm of menthol cigarettes in the United States from 1980 to 2018. Tobacco Control, 31(4). Advance online publication. https://doi.org/10.1136/tobaccocontrol-2020-056256
Menthol cigarettes cut 378,000 lives short in less than 40 years.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Smokeless tobacco may be a gateway to smoking cigarettes.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html#:~:text=In%20a%20single%20smoking%20session,610
Hookah smokers can get the same diseases as cigarette smokers.
Tommasi, S., Blumenfeld, H., & Besaratinia, A. (2024). Vaping dose, device type, and e-liquid flavor are determinants of DNA damage in electronic-cigarette users. Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntad003
Vaping messes with your DNA just like smoking does.
Bhatta, D. N., & Glantz, S. A. (2019). Association of e-cigarette use with respiratory disease among adults: A longitudinal analysis. American Journal of Preventive Medicine. https://www.ajpmonline.org/article/S0749-3797(19)30391-5/fulltext
Vaping increases your odds of respiratory disease.
McAfee T, Tynan M. Smoking in Movies: A New Centers for Disease Control and Prevention Core Surveillance Indicator. Prev Chronic Dis 2012;9:120261. DOI: http://dx.doi.org/10.5888/pcd9.120261
Watching smoking in shows makes you 2-3x more likely to smoke.
Levy, D. T., Lindblom, E. N., Fleischer, N. L., Thrasher, J., Mohlman, M. K., Zhang, Y., Monshouwer, K., & Nagelhout, G. E. (2015). Public Health Effects of Restricting Retail Tobacco Product Displays and Ads. Tobacco regulatory science, 1(1), 61–75. https://doi.org/10.18001/trs.1.1.7
Seeing tobacco ads make you want to smoke more and makes it harder to quit.
Centers for Disease Control and Prevention. (n.d.). African American unfair & unjust tobacco‑related health burden. https://www.cdc.gov/tobacco-health-equity/collection/african-american-unfair-and-unjust.html
Tobacco companies use deals and coupons to sell more among vulnerable populations.
Federal Trade Commission. (2021). *E-cigarette report for 2021* [PDF]. https://www.ftc.gov/system/files/ftc_gov/pdf/E-CigaretteReportfor2021.pdf
Major vape brands spend hundreds of millions on ads to keep vapes in your face.
Centers for Disease Control and Prevention. (2014). 2014 Surgeon General’s report: The health consequences of smoking — 50 years of progress. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Secondhand smoke ups your chances of getting bronchitis and pneumonia.
U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf
Secondhand smoke triggers more asthma attacks and makes them worse.
University of California, San Francisco. (2014, November 13). Nonsmokers in automobiles are exposed to significant secondhand smoke. UCSF News. https://www.ucsf.edu/news/2014/11/120766/nonsmokers-automobiles-are-exposed-significant-secondhand-smoke
Even riding in a car with smokers means you’re breathing cancer-causing and harmful smoke.
U.S. Department of Health and Human Services. (n.d.). Preventing youth tobacco use factsheet. https://www.hhs.gov/surgeongeneral/reports-and-publications/tobacco/preventing-youth-tobacco-use-factsheet/index.html
90% of adult smokers start by age 18.
National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2014). The health consequences of smoking — 50 years of progress: A report of the Surgeon General. Centers for Disease Control and Prevention. https://www.ncbi.nlm.nih.gov/books/NBK294308/
Cigarettes are researched, designed, and manufactured to get you hooked on purpose.
Centers for Disease Control and Prevention. (n.d.). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html#cdc_generic_section_10-nicotine-addiction-and-withdrawal
You can get hooked on nicotine fast, even without daily use.
McDaniel, J. C., & Browning, K. K. (2014). Smoking, chronic wound healing, and implications for evidence-based practice.
Journal of Wound, Ostomy, and Continence Nursing, 41(5), 415–423.
https://journals.lww.com/jwocnonline/abstract/2014/09000/smoking,_chronic_wound_healing,_and_implications.3.aspx
Smoking slows down wound healing.
