Annette experimented with cigarettes as a teenager, smoking occasionally. But by the time she turned 20, Annette was a regular smoker.
When she was 50, Annette heeded her granddaughter’s advice and quit cold turkey after having smoked for more than 30 years. But by then she already had cancer. At age 52, Annette went to the doctor because she was having difficulty breathing and was diagnosed with lung cancer so advanced it was necessary to remove one of her lungs. A few years later, she was diagnosed with oral cancer and surgery was again required. Today, at age 57, Annette is smoke-free and cancer-free.
Bill was angry with himself that he ever accepted that first cigarette. “When I was 15, I started smoking. It was a stupid thing I wish I could take back.” Bill had diabetes. He learned the hard way that smoking makes diabetes harder to control. At 37, Bill went blind in his left eye from a detached retina—damage to the inner lining of the eye. He also had kidney failure. Two years later, he had his leg amputated due to poor circulation—made worse from smoking. “I lost my leg, and that’s when I quit,” he said.
Bill’s serious health problems changed his life dramatically. Married and the father of four children, he worried that he wouldn’t be able to provide for his family. “Smoking is a nasty addiction,” he said. “It’s not cool, and it doesn’t do anybody any good. Don’t ever start smoking.” Bill died in August 2014 from heart disease. He was 42.
Bill, a person with diabetes, started smoking at 15, not realizing the problems it would eventually cause him and his family. He didn’t stop smoking until he was almost 40—after having had a leg amputated. In this emotional video, Bill encourages others to quit smoking, too.
Thirty-one-year-old Brandon started smoking in his mid-teens, and by 18, he was diagnosed with Buerger’s disease, a disorder linked to tobacco use that causes blood vessels in the hands and feet to become blocked and can result in infection or gangrene.
Nine years later, after losing both his legs and several fingertips to this terrible disease, he quit smoking for good. Smoke-free for 4 years now, Brandon hasn’t had any more amputations, but he still must manage the consequences of being a double amputee.
Brandon describes losing his foot, fingers, and other body parts to Buerger’s disease, a disorder linked to smoking, and testifies to the strength of addiction in this video from CDC’s Tips From Former Smokers®campaign.
Chemicals in Cigarettes: From Plant to Product to Puff
You probably know that cigarettes can kill you—in fact, smoking kills half of those who don't quit1—but do you really have the full story? Do you know how many harmful chemicals are in cigarettes or how they get into the product?
FDA created these videos and interactive tools to lay the foundation for an important public health goal: we aim to publish a list of the levels of harmful and potentially harmful chemicals in tobacco, in a way that is easy for the public to understand. As an important step toward that goal, we invite you to explore the chemicals in tobacco in three stages of cigarettes, from plant to product to puff, in the videos below.
Chemicals in Every Tobacco Plant
It is a fact that cigarettes contain dangerous chemicals.2 But how do these chemicals get into cigarettes? Are most of the harmful chemicals added during the manufacturing process?
Fact: Some of the toxic chemicals in tobacco are present in the plant itself.3Watch the tobacco growth video to uncover more.
Chemicals in Every Cigarette Product
Ok, so harmful chemicals are in the tobacco plant. What happens during manufacturing? Is that when more dangerous chemicals are added?
Fact: Not all of the harmful chemicals created during cigarette manufacturing are man-made. Some of the carcinogens occur naturally as tobacco is cured.3Watch the video about cigarette manufacturing.
Chemicals in Every Puff of Cigarette Smoke
How many harmful and potentially harmful chemicals are in a cigarette? Is there more than nicotine and tar?
Fact: There are more than 7,000 chemicals in cigarette smoke.2 More than 70 of those chemicals are linked to cancer.4,5,6,7Watch the video on cigarette smoke to learn more about what happens when you light up.
Think You Know All the Chemicals Found in Cigarettes?
Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years observations on male British doctors. British Medical Journal 1994; 309:901-911.
U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
U.S. Department of Health and Human Services (USDHHS). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
Hecht SS. Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act. Nicotine & Tobacco Research. 2012; 14(1):18-28.
Hoffmann D, Hoffmann I, El Bayoumy K. The less harmful cigarette: a controversial issue. A tribute to Ernst L. Wynder. Chemical Research in Toxicology. 2001; 14:767-790.
