West Virginia Highlights
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Tobacco use remains the leading cause of preventable death and disease in the United States and in West Virginia. To address this enormous toll, the American Lung Association calls for the following actions to be taken by West Virginia’s elected officials:
- Increase funding for tobacco prevention and cessation programs aligned with the Centers for Disease Control and Prevention (CDC)-recommended level;
- Preserve local control of smokefree laws throughout the state; and
- Enact a significant tobacco tax increase and equalize taxes for all tobacco products, including e-cigarettes, with the cigarette tax.
Public health advocates continue to be on alert in the 2025 legislative session following passage of legislation several years ago that prevented local boards of health from passing stronger smokefree regulations without county council approval. Fortunately, a strong coalition which includes the Lung Association has been able to fight off further attempts to preempt stronger local smokefree laws. Smokefree regulations currently protect over one million West Virginians from the dangers of secondhand smoke; the Lung Association along with the dedication of partner organizations will continue to oppose state preemption and protect local, comprehensive smokefree air laws.
The Lung Association and West Virginia’s youth tobacco prevention group, Raze, have worked tirelessly to address the high rates of tobacco use in the state along with the skyrocketing e-cigarette use rates among young people. Through ongoing education, local and statewide events, youth continue to fight the disproportionately high burden of tobacco across West Virginia. Additional state funding for tobacco control programs could help with these efforts. West Virginia’s state funding of $461,000 is too low given the scale of the problem in the state, and woefully short of the CDC-recommended level of funding. To further prevent youth from starting tobacco or switching products, the Lung Association will also continue to recommend evidenced-based polices to reduce youth tobacco use such as increasing the cigarette tax and equalizing the rates across all tobacco products, including e-cigarettes.
The American Lung Association in West Virginia will continue to work with our partners in 2025 to educate lawmakers and the public on the ongoing fight against tobacco through proven policies such as increasing funding for tobacco prevention and control programs, protecting local control of smokefree air laws, and increasing taxes on tobacco products.
West Virginia Facts |
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Healthcare Costs Due to Smoking: | $1,008,474,499 |
Adult Smoking Rate: | 20.40% |
Adult Tobacco Use Rate: | 32.90% |
High School Smoking Rate: | 7.60% |
High School Tobacco Use Rate: | 27.00% |
Middle School Smoking Rate: | 4.50% |
Smoking Attributable Deaths per Year: | 4,280 |
Adult smoking and tobacco use data come from CDC’s 2023 Behavioral Risk Factor Surveillance System; adult tobacco use includes cigarettes, smokeless tobacco and e-cigarettes. High school smoking and tobacco use rates are taken from the 2021 Youth Risk Behavior Surveillance System. Middle school smoking rate is taken from the 2017 Youth Tobacco Survey.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
West Virginia Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.