Tobacco-Use Prevention and Control

Tobacco use is the leading cause of preventable death and disease in the United States. NACCHO collaborates with national, federal, state, and local organizations to provide local health departments with the resources they need to reduce tobacco use and exposure to secondhand smoke in their communities.

Resources and support cover a range of issues, including tobacco cessation, prevention of youth initiation, secondhand smoke prevention, electronic smoking devices and other emerging products, public smoking ordinances, tobacco retailer assessment and licensing, smoke-free housing, and more.

The American Lung Association is excited to share our new resource, “Billing Guide for Tobacco Screening and Cessation.” We recognize that tobacco cessation screening and treatment is more likely to get done if it is reimbursed. And we hope this new resource will help public health workers engage providers to better understand the billing process. You can access the document here.

Additionally, the Lung Association is pleased to co-host the upcoming webinar, “Turning Challenges into Dollars: Addressing Tobacco Cessation Billing Challenges in your Organization” with National Behavioral Health Network and Smoking Cessation Leadership Center. During this webinar, you can learn how to improve reimbursement for your tobacco cessation services with state Medicaid programs and use the new billing guide. The webinar is June 19th at 3pm eastern and you can register here.

Special Announcement- FDA Seeks Comment on Product Standards to Lower Nicotine in Cigarettes to Minimums

NACCHO Encourages Comments by Local Departments of Health


Today, the U.S. Food and Drug Administration (FDA) issued Tobacco Product Standard for Nicotine Level of Combusted Cigarettes, an advance notice of proposed rulemaking (ANPRM) seeking public comment for consideration in developing a potential nicotine product standard. Lowering nicotine to a minimally or non-addictive level could potentially save millions of lives, both in the near and long-terms. The ANPRM includes newly published estimates of one possible policy scenario for a nicotine product standard, including that approximately 5 million additional adult smokers could quit smoking within one year of implementation, compared to the baseline scenario.

However, an even greater impact could be felt over time: by the year 2100, its estimated more than 33 million people – mostly youth and young adults – would have avoided becoming regular smokers. This could result in more than 8 million fewer tobacco-caused deaths through the end of the century. In July 2017, FDA Commissioner Scott Gottlieb, M.D., announced a new comprehensive plan that places nicotine – and the issue of addiction – at the center of the agency’s tobacco regulation efforts. As the cornerstone of the plan, the release of today’s ANPRM is a major step on the path to dramatically changing the future of smoking in the United States and saving millions of lives.


NACCHO's webinar on: "Leveraging Cross-Sectoral Partnerships to Advance the Implementation of Smoke-Free Multi-unit Housing"

Recorded on Thursday, April 5, 2018 2:00:00 PM EDT

Hosted by The Centers for Disease Control and Prevention's Office on Smoking and Health and the National Association of County and City Health Officials (NACCHO), the webinar addressed how local health departments engage in cross-sectoral collaborations and leverage resources to advance smoke-free multi-unit housing in local communities. Three local health departments shared how they developed partnerships with local community-based organizations and engaged housing residents to become leaders in their community related to smoking cessation efforts.

Latest Findings from the National Youth Tobacco Survey Show Declines in Overall Tobacco Use

On June 7, FDA and CDC released findings from the 2017 National Youth Tobacco Survey (NYTS) in the Morbidity and Mortality Weekly Report. Findings show that among high school students, current use of any tobacco product decreased from 24.2 percent (3.69 million) in 2011 to 19.6 percent (2.95 million) in 2017, and among middle school students, current use of any tobacco product decreased from 7.5 percent (0.87 million) in 2011 to 5.6 percent (0.67 million) in 2017. By product, among both middle and high school students, there were decreases in use of cigarettes, cigars, smokeless tobacco, pipes, and bidis and an increase in e-cigarette use.

Despite the overall decline, in 2017, about 1 in 5 high school students and 1 in 18 middle school students currently used a tobacco product. For the fourth year in a row, e-cigarettes continued to be the most commonly used tobacco product among high school (11.7 percent; 1.73 million) and middle school (3.3 percent; 0.39 million) students. Furthermore, about 1 in 2 (46.8 percent) high school students who currently used a tobacco product and 2 in 5 (41.8 percent) middle school students who currently used a tobacco product reported using two or more tobacco products.

The authors concluded that the sustained implementation of population-based strategies, in coordination with the regulation of tobacco products by FDA, are critical to reducing all forms of tobacco product use and initiation among U.S. youth.

Youth tobacco use rates, particularly e-cigarette use, continue to be of concern to FDA. This spring, FDA announced a Youth Tobacco Prevention Plan, which includes a series of enforcement actions to prevent initiation of tobacco products, including e-cigarettes, by youth. Further, FDA continues to invest in compelling, science-based campaigns, like “The Real Cost” and “This Free Life,” to educate youth about the dangers of all tobacco products, including e-cigarettes. In fall 2017, FDA further expanded “The Real Cost” campaign to include an online e-cigarette prevention ad. A full-scale e-cigarette prevention effort under “The Real Cost” brand umbrella is planned for fall 2018.

NYTS is a nationally representative school-based survey that collects information on middle school (grades 6-8) and high school (grades 9-12) students’ tobacco use.

The Tobacco Control Policy Tool by Cancer Intervention and Surveillance Modeling Network

The Cancer Intervention and Surveillance Modeling Network (CISNET) Lung consortium recently launched an online tool that simulates the potential effects of tobacco control policies on population health. We invite you to share this tool with your colleagues and networks, including individuals working on health policies at the state, local, and federal levels.

The Tobacco Control Policy (TCP) tool, provides decision-makers and health professionals with estimates of the projected impact of four specific tobacco control policies: 1) raising the tax on cigarettes, 2) implementing smoke-free air laws, 3) increasing tobacco control program expenditures, and 4) raising the minimum age of legal access to tobacco.

The estimates were derived from simulations of over 2,200 policy scenarios, with 30 million people per scenario, and calibrated for each of the 50 states and Washington, DC.

A New NACCHO Tobacco Control Policy Statement: Coming Summer 2018