Compared to other types of chewing tobacco, twist or roll tobacco is not widely available in Canada
Tobacco addiction during pregnancy increases the risk of miscarriage, premature birth, low birth weight, and congenital disabilities
The main ingredients in ZYN include nicotine powder, humectant, filler, flavors, and preservatives
Dehydrated fruits (seedless) Cereal, oilseed and legume flours Medicinal herbs (only dried) Dehydrated vegetables Ilkin palm tree seeds Seedless cashews and walnuts Dried pistachios (salted) Dehydrated tobacco Dried mate Animal Products and By-Products for Human Consumption Aged cheese Butter Cream Yoghurt Pasteurized or ultra-pasteurized liquid milk Condensed milk Powered milk Canned/packaged and labeled breastmilk substitute (infant formula) Serrano ham or aged shoulders Aged cured meats Thermally processed poultry and pork cured meats packaged, labeled and sealed Packaged and labeled dried beef Turkey meats or smoked chicken Canned bottled and labeled pate from any species Wholly processed food preparations with meat content from any species (excluding ruminants) including any of the following consumables: eggs, honey and diary packaged and labeled products

HEALTH EQUITY IMPACT ASSESSMENT: In accordance with current administrative policy, a Health Equity Impact Assessment (HEIA) was conducted on this position statement prior to final approval by CPHAs Board using the methodology that was approved in December 2019