Tony Gwynn's death renews call for MLB to ban chewing tobacco

(CNN) – At Tuesday’s All-Star game in Minnesota, it will be hard not to think of Padre great Tony Gwynn.

He was an all star 15 times, a man who lived to play and teach and talk baseball, and a man who died way too early because of a habit associated with it – chewing tobacco, a known cause of cancer.

Now, after more than 100 years, there’s a renewed push to get rid of it on the field.

Gwynn died last month of cancer in his salivary gland, a diagnosis the hall of famer blamed on chewing tobacco.

Baseball great Babe Ruth, also a longtime tobacco chewer, died of oral cancer

Now nine major public health organizations are pushing Major League Baseball to ban all tobacco use by players and staff at games, and on camera, to honor Gwynn’s memory

They sent a letter to MLB Commissioner Bud Selig and Players Association chief Tony Clark, calling on them to “set the right example for America’s kids.”

“Kids see their heroes on the field, and they want to emulate and be just like their favorite slugger, or their favorite pitcher,” said Erika Sward, with the American Lung Association.

A June CDC report found that while smoking rates for high school students have fallen by more than half since 1999, smokeless tobacco use by students has held steady.

Groups have been waging this battle over baseball and health for years. Similar letters in 2011 and 2012 pushed the league to act, as did a tobacco-free kids PSA ad.

Selig pushed for a total ban in 2011, but the players union instead called for restrictions, opting to let players keep their habit, as long as it was out of the public’s eye.

The 2011 labor contract bans smokeless tobacco use during TV interviews and club appearances, orders players and staff to hide tobacco products when fans are around, and bans carrying them in their uniforms or on their bodies.

“You can’t go through a three-hour game, and not see players with a big wad of chaw in their jaws,” said Sward. “It’s clear that the 2011 agreement did not go far enough ,and what we really need to have with the agreement starting in 2017 is an end of smokeless tobacco use in general on the field.”

Advocates are hoping that if they build awareness for it, their dream of tobacco free fields comes true.

Read more or watch the video: http://thelead.blogs.cnn.com/2014/07/15/tony-gwynns-death-renews-call-for-mlb-to-ban-chewing-tobacco/

 

Military's tobacco discount: Up in smoke

DONNA CASSATA, The Associated Press
WASHINGTON (AP) – The familiar image of a battle-hardened member of the military smoking a cigarette may become a little less common.
The Senate Appropriations defense subcommittee on Tuesday approved a $549.3 billion defense spending bill that would eliminate the 25 percent discount that members of the armed services enjoy when buying tobacco products at commissaries and elsewhere, including cigarettes and chewing tobacco.
Sen. Dick Durbin, D-Ill., chairman of the subcommittee, said studies show that tobacco use is higher in the military. He said that translates into more illnesses and health care costs of $1.6 billion a year.
“There is no reason these deadly products are subsidized,” Durbin said.

Sen. Lisa Murkowski, R-Alaska, said she was surprised that the subsidy was so high.
The defense bill for the fiscal year beginning Oct. 1 would do away with the discount.
The move is controversial and certain to generate disagreements in Congress.
The House version of the defense policy bill would thwart any Navy efforts to restrict access to tobacco. In May, Rep. Duncan Hunter, R-Calif., described smoking as one of the few pleasures for a member of the military, and he easily convinced his colleagues on the House Armed Services Committee to back his measure.

http://www.philly.com/philly/business/20140715_ap_94954c617fa642af84a1e8e0b7a6e73d.html#BkjokdzS2RZ315xC.99

Washington Post: Raise the smoking age

The Washington Post

New Jersey’s Senate approved a raise in the legal smoking age from 19 to 21 last week, pushing the groundbreaking experiment in public health one step closer to fruition. The bill, which the General Assembly will consider in the fall, would make New Jersey the first state to prohibit the sale of tobacco products, including e-cigarettes, to anyone younger than 21. It is designed to cut teenage exposure to tobacco, since about 90 percent of regular smokers have their first cigarette before turning 18. A few localities, such as New York City and the island of Hawaii, already raised the age.

Raising the smoking age eventually could cause a decline of 30 percent in adult smokers, according to one estimate, but whether it will have such a large effect in New Jersey remains to be seen. New Jersey’s current smoking age already prohibits virtually all high schoolers from buying cigarettes. Very few extensive case studies exist now, but the Food and Drug Administration is due to release a report on the effect of a 21- or 25-year-old smoking age next year.

