Office on Smoking and Health (OSH)

Tobacco use remains the leading cause of preventable illness, disability, and death in the United States. As of 2021, approximately 28.3 million U.S. adults smoke cigarettes, with over 16 million living with at least one smoking-related disease. Additionally, 58 million nonsmokers are exposed to secondhand smoke. The Centers for Disease Control and Prevention (CDC) leads national efforts to reduce tobacco-related deaths and chronic diseases. Through partnerships and tobacco control initiatives, the CDC focuses on:

  • Preventing youth from starting tobacco use.
  • Promoting smoke-free environments.
  • Expanding programs to support quitting tobacco.
  • Addressing tobacco-related health disparities across diverse populations.



The Office on Smoking and Health (OSH) leads strategic public health efforts to end commercial tobacco use and exposure, striving to provide equitable opportunities for all communities to live free from the disease, disability, death, and social and economic impacts caused by tobacco products. Guided by a vision of a world free from commercial tobacco-related harm, OSH focuses on preventing tobacco use among youth and young adults, promoting quitting, eliminating secondhand smoke exposure, and advancing health equity by addressing tobacco-related disparities. In collaboration with local, state, national, and international partners, OSH expands the science of effective tobacco control, builds sustainable infrastructure for comprehensive programs, communicates timely information to stakeholders, and coordinates policies and strategic initiatives, while fostering global tobacco control through surveillance, capacity building, and knowledge sharing.

Key Activities
The CDC collaborates with decision-makers, partners, health officials, and the public to combat the tobacco epidemic by:

  • Supporting tobacco cessation and quitline services in 50 states, 2 territories, and Washington, D.C., and maintaining the national network of tobacco cessation quitlines.
  • Educating the public about the harms of tobacco use, including through paid media campaigns like Tips From Former Smokers.
  • Conducting and coordinating surveillance, laboratory, and evaluation activities related to tobacco use and its effect on health.
  • Reducing tobacco-related health disparities through 8 national networks working to reduce tobacco use among specific populations.
  • Supporting health systems to improve cessation insurance coverage, remove barriers to evidence-based cessation treatments, and promote use of covered treatments.

Through collaborative efforts with decision-makers, partners, health officials, and the public, the CDC remains steadfast in its mission to end the tobacco epidemic. By advancing science, building sustainable infrastructure, implementing effective policies, and addressing health disparities, the CDC is paving the way for a healthier, tobacco-free future. Together, these actions are critical to protecting lives, promoting health equity, and creating communities free from the devastating impacts of commercial tobacco use and exposure.

**By prioritizing the health and safety of its young residents, Minnesota is investing in a brighter, healthier future for all.**

Reference: https://www.cdc.gov/tobacco/programs/index.html

Marijuana and Lung Health

Marijuana is the most commonly abused drug, with its health effects largely determined by how it’s consumed. It can be smoked using pipes, bongs, joints, blunts, and vaporizers or consumed through products like e-cigarettes, candy, brownies, beverages, and capsules. While this discussion centers on marijuana and lung health, it’s crucial to recognize other health concerns, such as neurological and cognitive effects, as well as public health issues like accidental pediatric poisonings from edible marijuana products. Smoke from marijuana combustion contains many of the same toxins, irritants, and carcinogens as tobacco smoke, posing potential harm to lung health. Although marijuana smoke is less carcinogenic than tobacco smoke, its toxins may still pose risks, particularly to vulnerable populations like children. More research is needed to fully understand the effects of secondhand marijuana smoke.

Key Facts on Lung Health and Marijuana Smoke

  1. Impact on Lung Health: Smoking marijuana damages the lungs, causing chronic bronchitis, injuring airway cell linings, and leading to chronic cough, phlegm production, wheeze, and acute bronchitis.
  2. Air Pocket and Air Bubble Risks: Heavy marijuana smoking has been linked to air pockets between the lungs and chest wall, as well as large air bubbles in the lungs, especially among young to middle-aged adults.
  3. Immune System Effects: Smoking marijuana suppresses the immune system, impairing the body’s ability to fight infections and potentially increasing the risk of lower respiratory tract infections.
  4. Defense Mechanisms: It reduces the lungs’ ability to defend against infections by killing cells that remove dust and germs and increasing mucus production.
  5. Radiographic Findings: Marijuana-only smokers exhibit greater airway thickening, inflammation, and emphysema compared to both nonsmokers and tobacco-only smokers.
  6. Opportunistic Infections: Marijuana smoking may heighten the risk of opportunistic infections and transmission of viral infections, particularly in individuals with weakened immune systems, such as those with HIV.
  7. Aspergillus Mold Exposure: Marijuana can harbor Aspergillus mold, which may cause lung disorders when smoked, though it rarely affects healthy individuals.
  8. Vaping and “Dabbing” Concerns: Limited research suggests that inhaling marijuana via vape pens or dabbing cannabis concentrates could pose similar respiratory health risks as e-cigarette use.

