Tobacco Use Prevention and Cessation


Quitting Smoking is good at any age. For help quitting please contact the Wicomico County Health Department Stop Smoking Program 410-430-7384

Prohibiting smoking in public housing could save lives and $153 million annually

Help quitting smoking

Start 2021 with a Breath of Fresh Air

It's Never too Early to Quit Smoking

Going Smokefree Matters

Need Help Quitting Smoking


If you currently smoke of vape and would like to quit, the MD Tobacco Quitline is here to help with free patches, gum, and trained quit coaches Text READY to 200-400 visit or call 1800 QUIT NOW

The 2018 National Youth Tobacco Survey revealed a startling rise in e-cigarette use by youth (

From 2017 to 2018, the rate for current e-cigarette use (at least once a day in the past 30 days) rose 78% for high school students (11.7 to 20.8%) and 48% for middle schoolers (3.3 to 4.9%) . That's more than 3 million high school students and 570,000 middle school students who are becoming addicted while their brains and bodies are still developing. These children are setting themselves up for physical dependence, financial drain and possible health consequences. 
Whether your child is already using e-cigarettes or you feel your child would never use them, now is the time to talk with them about the dangers and consequences of e-cigarette use. Use this tip sheet to help you prepare. 





COVID-19 and Smoking/Vaping 

-Matt Myers President  -- Campaign for Tobacco Free Kids

See how vaping affects lung function among teens and young adults.


Does smoking have an effect on COVID-19? Smoking does not protect against COVID-19

Say no to tobacco in the time of COVID-19 and Always


Youth are exposed to e-cigarette advertisements from multiple sources: 14.4 million youth are exposed at retail stores; 10.5 million through the Internet; 9.6 million through TV/movies, and 8 million through magazines/newspapers. US Students exposed to e-cigarette ads by school type and # of exposure sources: 69% overall, 66% middle school, and 71% high schoolA Dangerous Trend - Smokeless Tobacco Use Among High School Athletes. Past 30-day use of combustible tobacco products dropped from 2001 to 2013 among all high school students (31.5% to 19.5%), while past 30-day use of smokeless tobacco remained unchanged among non-athletes (5.9%), and increased among athletes (10.0% to 11.1%). Smokeless tobacco is NOT without risk. Smokeless tobacco can lead to nicotine addiction, cause cancer of mouth, esophagus, and pancreas; can cause diseases of the mouth, and increase the risk for death from heart disease and stroke. 7/10 middle & high school student who currently use tobacco have used a FLAVORED product




Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products

CDC has identified vitamin E acetate as a chemical of concern among people with e-cigarette, or vaping, product use associated lung injury (EVALI). Recent CDC laboratory testing of bronchoalveolar lavage (BAL) fluid samples (fluid samples collected from the lungs) from 29 patients with EVALI submitted to CDC from 10 states found vitamin E acetate in all of the samples. Vitamin E acetate might be used as an additive, most notably as a thickening agent in THC-containing e-cigarette, or vaping, products.

CDC recommends that people should not use e-cigarette, or vaping, products that contain THC, particularly from informal sources like friends, or family, or in-person or online dealers. Until the relationship of vitamin E acetate and lung health is better understood, vitamin E acetate should not be added to e-cigarette, or vaping, products.  In addition, people should not add any substance to e-cigarette or vaping products that are not intended by the manufacturer, including products purchased through retail establishments. CDC will continue to update guidance, as appropriate, as new data become available from this outbreak investigation.

Key Facts about Use of E-Cigarette, or Vaping, Products

  • Electronic cigarettes — or e-cigarettes — are also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS).
  • Using an e-cigarette product is commonly called vaping.
  • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.
  • The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. THC is the psychoactive mind-altering compound of marijuana that produces the “high”.

Key Facts about Vitamin E Acetate

  • Vitamin E acetate might be used as an additive, most notably as a thickening agent in THC-containing e-cigarette, or vaping, products.
  • Vitamin E is a vitamin found in many foods, including vegetable oils, cereals, meat, fruits, and vegetables. It is also available as a dietary supplement and in many cosmetic products, like skin creams.
  • Vitamin E acetate usually does not cause harm when ingested as a vitamin supplement or applied to the skin. However, previous research suggests when vitamin E acetate is inhaled, it may interfere with normal lung functioning.