International Agency for Research on Cancer (IARC). Some non-heterocyclic polycyclic aromatic hydrocarbons and some related exposures. In: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 92. Lyon, France: International Agency for Research on Cancer; 2010.
International Agency for Research on Cancer (IARC). Tobacco smoke and involuntary smoking. In: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 83. Lyon, France: International Agency for Research on Cancer; 2004.
Ellie enjoys singing and playing the guitar. She loves people and is an active member of the LGBT communities. In her mid-thirties, Ellie was diagnosed with asthma. Ellie never smoked but worked as a bartender in a bar that allowed smoking. Her doctor said her asthma attacks were triggered by secondhand smoke—breathing other people’s cigarette smoke. In 1990, she remembers having her first asthma attack. “I had trouble breathing. It was terrifying!” After several hospital visits and on the advice of her doctor, she felt she had no choice but to quit her job and find a job where she wouldn’t be exposed to secondhand smoke.
Even though she feels better now, Ellie was sad to leave a job she loved. “Everyone deserves to work in a smoke-free workplace,” she says.
Ellie: “It was Terrifying to Get an Asthma Attack”
Ellie was in her mid-30’s when she had her first asthma attack — triggered by exposure to secondhand smoke. She loved her job as a bartender, but began to dread going to work. In this video from CDC’s Tips From Former Smokers® campaign she says, “I could feel my lungs getting tighter. I knew I couldn’t be around the smoke or I was going to die, or something bad was going to happen to me.” Eventually Ellie quit her job for the sake of her health, but feels everyone deserves to have a safe and healthy work environment.
Many people use quit smoking medications to help reduce withdrawal feelings and cigarette cravings. These medications can double your chances of quitting for good.
Nicotine replacement therapy (NRT) is the most commonly used family of quit smoking medications. NRT reduces withdrawal feelings by giving you a small controlled amount of nicotine-but none of the other dangerous chemicals found in cigarettes. This small amount of nicotine helps satisfy your craving for nicotine and reduces the urge to smoke.
Doctors and other medical experts think NRT is the one of the most helpful tools smokers can use to quit. Some smokers have mild to moderate side effects. However, research shows that NRT is safe and effective. NRT can be an important part of almost every smoker’s quit smoking strategy.
NRT comes in a variety of forms that are used in different ways. You can choose which forms you like best. Some NRT products work better than others for some people. Some people might prefer certain NRT products instead of others.
Quitting is different for everyone. Try various tools until you find the ones that help you succeed.
Place on the skin Gives a small and steady amount of nicotine
Gum
Over the Counter
Chew to release nicotine Chew until you get a tingling feeling, then place between cheek and gums
Lozenge
Over the Counter
Place in the mouth like hard candy Releases nicotine as it slowly dissolves in the mouth
Inhaler
Prescription
Cartridge attached to a mouthpiece Inhaling through the mouthpiece gives a specific amount of nicotine
Nasal Spray
Prescription
Pump bottle containing nicotine Put into nose and spray
Combining NRT with Other Strategies
NRT can’t do all the work. It can help with withdrawal and cravings. But it won’t completely take away the urge to smoke. Even if you use NRT to help you stop smoking, quitting can still be hard. Combining NRT with other strategies can improve your chances of quitting and staying quit. To give yourself the best chance for success, explore other quit methods you can combine with medication. Also think about:
18-year-old Jamason was diagnosed with asthma as an infant. He never really understood the dangers of secondhand smoke until it triggered a severe asthma attack. Jamason never smoked cigarettes. Even when friends tried to talk him into having one cigarette, he would reply, “It’s just not cool to smoke.”
Jamason’s worst attack occurred when he was 16, at a fast food restaurant where he worked. He was sweeping close to some coworkers who were smoking, and he started having trouble breathing. He called his mother, frantic for help. She found him at work gasping for air. He was hospitalized for 4 days.
Jamason and his mother Sherri talk about the day Jamason had to go to the hospital after having a severe asthma attack at work, triggered by exposure to secondhand smoke. Recounting the drive to the hospital, Sherri said, “I just held his hand, and told him just squeeze it every now and then so I know he’s breathing.” In this video from CDC’s Tips From Former Smokers® campaign, Jamason admits that after such a severe attack, he was afraid to leave the hospital because he knew that outside, in the real world, people smoke.
