b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 PRIORITY AREA 2:TOBACCO USEPercentage of Adults Who Currently Smoke Tobacco 30%AccordingtotheCentersforDiseaseControlandPrevention(CDC), tobacco use is the single most preventable cause of death in the United25%18.6%States.Yet,eachyear,smokingandsecondhandsmokecauses20%17.9%443,000, (or 1 in 5 deaths) nationwide, and 41,000 of those deaths are15%from exposure to secondhand smoke. 10 In New Hampshire, smoking16.3%10%results in early death for approximately 1,900 individuals every year. 11 5% Despiteourgrowingknowledgethattobaccoisbadforourhealth,0%therearestill14,185adultsage18andolderor17.6%ofthe2005 2006 2007 2008 2009 2010 2011* 2012* 2013*population in the Greater Monadnock Region that smoked tobacco in 12 New Hampshire2012 and 172,719 adults or 16.9% of the adult population statewide. One of the primary challenges to reducing smoking rates is the highlyGreater Mondanock Public Health Regionaddictive nature of nicotine, a chemical found in all tobacco products. Cheshire CountyNicotine is quickly absorbed into the bloodstream and within seconds reaches the brain.This causes the release of adrenaline, creating aSource: Behavioral Risk Factor Surveillance Survey; *Indicates change in survey methodbuzz of pleasure and energy.However, this feeling fades quickly andSmoking Prevalence among Youth in NH (2003-2013) leavestheuserfeelingtiredandwantingthebuzz again.Itiswell documented that most smokers identify tobacco use as harmful and express a desire to reduce or stop using it; unfortunately, more than 85%ofthosewhotrytoquitontheirownrelapse,mostwithina week. 13Tobacco and nicotine products come in many forms.People eithersmoke,cheworsniffthem,orinhaletheirvapors.Common types of smoked tobacco products include cigarettes, cigars and pipes, and hookahs or water pipes.Products where the tobacco is not burned include chewing tobacco, snuff, dip, etc.Electronic nicotine delivery systems (e.g. electronic cigarettes) are smokeless, battery-operated 10Tobacco Control State Highlights 2012, Centers for Disease ControlSource: Youth Risk Behavior Survey- NH Sample 11NH Health Wisdom Database12NH Behavioral Risk Factor Surveillance Survey13National Institute on Drug Abuse http://www.drugabuse.gov/publications/research-reports/tobacco/nicotine-addictive25'