West Virginia
A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 50 | 51 |
| State Spending on Tobacco Prevention | $306,210 | $451,404 |
|
Percent of CDC Recommended Spending
($27.4 million) |
1.1% | 1.6% |
West Virginia's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending West Virginia Tobacco Prevention
| Tobacco's Toll in West Virginia (as of Dec. 15, 2025) | |
|---|---|
| Adults who smoke | 20.8% (295,700) |
| High school students who smoke | 6.7% (5,800) |
| High school students who use e-cigarettes | 27.0% |
| Deaths caused by smoking each year | 4,300 |
| Annual health care costs directly caused by smoking | $1.17 billion |
| Proportion of cancer deaths attributable to smoking | 37.8% |
| Residents' state & federal tax burden from smoking-caused government expenditures | $1,702 per household |
| Estimated annual tobacco industry marketing in state | $106.2 million |
Last updated Dec. 15, 2025