NORTH DAKOTA KEY FACTSIn 2015, 31.1% of North Dakota high school youth reported currently using any tobacco product, including e-cigarettes. Among North Dakota high school youth, 11.7% reported currently smoking cigarettes.PUBLIC HEALTH RESPONSE TO TOBACCO USE IN NORTH DAKOTAThere is no safe level of exposure to secondhand smoke. It causes stroke, lung cancer, and coronary heart disease in adults. North Dakota has a comprehensive smoke-free law that prohibits smoking in all indoor areas of workplaces, restaurants, and bars that has been in effect since 2012. North Dakota also prohibits use of electronic cigarettes in places where smoking is also prohibited. Upon request, the state provides research, data and analysis, and scientific consult...