Ending the Tobacco Problem - Resources for Local Action
Institute of Medicine

Call To Action


About Ending the Tobacco Problem: A Blueprint for the Nation

While the nation has made tremendous progress in reducing tobacco use during the past 40 years, approximately one-quarter of American adults still smoke. Despite extensive knowledge about successful interventions, tobacco-related illnesses and death place a huge burden on our society.

In 2007, the Institute of Medicine released Ending the Tobacco Problem: A Blueprint for the Nation, which reviewed effective tobacco prevention and treatment interventions and considered a set of new tobacco control policies for adoption by federal and state governments. The report offers broad-reaching recommendations targeting federal, state, local, nonprofit and for-profit entities.

This website is aimed at providing additional information for community coalitions looking to take action. The website further explains the report recommendations that are most relevant to community coalitions and provides examples of organizations that have applied those recommendations to their unique circumstances. The website was developed using funds provided to the Institute of Medicine by the American Legacy Foundation.

About the Institute of Medicine

The Institute of Medicine serves as adviser to the nation to improve health. Established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine provides independent, objective, evidence-based advice to policy makers, health professionals, the private sector, and the public.  

About the American Legacy Foundation

The American Legacy Foundation® is dedicated to building a world where young people reject tobacco and anyone can quit. Located in Washington, D.C., the foundation develops programs that address the health effects of tobacco use, especially among vulnerable populations disproportionately affected by the toll of tobacco, through grants, technical assistance and training, partnerships, youth activism, and counter-marketing and grassroots marketing campaigns. The Foundation’s programs include truth®, a national youth smoking prevention campaign that has been cited as contributing to significant declines in youth smoking; EX®, an innovative public health program designed to speak to smokers in their own language and change the way they approach quitting; research initiatives exploring the causes, consequences and approaches to reducing tobacco use; and a nationally-renowned program of outreach to priority populations. The American Legacy Foundation was created as a result of the November 1998 Master Settlement Agreement (MSA) reached between attorneys general from 46 states, five U.S. territories and the tobacco industry.

The American Legacy Foundation is dedicated to building a world where young people reject tobacco and anyone can quit. The Foundation develops programs that address the health effects of tobacco use.

The national, independent public health Foundation was created in 1999 out of the landmark Master Settlement Agreement between the tobacco industry, 46 state governments and five U.S. territories. It is located in Washington, DC, and is a 501(c)(3) non-profit organization.

The Foundation has provided financial support for the Grantee's project, in whole or in part, as the case may be; and the Grantee's Informational Materials do not necessarily represent the views of the Foundation, Foundation staff, or its Board of Directors. 


We would like to thank Dr. Caroline Sparks and her colleagues for their help in developing the material for this website and Dr. Robert Wallace, Dr. Diana Bonta, Dr. Thomas Peterson, and Mary Jayne Hellebust for their help in reviewing the content.