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"The bottom line here: Smokeless tobacco makes it more likely that kids will start smoking and make it harder to quit smoking," said the CDC's director, Dr. Tom Frieden.
Officials also have been unhappy to see that major cigarette companies have taken over the smokeless tobacco product market in the last few years, and have started selling smokeless versions of cigarette brands like Marlboro and Camel.
And they're no fan of spitless, nicotine-containing snus -- Swedish for tobacco, it rhymes with "noose." These are tiny pouches of steam-pasteurized, smokeless tobacco. Snus were developed to be more socially acceptable than the dark drool of traditional chewing tobacco.
This year the U.S. Food and Drug Administration began requiring that smokeless tobacco products carry health warning labels.
Some health advocates note smokeless tobacco can cause oral and pancreatic cancer, and say it also increases risk of fatal heart attack and stroke.
"No tobacco product is safe to consume," said the American Heart Association's chief executive, Nancy Brown, in a prepared statement reacting to the CDC report.
CDC report with state-by-state data
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