Estimated Annual Number of Deaths Caused by Tobacco Use in the US: "The 2014 Surgeon General's report estimates that cigarette smoking causes more than 480,000 deaths each year in the United States.¹ This widely cited estimate of the mortality burden of smoking may be an underestimate, because it considers deaths only from the 21 diseases that have been formally established as caused by smoking (12 types of cancer, 6 categories of cardiovascular disease, diabetes, chronic obstructive pulmonary disease [COPD], and pneumonia including influenza).

"Among the 47.0 million current cigarette smokers aged 12 or older in 2018, 27.3 million were daily cigarette smokers. The 27.3 million daily smokers correspond to 58.2 percent of current cigarette smokers (Figure 4). Thus, nearly three fifths of current cigarette smokers in 2018 smoked cigarettes daily. The percentage of current smokers in 2018 who smoked cigarettes daily was lower than the percentages in most years from 2002 to 2012, but it was similar to the percentages in 2013 to 2017 (2018 DT 7.26).

"The majority of the 58.8 million current (i.e., past month) tobacco users in 2018 were current cigarette smokers (Figure 2), as has been the case historically.18 Specifically, 47.0 million people aged 12 or older in 2018 were current cigarette smokers, 12.2 million people were current cigar smokers, 8.0 million people were current users of smokeless tobacco, and 2.1 million people currently smoked pipe tobacco.

"The perceived availability of cigarettes continued a long-term decline in 8th and 10th grade to historic low levels, with a significant decline in 10th grade. (Availability of cigarettes in 12th grade was first asked this year, so trend data are not yet available). After holding fairly steady at very high levels for some years, perceived availability reported by 8th and 10th graders began to decline modestly after 1996, very likely as a result of increased enforcement of laws prohibiting sale to minors under the Synar Amendment and FDA regulations.

Prevalence of Tobacco Use Among Young People in Australia: "In 2014, 81% of all secondary students in Australia had no experience with smoking. While the proportion of students who had never smoked decreased with age, 61% of 17-year-olds had still never smoked.
"Around three per cent of all students had smoked more than 100 cigarettes in their lifetime, which peaked at eight per cent for 17-year-olds.
"The proportion of students smoking in the previous four weeks (past-month smokers) increased from one per cent of 12-year-olds to 17% of 17-year-olds.
"The proportion of students who were current smokers in 2014 increased from one per cent of 12-year-olds to 12% of 17-year-olds.

"Teen users are at significantly higher risk of developing an addictive disorder compared to adults, and the earlier they began using, the higher their risk. Nine out of 10 people who meet the clinical criteria for substance use disorders involving nicotine, alcohol or other drugs began smoking, drinking or using other drugs before they turned 18. People who begin using any addictive substance before age 15 are six and a half times as likely to develop a substance use disorder as those who delay use until age 21 or older (28.1 percent vs. 4.3 percent)."

"• In 2017, 46% of 8th graders and 63% of 10th graders thought that cigarettes would be fairly easy or very easy for them to get if they wanted some. In 2017 for the first time we asked about availability of cigarettes among 12th graders; 78% reported they would be fairly easy or very easy to get. A growing interest among state and local governments to increase the minimum age to 21 for the purchase of tobacco products suggests that availability may decrease for this age group in the coming years.

Estimated Prevalence of Current Tobacco Use Among Pregnant Women in the US

Chart Comparing Addictive Qualities of Popular Drugs