In light of the significant respiratory and immune system risks associated with smoking and inhaling marijuana, it’s essential to approach its use with caution, particularly for those with pre-existing health conditions or compromised immune systems. The damage to lung health, increased vulnerability to infections, and potential exposure to harmful molds underscore the need for further research and public awareness. As methods of consumption like vaping and dabbing grow in popularity, understanding their long-term effects becomes increasingly critical. Prioritizing health and making informed choices about marijuana use can help mitigate these risks and protect overall well-being.

Reference: https://www.lung.org/quit-smoking/smoking-facts/health-effects/marijuana-and-lung-health

Marijuana use linked to higher risk of heart attack and stroke

New research suggests that using cannabis—whether by smoking, eating, or vaping—may increase the risk of heart attacks and strokes. Published in the Journal of the American Heart Association, the study found that cannabis users faced higher cardiovascular risks, regardless of tobacco use or other underlying health factors. Dr. Abra Jeffers, a data analyst at Massachusetts General Hospital, highlighted the growing misconception that cannabis use is harmless, particularly as smoking remains the predominant method of consumption, exposing users to particulate matter. With recreational marijuana now legal in 24 states and its usage nearly doubling since 2002, understanding its health impacts is increasingly critical. The study analyzed survey data from over 434,000 U.S. adults between 2016 and 2020, focusing on cardiovascular outcomes like heart disease, heart attacks, and strokes—even among non-tobacco users and younger individuals at lower baseline risk. Prior research on marijuana’s cardiovascular effects has been limited due to overlapping tobacco use and younger study populations, but this study underscores the potential dangers as cannabis use becomes more widespread.

Key Facts

  • Higher Risk with Any Use: Any marijuana use was associated with an increased risk of heart attacks and strokes.
  • Frequent Use Increases Risk: Daily marijuana users had 25% higher odds of heart attack and 42% higher odds of stroke compared to non-users.
  • Smoking as Predominant Method: Smoking was the most common way people consumed cannabis, followed by eating and vaping.
  • Increased Odds for Younger Adults: Men under 55 and women under 65 who used marijuana had a 36% higher combined odds of coronary heart disease, heart attack, or stroke, even without tobacco or e-cigarette use.
  • Independent Risk Factor: The elevated odds for cardiovascular issues persisted even in individuals who had never used tobacco products or e-cigarettes.

These findings underscore the importance of understanding the potential health risks associated with marijuana use, particularly as its prevalence continues to rise and perceptions of its safety shift. With smoking remaining the most common method of consumption and frequent use linked to significantly higher odds of cardiovascular issues, it’s crucial for individuals to consider these risks and for healthcare providers to address them in discussions about overall heart health. As marijuana use becomes more widespread, further research is needed to provide a clearer picture of its long-term impact on public health.

Reference: https://www.heart.org/en/news/2024/02/28/marijuana-use-linked-to-higher-risk-of-heart-attack-and-stroke

The Earth is Not Disposable: Nicotine Vape Waste

The Environmental Toll of Vapes

Vaping isn’t just harmful to health—it’s a hidden threat to the environment. Disposable vapes and e-cigarettes contribute to deforestation as their production requires extracting raw materials like lithium for batteries. These batteries, often improperly discarded, leach toxic chemicals into the soil and water, creating hazardous waste that can’t be thrown in regular trash or recycling bins. Additionally, manufacturing and disposing of vapes release greenhouse gases, exacerbating climate change. The harmful contents of vapes, like lithium-ion batteries and plastic casings, persist in landfills for centuries. To reduce the environmental impact, consider alternatives, dispose of used vapes properly, and advocate for sustainable waste solutions. Protecting the planet starts with informed choices.

5 Key Facts

  1. Health Risks: Vaping can lead to respiratory and cardiovascular issues, with some chemicals linked to lung injury and long-term health complications.
  2. Hazardous Waste: Vapes contain lithium-ion batteries and electronic components that can’t be discarded in regular trash or recycling bins, contributing to toxic waste.
  3. Greenhouse Gas Emissions: Manufacturing and disposing of vapes release greenhouse gases, fueling climate change.
  4. Deforestation: Producing vapes requires mining raw materials like lithium and metals, contributing to deforestation and habitat destruction.
  5. Plastic Pollution: Disposable vapes and cartridges add to plastic waste, persisting in landfills and ecosystems for hundreds of years.

Prioritizing eco-friendly alternatives and proper disposal methods is crucial for reducing these harms.

https://youtube.com/watch?v=kdP_Jw_Q9EQ%3Fstart%3D227%26feature%3Doembed

What actions do you think we should take to reduce the environmental damage caused by commercial tobacco and vapes, and how can we hold the tobacco industry accountable for the harm their products have caused?

The impact of vaping goes beyond personal health—it’s a growing threat to our environment. From hazardous waste and greenhouse gas emissions to deforestation and plastic pollution, the environmental toll is undeniable. By making conscious choices, advocating for stricter regulations, and holding the vaping industry accountable, we can work toward reducing these harms. Protecting our planet and well-being requires collective effort, responsible practices, and a commitment to sustainable alternatives. Together, we can create a healthier future for ourselves and the environment.

**By prioritizing the health and safety of its young residents, Minnesota is investing in a brighter, healthier future for all.**

Reference: https://www.youtube.com/watch?v=kdP_Jw_Q9EQ&t=227s