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Smokeless tobacco products are not illegal in the US the last time I checked. Some companies do have company policies or No tobacco zones. But since this was a video call you would need to speak to your supervisor or consult your intranet posted policies do determine if those would be applicable.
That said, if you found it offensive and the call was just with yourself, you could have offered to reschedule your meeting at another time or asked that cameras be off until he is finished (much like one would do if the call was interrupting a lunch or break). But in the absence of any supporting policies, I would likely not bring it up.
Rising Star
Well, the last time someone accidentally vaped on camera they were let go, and I think of them all the same (smoking, vaping, chewing) But chew isn't really a thing here, and definitely not in the health care crowd.
I don't know if it would violate any policies at the company I work for. Depending on the region some areas it's probably common.