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Smoke-Free and Vape-Free Living

The mission of the Snohomish Health District’s Tobacco Prevention program is to provide education and technical assistance to businesses, policy makers, and other entities to advocate for tobacco-free, smokefree and vape-free policies. These policies protect the health of the community by limiting exposure to secondhand tobacco smoke whether the source is cigarettes, cigars, hookah, or secondhand aerosol from vaping.

The program promotes tobacco-free and vape-free policies related to:

  • Housing - Click here for a booklet on what to do if uninvited secondhand smoke is coming into your home
  • College campuses
  • Businesses and other workplaces - Click here for a pdf of all signs available to support your smoke-free and vape-free policies
  • Parks - Click here for a list of cities in Snohomish County with tobacco-free and/or vape-free parks
  • Farmers Markets

Tobacco Use in the United States

  • Tobacco use remains the single largest preventable cause of death and disease in the United States
    • More than 16 million Americans suffer from a disease caused by smoking
  • Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths due to exposure to secondhand tobacco smoke
  • About 1 of every 5 deaths is tobacco related
    • For every person who dies of a smoking-related disease, about 30 people suffer with at least one serious illness from smoking
  • Smoking causes more deaths than all of these combined:
    • HIV
    • Illegal drug use
    • Alcohol use
    • Motor vehicle injuries
    • Firearm-related incidents
  • Tobacco use costs the United States billions of dollars each year
    • More than $289 billion a year, including at least $133 billion in direct medical care for adults and more than $156 billion in lost productivity
  • The tobacco industry spends billions of dollars each year on cigarette advertising and promotions
    • $8.4 billion total spent in 2011
    • Almost $23 million spent every day in 2011
  • In fiscal year 2014, states will collect $25.7 billion from tobacco taxes and legal settlements, but states will spend only 1.9% of the $25.7 billion on prevention and cessation programs

Help to quit smoking


Do you live in Washington State? Are you looking for a new way to quit? There's an app for that! Visit the Department of Health's SmartQuit page to get free access to the quit tobacco app.

The Washington State Tobacco Quit Line is also free and available to anyone who needs it. Most importantly, it works. You will receive individual support, including self-help materials and advice on creating a customized plan. You may even qualify for free nicotine patches or gum. To start living a healthier life, contact the Quit Line for help between 8 a.m. and 9 p.m. Counselors can help you in five languages:

  • English: 800.QUIT.NOW (800.784.8669)
  • Spanish: 877.2.NO.FUME (877.266.3863)
  • Chinese: 800.838.8917
  • Korean: 800.556.5564
  • Vietnamese: 800.778.8440

Patient Protection and Affordable Care Act (ACA) insurance plans offer programs to help you quit tobacco. Click here for more information.

The Become an EX Plan is based on scientific research and practical advice from ex-smokers. It isn’t just about quitting smoking. It’s about “re-learning life without cigarettes” Snohomish Health District also has the Become an Ex booklet, call 425.339.5237 for a copy.

Tulalip Tribes has a FREE Stop Smoking Kit, call 360.716.5719

Providence Regional Medical Center Everett offers a four-week smoking cessation program called Stop Smoking Tool Shop that focuses on behavior modification and reducing triggers. Call for more information and to register 425.261.3780.

The American Cancer Society Quit For LifeProgram is a phone-based coaching and Web-based learning support service to help people who smoke quit.

The American Lung Association Freedom From Smoking® group clinic includes eight sessions and features a step-by-step plan for quitting smoking. For an online version go to Freedom From Smoking® Online.

Benefits of quitting tobacco use

More than 20 million Americans have died because of smoking since the first Surgeon General’s Report on Smoking and Health was issued in 1964. In the 2014 Surgeon General’s Report on Smoking and Health, it notes: “All cigarettes are harmful, and any exposure to tobacco smoke can cause both immediate and long-term damage to the body. There is no safe level of exposure to tobacco smoke, and there is no safe cigarette. To reduce cancer risk, quitting smoking entirely is an important strategy that has been proven to work.”

Benefits of quitting tobacco over time:

No matter how long you have smoked - 5, 10 or 20 years or longer - quitting will help you live a longer and healthier life.

  • 20 minutes after quitting - your heart rate and blood pressure drop
  • 12 hours after quitting - the carbon monoxide level in your blood drops to normal
  • 2 weeks to 3 months after quitting - circulation improves and lung function increases
  • 1 - 9 months after quitting - coughing and shortness of breath decrease
  • 1 year after quitting - excess risk of coronary heart disease is half that of someone who continues to smoke
  • 5 years after quitting - the risk of cancer of the mouth, throat, esophagus and bladder are cut in half; cervical cancer risk falls to that of a non-smoker
  • 10 years after quitting - the risk of dying from lung cancer is about half that of someone who continues to smoke
  • 15 years after quitting - the risk of coronary heart disease is that of somone who does not smoke

Improve your health:

  • Today, lung cancer is the number-one cause of cancer death…nearly 9 out of 10 lung cancers are caused by smoking
  • Smoking also causes colorectal cancer, which is the second deadliest cancer after lung cancer
  • Nearly 8 out of 10 Chronic Obstructive Pulmonary Disease (COPD) deaths are a result of smoking, … there is no cure for COPD
  • Quitting decreases heart rate and improves blood pressure
  • Quitting reduces the risk of serious illness, such as bronchitis, pneumonia, asthma and cardiovascular disease (CVD), CVD is the single largest cause of all deaths in the U.S. and smoking is the major cause of CVD
  • Smoking can cause type 2 diabetes and people who smoke are 30% to 40% more likely to develop type 2 diabetes than non-smokers
  • Age-related macular degeneration (AMD) is the leading cause of vision loss in people over age 65 and smoking is now known to cause AMD

Improve your lifestyle:

  • Feel stronger and have more energy
  • Enjoy food more when your sense of smell and taste return
  • Save money from not buying cigarettes
  • Decrease healthcare costs
  • Have whiter teeth
  • Delay developing wrinkles
  • Avoid erectile dysfunction (ED)…smoking is a cause of ED

Improve your family’s lifestyle:

  • Studies suggest that smoking affects hormone production which could make it more difficult to become pregnant
  • Babies whose mothers smoke during pregnancy or who are exposed to secondhand smoke after birth are more likely to die of SIDS (sudden infant death syndrome)
  • Smoking during pregnancy can cause birth defects like cleft lips and/or cleft palates
  • In the U.S. 18 million males over age 20 suffer from erectile dysfunction (ED) and smoking is a cause of ED
  • 2.5 million nonsmoking Americans have died from secondhand smoke

Contact us

Tobacco Prevention


Did you know?

Tobacco can be considered a childhood-onset disease. More than 90% of people who smoke started prior to age 18. 50% of all teens who smoke start by the age of 14, and 10% between the ages of 9 and 10.