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

The Hardships and Dreams of Asian Americans Living in Poverty

Without closely examining the diversity of Asian American experiences, it’s easy to miss the distinct stories of Asian Americans living with economic hardship. – Pew Research

Among the 24 million Asians in the U.S., around 2.3 million live in poverty, facing unique challenges in their pursuit of the American dream. From immigrants navigating language barriers to U.S.-born Asians striving for financial stability, the journey is far from easy. In February 2023, Pew Research Center held focus groups with adults from 11 Asian origin groups most likely to experience economic hardship. Participants, many earning near or below the federal poverty line, shared insights into their struggles and aspirations. Common themes included daily financial stress, stereotypes that Asians don’t need assistance, and a shared belief that financial security is key to achieving the American dream. These stories highlight the resilience and determination within Asian communities amid adversity.



Financial struggles are a significant part of life for many Asian Americans, as revealed in a 2022-23 survey. Participants were asked about challenges like relying on food banks, losing health insurance, struggling to pay rent or medical bills, and being unable to save for emergencies. Among Asian adults living near or below the poverty line, 79% reported experiencing at least one of these hardships in the past year, compared to 48% of those above the poverty line. The most common issue was the inability to save for emergencies, affecting 57% of those in poverty versus 40% of those with higher incomes.

Balancing family needs with limited income, focus group participants described the constant struggle of planning for the future. The pressure to provide for their children’s opportunities while securing their own retirement created a sense of urgency that shaped their financial decisions.

“I feel a bit helpless [about my financial situation]. … I don’t want to be in debt. I have to save money to raise my kids, but I don’t have money to save.”

–Immigrant man of Korean origin in early 30s (translated from Korean)

“[I save money] to go to Pakistan. Because I have four children … I needed five or six tickets, in case my husband traveled with us, and it required a lot of money. We used to save for one whole year, and when we were back from Pakistan, we were usually empty-handed. Then the cycle started again.”

–Immigrant woman of Pakistani origin in late 40s (translated from Urdu)

“You’re not going to work forever. No one is going to work forever. You want to have savings … for your rent [or] in case of medical bills [if] something happens. [You] might as well [save for] some trips down the while when you [can] travel still. But you’re not going to be working at 80 years old, are you?”

–U.S.-born man of Chinese origin in early 40s

For many, the American dream is intertwined with the concept of freedom—freedom from the weight of debt and the daily stress of meeting basic needs like rent and food, and freedom to make life choices without financial constraints. Despite economic hardships, hope persists. Among Asians living near or below the poverty line, half believe they are either on their way to achieving the American dream or have already reached it. This optimism contrasts with those above the poverty line, where a greater percentage report feeling closer to their dreams, underscoring the resilience and determination within these communities.

The pursuit of the American dream is deeply personal, yet it reflects a universal desire for stability, freedom, and opportunity. Despite the challenges of poverty, many remain hopeful, believing they are on a path toward a better future. This resilience speaks to the strength of individuals and communities striving to overcome obstacles and create lives of meaning and fulfillment. By addressing systemic barriers and supporting those in need, we can help ensure that the dream of freedom and opportunity becomes a reality for all.

Hope and determination can overcome any obstacle, lighting the path toward freedom and opportunity.

Kev cia siab thiab kev txiav txim siab tuaj yeem kov yeej txhua txoj kev nyuaj, teeb lub txoj kev mus rau kev ywj pheej thiab kev vam meej.

Reference:https://www.pewresearch.org/race-and-ethnicity/2024/03/27/the-hardships-and-dreams-of-asian-americans-living-in-poverty/?fbclid=IwZXh0bgNhZW0CMTAAAR3TXk5Eer_dUKl7vg2-NUBdmtL1CSu4WvsrpLPuSAoBnM1K_zF5NZGgQ3s_aem_afXkGhbcFLM5GZ9d-HRhPA

Is Anxiety a Mental Illness?

Anxiety is a natural part of life that everyone experiences at some point, whether it’s feeling nervous before a big event, getting butterflies in your stomach, or dwelling on a stressful situation. While these feelings can be uncomfortable, occasional anxiety is not considered a mental illness. However, when anxiety becomes overwhelming, persistent, and significantly impacts daily life, it may indicate an anxiety disorder, which is a diagnosable mental health condition. Understanding the difference between everyday anxiety and anxiety disorders is an important step in recognizing when to seek support.

What Is a Mental Illness?

Mental illnesses are psychiatric conditions that affect a person’s mood, behavior, and thoughts, impacting about 1 in 5 people, with 4% experiencing severe cases. For a condition to be considered a mental illness, it must significantly disrupt daily life. While some cases are short-term, many require long-term management through effective treatment. Untreated mental illnesses can affect jobs, relationships, and family dynamics, but with proper care, people can lead fulfilling lives.