Centers for Disease Control and Prevention. (n.d.). Lung cancer risk factors. https://www.cdc.gov/lung-cancer/risk-factors
Over 80% of lung cancer deaths are caused by smoking.
Centers for Disease Control and Prevention. (n.d.). Cigarettes and cardiovascular disease.
https://www.cdc.gov/tobacco/about/cigarettes-and-cardiovascular-disease.html
Smoking makes you 2 to 4 times more likely to have a stroke.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Smokers are more likely to die from the flu or pneumonia.
Naldi, L. (2016). Psoriasis and smoking: Links and risks. Psoriasis: Targets and Therapy, 6, 65–71. https://doi.org/10.2147/PTT.S8518
Smoking raises your risk of psoriasis, and even prevents treatments from working.
Morita A. (2007). Tobacco smoke causes premature skin aging. Journal of dermatological science, 48(3), 169–175. https://doi.org/10.1016/j.jdermsci.2007.06.015
Smoking makes your skin age faster.
American Cancer Society. (n.d.). Cancer Statistics Center: Florida. https://cancerstatisticscenter.cancer.org/#!/state/Florida
In Florida, cancer is expected to kill 49,000 people this year.
Majmundar, A., Okitondo, C., Xue, A., Asare, S., Bandi, P., & Nargis, N. (2022). Nicotine pouch sales trends in the US by volume and nicotine concentration levels from 2019 to 2022. JAMA Network Open, 5(11), Article e2242235. https://doi.org/10.1001/jamanetworkopen.2022.42235
Nicotine pouches come in fruity flavors that make it easier for teens to get hooked.
Philip Morris International Inc. (2024). Press release – newsId=27881 [Press release]. https://www.pmi.com/investor-relations/press-releases-and-events/press-releases-overview/press-release-details/?newsId=27881
R.J. Reynolds Vapor Company. (2024, June 27). R.J. Reynolds Vapor Company completes PMTA submission for age-gated Vuse Pro e-cigarette platform [Press release]. https://www.reynoldsamerican.com/news/r-j-reynolds-vapor-company-completes-pmta-submission-for-age-gated-vuse-pro-e-cigarette-platform/
Research & Markets. (2024, November 21). Tobacco – Global strategic business report 2024-2030: Market to reach $1,100 billion – rising demand for reduced-risk products (RRPs) and focus on nicotine replacement generates opportunity [Press release]. Globe Newswire. https://www.globenewswire.com/news-release/2024/11/21/2985343/28124/en/Tobacco-Global-Strategic-Business-Report-2024-2030-Market-to-Reach-1-100-Billion-Rising-Demand-for-Reduced-Risk-Products-RRPs-and-Focus-on-Nicotine-Replacement-Generates-Opportunit.html
Tobacco giants are investing in new nicotine products to hook the next generation.
U.S. Food and Drug Administration. (n.d.). Smokeless tobacco products, including dip, snuff, snus, and chewing tobacco. https://www.fda.gov/tobacco-products/products-ingredients-components/smokeless-tobacco-products-including-dip-snuff-snus-and-chewing-tobacco
Smokeless tobacco has over 4,000 chemicals, and about 30 can cause cancer.
Sy D. K. (2024). Tobacco industry accountability for marine pollution: country and global estimates. Tobacco control, 33(e2), e1–e4. https://doi.org/10.1136/tc-2022-057795
Cigs cost the planet $25.7B a year in cleanup and ocean damage.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Smokeless tobacco can mess up your gums, rot your teeth, and make them fall out.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Smokeless tobacco may increase your risk of dying from heart disease or stroke.
