AbstractSmokeless tobacco products are addictive and may also increase the risk of fatal heart attack, fatal stroke and certain cancers. Smokeless tobacco products have taken a backseat to smoking for decades, but are recently gaining ground in overall usage and use among young people due to aggressive marketing and new product development. Smokeless tobacco includes chew, spit, dip, snuff and a host of new dissolvable products. They are simply not a safe alternative to smoking and they can be as addictive as, or more addictive than cigarettes. Smokeless tobacco causes many significant health problems, including several types of cancer.