Tobacco use remains the leading cause of preventable morbidity and mortality in the United States. The health consequences of tobacco use include cardiovascular disease, multiple types of cancer, pulmonary disease, adverse reproductive outcomes, and the exacerbation of chronic health conditions (1). Cigarette smoking causes approximately 443,000 premature deaths in the United States annually and has been estimated to cost the United States $96 billion in direct medical expenses and $97 billion in lost productivity each year.*