There is no harm in trying. The experiment’s success could spur on the District of Columbia, which has a similar bill in committee, and other states that are contemplating the move. The only way the measure can hurt is if it distracts policymakers from implementing more proven prevention strategies, such as higher taxes.

Despite New Jersey’s campaign against smoking, some key areas still need work. E-cigarettes, many of which contain known carcinogens and whose popularity has skyrocketed, are taxed at a low rate. The cigarette tax has not been raised in five years; New Jersey’s $2.70-per-pack tax lags behind that of eight states. Most troubling, none of the revenue from the tobacco tax goes to tobacco prevention efforts. One good start would be to pass a bill that would equalize the tax between tobacco products.

In early June, when the smoking-age bill was still in committee, state Sen. Ronald Rice Sr., D, cast one of only two votes against it. “I’m getting tired of folk trying to tell adults what to do,” he said. But cigarettes, unlike some alcoholic drinks, have no health benefits and are destructive even in small doses. Exactly what New Jersey would be depriving its citizens of, besides a slow poison, is unclear.

Mr. Rice also argued that it was unfair to ban smoking for 19- and 20-year-olds who “can buy real estate, pay state and sales taxes” and join the military. There he has a point; there is no societal consensus about when a citizen reaches adulthood. Yet when urgent practical needs are balanced with theoretical inconsistencies, initiatives that save lives should take precedence. As New Jersey and other states battle their smoking crises, they should undertake initiatives both innovative and tested.

http://www.sltrib.com/sltrib/opinion/58169701-82/smoking-age-jersey-tobacco.html.csp

Secondhand smoke as harmful to pets as people

By SUE MANNING, Associated Press

LOS ANGELES (AP) — Ten years ago, Shirley Worthington rushed Tigger to the vet when the dog’s mouth started bleeding. When she was told he had cancer, she knew to blame her heavy smoking, an addiction she couldn’t kick until after her pet died.

Secondhand smoke can cause lung and nasal cancer in dogs, malignant lymphoma in cats and allergy and respiratory problems in both animals, according to studies done at Tufts University’s School of Veterinary Medicine in Massachusetts, Colorado State University and other schools.

The number of pets that die each year from tobacco exposure isn’t available, but vets know from lab tests and office visits that inhaling smoke causes allergic reactions, inflammation and nasal and pulmonary cancers in pets, said Dr. Kerri Marshall, the chief veterinary officer for Trupanion pet insurance.

Despite Worthington’s certainty about the cause of her dog’s death, more research needs to be done before veterinarians can definitively say whether a dog’s cancer was caused by secondhand smoke or something else, said Dr. Liz Rozanski, whose research at Tufts College focuses on respiratory function in small animals.

Worthington, 52, of Brooklyn, New York, said she was a teenager when she started smoking and she had always smoked around Tigger, who was 8 when he died in 2004. A year later, Worthington, her mom and sister all quit in honor of the bichon frise.

Then, in 2007, Worthington’s mom died while suffering from cancer.

“Cigarettes took my mother,” she said. “And they took my dog.”

Pets aren’t mentioned in this year’s surgeon general’s report, but in 2006, it said secondhand smoke puts animals at risk. The Legacy Foundation, the nation’s largest nonprofit public health charity, encouraged smokers to quit for the sake of their pets, and the American Society for the Prevention of Cruelty to Animals urged making homes with pets smoke-free.

It’s even more important to safeguard cats, which are more susceptible to tobacco smoke than dogs.

Lymphoma is one of the leading causes of feline death. The Tufts research showed that repeated exposure to smoke doubled a cat’s chances of getting the cancer and living with a smoker for more than five years increased the risk fourfold. It can also cause a fatal mouth cancer.

Tobacco companies acknowledge the risks of smoking in people but haven’t taken the same stance with dogs and cats. Philip Morris USA says on its website that it believes cigarettes cause diseases and aggravates others in non-smokers and that the problems warrant warnings.

But “we haven’t taken a stand on the potential impact on pets,” said David Sylvia, a spokesman for Altria Group Inc., the parent company of Philip Morris.

Symptoms of cancer in animals include coughing, trouble eating or breathing, drooling, weight loss, vomiting, nasal discharge, bleeding and sneezing. Cancer kills more dogs and cats than any other disease, according to Denver-based Morris Animal Foundation, which has been funding pet cancer research since 1962.