Javed, F., Al-Kheraif, A. A., Rahman, I., Millan-Luongo, L. T., Feng, C., Yunker, M., Malmstrom, H., & Romanos, G. E. (2016). Comparison of Clinical and Radiographic Periodontal Status Between Habitual Water-Pipe Smokers and Cigarette Smokers. Journal of periodontology, 87(2), 142–147. https://doi.org/10.1902/jop.2015.150235
Hookah smokers are more likely to get gum disease and lose teeth than non-smokers.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Smokeless tobacco can lead to mouth diseases and throat cancers.
Schubert, J., et al. (2012). Nicotine and carcinogen exposure after water pipe smoking in hookah bars. Nicotine & Tobacco Research. https://pmc.ncbi.nlm.nih.gov/articles/PMC3407543/
Even tobacco free hookah smoke has cancer-causing chemicals.
Cardenas, H. L., Evanoff, N. G., Fandl, H. K., Berry, A. R., Wegerson, K. N., Ostrander, E. I., Greiner, J. J., Dufresne, S. R., Kotlyar, M., Dengel, D. R., DeSouza, C. A., & Garcia, V. P. (2023). Endothelial-derived extracellular vesicles associated with electronic-cigarette use impair cerebral microvascular cell function. Journal of Applied Physiology, 135(2), 271-278. https://doi.org/10.1152/japplphysiol.00243.2023
Vaping might raise your risk of having a stroke.
National Academies of Sciences, Engineering, and Medicine. (2018). Public health consequences of e-cigarettes (Chapter 9: Cardiovascular disease). The National Academies Press. https://nap.nationalacademies.org/read/24952/chapter/16#450
Teens who vape are more likely to have worse asthma.
Osibogun, O., Bursac, Z., & Maziak, W. (2020). E-Cigarette use and regular cigarette smoking among youth: Population Assessment of Tobacco and Health Study (2013–2016). American Journal of Preventive Medicine, 58(5), 657–665. https://doi.org/10.1016/j.amepre.2020.01.003
Teens who vape are more likely to start smoking.
You may think vaping won’t affect you. Walker did too. Hear how fast it changed his life.
You may think vaping won’t affect you. Garrett did too. Hear how fast it changed his life.
You may think vaping won’t affect you. Katia did too. Hear how fast it changed her life.
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Ammonia is added to cigarettes to keep you hooked.
U.S. Food and Drug Administration. (n.d.). Chemicals in every cigarette. https://www.fda.gov/tobacco-products/products-ingredients-components/chemicals-every-cigarette
Research shows nicotine can be just as addictive as heroin, cocaine, or alcohol.
Centers for Disease Control and Prevention. (n.d.). 50th anniversary: Surgeon General’s report on smoking and health. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Cigarette ads are often placed right at kids’ eye level.
Brown, J. L., Rosen, D., Carmona, M. G., Parra, N., Hurley, M., & Cohen, J. E. (2023, August 17). Spinning a global web: Tactics used by Big Tobacco to attract children at tobacco points‑of‑sale. Tobacco Control. Advance online publication. https://doi.org/10.1136/tobaccocontrol-2021-057095
Cheaper tobacco prices make it easier for teens to start, try, and keep smoking.
National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General (Surgeon General’s report). Centers for Disease Control and Prevention. https://www.ncbi.nlm.nih.gov/books/NBK99238/
The tobacco industry uses streaming and sports like F1 to get to you.
Truth Initiative. (2023, April 5). Netflix streams 1.1 billion minutes of tobacco‑related imagery in newest season of F1 racing show. Truth Initiative. https://truthinitiative.org/research-resources/tobacco-pop-culture/netflix-streams-11-billion-minutes-tobacco-related-imagery
For years, tobacco brands have made vapes and cigs look cool to lure teens.
Public Health Law Center. (n.d.). *The verdict is in: Tobacco industry accountability and litigation* [PDF]. Mitchell Hamline School of Law. https://www.publichealthlawcenter.org/sites/default/files/resources/tclc-verdict-is-in.pdf
Vape companies are making billions by getting teens like you hooked.
