New York State Smokers Quitline
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Lewis County Nicotine Use at a Glance
Here in Lewis County, nicotine use remains a concern. Cigarettes continue to be the most common form of nicotine consumption locally, with usage much higher than the state average (9.3%). According to the 2025 Community Health Assessment, there has been an increase of nicotine use in the county with approximately 21.6% of adults reporting cigarette use. Cigarettes, e-cigarettes and other tobacco products contain many dangerous toxins. Most people are aware of the strong link between smoking and lung cancer. However, smoking is also a major contributor to heart disease, stroke, and other chronic illnesses. The American Heart Association reports that smoking also increases the risk of cancers of the bladder, throat, mouth, kidneys, cervix, and pancreas.
While local data shows that only 4.8% of Lewis County adults report using e-cigarettes, nicotine use among youth continues to be a significant public health concern. Today’s e-cigarettes and vape products often contain high levels of nicotine, which can harm the developing adolescent brain and increase the risk of addiction. Many youth are exposed to vaping through peers and social settings, where devices are frequently shared among friends. When a vape is shared, young people may not know exactly what they are inhaling, including the amount of nicotine it contains or whether other substances have been added. Because vape products come in a wide variety of flavors, designs, and nicotine strengths, it can be difficult for youth to recognize the risks associated with their use. Even occasional use can lead to nicotine dependence and may impact attention, learning, mood, and impulse control.