Tobacco use is far from a thing of the past. Tobacco is responsible for 480,000 deaths every year in the United States. This is more than Human immunodeficiency virus (HIV), illegal drug use, alcohol use, motor vehicle injuries, and firearm-related incidents. Nearly 17% of Ohioans still smoke and youth vaping is introducing a new generation to nicotine, the highly addictive ingredient in all tobacco products and vapes. Youth vaping trends are undoing years of progress in tobacco prevention. The Medina County Health Department is dedicated to reducing the burden of tobacco and nicotine in our communities.