A national report released by a coalition of public health organizations concludes that 15 years after the 1998 state tobacco settlement, states still fall short. Alabama currently ranks 49th in 2014 Rankings of Funding for State Tobacco Prevention Programs. Alabama’s annual funding for prevention is $275,000 with the CDC’s annual recommendation at $56.7 million. The funding is for programs that prevent kids from smoking and helping smokers quit. Tobacco use affects the economic well-being of the State of Alabama and the health of its citizens. This year, Alabama will collect an estimated $223.1 million in tobacco generated revenue. Studies show states can save $5 in tobacco-related medical costs for every $1 spent on tobacco prevention and helping smokers quit. Tobacco use kills more than 400,000 Americans every year. It is the number one cause of preventable death in our country. 6,800 kids become regular smokers each year in Alabama. Nearly 23 percent of Alabama high school students smoke. The rate is higher than the estimated 18 percent of all Americans who smoke.