In addition, the recent surge in the use of electronic cigarettes has raised questions about their impact on pets. The greatest danger is the trash, where dogs can find nicotine cartridges from e-cigarettes, said Rozanski, the Tufts veterinarian.

“You wouldn’t think dogs would eat such things, but they do,” she said.

___

Online:

Tufts University: www.tufts.edu/vet

ASPCA: www.aspca.org

Legacy Foundation: www.legacyforhealth.org

Morris Animal Foundation: www.morrisanimalfoundation.org

http://bismarcktribune.com/news/national/secondhand-smoke-as-harmful-to-pets-as-people/article_8a132d3e-e45d-53ed-8ca8-cb831ca46390.html#.U8VrjqFboDM.facebook

Faces of the Boom: Smoke shop angles for return customers

By Amy Dalrymple, Forum Communications
ALEXANDER, N.D. – New Yorker Phil Hamda came to North Dakota to scout for real estate opportunities, but his plans changed after paying nearly $8 for a pack of cigarettes in Williston.

Hamda, whose father owned tobacco shops in New York City, noticed that tobacco prices in the Bakken varied widely.

“In New York, if you don’t like the prices, there’s a store right next door,” Hamda said.

Instead of trying to develop housing, Hamda took lessons he learned from his father and opened the Tobacco Depot in Alexander in February. He says his niche is fair, consistent prices that earn him repeat customers.

“Everybody’s nuts about our prices,” Hamda said. “We’re not extortionists.”

He initially struggled to find retail space and planned to operate from a trailer in Watford City. But when that location didn’t work out, he discovered a space for rent along the heavily traveled U.S. Highway 85 in Alexander, between Williston and Watford City.

“You couldn’t ask for better visibility than this,” Hamda said as a steady stream of oilfield traffic goes by his shop.

The North Dakota Department of Transportation is constructing a bypass that will take Highway 85 traffic around Alexander. Hamda said he expects the bypass will actually help his business because the traffic is often so heavy that customers can’t get into his parking lot.

“A lot of guys say they’ve been trying to get in here for a week,” Hamda said.

Hamda said he wasn’t prepared for the demand for electronic cigarettes and personal vaporizers. They account for about half of his business, primarily because smoking isn’t allowed on many oilfield locations and housing camps where workers live, Hamda said. He also sells a lot of chewing tobacco and cigarettes by the carton.

Hamda, who spent 20 years self-employed as a contractor, was in the middle of developing two six-unit condominium buildings in Jersey City, N.J., when the recession hit. He still wants to finish the buildings, and his success in North Dakota will help him do that.

He plans to sell the buildings once they’re complete and make North Dakota his home.

“After I’m done with them, I’m bringing that money here,” said Hamda, who has plans to expand his tobacco business. “There’s plenty of opportunity out here and I think it’s safe to invest.”

http://www.inforum.com/content/faces-boom-smoke-shop-angles-return-customers-0

Further Review: Hey, baseball, time to quit the spit

By Steve Hummer

The Atlanta Journal-Constitution

Tony Gwynn, hitter nonpareil, died in mid-June of the kind of cancer that should have sent a chill through every clubhouse in baseball. A member of the dip-and-spit set when he played, Gwynn suffered salivary gland cancer. He was only 54 at his death.
In a story looking at baseball’s and the Braves’ reaction to Gwynn’s death — to appear in Sunday’s print edition of the AJC, as well as on myajc.com — it was necessary to include the disclaimer that there was no precise science connecting Gwynn’s cancer to his past use of smokeless tobacco.
But, c’mon, a little common sense here. Gwynn had said the cancer begin very near the area of his mouth where he once loaded his dip. He blamed his fate on his tobacco use. Even without the seal of definitive medical proof, that should be good enough for the third of baseball that still spews foul brown juice.
The use of chewing and dipping tobacco has been a stain on baseball, literally, since forever. Trying it is a rite of passage for every young player — the nausea and the dizziness that the first-timer experiences, that’s just all good fun. Staying with it is a sort of concession, a player admitting he can figure no better way to spend his many idle hours than to stuff a caustic weed in his mouth and spit it out one dirty dribble at a time.
And once they get hooked, good luck trying to get off the nicotine dragon.
An athlete faces so many risks that he or she is powerless to avoid. Each sport takes its own kind of toll on joint and organ. Why in the name of Nike — the winged goddess of victory, not the shoe — would anyone willingly add to the potential harm by taking up such a frivolous, filthy habit?
Not as many in baseball use the stuff now as 20 years ago. And some have been forced to a reckoning by the news of last month. Braves closer Craig Kimbrel for one seemed genuinely motivated to quit his dipping when the season is done.
But I fear too many players will put off the hard work of quitting until the season passes, gradually set aside the lesson of this summer and stay with the slow, comfortable slide that smokeless tobacco provides. Then it will be just the same ol’ spit from there.
Gwynn’s legacy deserves so much more than that.
http://www.ajc.com/news/sports/further-review-hey-baseball-time-to-quit-the-spit/ngYZ5/

