Intended for healthcare professionals

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Use of smokeless tobacco and risk of myocardial infarction and stroke: systematic review with meta-analysis

BMJ 2009; 339 doi: (Published 19 August 2009) Cite this as: BMJ 2009;339:b3060

Beware of smokeless tobacco

The “safety” of smokeless tobacco relative to smoking tobacco is false and
misleading. Promoting the slightly lower morbidity and mortality rates for
smokeless tobacco is akin to touting arsenic as preferable to strychnine. All
forms of tobacco are essentially the same, and any distinction between
different forms of tobacco is a distinction without a difference.

Competing interests:
None declared

Competing interests: No competing interests

21 August 2009
Hugh Mann
Eagle Rock, MO 65641 USA