Federal Trade Commission. (2024). E‑Cigarette report for 2021. https://www.ftc.gov/system/files/ftc_gov/pdf/E‑CigaretteReportfor2021.pdf
Just a little secondhand smoke can still be harmful or even deadly.
Centers for Disease Control and Prevention. (n.d.). Secondhand smoke. https://www.cdc.gov/tobacco/secondhand-smoke/index.html
Secondhand smoke increases your risk of cancer, heart problems, and stroke, even if you don’t smoke.
U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf
Secondhand smoke kills over 19,000 people every year.
U.S. Department of Health & Human Services. (2024). Eliminating tobacco‑related disease and death: Addressing disparities (35th Surgeon General’s report). https://www.hhs.gov/sites/default/files/2024-sgr-tobacco-related-health-disparities-full-report.pdf
People often start smoking again because of nicotine withdrawal symptoms.
Centers for Disease Control and Prevention (US); National Center for Chronic Disease Prevention and Health Promotion (US); Office on Smoking and Health (US). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2010. Available from: https://www.ncbi.nlm.nih.gov/books/NBK53017/
Nicotine addiction can start just days or weeks after you first try it.
DiFranza, J. R., Rigotti, N. A., McNeill, A. D., Ockene, J. K., Savageau, J. A., St Cyr, D., & Coleman, M. (2000). Initial symptoms of nicotine dependence in adolescents. Tobacco control, 9(3), 313–319. https://doi.org/10.1136/tc.9.3.313
Even nicotine free vapes can mess with your lungs.
Radiological Society of North America. (n.d.). Emphysema at CT lung screening increases death risk in asymptomatic adults [Press release]. https://press.rsna.org/timssnet/media/pressreleases/14_pr_target.cfm?ID=2539
Pairing vapes and cigarettes can be more harmful than just smoking because you get extra nicotine and toxic chemicals.
Centers for Disease Control Prevention. (2025, January 31). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
Vape smoke carries cancer-causing chemicals, metals, and toxic ingredients.
Centers for Disease Control and Prevention. (2024, October 24). About e-cigarettes (vapes). https://www.cdc.gov/tobacco/e-cigarettes/about.html
Vaping is a gateway to other tobacco products.
Centers for Disease Control and Prevention. (2024, October 17). E-Cigarette use among youth. https://www.cdc.gov/tobacco/e-cigarettes/youth.html
Nicotine in vapes can seriously damage your heart.
Fornell, D. (2024, October 8). Vaping with e-cigarettes linked to multiple cardiovascular risks. Cardiovascular Business. https://cardiovascularbusiness.com/topics/clinical/heart-health/vaping-e-cigarettes-linked-multiple-cardiovascular-risks
Vaping can raise the risk of suicide attempts in kids.
Lee PH, Tervo-Clemmens B, Liu RT, et al. Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children. JAMA Netw Open. 2024;7(2):e240376. doi:10.1001/jamanetworkopen.2024.0376
Common withdrawal symptoms are anxiety, bad mood, restlessness, and trouble sleeping.
Rigotti, N. A. (2012). Strategies to help a smoker who is struggling to quit. JAMA, 308(15), 1573–1580. https://doi.org/10.1001/jama.2012.13043
Smoking can cause cancer almost anywhere in your body, not just your lungs.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Smokers with mental health issues are more likely to die from smoking than other drugs.
Hurt, R. D., Offord, K. P., Croghan, I. T., et al. (1996). Mortality following inpatient addictions treatment: Role of tobacco use in a community-based cohort. JAMA, 275(14), 1097–1103. https://doi.org/10.1001/jama.275.14.1097
Nicotine can damage the brain while it’s still developing, up to around age 25.
Centers for Disease Control and Prevention. (n.d.). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html
People think smoking helps with stress, but it actually makes it worse.
Parrott, A. C., & Murphy, R. S. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human psychopharmacology, 27(2), 150–155. https://doi.org/10.1002/hup.1247
Before age 25, the brain is more vulnerable to nicotine’s effects, like mood swings, focus, and self-control.
