The Problem: Tobacco use is a source of chronic and fatal illnesses for users and persons with secondary exposureindividuals who receive secondary exposure. Smoking is responsible for approximately one in five deaths in the United States, causing 480,000 deaths annually. Smoking increases risk for stroke by up to four times, coronary heart disease by up to four times, lung cancer by about 25 times, and lowers overall health. Quitting smoking vastly reduces health risks; within 2-5 years of cessation, risk of stroke drops to that of a non-smoker.