Though the United States has come a long way in the campaign to reduce tobacco use, smoking continues to pose a significant risk to the health of many Americans. Smoking is a significant contributing factor to various cancers, as well as cardiovascular diseases such as heart disease and stroke. Meanwhile, the rise of e-cigarettes has brought in a new generation of tobacco users. Public health is far from done with its fight against tobacco, and ASTHO is continuing to invest in our tobacco control efforts.

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.


Responding to Emerging Challenges in Tobacco Control E-Learning Module

This technical assistance package contains a collection of virtual event recordings and written resources from both ASTHO and the Tobacco Control Network, which address challenges including flavored tobacco product policy, the intersection of COVID-19 and tobacco cessation, and more.

Explore the Module

Opportunities and Strategies for Tobacco Prevention During the COVID-19 Pandemic

While the COVID-19 response has strained tobacco prevention and control efforts, this brief highlights ways the pandemic has afforded health officials unique opportunities to retool their tobacco prevention response.

Read the Brief

Smoking Cessation Infographic

This infographic summarizes findings of the surgeon general’s report on smoking cessation and provides examples of cessation work already taking place in states, including which states feature smoking cessation in health improvement plans, current cessation programs in Medicaid and workplace wellness initiatives, and policy actions to encourage people to quit smoking.

Get the Infographic

Latest Tobacco Control Resources

View of the White House from the South Lawn

ASTHO's Letter to the Biden Administration on Menthol Rule, January 2024

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Layflat of vape pens, blue wash over the image

Tobacco and Nicotine Products: The Unwavering Public Health Crisis

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Package of JUUL vapes next to a gavel. ASTHO Health Policy Update banner in upper left

How States Can Leverage JUUL Settlement Funds to Promote Public Health

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Hands holding combustible cigarettes in one hand and a single e-cigarette pen in the other

From the Chief Medical Officer: How State Health Officials Can Make a Stand Against Menthol

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Ask the Experts: Building State Readiness for the Tobacco Endgame

Building State Readiness for the Tobacco Endgame

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Close-up image of area above U.S. Capitol's east entrance and a small section of the Capitol dome. ASTHO Health Policy Update banner in the upper right

2023 Legislative Session Update: Part One

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E-cigarette on a black table. ASTHO Health Policy Update banner in lower right

Recent Federal and State Actions to Limit Flavored Tobacco Products

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Tobacco and Nicotine Products: An Enduring Epidemic

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Our team provides coordinating support to the Tobacco Control Network (TCN), a CDC-funded ASTHO peer network of tobacco control program managers and other public health professionals dedicated to the promotion of tobacco control and cessation in the states and territories. In our work with the TCN, ASTHO convenes a peer-elected executive committee of state and territorial tobacco control program leaders to ensure that the best resources and collaboration opportunities are available to help tobacco control programs respond to emerging challenges in an effective and coordinated manner.

Our team also works closely with ASTHO’s Community Health and Prevention Policy Committee, comprised of ASTHO members and subject matter experts across different disciplines in health promotion and disease prevention, to ensure that the committee’s longstanding priorities related to tobacco control are well-reflected in ASTHO’s work with health agency tobacco control programs.