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.

Tobacco Use Among Working Adults — United States, 2014–2016

CDC's National Institute for Occupational Safety and Health (NIOSH) in collaboration with the Office on Smoking and Health (OSH) has released the following tobacco-related MMWR article: Tobacco Use Among Working Adults — United States, 2014–2016

Proven interventions to prevent and reduce tobacco-product use, particularly current use of multiple products, are critical for working adults.

An estimated 32.7 million (22.1 percent) working American adults are currently using some form of tobacco product. Among these tobacco users, 6.9 million currently use two or more types of tobacco products. Tobacco use varied by type of product used, with 15.4 percent using cigarettes, 5.8 percent using other combustible tobacco products (cigars, pipes, water pipes/hookahs, very small cigars, or bidis), 3.6 percent using electronic cigarettes, and 3.0 percent using smokeless tobacco. The use of any tobacco product was higher among males; non-Hispanic whites; people ages 18–24 years; people with no health insurance; and among workers in the construction industry and in the installation, maintenance, and repair occupation. Use of multiple tobacco products was highest among working adults in the accommodation and food services industry and in installation, maintenance, and repair occupations.

The article is also available online at