The Great American Spit Out is observed on February 19, as part of the Through with the Chew week, and aims to raise awareness about the dangers of smokeless tobacco. Founded in Massachusetts, this event encourages individuals to quit smokeless tobacco for a day, with the hope that they will stop permanently. It provides resources and support for those attempting to quit, and is supported by organizations such as the American Cancer Society. Participants often engage in quitting challenges, host spit-free parties, and share their quitting journeys on social media to inspire others. The event highlights the serious health risks associated with smokeless tobacco, including mouth cancer and gum disease, and serves as a national effort to promote healthier lifestyles.