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[Editorial] Smouldering progress in tobacco control

The State of Tobacco Control 2016, the report of progress towards tobacco control in the USA published by the American Lung Association last week, showed a mixed picture. The report, which tracks yearly progress on key tobacco control policies, found that only one state, Minnesota, scored an A for access to smoking cessation services. Apart from the notable exceptions of North Dakota and Alaska, spending on programmes to prevent and reduce tobacco use was poor throughout the USA. Although substantial progress has been made in reductions in cigarette smoking in young people—rates of smoking in high school students fell by almost 42% since 2011—almost a quarter of high school students reported using at least one tobacco product, and 50% of these used two or more.