Letter: Time for state to update, increase tobacco taxes

By Jay Taylor, Durbin, ND

The state of North Dakota just recently unveiled newly designed license plates that will be used and distributed over the coming months/years.

The total cost to the taxpayers of North Dakota for this update was $7 million. The last time the license plate was changed was more than two decades ago.

During the 2013 legislative session, North Dakota lawmakers also passed a bill that increased fees for many hunting and fishing licenses. This legislation passed with overwhelming support from legislators, hunters and anglers. This was the first comprehensive license fee adjustment in nearly two decades.

Do you know what else in our state hasn’t been updated in the last two decades? The cost of tobacco products. One of the best ways to prevent young people from ever entering a life of addiction to tobacco —something nearly everyone (except the tobacco industry, of course) can agree is a good thing —is to make the product more expensive.

Does the North Dakota Legislature agree that our state’s tobacco tax of 44 cents per pack —the 46th lowest in the nation —is also outdated?

The effects of North Dakotans’ tobacco use also impacts the wallets of those who don’t use tobacco. North Dakota’s annual health care costs directly caused by smoking is $326 million. The portion covered by state Medicaid is $47 million.

As the price of tobacco increases, more people quit and fewer young people start the addiction.

If it was time to update our state’s license plates to the tune of $7 million and raise the fees on hunting and fishing at the expense of the taxpayers, I think it’s time to engage in the long-overdue discussion about the costs of cheap tobacco to the health of our state.

Jay Taylor, Durbin

http://www.thedickinsonpress.com/content/letter-time-state-update-increase-tobacco-taxes

 

Increasing popularity of smokeless tobacco poses cancer risk to young men

By , FoxNews.com

Though rates of cigarette smoking in America continue to decline, smokeless tobacco use remains popular, especially among young men — and with potentially dangerous health consequences.

A recent report from the U.S. Centers for Disease Control and Prevention (CDC) revealed that the use of smokeless tobacco among workers in the U.S. has held steady since 2005 – with rates of smokeless tobacco use being highest among males ages 25 – 44.

“In recent years there have been declines in cigarette smoking, but there’s really other tobacco products making up a large proportion of tobacco use in certain populations,” Brian King, scientific advisor at the CDC’s office of smoking and health, and lead author of the study, told FoxNews.com.
The dangers of smokeless tobacco use recently entered the national spotlight after the death of baseball hall-of-fame player Tony Gwynn, who died of salivary gland cancer after spending years dipping tobacco on the field.
According to the CDC, more than 30,000 people in the U.S are diagnosed with oral cancer every year. And every year, over 8,000 die of the disease, which has only a 50 percent five-year survival rate. A 2008 study from the World Health Organization indicated that smokeless tobacco users have an 80 percent greater chance of developing oral cancer than a non-user.
“Smokeless tobacco is a proven cause of oral cancer, including of the lips, throat and lining of the cheeks,” King said. “…With combustible tobacco the primary cancer is lung because people are inhaling, but with smokeless use, it’s primarily in the oral region, [which is] why we’re seeing a lot of cancers associated with smokeless tobacco around the oral cavity.”
In addition to being deadly, oral cancers often have devastating effects on a person’s appearance, as surgeries to remove cancerous lesions often require removal of portions of the face. Smokeless tobacco has also been associated with an increased risk of pancreatic cancer and heart disease.
The CDC’s study utilized data from the National Health Interview Survey to compare rates of smokeless tobacco use in 2005 and 2010. In 2005, 2.7 percent of U.S. workers admitted to using smokeless tobacco, compared to 3 percent in 2010.

