Contributing Factors: 
Smoking and tobacco use are contributing factors for several adverse health conditions including cancer, heart disease, lung disease, diabetes, and chronic obstructive pulmonary disease. Cigarette
smoking is the leading cause of preventable and premature death in the U.S., resulting in more than 480,000 deaths annually. (CDC, n.d.b). Youth alcohol, tobacco, and other drug use is a significant
public health concern and is associated with a wide range of academic, social, and health problems. Smoking and tobacco use primarily begin during adolescence and may lead to additional substance
abuse; nearly nine out of ten adult cigarette smokers smoked their first cigarette before age 19. (CDC, n.d.c).

Tobacco and Substance Use in Stanislaus County
Stanislaus County residents report high rates of tobacco use; about one in six adults smoke cigarettes and one in three adults report engaging in binge drinking. From 2013 to 2017 there were 103 alcohol impaired driving deaths in Stanislaus County, accounting for 32% of all motor vehicle crash deaths. In 2017, there were 85 hospitalizations, 179 emergency department visits, and 18 deaths related to opioid overdose in Stanislaus County. One in five persons experiencing homelessness report drug and alcohol abuse as the cause of their homelessness.
(Stanislaus County Health Services Agency, 2020).

Aegis Treatment Center
Behavioral Health and Recovery Services (BHRS)
Central Valley Rural Legal Assistance California State University Stanislaus Doctor's Medical Center
HealthNet
Health Plan of San Joaquin
Law Enforcement Community Services Officers (CSOs)
Nirvana
Sheriff's Department Police Activities League (PAL)
Stanislaus County Juvenile Probation

Stanislaus County Health Services Agency Stanislaus County Office of Education
(SCOE)
Stanislaus Protection Health and Slamming Tobacco (PHAST) Youth Coalition
Stanislaus Recovery Center
Memorial Medical Center
Tobacco-Control Outreach and Prevention Services (TOPS) Coalition TOPS Coalition Smoking Cessation Action Team
UC Merced Nicotine and Cannabis Policy Center

Partnership: partner with community organizations to promote tobacco-free initiatives. 

Increase access: Promote mental health services, substance use prevention services in schools, and youth-based programs. 

Education and engagement: Increase knowledge of factors contributing to tobacco and substance use. 

Develop practices to encourage prevention, promote treatment and recovery. 

Invest in youth to decrease and prevent tobacco and substance use with specific attention to school and youth-based programs.