can of tobacco price American Spirit US Grown Roll-Your-Own in Tin - 5.29 Oz Copenhagen Long Cut Chewing Tobacco

WRAL photojournalist John Payne contributed to this report.

That's testament to nationwide efforts to reduce tobacco use, says Les Hagen, executive director of nonprofit tobacco-control organization ASH Canada especially considering the rate was around 23 per cent in 2000

The most important step is to quit smoking or reduce tobacco use, as continued exposure will only worsen the stains over time

Those products sold in the US are subject to FDA regulation and no reduced-risk or cessation claims will be made as to those products without FDA clearance

Smokeless tobacco has not had the same amount of regulation as cigarettes