“I was given a second chance to live,” says Mariano, who is Hispanic and lives in Illinois. He started smoking at 15. In 2004, Mariano woke up one morning feeling sick and dizzy. He was sweating a lot. He went to the doctor, who told him his blood pressure was extremely high. He was hospitalized that day. Three days later, he had open heart surgery to replace blocked blood vessels in his heart. “I smoked my last cigarette the day I was told I needed heart surgery.” He hasn’t smoked since.
After his hospitalization, Mariano, who loves to cook, noticed that food tasted better and that he had more energy. “I had a wake-up call, and now I feel good.” He plans to keep it that way.
Mariano smoked for 30 years. One day he woke up and felt dizzy and nauseous. “I didn’t know what was happening to me and started sweating.” Mariano needed open heart surgery to save his life. In this video from the CDC’s Tips from Former Smokers® campaign he says: “I was fortunate to have a second chance at life.” Mariano hopes that others don’t risk their health and stop smoking today.
Maybe you've already found that quitting dip or chew is not easy. But you can do it! This guide is intended to help you make your own plan for quitting.
Many former dippers have shared advice on quitting that can help you. This guide is the result of advice from chewers and dippers who have canned the habit.
Like most dippers, you probably know that the health-related reasons to quit are awesome. But you must find your own personal reasons for quitting. They can motivate you more than the fear of health consequences. It's important to develop your own recipe for willpower.
Here's a brief summary of the harm dipping does in the mouth:
Smokeless tobacco use may cause cancer of the mouth.
Sugar in smokeless tobacco may cause decay in exposed tooth roots.
Dip and chew can cause your gums to pull away from the teeth in the place where the tobacco is held. The gums do not grow back.
Leathery white patches and red sores are common in dippers and chewers and can turn into cancer.
Can smokeless tobacco use cause problems in other parts of the body?
Recent research shows that smokeless tobacco use might also cause problems beyond the mouth. Some studies have shown that using smokeless tobacco may cause pancreatic cancer. And scientists are also looking at the possibility that its use might play a role in the development of cardiovascular disease--heart disease and stroke.
Need more reasons to quit?
It's expensive!
A can of dip costs an average of nearly $3. A two-can-a-week habit costs about $300 per year. A can-a-day habit costs nearly $1,100 per year. Likewise, chewing tobacco costs about $2. A pouch-a-day habit costs over $700 a year. Think of all the things you could do with that money instead of dipping or chewing. It adds up.
It's disgusting!
If the health effects don't worry you, think of how other people see your addiction.
The smell of smokeless tobacco in your mouth is not pleasant. While you may have become used to the odor and don't mind it, others around you notice.
Check out your clothes. Do you have tobacco juice stains on your clothes, your furniture, or on your car's upholstery?
Look at your teeth. Are they stained from tobacco juice? Brushing your teeth won't make this go away.
* This list is provided for information only. NIDCR and NCI do not endorse the use of any tobacco product.
Hard to believe you're a nicotine addict?
Believe it.
Nicotine, found in all tobacco products, is a highly addictive drug that acts in the brain and throughout the body.
Dip and chew contain more nicotine than cigarettes.
Some facts:
Holding an average-size dip in your mouth for 30 minutes gives you as much nicotine as smoking three cigarettes. A 2-can-a-week snuff dipper gets as much nicotine as a 1-1/2 pack-a-day smoker does.
To the right is a chart comparing the nicotine levels of some selected snuff brands.
Think about your own habit. Check how many of the following apply to you.
How Addicted Are You?
I no longer get sick or dizzy when I dip or chew, like I did when I first started.
I dip more often and in different settings.
I've switched to stronger products, with more nicotine.
I swallow juice from my tobacco on a regular basis.
I sometimes sleep with dip or chew in my mouth.
I take my first dip or chew first thing in the morning.
I find it hard to go more than a few hours without dip or chew.
I have strong cravings when I go without dip or chew.
The more items you check, the more likely that you are addicted.
Sometimes these myths make users feel more comfortable in their habits. Below are some myths and the truths that relate to them.
Myth: Smokeless tobacco is a harmless alternative to smoking.
