Overview 

Bidis

Cigars

Clove
(kretek) cigarettes

Pipes

Smokeless
(spit) tobacco

Bidis:
Bidis (or "beedies") are more dangerous than traditional tobacco cigarettes. Bidis are non-filtered, highly toxic flavored cigarettes that are commonly used among teenagers. They are usually produced in India or Asia.

Bidis have higher levels of carbon monoxide, nicotine, and tar than traditional cigarettes, and are very addictive because of their high levels of nicotine. Users also inhale a greater number of toxins when smoking bidis because of their low combustibility.

Health risks of smoking bidis include coronary heart disease, lung, stomach, esophageal, liver, laryngeal, pharyngeal, and oral cancers; and perinatal mortality when bidis are smoked during pregnancy.
Counseling users
Counseling bidi smokers is similar to counseling cigarette smokers. However, users should also be cautioned that bidis are more dangerous than traditional cigarettes because they are more addictive and contain more nicotine, tar, and carbon monoxide than regular cigarettes. For more information on counseling, please refer to the "Counseling" section.