ASTHO’s tobacco control program serves as a resource on perspectives, capacities, challenges and opportunities to implement state-based tobacco control and prevention initiatives. The overarching goals of this program are to enhance the capacity of state health agency tobacco prevention programs to improve tobacco-related polices and practice; foster environmental, cultural and systems change; and serve as a resource to ASTHO members on tobacco-related initiatives. Read ASTHO's position statement on tobacco.


To view background information, webinar recordings, and a collection of state resources about e-cigarettes, please visit our e-cigarette page ».

E-cigarette resource library - ASTHO has compiled research articles, media stories, factsheets, and other materials related to e-cigarettes into a searchable database for state public health leaders.

50th Anniversary of Surgeon General’s Report on Tobacco

Surgeon General's Report on Smoking & Health - 50th Anniversary: 1964-2014 2014 marked the 50th Anniversary of the Surgeon General's Report on Smoking and Health. Since the 1964 Surgeon General's report formally established the severe health risks of smoking, the U.S. has made considerable progress on tobacco control. On January 11, 2014, the Office of the Surgeon General released a new report: "The Health Consequences of Smoking - 50 Years of Progress" that highlights the last 50 years of tobacco control efforts in the U.S., shares new data about health risks of smoking, and provides information about initiatives to reduce tobacco use in the U.S.

Tobacco Regulations

ASTHO tracks emerging issues in state tobacco control policies, and submits letters to governing bodies in support of tobacco control measures. Recent topics include menthol in cigarettes, the Trans-Pacific Partnership Trade Agreement, and the regulation of e-cigarettes, cigars, “little cigars,” hookah, and other tobacco products. Read more about tobacco regulations »

Tobacco Policy Scans

ASTHO conducted scans of three tobacco control policy areas in 2016. The following policy scan reports offer a snapshot of state level tobacco control policies and the policy landscape across the country.

ASTHO Tobacco Webinars

To view recordings, slides, and supporting resources from past ASTHO webinars about tobacco control, visit the tobacco webinars page »

Tobacco State Stories and Case Studies

ASTHO has developed state case studies and state stories about tobacco control projects. Topics include smoke-free indoor legislation, smoking cessation programs, and more. Read tobacco state stories »

ASTHO Tobacco Publications

North Dakota Engages American Indian Tribes in Tobacco Prevention
This case study highlights the efforts of the North Dakota Tobacco Prevention and Control Program to reduce chronic disease health disparities by directly funding Tribal Tobacco Prevention Coordinators (TTPCs) to engage American Indian communities in ND. TTPCs develop culturally relevant tobacco prevention initiatives, consistent with CDC Best Practices, through local and statewide coalitions.

Iowa and North Carolina Reduce Secondhand Smoke Exposure through Partnerships with Property Owners and Local Health Departments
This multi-level case study provides an overview of state, local, and private partner engagement strategies to implement smoke-free multi-family housing policies. The case study highlights the success of Iowa and North Carolina’s state health agencies in working with local and community partners to increase smoke-free living options across their states.

Working with Insurance Commissioners to Promote Comprehensive Coverage for Tobacco Cessation
The issue brief focuses on improving access to comprehensive tobacco cessation coverage and overviews an opportunity for state health agencies to partner with the state insurance commissioner to promote state-based insurers’ compliance with comprehensive cessation coverage requirements. It includes a state example from Delaware.

State Tobacco Control Program Success Story Template
ASTHO developed this tool to support state tobacco control programs in their efforts to convey program value to congressional leaders. The template includes sections for state-specific information so that the tool can be tailored to the state and program. A user guide describes the use of the template and how to customize it.
Comprehensive Tobacco Control Guide for State & Territorial Health Officials

Comprehensive Tobacco Control: Guide for State and Territorial Health Officials
This booklet is intended for use by state and territorial health officials and their leadership teams to introduce the basic framework that guides state-level tobacco control policies and programs; review the current evidence base that supports the framework; and highlight examples from current public health tobacco control practice.
Smoking Cessation Strategies for Women Before, During, and After Pregnancy: Recommendations for State and Territorial Health Agencies

Smoking Cessation Strategies for Women Before, During, and After Pregnancy: Recommendations for State and Territorial Health Agencies
This issue brief is intended for use by state and territorial health officials and their leadership teams to introduce recommendations to improve smoking cessation among women before, during and after pregnancy with highlight examples from current public health tobacco control practice.

ASTHO E-Cigarettes Issue Brief
This issue brief is intended for use by state and territorial health officials and their leadership teams to introduce recommendations on issues related to the emergence of new smokeless tobacco products, such as electronic cigarettes ("e-cigarettes"). The brief identifies issues relevant to state health agencies and provides short case studies outlining how certain states have addressed the issue of e-cigarette regulations.

ASTHO Comprehensive Tobacco Cessation Expert Roundtable: Summary of Meeting and Expert Recommendations  
Meeting summary and recommendations from the “ASTHO Comprehensive Tobacco Cessation Expert Roundtable” led by Dr. Ed Ehlinger (MN), Chair of the Tobacco Issues Forum, on December 13, 2012.

Tobacco Issues Forum

The Tobacco Issues Forum (TIF) is a workgroup led by ASTHO, currently chaired by Dr. Rahul Gupta (WV) under the guidance of our Prevention Policy Committee and comprised of members and staff from key affiliate and partner organizations. The group serves as an opportunity to share tobacco control activities and resources, identify opportunities to speak in a collective voice, and examine the overall picture of tobacco prevention and control in the states. Learn more »

States Supporting CDC's "Tips from Former Smokers" Campaign

Tips for talking to your patients about quitting smoking

The CDC Office on Smoking and Health launched a new phase of the Tips from Former Smokers campaign called Talk with Your Doctor. As part of this effort, CDC provided letter templates to State and Territorial Health Officials to communicate about the campaign with providers in their jurisdictions.

ASTHO has collected samples of letters that were written to local medical societies and chapters of healthcare organizations within States and Territories, along with accompanying materials.

State and Territorial Tobacco Control Strategic Plans

State and Territory Tobacco Control Strategic Plans Tobacco Map

This ASTHO map tool will connect you to each available state and territory Tobacco Control Strategic Plan to see what steps your state is taking to reach their tobacco control goals.

State Legislative Tracking on Tobacco

ASTHO's State Health Policy team tracks and analyzes legislation across the states to identify trends and emerging issues impacting public health and state health agencies. Tobacco legislation that is tracked includes electronic cigarettes, smoke free laws and taxes.

Tobacco and the National Prevention Strategy

National Prevention Strategy Toolkit The National Prevention Strategy provides evidence-based recommendations for 4 Strategic Directions and 7 Priority Areas. ASTHO has developed an online toolkit with resources intended to help state and territorial governments implement the recommendations in the NPS, including one focused on "Tobacco Free Living." To view resources in other areas, click the NPS icon.

See What Others Are Doing

ASTHO has also compiled a list of additional background information, recommendations, datasets, and other resources regarding tobacco. These external links provide additional guidance and research about tobacco issues relevant to states. Read more »