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Something new to chew on

By Jackie Gill
jgill33@uwo.ca

Rob Running vividly remembers the first time he saw the effects of chewing tobacco.

He was just 16 years old, working his first summer job at a gas station, when a customer who came in wearing a medical facemask noticed him chewing. So the customer took Running aside, and took off his mask.

"It looked like he got shot in the face. He was missing his bottom jaw, his tongue. It was pretty gross," said Running. "He actually lost his tongue and part of his face to cancer from chewing."

The shock scared him straight — for a month. Then he picked up a tin and started chewing again.

Rob Running
Photo courtesy of Rob Running
Rob Running works at his computer.

Kids like Running, who had his first chew, as it's commonly called, in Grade 6 and continued until he was in second-year university, are the focus of a postcard campaign by several Ontario youth action groups asking the provincial government to ban the sale of chew entirely.

February's Through With Chew week led to an estimated 7,000 postcards being sent to local MPPs across the province. And, as of March 17, they started trickling into Queen's Park. Already the province restricts the sale of chew to over-19s, but that's not enough, say the health units.

"You want to nip it in the bud and stop it before it's happening. If it's not available to them (youth), they can't use it," said Amy Yateman, youth adviser with One Life Crew, the youth-led peer group with the London-Middlesex Health Unit. Her crew generated close to 1,500 of the campaign's postcards.

"The tobacco industry is really pushing chew as an alternative, a safer alternative," she said. "We're pushing just as hard back to say, 'It's not. Here's what could happen to you.' "

Before kicking off the postcard campaign, Corina Artuso, the youth adviser with Algoma Public Health in Sault Ste. Marie who co-ordinated the provincewide postcard campaign, says she didn't know there was even a problem. But when she started asking youth to identify major health issues, chew came up in five different communities covered by her health board.

"All of them unanimously identified chewing tobacco as something important to address. I didn't even know what chewing tobacco was at that time, so I thought they were kind of nuts," she said.

"The kids know that this is happening; youth know this is happening, but grown-ups, not so much."

She's learned a lot since then, even if she's encountered a stunning lack of statistics on the matter. Most reports are anecdotal, she says, but the few studies that have been conducted show a marked rise in chew tobacco use. In her area, 10 per cent of Grades 7 to 12 chew on a regular basis or at least once, and in one Waterloo school, 32 per cent of the kids have tried it at least once.

"We're starting to learn that it's becoming more of a problem," she said. "We're seeing an increase in use among youth, particularly in male athletes."

That's how Running got started, sucking on a piece of cherry-flavoured chew when he was 12 during a hockey game with his older cousin in his hometown of Sault Ste. Marie.

"We all went outside to play hockey," he said. "When we were younger, and everyone would be outside playing hockey, everyone would just chew. That's just the way it was.

"I guess you could say it's classic peer pressure from the older, cooler kids, I guess."

While it was common for kids to chew in elementary school, Running says he didn't get heavily into chew until he started Grade 9.

At the time, he didn't know much about the risks. He admits he'd heard about oral cancers, but he had yet to experience the effects with his own eyes. Even after his gas station encounter at age 16, he couldn't kick the habit for more than a month.

"It was relaxing, I guess. It was a habit as a group of guys. We'd always chew in the hockey dressing room before and after (a game). We'd always chew in the weight room," he said.

It took five more years of chewing for him to finally quit. In his second year of university at Windsor, he decided enough was enough. "It was just stupid. It's gross. You don't want to be talking to people and spitting," he said.

"I just kind of grew out of it when I matured a bit. I've still got a long way to go, but …"

But his friends are still working through about two or three tins a day, he says, and with each costing up to $8 a pop, he's glad to be free of it.

The cost of the tins isn't the only concern that chewers should be wary about though, warns Yateman. She points out that there are up to 3,000 chemicals in a single tin of chew, including formaldehyde, a fluid used to embalm bodies; cadium, an acid found in car batteries; and arsenic, the active ingredient in rat poison. As many as 28 chemicals in various brands of chew are linked to cancer.

Some kinds of chew tobacco even add abrasives that cut into gums to get nicotine into the bloodstream more quickly, says Yateman, adding that "a small pinch might be equal to numerous cigarettes, so you're getting more, quicker."

And while each tin comes with a warning sticker akin to those on cigarette packages, the tobacco companies have found a way to work around negative stigmas, Yateman says. In her hand is a tin of cherry-flavoured Skoal, a brand used by many youth, and she points to a small warning label on the side.

Amy Yateman
Photo by Jackie Gill
Amy Yateman holds up a tin of chewing tobacco with the top half of the warning label removed.

"Here it says, 'this product is not a safe alternative to cigarettes,' but when you rip it open, now it says 'a safe alternative to cigarettes.' "

US Tobacco, the company that produces the line of Skoal Yateman displays, was not available for a comment.

While Yateman works to make London kids aware of information like this, she knows that kids often won't listen to adults on such matters — Running, for example, continued chewing after his dad found an empty tin and gave him a lecture. That's why the health unit's youth action alliance, the One Life Crew, relies on peer leaders like Victoria Trglavcnik to make sure young people are getting the message.

"Youth listen to their peers. They know what's cool, what's not cool, what will work and what won't work," said Yateman.

Trglavcnik, a 17-year-old student at London's Catholic Central High School, is just one year older than Running was when he unsuccessfully struggled to kick the habit. But she's never tried chewing tobacco. Her job is to make sure her friends and peers stay away from it too.

Victoria Trglavcnik
Photo by Jackie Gill
Victoria Trglavcnik talks to kids about the hazardous effects of chew with the Middlesex-London Health Unit's One Life Crew.

Over the summer, Trglavcnik visited summer camps and community events to help kids as young as eight understand the risks of chew tobacco. She's also been to anti-chew events at malls throughout the year to get the word out any way they can, she says.

"We try not to be boring; we make our presentations interactive. We have a lot of games that we've developed. We try to make it shocking, and somewhat short and sweet," she said.

And because it's a newly emerging topic, she's learned a lot about chew during the past year with the postcard campaign — she even signed one herself.

"It's really gross," she said.

Running agrees. "I still have some friends who still chew, and thank God I got off that bandwagon when I did. They're older now and they're chronically addicted."

 
 
 
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