Truth: Smokeless tobacco is still tobacco. In tobacco are nitrosamines, cancer-causing chemicals from the curing process. Note the warnings on the cans.
Myth: Dip (or chew) improves my athletic performance.
Truth: A study of professional baseball players found no connection between smokeless tobacco use and player performance. Using smokeless tobacco increases your heart rate and blood pressure within a few minutes. This can cause a buzz or rush, but the rise in pulse and blood pressure places an extra stress on your heart.
Myth: Good gum care can offset the harmful effects of using dip or chew.
Truth: There is no evidence that brushing and flossing will undo the harm that dip and chew are doing to your teeth and gums.
Myth: It's easy to quit using dip or chew when you want to.
Truth: Unfortunately, nicotine addiction makes quitting difficult. But those who have quit successfully are very glad they did.
Kicking the dip or chew habit can be tough, but it can be done, and you can do it.
The best way to quit smokeless tobacco is to have a quit date and a quitting plan. These methods make it easier. Try what you think will work best for you.
Quitting smokeless tobacco is not something you do on a whim. You have to want to quit to make it through those first few weeks off tobacco. You know your reasons for stopping. Don't let outside influence -like peer pressure- get in your way. Focus on all you don't like about dipping and chewing.
Have your physician or dentist check your mouth. Ask whether you need nicotine replacement therapy (gum, nicotine patches, etc.).
There is no "ideal" time to quit, but low-stress times are best. Having a quit date in mind is important, no matter how far off it is. But it's best to pick a date in the next two weeks, so you don't put it off too long.
Pick a date that looks good for you and write it in below.
Some people are able to quit smokeless tobacco "cold turkey". Others find that cutting back makes quitting easier. There are many ways to cut back.
Taper down. Cut back to half of your usual amount before you quit. If you usually carry your tin or pouch with you, try leaving it behind. Carry substitutes instead–sugar-free chewing gum or hard candies, and sunflower seeds. During this period, you might also try a mint-leaf snuff.
Cut back on when and where you dip or chew. First, notice when your cravings are strongest. What events trigger dipping or chewing for you? Do you always reach for a dip after meals? When you work out? In your car or truck? On your job? Don't carry your pouch or tin. Use a substitute instead. Go as long as you possibly can without giving into a craving, at least 10 minutes. Try to go longer and longer as you approach your quit day. Now, pick three of your strongest triggers and stop dipping or chewing at those times. This will be hard at first. The day will come when you are used to going without tobacco at the times you want it most.
Notice what friends and coworkers who don't dip or chew are doing at these times. This will give you ideas for dip or chew substitutes. It's a good idea to avoid your dipping and chewing pals while you're trying to quit. That will help you avoid the urge to reach for a can or chew.
Switch to a lower nicotine tobacco product. This way, you cut down your nicotine dose while you're getting ready to quit. This can help to prevent strong withdrawal when you quit.
Don't switch to other tobacco products like cigarettes or cigars! In fact, if you already smoke, this is a good time to quit smoking. That way you can get over all your nicotine addiction at once.
Let friends, family, and coworkers know you're quitting. Warn them that you may not be your usual self for a week or two after you quit. Ask them to be patient. Ask them to stand by to listen and encourage you when the going gets rough.
Suggest ways they can help, like joining you for a run or a walk, helping you find ways to keep busy, and telling you they know you can do it. If they've quit, ask them for tips. If they use dip or chew, ask them not to offer you any. They don't have to quit themselves to be supportive, but maybe someone will want to quit with you.
Make your quit day special right from the beginning. You're doing yourself a huge favor.
Change daily routines to break away from tobacco triggers. When you eat breakfast, don't sit in the usual place at the kitchen table. Get right up from the table after meals.
Make an appointment to get your teeth cleaned. You'll enjoy the fresh, clean feeling and a whiter smile.
Keep busy and active. Start the day with a walk, run, swim, or workout. Aerobic exercise will help you relax. Plus, it boosts energy, stamina, and all-around fitness and curbs your appetite.
Chew substitutes. Try sugar-free hard candies or gum, cinnamon sticks, mints, beef jerky, or sunflower seeds. Carry them with you and use them whenever you have the urge to dip or chew.
