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.

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 Sponsored Webinar: Smoke-Free Multi-Unit Housing

"Leveraging Cross-Sectoral Partnerships to Advance the Implementation of Smoke-Free Multi-unit Housing" 

Thursday, April 5, 2018 2:00:00 PM EDT - 3:00:00 PM EDT


Smoke-free multi-unit housing benefits residents and property owners alike. The U.S. Department of Housing and Urban Development (HUD) recognized these advantages and designed a rule requiring every U.S. public housing agency to implement a smoke-free policy by July 2018. To this end, local health departments have a role in working with housing agencies and private owners to implement and promote the smoke-free housing policies.

Join this webinar, hosted by The Centers for Disease Control and Prevention and the National Association of County and City Health Officials (NACCHO), to learn more about how local health departments can engage in cross-sectoral collaborations and leverage resources to advance smoke-free multi-unit housing in communities. Three local health departments will share how they developed partnerships with local community-based organizations and engaged residents to become leaders in their community related to smoking cessation efforts.

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 Spring 2018