“Tobacco use is the single most preventable cause of death in the United States. Each year in the United States, cigarette smoking and exposure to secondhand smoke causes 443,000or 1 in 5 deaths. Economic losses are also staggering. Smoking-caused diseases result in $96 billion in health care costs annually. Some states have significantly improved the health of their citizens by reducing smoking rates, thereby decreasing smoking-related diseases, deaths, and health care costs. Even in economically challenging times, states can make a significant difference in public health by employing high-impact, cost-effective tobacco control and prevention strategies as laid out in the World Health Organizations MPOWER strategic package of interventions proven to reduce tobacco use prevalence.”