Tobacco use is the leading cause of preventable death in Colorado, killing an estimated 4,300 people each year. This is more than all fires, car accidents, suicides, homicides, cocaine or heroin overdose, alcohol or acquired immune deficiency syndrome (AIDS) -related deaths combined. Tobacco-related illnesses are responsible for more than $1.3 billion in annual health care costs in Colorado. Approximately 22% of Clear Creek adults use tobacco products. Tobacco use and the hazards of second-hand smoke are a public health problem.