U.S. Department of Health and Human Services. (2016). E-cigarette use among youth and young adults: A report of the Surgeon General [PDF].
https://e-cigarettes.surgeongeneral.gov/documents/2016_SGR_Full_Report_non-508.pdf
Smoking damages the parts of your lungs that help you breathe.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress. (Archive version.)
https://archive.cdc.gov/#/details?url=https://www.cdc.gov/tobacco/sgr/50th-anniversary/index.htm
1,690 people could die from cancer each day in the U.S.
American Cancer Society. (n.d.). Cancer Statistics Center: Florida. https://cancerstatisticscenter.cancer.org/#!/state/Florida
Tobacco is the biggest preventable killer in Florida.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress: A report of the Surgeon General. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Smoking weakens your lung defenses and causes inflammation.
Centers for Disease Control and Prevention. (n.d.). People with certain medical conditions and COVID-19 risk.
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/high-risk-complications.html
Nicotine may lead you to brain and blood vessel diseases.
Vilcassim, M. J. R., Stowe, S., Majumder, R., Subramaniam, A., & Sinkey, R. G. (2023). Electronic Cigarette Use during Pregnancy: Is It Harmful? Toxics, 11(3), 278. https://doi.org/10.3390/toxics11030278
80% of deaths from pulmonary disease is because of smoking.
Centers for Disease Control and Prevention. (n.d.). COPD: Tips from former smokers. https://www.cdc.gov/tobacco/campaign/tips/diseases/copd.html
Every smoker who dies is replaced by two younger ones.
U.S. Department of Health and Human Services. (2014). Let’s make the next generation tobacco-free: A consumer guide on the health consequences of smoking (Consumer Guide). https://www.hhs.gov/sites/default/files/consequences-smoking-consumer-guide.pdf
Tobacco killed 100 million people globally in the 1990s, more than both World Wars combined.
NCD Alliance. (2015). The African Tobacco Situation: A 2015 overview [PDF].
https://ncdalliance.org/sites/default/files/resource_files/TA5_2015_WEB.pdf
Starting to smoke before 15 raises your risk of pulmonary disease compared to those who start later.
Ozga, J. E., Sargent, J. D., Steinberg, A. W., Tang, Z., Stanton, C. A., & Paulin, L. M. (2022). Childhood cigarette smoking and risk of COPD in older U.S. adults: A nationally representative replication study.
Chronic Obstructive Pulmonary Diseases, 9(4), 510–523. https://journal.copdfoundation.org/jcopdf/id/1508/Childhood-Cigarette-Smoking-and-Risk-of-COPD-in-Older-US-Adults-A-Nationally-Representative-Replication-Study
Smokers are way more likely to die from lung cancer than non-smokers.
Centers for Disease Control and Prevention. (n.d.). Lung cancer risk factors. https://www.cdc.gov/cancer/lung/basic_info/risk_factors.htm
Almost every two minutes, someone in the U.S. finds out they have lung cancer.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Nicotine pouches can contain high levels of nicotine, an addictive chemical.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Nicotine pouches are not safe for youth.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Nicotine pouches could lead you to use other drugs.
Centers for Disease Control and Prevention. (2025, January 31). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
Most tobacco free pouches have synthetic nicotine which is basically the same as natural nicotine.
Centers for Disease Control and Prevention. (n.d.). Nicotine pouches. https://www.cdc.gov/tobacco/nicotine-pouches/index.html
About 50 million teens globally are using smokeless tobacco.
Tobacco Atlas. (2023, October 26). Youth. https://tobaccoatlas.org/challenges/youth/
An hour of hookah means one hundred times the smoke of a cigarette.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
Menthol cigarettes created 10 million new smokers in less than 40 years.