“In terms of major findings, it primarily is that we haven’t seen any change, so that is concerning to us because obviously we’d like to see it decline over time,” King said. “So that finding is potentially a useful tool to inform strategies to start to address all forms of tobacco use, not just cigarette smoking.”
Another recent study by the CDC indicated that 2.6 percent of the population uses smokeless tobacco on some days, or every day, while 9.6 percent admitted ever having used these products, according to data from the 2012-2013 National Adult Tobacco Survey.

King said a lack of research on the effects of smokeless tobacco, combined with fewer public health initiatives geared towards this form of tobacco use, may be contributing to the steady use of these products in the U.S.
“A lot of campaigns and interventions have focused on combustible tobacco, and smoke-free policies have proliferated,” King said. “But all forms of smokeless tobacco use are really permitted in a lot of areas.”
Furthermore, loopholes in laws regulating cigarette use allow smokeless tobacco to be more accessible – and cheaper to the majority of the population.
“Cigarettes are taxed pretty uniformly in every state, but in most cases smokeless tobacco is taxed considerably lower than cigarettes in most states,” King said. “And we know increasing price is the single most effective way to reduce consumption, so the fact that these are available cheaper obviously increases the potential for people to use them.”
As the CDC continues to monitor the growing landscape of nicotine and tobacco products, they also have an eye on new products coming to the marketplace – including spit-less smokeless tobacco, tobacco sticks, orbs and strips and tobacco products featuring kid-friendly flavors.
While evidence is still emerging on the ill effects of smokeless tobacco, and how to curb its use, one thing is certain: quitting will benefit your health.
“Given the adverse health effects associated with smokeless tobacco, quitting is beneficial and since we know there’s no safe form of tobacco, if you were to quit completely that would considerably improve your health and potential for future disease and death,” King said. “There are a lot of evidence-based treatments to help people quit, and those are same as for cigarettes. The FDA has also approved seven medications including nicotine replacement therapy, and those can be used for smokeless tobacco as well.”

http://www.foxnews.com/health/2014/07/02/smokeless-tobacco-rates-remain-steady-in-us-as-cigarette-use-declines/

Increasing popularity of smokeless tobacco poses cancer risk to young men

By , FOXNews.com

Though rates of cigarette smoking in America continue to decline, smokeless tobacco use remains popular, especially among young men — and with potentially dangerous health consequences.

A recent report from the U.S. Centers for Disease Control and Prevention (CDC) revealed that the use of smokeless tobacco among workers in the U.S. has held steady since 2005 – with rates of smokeless tobacco use being highest among males ages 25 – 44.

“In recent years there have been declines in cigarette smoking, but there’s really other tobacco products making up a large proportion of tobacco use in certain populations,” Brian King, scientific advisor at the CDC’s office of smoking and health, and lead author of the study, told FoxNews.com.
The dangers of smokeless tobacco use recently entered the national spotlight after the death of baseball hall-of-fame player Tony Gwynn, who died of salivary gland cancer after spending years dipping tobacco on the field.
According to the CDC, more than 30,000 people in the U.S are diagnosed with oral cancer every year. And every year, over 8,000 die of the disease, which has only a 50 percent five-year survival rate. A 2008 study from the World Health Organization indicated that smokeless tobacco users have an 80 percent greater chance of developing oral cancer than a non-user.
“Smokeless tobacco is a proven cause of oral cancer, including of the lips, throat and lining of the cheeks,” King said. “…With combustible tobacco the primary cancer is lung because people are inhaling, but with smokeless use, it’s primarily in the oral region, [which is] why we’re seeing a lot of cancers associated with smokeless tobacco around the oral cavity.”
In addition to being deadly, oral cancers often have devastating effects on a person’s appearance, as surgeries to remove cancerous lesions often require removal of portions of the face. Smokeless tobacco has also been associated with an increased risk of pancreatic cancer and heart disease.
The CDC’s study utilized data from the National Health Interview Survey to compare rates of smokeless tobacco use in 2005 and 2010. In 2005, 2.7 percent of U.S. workers admitted to using smokeless tobacco, compared to 3 percent in 2010.