What About Medications? Nicotine replacement therapy and non-nicotine replacement therapy (bupropion) are approved by the U.S. Food and Drug Administration (FDA) for smoking cessation. However, these products have not been approved for smokeless tobacco cessation. Further research is needed to determine their effectiveness for helping smokeless tobacco users quit.
Symptoms are strongest the first week after you quit. The worst part is over after 2 weeks. As time passes, you'll feel better than when you dipped or chewed. So be patient with yourself.
Urges to dip, cravings -- especially in the places you used to dip the most
Wait it out . Deep breathing and exercise help you feel better right away.
Feeling irritable, tense, restless, impatient
Walk away from the situation. Deep breathing and exercise help to blow off steam. Ask others to be patient.
Constipation/irregularity
Add fiber to your diet (whole grain breads and cereals, fresh fruits and vegetables).
Hunger and weight gain
Eat regular meals. Feeling hungry is sometimes mistaken for the desire to dip or chew.
Desire for sweets
Reach for low-calorie sweet snacks (like apples, sugar-free gums and candies).
ABOUT WEIGHT GAIN
Nicotine speeds up metabolism, so quitting smokeless tobacco may result in a slight weight gain.
To limit the amount of weight you gain, try the following:
Eat well-balanced meals and avoid fatty foods. To satisfy your cravings for sweets, eat small pieces of fruit. Keep low-calorie foods handy for snacks. Try popcorn (without butter), sugar-free gums and mints, fresh fruits, and vegetables.
Drink 6 to 8 glasses of water each day.
Work about 30 minutes of daily exercise into your routine; try walking or another activity such as running, cycling, or swimming.
You've made it through the hardest part - the first week.
If you can stay off one week, then you can stay off two. Just use the same willpower and strategies that got you this far.
Cravings may be just as strong this week, but they will come less often and go away sooner.
Be prepared for temptation
Tobacco thoughts and urges probably still bother you. They will be strongest in the places where you dipped or chewed the most.
The more time you spend in these places without dipping or chewing, the weaker the urges will become. Avoid alcoholic beverages. Drinking them could bust your plan to quit.
Know what events and places will be triggers for you and plan ahead for them.
Write down some of your triggers. And write what you'll do instead of dip or chew. It may be as simple as reaching for gum or seeds, walking away, or thinking about how far you've come.
CONGRATULATIONS! You've broken free of a tough addiction. If you can stay off 2 weeks, then you know you can beat this addiction. It will get easier.
Keep using whatever worked when you first quit. Don't expect new rituals to take the place of smokeless tobacco right away. It took time to get used to chewing or dipping at first, too.
Keep up your guard. Continue to plan ahead for situations that may tempt you.
What if you should slip?
Try not to slip, not even once. But, if you do slip, get right back on track.
Don't let feelings of guilt lead you back to chewing or dipping. A slip does not mean "failure". Figure out why you slipped and how to avoid it next time. Get rid of any leftover tobacco.
Pick up right where you left off before the slip. If slips are frequent, or you are dipping or chewing on a regular basis, make a new quitting plan. Quitting takes practice. The smokeless tobacco habit can be tough to beat. Most users don't quit for good on the first try. Don't give up! Figure out what would have helped. Try a new approach next time. Talk to your physician or dentist for extra help.
You may also wish to call one of these services for additional guidance and support:
The National Cancer Institute (NCI) Cancer Information Service at 1-800-4-CANCER (1-800-422-6237)
The National Network of Tobacco Cessation Quitlines at 1-800-QUIT-NOW (1-800-784-8669)
The NCI's Smoking Cessation Quitline at 1-877-44U-QUIT (1-877-448-7848)
Congratulations! You've done it. You've beaten the smokeless tobacco habit.
You're improving your health and your future. Celebrate with the people on your "support team." Offer your support to friends and coworkers who are trying to quit using tobacco. Pledge to yourself never to take another dip or chew.
Some people smoke when they feel stressed. They use smoking as a way to cope. There are many problems with using cigarettes as a way to cope with stress or other unpleasant feelings.
Smoking isn’t a long-term stress reliever. In the time it takes to smoke a cigarette, you could do something else that’s more effective—like take a short walk or try a relaxation exercise.
Smoking doesn’t solve the problem that’s giving you stress. Your stress will return.
Nicotine addiction causes stress. Cravings for nicotine feel stressful because your body begins to go through withdrawal.
