Released this week, our “State of Tobacco Control” 2018 report assigns grades to states and federal government on key policies proven to prevent and reduce tobacco use. The report also notes that adult and youth cigarette smoking rates are at historically low levels. However, not everyone in America has benefited equally from this decline. When looking more closely at the data, many Americans continue to struggle with tobacco and nicotine addiction. Unfortunately, these groups are at greatest risk for tobacco-related death and disease and it’s our job to do everything we can to help them.