“In terms of major findings, it primarily is that we haven’t seen any change, so that is concerning to us because obviously we’d like to see it decline over time,” King said. “So that finding is potentially a useful tool to inform strategies to start to address all forms of tobacco use, not just cigarette smoking.”
Another recent study by the CDC indicated that 2.6 percent of the population uses smokeless tobacco on some days, or every day, while 9.6 percent admitted ever having used these products, according to data from the 2012-2013 National Adult Tobacco Survey.

King said a lack of research on the effects of smokeless tobacco, combined with fewer public health initiatives geared towards this form of tobacco use, may be contributing to the steady use of these products in the U.S.
“A lot of campaigns and interventions have focused on combustible tobacco, and smoke-free policies have proliferated,” King said. “But all forms of smokeless tobacco use are really permitted in a lot of areas.”
Furthermore, loopholes in laws regulating cigarette use allow smokeless tobacco to be more accessible – and cheaper to the majority of the population.
“Cigarettes are taxed pretty uniformly in every state, but in most cases smokeless tobacco is taxed considerably lower than cigarettes in most states,” King said. “And we know increasing price is the single most effective way to reduce consumption, so the fact that these are available cheaper obviously increases the potential for people to use them.”
As the CDC continues to monitor the growing landscape of nicotine and tobacco products, they also have an eye on new products coming to the marketplace – including spit-less smokeless tobacco, tobacco sticks, orbs and strips and tobacco products featuring kid-friendly flavors.
While evidence is still emerging on the ill effects of smokeless tobacco, and how to curb its use, one thing is certain: quitting will benefit your health.
“Given the adverse health effects associated with smokeless tobacco, quitting is beneficial and since we know there’s no safe form of tobacco, if you were to quit completely that would considerably improve your health and potential for future disease and death,” King said. “There are a lot of evidence-based treatments to help people quit, and those are same as for cigarettes. The FDA has also approved seven medications including nicotine replacement therapy, and those can be used for smokeless tobacco as well.”

http://www.foxnews.com/health/2014/07/02/smokeless-tobacco-rates-remain-steady-in-us-as-cigarette-use-declines/

New E-Cigarette Store Opening in Mandan

By Steph Scheurer, Reporter, KX News

A new store specializing in e-cigarettes opens in Mandan tomorrow.

But there are concerns about the vaporizers.

“Tried anything, everything from the gum, the patch, chantix, nothing’s worked for me,” says Craig Russell, Owner, Borealis Vape.

Until he discovered the latest trend…

“Something like this has just worked really well for me,” says Russell.

Craig is the owner of the new e-cigarette store, Borealis Vape on Main in Mandan.

With over 100 likes on Facebook in the first 48 hours of advertising his business, Craig says people are pretty excited about this type of product…

A product that he says is much safer than regular cigarettes.

“The only chemicals that are in e-juice are VG (vegetable glycerin), PG Propylenee Glycol), your flavoring, and your nicotine,” says Russell.

Craig says that e-cigarettes contain four ingredients and emit four chemicals versus a traditional cigarette which he says contains 600 ingredients and emits 7,000 chemicals.

So it may seem like the e-cigarette is the safer choice, however, they’re not FDA approved.

“There’s over 250 e-cigarette brands on the market and not a single one of them have been proven safe or effective as a cessation device to help people quit smoking,” says Kristie Wolf, Program Manager, Tobacco Control & Advocacy.

Kristie Wolf says another big concern is that this new business might lead to more young people starting up smoking e-cigarettes.

“I see quite a bit of it at school. I try not to be around it too much. But I know it’s kind of popular with the younger crowd.”

“I feel like kids nowadays, they think it’s a cool way to do stuff and they think it’s less harmful but I feel like they’d end up smoking and using the real stuff anyway.”

Although he has a business to promote, Craig says he will set the bar high…

For obeying the law.

“Any teenager could walk in here and purchase but me, as an owner, that’s high risk so we have to card. We have to card these kids, we have to tell these kids hey, why are you smoking, get out there play football, basketball, there’s other stuff to be doing than to be smoking,” says Russell.

Wolf also says e-cigarettes are included in the North Dakota smoke free law, so anywhere traditional cigarettes are not allowed, neither are e-cigarettes.

If you’re wanting to quit smoking, she urges you to try ND Quits.

For more information you can visit their website or call 1-800-QUIT-NOW.

Website: www.ndhealth.gov/ndquits

http://www.kxnet.com/story/25908937/new-e-cigarette-store-opening-in-mandan