Le, T. T. T., & Mendez, D. (2021). An estimation of the harm of menthol cigarettes in the United States from 1980 to 2018. Tobacco Control, 31(4). Advance online publication. https://doi.org/10.1136/tobaccocontrol-2020-056256
Tobacco companies use deals like ‘buy one, get one free’ to trick people to buy more smokeless tobacco.
Federal Trade Commission. (2023). Smokeless tobacco report for 2022 (FTC Report). https://www.ftc.gov/system/files/ftc_gov/pdf/2022-Smokeless-Tobacco-Report.pdf
The charcoal in hookahs releases toxins that can harm your heart and lungs.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
Every year, the US is trashed with 5.7 billion cigarette butts.
Keep America Beautiful; Burns & McDonnell Project Team. (2021, May). 2020 National Litter Study: Summary Report. https://kab.org/wp-content/uploads/2021/05/Litter-Study-Summary-Report-May-2021_final_05172021.pdf
Hookah tobacco and smoke have toxic chemicals that can cause cancer.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html
Hookah smokers can breathe in bacteria hiding in the hose.
U.S. Food and Drug Administration. (n.d.). Hookah tobacco (shisha or waterpipe tobacco). https://www.fda.gov/tobacco-products/products-ingredients-components/hookah-tobacco-shisha-or-waterpipe-tobacco
Hookah smokers consume toxic amounts of carbon monoxide.
Mary P. Martinasek, Kenneth D. Ward, Allison V. Calvanese, Change in Carbon Monoxide Exposure Among Waterpipe Bar Patrons, Nicotine & Tobacco Research, Volume 16, Issue 7, July 2014, Pages 1014–1019, https://doi.org/10.1093/ntr/ntu041
Hookah is just as addictive as smoking cigarettes.
Cobb, C., Ward, K. D., Maziak, W., Shihadeh, A. L., & Eissenberg, T. (2010). Waterpipe tobacco smoking: an emerging health crisis in the United States. American journal of health behavior, 34(3), 275–285. https://doi.org/10.5993/ajhb.34.3.3
Menthol cigarettes cut 378,000 lives short in less than 40 years.
Le, T. T. T., & Mendez, D. (2021). An estimation of the harm of menthol cigarettes in the United States from 1980 to 2018. Tobacco Control, 31(4). Advance online publication. https://doi.org/10.1136/tobaccocontrol-2020-056256
Smokeless tobacco may be a gateway to smoking cigarettes.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Hookah smokers can get the same diseases as cigarette smokers.
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html#:~:text=In%20a%20single%20smoking%20session,610
Vaping messes with your DNA just like smoking does.
Tommasi, S., Blumenfeld, H., & Besaratinia, A. (2024). Vaping dose, device type, and e-liquid flavor are determinants of DNA damage in electronic-cigarette users. Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntad003
Vaping increases your odds of respiratory disease.
Bhatta, D. N., & Glantz, S. A. (2019). Association of e-cigarette use with respiratory disease among adults: A longitudinal analysis. American Journal of Preventive Medicine. https://www.ajpmonline.org/article/S0749-3797(19)30391-5/fulltext
Watching smoking in shows makes you 2-3x more likely to smoke.
McAfee T, Tynan M. Smoking in Movies: A New Centers for Disease Control and Prevention Core Surveillance Indicator. Prev Chronic Dis 2012;9:120261. DOI: http://dx.doi.org/10.5888/pcd9.120261
Seeing tobacco ads make you want to smoke more and makes it harder to quit.
Levy, D. T., Lindblom, E. N., Fleischer, N. L., Thrasher, J., Mohlman, M. K., Zhang, Y., Monshouwer, K., & Nagelhout, G. E. (2015). Public Health Effects of Restricting Retail Tobacco Product Displays and Ads. Tobacco regulatory science, 1(1), 61–75. https://doi.org/10.18001/trs.1.1.7
Tobacco companies use deals and coupons to sell more among vulnerable populations.
