The Toll of Tobacco in Iowa

Tobacco Use in Iowa  
High school students who smoke
37%
High school males who use smokeless tobacco
22%
Number of kids (under 18) who become new daily smokers each year
12,000
Kids exposed to secondhand smoke at home
231,000
Number of packs of cigarettes illegally sold to kids in Iowa each year
3.0
Adults in Iowa who smoke
23%
While adult smoking has generally been decreasing throughout the country in recent years, these declines have slowed or stopped. In contrast, smoking among kids increased steadily throughout much of the 1990s. Although national underage smoking rates finally dropped slightly from 1997 to 1998, they remain at historically high levels. Over the past ten years, the number of kids under 18 in the U.S. who become new daily smokers each year has risen by more than 70 percent. 
Deaths in Iowa From Smoking  
Number of people who die each year in Iowa from smoking
4,900 
Number of Iowa kids now under 18 who will die from smoking
(if current trends continue)
53,000 
Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined - and thousands more die from other tobacco-related causes -- such as fires caused by smoking (more than 1,000 deaths/year nationwide), exposure to second hand smoke (more than 40,000 deaths), and smokeless tobacco use. No good estimates are currently available, however, for the number of Iowa citizens who die from these other tobacco-related causes, or for the much larger numbers who suffer from tobacco-related health problems each year without actually dying.
Tobacco Related Monetary Costs  
Annual health care expenditures in Iowa directly related to tobacco use
$610 million
Residents' state and federal tax burden caused by tobacco-related health costs
$310 million
Iowa government Medicaid payments directly related to tobacco use
$70 million
Additional annual expenditures in Iowa for babies' health problems caused by mothas smoking or being exposed to second hand smoke during pregnancy
$20 to $S9 million
Additional health care expenditures caused by tobacco include the costs related to direct exposure to second hand smoke, smoking-caused fires, and smokeless tobacco use. Although these additional health expenditures certainly total in the tens of millions of dollars in Iowa, and increase the Iowa government's Medicaid burden, there are no good state estimates currently available. Other non-health costs caused by tobacco use include direct residential and commercial property losses from fires caused by cigarettes or cigars (more than $500 million nationwide); work productivity losses from work absences, on-the-job performance declines, and early termination of employment caused by tobacco-related health problems ($40+ billion per year nationwide), and the costs of the extra cleaning and maintenance made necessary by tobacco smoke, smokeless tobacco spit, and tobacco-related litter (about $4+ billion per year nationwide for commercial establishments alone). No good state-specific estimates of these non-health costs from tobacco are available, but Iowa's pro-rata share, based on its population, is at least $420 million per year. 
Tobacco Industry Influence  
Annual tobacco industry advertising & marketing expenditures nationwide
$5.2 billion
Estimated portion spent for Iowa advertising each year
$55 million
Published research studies have found that kids are three times more sensitive to tobacco advertising than adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure, and that one-third of underage experimentation with smoking is attributable to tobacco company advertising.

Source: http://tobaccofreekids.org