seville tobacco Spain Royal Factory, Real Fabrica de Tabacos, Sevilla, now University of Seville. Where Carmen made her cigars or cigarettes Stock Photo Seville Lancero – Marco V

Moving Toward Sustainable Change Knowledge of smokings risks is essential, but its rarely enough to create lasting change

And in the US, even more so.

The Campaign for Tobacco-Free Kids in 2011 accused Reynolds American the second largest tobacco company in the U.S

Smoking rates have decreased in the United States in recent years, yet the mortality rate associated with tobacco addiction is still staggering, with more than 480,000 premature deaths in the United States each yearabout 1 in every 5 deaths.5 Tobacco use killed approximately 100 million people during the 20th century and, if current smoking trends continue, the cumulative death toll for this century is projected to reach 1 billion.8 More information can be found at www.drugabuse.gov/drugs-abuse/tobacco-addiction-nicotine