Per capita consumption in 201011 was about 12.8% lower than it was in 200809 before a 25% increase in excise duty in April 2010
Our findings highlight a need for policy makers, researchers, and communities at risk to devote greater attention to chewing tobacco by both advancing tobacco control efforts and investing in strengthening the existing evidence base
By comparison, 3.5 percent of civilians greater than18 years old used smokeless tobacco (Substance Abuse and Mental Health Services Administration, 2010
Its not artisanal small-batch tobacco, but thats not the point
The effects on a pregnant womans fetus can be slower growth and development of the baby, sudden infant death syndrome (SIDS), low birth weight, and higher risk of stillbirth or ectopic pregnancy, as well as increased risk of birth defects like cleft lip and cleft palate