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North Carolina
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 48 | 28 |
| State Spending on Tobacco Prevention | $2.1 million | $13.6 million |
| Percent of CDC Recommended Spending ($99.3 million) | 2.2% | 13.7% |
North Carolina's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Tobacco's Toll in North Carolina
(Dec. 15, 2025)
| Adults who smoke | 11.5% (998,800) |
|---|---|
| High school students who smoke | 3.9% (22,900) |
| High school students who use e-cigarettes | 21.4% |
| Death caused by smoking each year | 14,200 |
| Annual health care costs directly caused by smoking | $4.42 billion |
| Proportion of cancer deaths attributable to smoking | 32.2% |
| Residents' state and federal tax burden from smoking-caused government expenditures | $727 per household |
| Estimated annual tobacco industry marketing in state | $429.6 million |