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North Carolina


FY2023 FY2022
State Ranking 27 26
State Spending on Tobacco Prevention $13.4 million $13.4 million
Percent of CDC Recommended Spending
($99.3 million)
13.5% 13.5%
North Carolina's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending North Carolina Tobacco Prevention

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Tobacco's Toll in North Carolina
(Oct. 06, 2023)
Adults who smoke 14.5% (1,196,200)
High school students who smoke 3.9% (21,700)
High school students who use e-cigarettes 23.8%
Death caused by smoking each year 14,200
Annual health care costs directly caused by smoking $4.42 billion
Proportion of cancer deaths attributable to smoking 32.0%
Residents' state and federal tax burden from smoking-caused government expenditures $665 per household
Estimated annual tobacco industry marketing in state $425.2 million
Last updated: May 20, 2023