Cigarette smoking is down, but 34 million American adults still smoke. Cigarette smoking remains high among certain groups: men; adults 25-64 years old; lower education; below poverty level; Midwest & South; uninsured or Medicaid; disabled; serious psychological distress; American Indians, Alaska Natives, and multiracial; and lesbians, gays and bisexuals. Strategies essential to continue reducing cigarette smoking overall: implement smoke-free laws, run mass media campaigns, raise tobacco prices, and make quit help easy to access.

 New Tobacco Sales ​ “T21” Tobacco 21

Effective October 1, 2019, the statewide sales age increases to 21 for all tobacco products, including electronic smoking devices (e-cigarettes, vapes, pod-based devices such as JUUL and their e-liquids, and component parts and accessories).

The only exemption to this law is for active duty military personnel ages 18 or older with valid military identification.  

Valid driver's license or other valid government-issued ID are the only acceptable forms of identification for tobacco purchases (employer or school ID not permitted).


21 or None. No person under the age of 21 years old may be sold tobacco products without military identification.

Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping

  • As of February 4, 2020  2,758* cases of e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported to CDC from 50 states (all except Alaska), the District of Columbia, and 2 U.S. territories (Puerto Rico and U.S. Virgin Islands). 
  • Sixty Four deaths have been confirmed in 27 states and the District of Columbia.

What is in e-cigarette aerosol? 

What's in E-Cigarette Aerosol? Volatile organic compounds; ultrafine particles; nicotine; cancer-causing chemicals; heavy metals such as nickel, tin and lead; and flavoring such as diacetyl, a chemical linked to serious lung disease.

The Tobacco Use Prevention and Cessation program is dedicated to keeping youth from starting smoking/vaping and helping adult smokers quit, as well as protecting children from secondhand smoke.

Quit Resources:

Quit Lines

  • 1-800-QUITNOW (1-800-784-8669)
  • 1-855-DEJELO-YA (1-855-335-3569)

Teen Quit Smoking Resources

  • Smoke Free Teens:

  • Become an Ex:

  • My Last Dip:





Program of the Prevention & Health Communications Department

Funded by: Cigarette Restitution Fund Program through the Maryland Department of Health

Stop Smoking Program: Are YOU READY to Quit for Good?

Stopping smoking is a GREAT choice! It is one of the most important things you can do to improve and extend your life. 

Consider Your Options

  • Cold Turkey: Completely stop smoking. Zero cigarettes. No quit aid medications.
  • Step Down: Wean yourself off of cigarettes and nicotine by smoking less each day or each week.
  • Quit Aid Medications: These medications can help to reduce nicotine cravings and ease withdrawal symptoms. Nicotine replacement patches, gum, lozenges, Zyban, and Chantix, are some of the most popular quit aids.
  • Counseling Support: Group and individual sessions, phone quitlines and Internet sites can help connect you to professional quit coaches and others who are also quitting smoking.

How we can help:

The Wicomico County Cessation Program offers both group and individual support sessions/counseling. We also offer low cost quit aid medications (Nicotine Patches or Lozenges, or Chantix.)  In order to take part in the program, you must:

  • Reside in Wicomico County;
  • Provide a signed medical clearance form and written prescription if you have chosen Chantix;
  • Attend support sessions for at least 10 weeks.

Medications provided at no cost

Nicotine Replacement Patches, Nicotine Lozenges, Chantix.

(Medical Clearance Form For Chantix:   click here )

Group Support Sessions

Group support sessions are offered once a week at the Wicomico County Health Department’s Adkins Building (801 North Salisbury Blvd., Salisbury, MD)
Thursdays: 12:00pm – 1:00pm, Second Floor, Suite 202 (park on north side of building and enter through main door facing Rt. 13; elevator is through glass doors and to the right; stairs are to the left in foyer).

Onsite Workplace Smoking Cessation Program

We provide onsite support sessions/counseling for workplaces.  For more information call (410) 334-3480.

Health Care Provider Trainings

Looking to learn more about how to do brief interventions and counseling with smokers? Want to learn more about our programs or how to refer patients to the Cessation Program? We offer free training sessions for healthcare providers in Wicomico County. Call (410) 334-3480 for more information.

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