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South Dakota
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 25 | 13 |
| State Spending on Tobacco Prevention | $2.0 million | $4.5 million |
| Percent of CDC Recommended Spending ($11.7 million) | 17.1% | 38.5% |
South Dakota's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Tobacco's Toll in South Dakota
(Dec. 15, 2025)
| Adults who smoke | 13.5% (95,000) |
|---|---|
| High school students who smoke | 4.6% (2,300) |
| High school students who use e-cigarettes | 14.7% |
| Death caused by smoking each year | 1,300 |
| Annual health care costs directly caused by smoking | $433 million |
| Proportion of cancer deaths attributable to smoking | 29.1% |
| Residents' state and federal tax burden from smoking-caused government expenditures | $1,011 per household |
| Estimated annual tobacco industry marketing in state | $24.9 million |