Smoking isn't a solution for stress. Try other ways to deal, like talking it out or exercising.
Some smokers find it hard to give up cigarettes as a way to cope with stress. It’s important to find healthy ways to handle stress and take care of yourself without smoking. There are many other ways to cope with stress that don’t involve smoking.
Tiffany smoked cigarettes, even though her mother, a smoker, died of lung cancer when Tiffany was 16. “Watching her suffer was awful,” she says. “I felt alone and scared.” But still, Tiffany started smoking in her late teens. “A lot of kids I went to school with were smoking, and I wanted to fit in,” she remembers. She quit smoking in 2012, when her daughter turned 16.
As part of her plan to quit, Tiffany changed her morning ritual. Instead of getting up early to drink coffee and smoke, she enjoyed an extra hour of sleep. She reached out to family and friends for support. They sent cards of praise and called and reminded her of all the reasons to never smoke again. Her most enduring motivation has been her daughter. “I didn’t want my daughter to think, ‘Wow, my mother loves cigarette smoking more than she cares about me.’”
Tiffany didn’t think about all the ways smoking hurt her daily life until she quit. Then life quickly started getting better. Food tasted better. She had more energy and more confidence. And there was one big surprise. In this video she says, “The money I save from not smoking is absolutely great!”
Nathan, a Native American and member of the Oglala Sioux tribe, never smoked cigarettes. For 11 years, he worked at a casino that allowed smoking. Secondhand smoke contains dangerous chemicals. The exposure to secondhand smoke caused him to develop allergies and serious infections that triggered asthma attacks, eventually causing permanent lung damage called bronchiectasis. “The casino was filled with smoke from so many people smoking,” he said. Breathing in other people’s smoke on a daily basis made his health so bad that he had to leave that job.
Nathan used to be active and athletic. He served in the Marines. He loved to participate in tribal dances. After getting sick, dancing just a few steps wore him out. Nathan hoped that sharing his story would help others understand how dangerous exposure to secondhand smoke really is. Nathan’s lung damage led to his death on October 17, 2013. He was 54.
Nathan was Lakota, a member of the Oglala Sioux tribe, and never smoked. However, he worked in a facility where smoking was allowed, and experienced health problems as a result. In this video from CDC’s Tips From Former Smokers® campaign, Nathan describes his health problems—including asthma—triggered by exposure to secondhand smoke. He had to give up many activities he loved, including tribal dancing, because of damage to his lungs. That damage led to his early death at age 54.
Fourteen-year-old Shawn was only trying to make friends and fit in at a new school when he started taking cigarettes from his father. But more than 30 years later he was still smoking, and the damage to his body was taking its toll.
Shawn was in his mid-forties when a chronic cough and laryngitis turned out to be throat cancer. He endured 38 radiation treatments and hours at the doctor’s office and finally quit smoking—but doctors were unable to save his larynx. He now has a stoma (opening) that allows him to breathe and a laryngeal implant that allows him to speak.
In this video, Shawn talks about his addiction to cigarettes and his struggle to quit smoking, even after throat cancer. It wasn’t until his voice box was removed that he quit. He finally realized “You either quit smoking or you’re going to die.” This video is part of CDC’s Tips From Former Smokers® campaign.
In high school, Terrie was a pretty cheerleader who competed on the cheer circuit. Her father smoked, and with more and more of her friends smoking, Terrie soon found herself lighting up in social settings. Eventually she was smoking up to two packs a day.
In 2001, at the age of 40, Terrie was diagnosed with oral cancer, and later that same year, with throat cancer. Doctors informed her that they would need to remove her larynx. It was then that she quit smoking for good. Terrie spoke with the aid of an artificial voice box that was inserted in her throat. She continued to battle cancer with a strong, positive spirit. Terrie died September 16, 2013 from smoking-related cancer. She was 53.
Facebook Q&A with Terrie – archived questions and answers from the chat with Terrie held on September 28, 2012 (look at the comments under the post by CDC Tobacco Free)
Terrie Surgeon General Ad
When Terrie was a child, doctors first linked smoking with cancer. As a teen, Terrie started smoking. As she grew older, smoking was linked to more and more diseases. At age 40, Terrie got cancer. In this TV ad, photos of Terrie put a human face on the millions killed by smoking.