Toll of Tobacco in the United States

The Toll of Tobacco in North Dakota

Updated April 15, 2016

The Toll of Tobacco in North Dakota

High school students who smoke 11.7% (4,500)
Male high school students who use smokeless or spit tobacco 17.6%
Kids (under 18) who become new daily smokers each year 500
Packs of cigarettes bought or smoked by kids each year 900,000
Adults in North Dakota who smoke 19.9% (113,600)


U.S. National Data

High school smoking rate (2013): 15.7%
Male high school students who use smokeless tobacco (2013): 14.7%
Adult smoking rate (2014): 16.8%


Deaths in North Dakota from Smoking

Adults who die each year from their own smoking 1,000
Kids now under 18 and alive in North Dakota who will ultimately die prematurely from smoking 14,000

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) and smokeless tobacco use.

Smoking-Caused Monetary Costs in North Dakota

Annual health care costs in North Dakota directly caused by smoking $326 million
Medicaid costs caused by smoking in North Dakota $56.9 million
Residents' state & federal tax burden from smoking-caused government expenditures $795 per household
Smoking-caused productivity losses in North Dakota $232.6 million

Amounts do not include health costs caused by exposure to secondhand smoke, smoking-caused fires, smokeless tobacco use, or cigar and pipe smoking. Tobacco use also imposes additional costs such as workplace productivity losses and damage to property.

Tobacco Industry Influence in North Dakota

Annual tobacco industry marketing expenditures nationwide $9.5 billion
Estimated portion spent for North Dakota marketing each year $34.2 million

Published research studies have found that kids are twice as sensitive to tobacco advertising than adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure. One-third of underage experimentation with smoking is attributable to tobacco company advertising.

View sources of information.

More detailed fact sheets on tobacco's toll in each state are available by emailing