Nearly 438,000 Americans die each year from tobacco-related diseases like lung cancer, COPD, and heart disease. Smoking delivers a strong dose of nicotine along with over 4,700 chemicals including arsenic, formaldehyde, and ammonia in concentrations 500,000 times greater than polluted cities. Smokeless tobacco contains 10 times more cancer-causing substances than cigarettes and 100 times more than allowed in food. Cigar smoke contains 23 poisons and 43 carcinogens, and smoking just one cigar per day can double cancer risk.