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The North Dakota Center for Tobacco Prevention and Control Policy, also known as BreatheND, is a division of the Tobacco Prevention and Control Executive Committee. In 2008, North Dakota voters passed an initiated measure requiring that a portion of the funds the state receives from tobacco settlement dollars (a portion called the Strategic Contribution Fund) is to be used for tobacco prevention and control programs.The Center, along with the North Dakota Department of Health, local public health units and other partners, is charged with implementing North Dakota’s comprehensive state tobacco prevention plan: Saving Lives – Saving Money.

North Dakota’s comprehensive tobacco prevention goals are to significantly reduce tobacco use and its health and economic consequences by using policies and programs proven to keep kids from starting to use tobacco, help tobacco users quit, and protect everyone from secondhand smoke. The state’s comprehensive tobacco prevention plan, Saving Lives, Saving Money, is based on proven best practices established by the Centers for Disease Control and Prevention (CDC).

Tobacco Settlement Agreement

Beginning in the mid 1990s, more than 40 states and some localities sued tobacco companies, alleging that the industry violated antitrust and consumer protection laws, withheld information about the adverse health effects of tobacco, manipulated nicotine levels to keep smokers addicted, and conspired to hold back less risky and less addictive tobacco products from the market.

In November 1998, four of the nation's largest tobacco companies -- Philip Morris Incorporated, R.J. Reynolds Tobacco Company, Brown & Williamson Tobacco Corporation, and Lorillard Tobacco Company (referred to as the "original participating manufacturers") -- negotiated an agreement with the attorneys general of 46 states (including North Dakota) thereby settling a number of lawsuits. This agreement is known as the Master Settlement Agreement.

Tobacco Prevention and Control 2013 Audit Report

We are pleased to submit this audit of the Tobacco Prevention and Control Executive Committee for the biennium ended June 30, 2013.

This audit resulted from the statutory responsibility of the State Auditor to audit or review each state agency once every two years.

Review the 2013 Audit Report.

Tobacco Prevention and Control 2011 Audit Report

We are pleased to submit this audit of the Tobacco Prevention and Control Executive Committee for the biennium ended June 30, 2011.

This audit resulted from the statutory responsibility of the State Auditor to audit or review each state agency once every two years.

Review the 2011 Audit Report.


Tobacco Prevention and Control Advisory Committee

The advisory board consists of nine North Dakota residents appointed by the governor for three year terms as follows: a. A practicing respiratory therapist familiar with tobacco related diseases; b. Four non-state employees that have demonstrated expertise in tobacco prevention and control; c. A practicing medical doctor familiar with tobacco related diseases; d. A practicing nurse familiar with tobacco related diseases; e. A youth between the ages of 14 and 21; f. A member of the public with a previously demonstrated interest in fostering tobacco prevention and control.

MEASURE 3 LAW (document)
File Size: 21.5 kb

Measure 3 requires that the money North Dakota receives from tobacco settlement dollars is used to build a comprehensive statewide tobacco prevention and control program using Centers for Disease Control Best Practices, prevent tobacco use, assist smokers who want to quit and prevent tobacco companies from targeting youth.

Surveillance and Evaluation Plan (document)
File Size: 102.83 kb

This Surveillance and Evaluation Plan outlines how the new comprehensive statewide tobacco prevention and control program created by Measure 3 will be evaluated during its first two years of implementation, July 1, 2009 through June 30, 2011. North Dakota Century Code §23-42-07 requires a biennial evaluation of the comprehensive program. The plan draws on best practices determined by two decades of evidenced-based analysis of scientific literature and outcomes of comprehensive state tobacco control programs and interventions.

North Dakota Biennial Report: July 1, 2011 - June 30, 2013 (document)
File Size: 612.35 kb

North Dakota Biennial Report: July 1, 2009 - June 30, 2011 (document)
File Size: 750.66 kb

Tobacco Prevention Assessment Report: July 1, 2009 - June 30, 2011

Evaluation of Effectiveness and Implementation- 2013 (document)
File Size: 272.29 kb

Health Communications Plan 08/20/2010 (document)
File Size: 46.39 kb

Health Communications Plan 08/20/2010

Surveillance and Evaluation Guidelines 2011 (document)
File Size: 188.71 kb

Surveillance and Evaluation Guidelines

Health Communications Guidelines 05-30-14 (document)
File Size: 961.54 kb

Communications Guidelines for LPHUs

Measure 3 Accomplishments: First Year: 2009-2010 (document)
File Size: 39.39 kb

Accomplishments of the Tobacco Prevention and Control Executive Committee, created by the passage of statewide initiated Measure 3.

Public Health Benefits from Increasing the Cigarette Tax (document)
File Size: 167.78 kb

There are benefits of an increased cigarette tax in North Dakota to $2.00 from the current state cigarette tax of 44 cents per pack (46th among all states).

Benefits and Savings from Smoking Declines (document)
File Size: 38.17 kb

North Dakota State Seal