Centers for Disease Control and Prevention. (n.d.). African American unfair & unjust tobacco‑related health burden. https://www.cdc.gov/tobacco-health-equity/collection/african-american-unfair-and-unjust.html
Major vape brands spend hundreds of millions on ads to keep vapes in your face.
Federal Trade Commission. (2021). *E-cigarette report for 2021* [PDF]. https://www.ftc.gov/system/files/ftc_gov/pdf/E-CigaretteReportfor2021.pdf
Secondhand smoke ups your chances of getting bronchitis and pneumonia.
Centers for Disease Control and Prevention. (2014). 2014 Surgeon General’s report: The health consequences of smoking — 50 years of progress. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Secondhand smoke triggers more asthma attacks and makes them worse.
U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf
Even riding in a car with smokers means you’re breathing cancer-causing and harmful smoke.
University of California, San Francisco. (2014, November 13). Nonsmokers in automobiles are exposed to significant secondhand smoke. UCSF News. https://www.ucsf.edu/news/2014/11/120766/nonsmokers-automobiles-are-exposed-significant-secondhand-smoke
90% of adult smokers start by age 18.
U.S. Department of Health and Human Services. (n.d.). Preventing youth tobacco use factsheet. https://www.hhs.gov/surgeongeneral/reports-and-publications/tobacco/preventing-youth-tobacco-use-factsheet/index.html
Cigarettes are researched, designed, and manufactured to get you hooked on purpose.
National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2014). The health consequences of smoking — 50 years of progress: A report of the Surgeon General. Centers for Disease Control and Prevention. https://www.ncbi.nlm.nih.gov/books/NBK294308/
You can get hooked on nicotine fast, even without daily use.
Centers for Disease Control and Prevention. (n.d.). Health effects of e-cigarettes. https://www.cdc.gov/tobacco/e-cigarettes/health-effects.html#cdc_generic_section_10-nicotine-addiction-and-withdrawal
Smoking slows down wound healing.
McDaniel, J. C., & Browning, K. K. (2014). Smoking, chronic wound healing, and implications for evidence-based practice.
Journal of Wound, Ostomy, and Continence Nursing, 41(5), 415–423.
https://journals.lww.com/jwocnonline/abstract/2014/09000/smoking,_chronic_wound_healing,_and_implications.3.aspx
Over 80% of lung cancer deaths are caused by smoking.
Centers for Disease Control and Prevention. (n.d.). Lung cancer risk factors. https://www.cdc.gov/lung-cancer/risk-factors
Smoking makes you 2 to 4 times more likely to have a stroke.
Centers for Disease Control and Prevention. (n.d.). Cigarettes and cardiovascular disease.
https://www.cdc.gov/tobacco/about/cigarettes-and-cardiovascular-disease.html
Smokers are more likely to die from the flu or pneumonia.
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm
Smoking raises your risk of psoriasis, and even prevents treatments from working.
Naldi, L. (2016). Psoriasis and smoking: Links and risks. Psoriasis: Targets and Therapy, 6, 65–71. https://doi.org/10.2147/PTT.S8518
Smoking makes your skin age faster.
Morita A. (2007). Tobacco smoke causes premature skin aging. Journal of dermatological science, 48(3), 169–175. https://doi.org/10.1016/j.jdermsci.2007.06.015
In Florida, cancer is expected to kill 49,000 people this year.
American Cancer Society. (n.d.). Cancer Statistics Center: Florida. https://cancerstatisticscenter.cancer.org/#!/state/Florida
Nicotine pouches come in fruity flavors that make it easier for teens to get hooked.
Majmundar, A., Okitondo, C., Xue, A., Asare, S., Bandi, P., & Nargis, N. (2022). Nicotine pouch sales trends in the US by volume and nicotine concentration levels from 2019 to 2022. JAMA Network Open, 5(11), Article e2242235. https://doi.org/10.1001/jamanetworkopen.2022.42235
Tobacco giants are investing in new nicotine products to hook the next generation.