Common mental illnesses include:

  • Depression, including unipolar depression and bipolar depression
  • Anxiety disorders
  • Personality disorders, such as borderline personality disorder and narcissistic personality disorder
  • Psychotic disorders
  • Post-traumatic stress disorder (PTSD)
  • Substance abuse disorder
  • Eating disorders

Your mental health matters, and taking steps to care for it is an act of strength and self-compassion. If you’re struggling with chronic anxiety or other mental health concerns, know that support is available and healing is possible. Treatments for anxiety, including therapy (like cognitive behavioral therapy), medications, mindfulness practices, and lifestyle changes, can help you regain balance and improve your quality of life. Don’t hesitate to reach out to a mental health professional, trusted friend, or support group—no one should navigate this journey alone. Prioritize your well-being, and remember: seeking help is a powerful step toward a healthier, happier you.


保持平衡的生活方式。
Maintain a balanced lifestyle.

Reference: https://www.verywellmind.com/is-anxiety-a-mental-illness-5271630

School work identified as key stressor for AAPI youth

Mental health challenges among AANHPI (Asian American, Native Hawaiian, and Pacific Islander) youth have often been overlooked due to a lack of research and attention to their unique struggles. A recent study by The Asian American Foundation (TAAF), titled “Beyond the Surface: Understanding Mental Health Among Asian American, Native Hawaiian, and Pacific Islander Youth,” sheds light on this critical issue. The study reveals that academic pressure is one of the most significant stressors for AANHPI youth, driven by cultural expectations linking success in school to upward mobility and respect. This stress is further amplified by the “model minority” stereotype, which imposes unrealistic standards of excellence while dismissing emotional vulnerability. By addressing these unique challenges, the study offers insights into solutions for a group often misunderstood and underserved in mental health discussions.

“The biggest stressor on mental health that youth reported was actually pressure to succeed, both self-imposed and from families,” Dr. Charissa Cheah, lead researcher

Key Facts

Exacerbation by the COVID-19 Pandemic:

  • Heightened mental health struggles during the pandemic.
  • Complicated identity development due to the rise in anti-Asian hate.

Cultural Challenges:

  • Difficulty navigating cultural heritage in a climate of racism.

Stressors:

  • Discrimination and its impact on mental health.
  • Academic pressures contributing to a “perfect storm” of stress.

Isolation and Anxiety:

  • Increased feelings of loneliness and worry among AANHPI youth.

Alarming Statistics:

  • Suicide is the leading cause of death for young AANHPI individuals, per CDC data.
  • One in three AANHPI youth has considered or attempted suicide.

Addressing the mental health challenges faced by AANHPI youth requires urgent attention and action. The compounded pressures of academic expectations, cultural identity struggles, and discrimination, particularly during the COVID-19 pandemic, have created a crisis that cannot be ignored. With one in three AANHPI youth considering or attempting suicide, these alarming statistics serve as a stark reminder of the need for culturally responsive mental health resources and support systems. By acknowledging and addressing these unique challenges, we can work towards creating a more inclusive and understanding environment where AANHPI youth feel seen, supported, and empowered to thrive.


面对压力时,要学会呼吸放松。
Learn to breathe and relax when facing stress.

Reference: https://asamnews.com/2024/12/27/beyond-the-surface-of-aanhpi-youth-mental-health-research/?fbclid=IwZXh0bgNhZW0CMTEAAR0Oe5d1oc80z-JadHPJuCvh3k2LdlTzZeJHW6kUaPH5VFXwjnpg9aXnmVU_aem_aKVwcfNMD6Tnep0Xa9lLtA

Harmony Between Worlds: A Black Buddhist Artist’s Journey

Living as a Black Buddhist artist immersed in a bicultural experience is a profound act of self-discovery. My heritage as a Black individual expresses resilience, creativity, and community, while my Buddhist practice offers a framework for mindfulness, compassion, and balance. These two identities do not simply coexist—they enrich and inform each other, creating a unique lens through which I experience this world. Through the teachings of lord Buddha, I’ve come to understand my cultural roots not as a separate identity but as a path in which I cultivate dharma..

As an artist, the bicultural experience manifests in the stories I tell and the mediums I use to tell them. My work is a reflection of both celebration and introspection, merging the rhythms of my heritage with the contemplative silence of my Buddhist practice. Whether through the meditative pluck of the Guzheng or the quiet resilience embedded in my poems, I strive to create art that speaks to the shared humanity between cultures. This process has taught me that self-cultivation is not about abandoning one identity to embrace another but about finding harmony in the tension, allowing each aspect of myself to bloom.

