The Inupiaq and Yup'ik Eskimos of western Alaska have used Phellinus igniarius for hundreds of years by burning the basidiocarps and mixing the ashes with tobacco. A previous publication (Mycologist 15: p.4) reported the historic use of this fungus and documented natural history museum collections of sporophores and special ornate boxes for holding the fungus ashes. When the ashes of P. igniarius were mixed with tobacco it added “a powerful kick” to the chewing tobacco. We now report new information that is disconcerting about the current widespread use of P. igniarius in many Alaska native communities. The use of the mixture of fungus ash and tobacco is being studied and treated as a serious health concern.