Philip Morris International Inc. (2024). Press release – newsId=27881 [Press release]. https://www.pmi.com/investor-relations/press-releases-and-events/press-releases-overview/press-release-details/?newsId=27881
R.J. Reynolds Vapor Company. (2024, June 27). R.J. Reynolds Vapor Company completes PMTA submission for age-gated Vuse Pro e-cigarette platform [Press release]. https://www.reynoldsamerican.com/news/r-j-reynolds-vapor-company-completes-pmta-submission-for-age-gated-vuse-pro-e-cigarette-platform/
Research & Markets. (2024, November 21). Tobacco – Global strategic business report 2024-2030: Market to reach $1,100 billion – rising demand for reduced-risk products (RRPs) and focus on nicotine replacement generates opportunity [Press release]. Globe Newswire. https://www.globenewswire.com/news-release/2024/11/21/2985343/28124/en/Tobacco-Global-Strategic-Business-Report-2024-2030-Market-to-Reach-1-100-Billion-Rising-Demand-for-Reduced-Risk-Products-RRPs-and-Focus-on-Nicotine-Replacement-Generates-Opportunit.html
Smokeless tobacco has over 4,000 chemicals, and about 30 can cause cancer.
U.S. Food and Drug Administration. (n.d.). Smokeless tobacco products, including dip, snuff, snus, and chewing tobacco. https://www.fda.gov/tobacco-products/products-ingredients-components/smokeless-tobacco-products-including-dip-snuff-snus-and-chewing-tobacco
Cigs cost the planet $25.7B a year in cleanup and ocean damage.
Sy D. K. (2024). Tobacco industry accountability for marine pollution: country and global estimates. Tobacco control, 33(e2), e1–e4. https://doi.org/10.1136/tc-2022-057795
Smokeless tobacco can mess up your gums, rot your teeth, and make them fall out.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Smokeless tobacco may increase your risk of dying from heart disease or stroke.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Hookah smokers are more likely to get gum disease and lose teeth than non-smokers.
Javed, F., Al-Kheraif, A. A., Rahman, I., Millan-Luongo, L. T., Feng, C., Yunker, M., Malmstrom, H., & Romanos, G. E. (2016). Comparison of Clinical and Radiographic Periodontal Status Between Habitual Water-Pipe Smokers and Cigarette Smokers. Journal of periodontology, 87(2), 142–147. https://doi.org/10.1902/jop.2015.150235
Smokeless tobacco can lead to mouth diseases and throat cancers.
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html
Even tobacco free hookah smoke has cancer-causing chemicals.
Schubert, J., et al. (2012). Nicotine and carcinogen exposure after water pipe smoking in hookah bars. Nicotine & Tobacco Research. https://pmc.ncbi.nlm.nih.gov/articles/PMC3407543/
Vaping might raise your risk of having a stroke.
Cardenas, H. L., Evanoff, N. G., Fandl, H. K., Berry, A. R., Wegerson, K. N., Ostrander, E. I., Greiner, J. J., Dufresne, S. R., Kotlyar, M., Dengel, D. R., DeSouza, C. A., & Garcia, V. P. (2023). Endothelial-derived extracellular vesicles associated with electronic-cigarette use impair cerebral microvascular cell function. Journal of Applied Physiology, 135(2), 271-278. https://doi.org/10.1152/japplphysiol.00243.2023
Teens who vape are more likely to have worse asthma.
National Academies of Sciences, Engineering, and Medicine. (2018). Public health consequences of e-cigarettes (Chapter 9: Cardiovascular disease). The National Academies Press. https://nap.nationalacademies.org/read/24952/chapter/16#450
Teens who vape are more likely to start smoking.
Osibogun, O., Bursac, Z., & Maziak, W. (2020). E-Cigarette use and regular cigarette smoking among youth: Population Assessment of Tobacco and Health Study (2013–2016). American Journal of Preventive Medicine, 58(5), 657–665. https://doi.org/10.1016/j.amepre.2020.01.003