Self-cultivation within this bicultural space is an ongoing practice of loving-kindness toward myself and others. It is about embracing the complexities of my identity without judgment, cultivating wisdom through the lessons of my ancestors, and staying grounded in the present moment. As a Black Buddhist, I see my journey not only as personal liberation but also as a call to inspire others in my community to explore the depths of their identities with courage and compassion. Together, we can honor the beauty of our roots while forging new paths of creativity and cultivation.

Jarrelle (杰遨) Jieao

Youth Violence

Youth violence is a serious issue affecting young people aged 10 to 24, often manifesting through fighting, bullying, weapon threats, and gang-related activities. It not only harms the victims but also impacts offenders and witnesses, creating a ripple effect of trauma and fear in communities. Understanding youth violence means recognizing its multifaceted nature and addressing it as a shared responsibility. Preventative measures, such as fostering safe environments, promoting conflict resolution skills, and offering support to at-risk youth, are essential in breaking the cycle of violence and building a foundation for healthier, more compassionate communities.

Key Facts

Prevalence and Impact:

  • Thousands experience youth violence daily across urban, suburban, rural, and tribal communities.
  • Homicide is the third leading cause of death for young people aged 10-24 and the leading cause of death for non-Hispanic Black or African American youth.
  • Over 800 young people are treated daily in U.S. emergency departments for assault-related injuries.

Disparities in Risk:

  • Sexual minority teens are more likely to face multiple forms of violence than their heterosexual peers.
  • Black or African American youth are at a higher risk of the most physically harmful forms of violence, including homicides and aggravated assaults.

Economic Costs:

  • In 2020, youth homicides and nonfatal physical assaults incurred an estimated $122 billion annually in costs, covering medical care, lost work, and diminished quality of life (excluding criminal justice costs).

Impact of COVID-19:

  • The economic burden of youth violence increased by 17% in 2020 compared to 2019, reflecting the ongoing challenges exacerbated by the pandemic.

Preventing youth violence is a collective effort that begins with understanding the root causes and risk factors that contribute to it. By addressing systemic inequities, such as poverty, residential segregation, and other forms of racism, we can create environments where all young people—especially those from racial and ethnic minority groups—have the opportunity to thrive. Prevention strategies must focus on reducing risk factors, strengthening protective factors, and fostering safe, equitable communities. Supporting youth as they grow into healthy, empowered adults is not just a moral imperative; it is essential for building a future free from violence and filled with opportunity for all.

Reference: https://www.cdc.gov/youth-violence/about/index.html

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

Living With Existential Depression

Existential depression is a deeply challenging experience where individuals grapple with finding meaning in their lives and existence itself. This struggle can lead to a lack of motivation in daily life, fixation on thoughts of death and dying, indifference toward the seemingly “unfixable” state of the world, and avoidance of connections with others. While these feelings can be overwhelming, it’s important to remember that existential depression is not a formal diagnosis but rather a way to describe this specific emotional and philosophical struggle.

“Everyone experiences [a level of] existential depression at some point in their lives and it is very common to find it as one moves through the challenges of the maturation process,”- Jed Turnbull, PhD, LCSW, CHT, a licensed social worker, and therapist.

Questions that often spark feelings of existential depression include:

  • What is the meaning of life? 
  • Why is there suffering?
  • Why do people have to die? 
  • Can I make an impact in the world? 
  • Why do bad people go unpunished?
  • Why do good people experience pain? 

Certain life experiences can also act as potential triggers for existential depression, such as:

  • Stressful life events: Situations that cause major upheaval can greatly impact your life. For example, one study notes that cancer patients may question the meaning of life when they realize that death is a very real possibility.
  • Having poor job satisfaction: Research has shown that there’s a relationship between job satisfaction and mental health. So, if you’re dissatisfied with your job you may have poorer mental health. You may also start to wonder what the purpose or point of your job is.
  • Lack of meaningful relationships: Science notes a strong link between healthy social relationships and aspects of our health and wellness.

“In more immediate circumstances, one’s way of expression can be very helpful in alleviating their depressive symptoms,” Turnbull notes. “Journaling or writing, and other abstract ways of self-expression such as art and music, as well as learning something new, can all be ways to decrease depressive symptoms.”-Jed Turnbull, PhD

Experiencing existential depression can be triggered by deep reflections and life events. It’s crucial to prioritize mental health and adopt a healthy lifestyle in response. Taking time to reflect on your well-being and engage in self-care practices can help manage feelings of existential dread and promote a more meaningful and fulfilling life.


照顾好自己是对的。Taking care of yourself is the right thing to do.

Reference: https://www.verywellmind.com/what-is-existential-depression-5496376