You might think, like many people do, that smokeless tobacco products are safe alternatives to cigarettes. Wrong.

According to researchers at the University of Minnesota Cancer Center, smokeless tobacco users are exposed to higher amounts of carcinogenic molecules than cigarette smokers. In a study of 182 users of chewing tobacco or oral snuff and 420 cigarette smokers, they found snuff users were exposed to higher levels of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) than smokers. NNK is a human carcinogen known to produce lung cancer. In laboratory animals, it also contributes to cancers of the pancreas, nasal mucosa, and liver.

Published in the August issue of Cancer Epidemiology, Biomarkers & Prevention, this study serves to remind us that there is only one safe alternative to smoking -- not smoking.

Smoking is not an easy habit to break, and of the many methods tried, only a handful seem to work. Of the methods that do seem to work -- nicotine-replacement products; bupropion drugs; counseling; classes; calling a helpline or talking to a health professional -- younger smokers between the ages of 16 and 24 years who smoke and try to quit only use one of the recommended methods of help by talking to a professional. Because of this, younger smokers are less likely to be successful in quitting, according to the US Centers for Disease Control and Prevention (CDC).

During the 2003 National Youth Smoking Cessation Survey, the CDC found that younger smokers most often tried to quit smoking by cutting back on the number of cigarettes they smoked each day; not buying cigarettes; exercising; using the buddy system and trying to quit with a friend; telling others they were quitting and changing to a lighter brand of cigarette, switching to chewing tobacco, snuff, or other tobacco products. None of these methods are recommended by the US Public Health Service.

According to the National Youth Smoking Cessation Survey, 77 percent of younger smokers have tried to quit at least once without success. Over a third have tried to quit smoking numerous times without success. Researchers suggest that many younger smokers may need help with other high-risk behaviors such as binge drinking; depression or ADD/ADHD.

If you are a younger smoker who is trying to quit, the CDC encourages you to call 1-800-QUIT-NOW or talk to your physician about methods that might lead to more success. The 2-page summary of the National Youth Smoking Cessation Survey is available as a pdf document.

Cigarettes remain the only legal product that kills half of its regular users when consumed as intended by the manufacturer. -- World Health Organization

Tobacco: deadly in any form or disguise is the theme of the World Health Organization, WHO, World No Tobacco Day. According to WHO, the variety of tobacco products manufactured and marketed worldwide continues to expand. For example, new types of flavored, natural or organic and roll-your-own cigarettes are often advertised and marketed with names and packaging that might mislead consumers into believing that they are less dangerous than conventional cigarettes.

The youth continue to be targeted by advertising and products that are deceptive and meant to conceal the fact that tobacco is being used. Some tobacco products are being made to look like candy. One of the products contains compressed tobacco powder along with sweeteners, mint and other flavorings, and resembles a brand of popular breath mints. While the tobacco industry continues to deny their intent is to target the young, anti-tobacco activists point to tobacco products that are flavored with sweeteners to taste like candy and come in chewing gum-style packaging. You know, it is a common tactic of the guilty to proclaim innocence. But just saying it isn't so doesn't work because the eyes don't lie. If it looks like a duck -- and walks like a duck -- it's a duck. Deception is the tobacco industry's duck. For more information, visit WHO's World No Tobacco Day.

The ban to not allowing smokers to smoke in public places is taking hold on a global scale. Finding a place to smoke is becoming increasing difficult, and as Georgina Pattinson of BBC News reports, there is an alternative to smoking cigarettes that appears to be gaining in popularity. Snuff. Like Pattinson, I knew nothing about snuff, so it is was with great interest that I followed her in her feature article to learn more about the resurgence in popularity of this everything old is new again nicotine habit. According to snuff merchants, the sale of snuff is on the rise, with more and more young people giving it a try. It seems snuff delivers far more of a nicotine hit than cigarettes do. Who knew? Not me.

So, what is snuff, and how does one use snuff? Pattinson explains. Snuff is tobacco ground into a fine powder. It can be scented with natural oils, including smells such as attar of roses, cinnamon and mint -- or with more exotic flavors such as whisky, wild mint and camphor. How do you partake of snuff? You insert a pinch up your nose and snort. Like cocaine users do. Oh, you have seen it done in the movies. Pattinson the reporter became part of the story when she gave snuff a try. She observed that sticking a wad of tobacco up your nose is hardly glamorous. But she predicts this snuff activity could catch on. Oh -- I hope not. Here is Pattinson's full reporting of snuffing out the smoking ban.