North Dakota’s Youth Tobacco Use Declines
Tobacco-free School Policies
Smoke-free Work Places and Public Places
Tobacco-free Parks and Recreation Areas
Tobacco-free Grounds

North Dakota’s Youth Tobacco Use Declines

A newly published survey of North Dakota high school students shows a substantial drop in cigarette use – from 19 percent in 2013 to 11.7 percent in 2015 − but also shows that e-cigarette use among youth is at an alarming rate of 22 percent among high school students.
For the first time this year, the Youth Risk Behavior Survey asked students if they used electronic cigarettes, which are devices that convert a nicotine liquid into an aerosol that is inhaled.
The findings are part of the newest Youth Risk Behavior Survey by the Centers for Disease Control and Prevention. Another recent report from the American Journal of Preventive Medicine shows that nicotine harms the developing brain of youth. Many e-cigarettes contain nicotine, and nicotine exposure at a young age may cause lasting harm to brain development, promote addiction and lead to sustained tobacco use.
The good news is that North Dakota is dealing with the emerging problem of e-cigarettes. BreatheND and our state and local partners supported the North Dakota legislature in its efforts to regulate these otherwise unregulated products. The 2015 legislature passed a law prohibiting e-cigarette sales to minors and use by minors. The law also requires child-resistant packaging for e-cigarette liquids. Several cities, including most recently Grand Forks and Bismarck, have passed even stronger local ordinances requiring tobacco licenses for all stores selling e-cigarettes and “vape” products, and requiring products be placed behind-the-counter.

FemaleStudentAtTobaccofreeSchool.jpg Tobacco-free School Policies

Interventions to prevent tobacco use initiation and to encourage cessation among youth and young adults can reshape the environment so that it supports tobacco-free norms. Nearly 9 of 10 smokers in the United States start smoking by the time they are 18 years old, and 99% start by the age of 26. Thus, intervening during adolescence and young adulthood is critical.

Community programs and comprehensive tobacco free school and college policies and interventions are part of a comprehensive effort—coordinated and implemented in conjunction with efforts to create tobacco-free social norms, including increasing the unit price of tobacco products, sustaining anti-tobacco media campaigns, and making environments smoke free.

Is your school tobacco free? Check out the list and map of the 159 tobacco-free schools here.
To meet the standard for a comprehensive tobacco-free policy, school districts agree to Ten Comprehensive Tobacco-Free School Policy Requirements.

Smoke-free Work and Public PlacesSmoke-free Work Places and Public Places

On November 6, 2012, every county in the state voted in favor of becoming smoke-free. The law advances public health by protecting more workers, residents and visitors from secondhand smoke exposure in public places and places of employment.

Prior to the state law passing, local communities worked together to make their communities healthier places to be. Fargo and West Fargo past ordinances prior to the state law. Today, 18 additional cities passed ordinances that mirror the state law, or make their smoke-free law stronger by including some outdoor areas:

2009 – 2012 – Bismarck, Cavalier, Devils Lake, Grand Forks,  Linton, Lisbon, Munich, Napoleon, Pembina

2013 – 2014 – Crosby, Dickinson, Grafton, Hankinson, Harvey, Rutland, Wahpeton, Walhalla, Williston

Kids in Tobacco-free Park Tobacco-free Parks and Recreation Areas

Tobacco-free parks are an effective way to change the way youth and young adults think about tobacco use. This change leads to fewer people ever starting to use tobacco and encourages users to quit. Today, 20 cities in North Dakota have tobacco-free park policies.

Tobacco-free North Dakota Parks and Recreation Areas:

Casselton: Park District-owned recreational facilities
Cooperstown: City-owned parks and recreational facilities
Dickinson: Park Board-owned recreational facilities
Ellendale: City-owned recreational facilities
Fairmount: City-owned parks and recreational facilities
Fessenden: City-owned parks and recreational facilities
Garrison: City-owned parks and recreational facilities
Grand Forks: Park District-owned recreational facilities
Harvey: Park Board-owned recreational facilities
Hoople: City-owned parks and recreational facilities
Kindred: City-owned parks and recreational facilities
Langdon: City-owned parks and recreational facilities
Mapleton: Park Board-owned recreational facilities
Mayville: Park district recreational facilities
Milnor: City-owned parks and recreational facilities
Park River: City-owned parks and recreational facilities
Pekin: Stump Lake Village
Rolette: City-owned parks and recreational facilities
St. Thomas: City-owned parks and recreational facilities
Wahpeton: Park Board-owned recreational facilities


breathe3.jpg Tobacco-free Grounds

Many businesses are discovering that one of the best tools to support the efforts of your employees trying to quit tobacco is to make your business tobacco free through a tobacco-free grounds policy. About 70 percent of smokers want to quit, but quitting tobacco is tough. Limiting the productivity losses and health care costs associated with tobacco can be as simple as creating an environment that empowers employees to reach their own tobacco-free goals.

North Dakota currently has 92 site-specific tobacco-free policies. Populations served by the policies include cities across the state, including health care and allied health facilities: local public health, medical, dental, chiropractic, pharmacy, optometric, hospital, long-term care, ambulance services, Grand Forks Air Force Base treatment facility, physical therapy. Other locations include restaurants/bars/fraternal/sport clubs, pre-k education services, libraries, equipment dealer, service providers for special needs populations, fitness centers, mini golf courses, public beaches, swimming pools, hotels/motels, taxi services, public transit, law offices, county fairs, 4-H club activities and more.

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