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- Why People Start Smoking and Why It’s Hard to Stop
- Reasons to Quit Smoking
- Health Benefits of Quitting Smoking Over Time
- Benefits of Quitting Tobacco If You Have Cancer
- Planning Your Quit Day
- Quitting Smoking or Smokeless Tobacco
- Quitting E-cigarettes (Vapes, Vape Pens)
- Nicotine Replacement Therapy
- Prescription Medicines to Help You Quit Tobacco
- Dealing with the Mental Part of Tobacco Addiction
- Are There Other Ways to Quit Tobacco?
- Staying Tobacco-free After You Quit
- Help for Cravings and Tough Situations
- Talking With Your Cancer Care Team About Tobacco Use
- How to Help Someone Quit Smoking
- Harmful Chemicals in Tobacco Products
- Is Any Type of Tobacco Product Safe?
- Keeping Your Children Tobacco-free
- Empowered to Quit
- Health Risks of Smoking Tobacco
- Health Risks of Smokeless Tobacco
- Health Risks of Secondhand Smoke
- ACS CancerRisk360
History of the Great American Smokeout Event
What is the Great American Smokeout?
For almost 50 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November. The Great American Smokeout is an opportunity for people who smoke to commit to healthy, smoke-free lives – not just for a day, but year round.
The Great American Smokeout provides an opportunity for individuals, community groups, businesses, health care providers, and others to encourage people to use the date to make a plan to quit, or plan in advance and initiate a smoking cessation plan on the day of the event.
The Great American Smokeout event challenges people to stop smoking and helps people learn about the many tools they can use to help them quit and stay quit.
It's hard to quit tobacco
Nicotine is the addictive substance in tobacco. It's one of the strongest and most deadly addictions a person can have. This is why quitting is hard for many people who smoke. It takes a decision and commitment. Quitting starts with a plan and often takes more than one quit attempt, and requires a lot of support. Often, the younger you were when you started to smoke, the more intense the addiction.
People who smoke are strongly advised to use proven cessation methods, such as prescription medications, counseling, and programs that support quitting. It’s a good idea to talk to a doctor or pharmacist to get their advice.
Research shows that people who smoke are most successful in their efforts to stop smoking when they have support, such as:
- Telephone quitlines
- American Cancer Society's Empowered to Quit email-based tobacco cessation program
- Nicotine Anonymous meetings
- Self-help books and materials
- Smoking counselors or coaches
- Encouragement and support from friends and family members
Using 2 or more of these measures to quit smoking works better than using any one of them alone. For example, some people use a prescription medicine along with nicotine replacement. Other people may use as many as 3 or 4 of the methods listed above. Professional guidance can help you choose the approach that’s right for you.
The American Cancer Society can help
Quitting may not be easy, but you can do it and the American Cancer Society can help. The American Cancer Society is available 24 hours a day, 7 days a week to provide support, from questions about quitting smoking to looking for national or local resources to help you quit. To find out more, visit cancer.org/smokeout or call 1-800-227-2345.
How the Great American Smokeout began
The Great American Smokeout event has helped dramatically change Americans’ attitudes about smoking. These changes have led to community programs and smoke-free laws that are now saving lives across the country. Annual Great American Smokeout events began in the 1970s, when smoking and secondhand smoke were common.
The idea for the Great American Smokeout grew from a 1970 event in Randolph, Massachusetts, at which Arthur P. Mullaney asked people to give up cigarettes for a day and donate the money they would have spent on cigarettes to a high school scholarship fund.
Then in 1974, Lynn R. Smith, editor of the Monticello Times in Minnesota, spearheaded the state’s first D-Day, or Don’t Smoke Day.
The idea caught on, and on November 18, 1976, the California Division of the American Cancer Society got nearly 1 million people who smoke to quit for the day. That California event marked the first official Smokeout, and the American Cancer Society took it nationwide in 1977. Since then, there have been dramatic changes in the way the public views tobacco advertising and tobacco use. Many public places and work areas are now smoke-free – this protects people who don't smoke and supports people who smoke who want to quit.
The Great American Smokeout event helps fuel new laws and save lives
Each year, the Great American Smokeout event draws attention to preventing the deaths and chronic illnesses caused by smoking. Throughout the late 1980s and 1990s, many state and local governments responded by banning smoking in workplaces and restaurants, raising taxes on cigarettes, limiting cigarette promotions, discouraging teen cigarette use, and taking further action to counter smoking.
Because of the many individuals and groups that have led smoke-free advocacy efforts, there have been significant landmarks in the areas of research, policy, and the environment. These efforts continue.
Cigarette smoking is the leading cause of cancer death in the United States, accounting for 3 out of every 10 cancer deaths. Lung cancer is the leading cause of cancer death. Smoking also causes cancers of the larynx (voice box), mouth, sinuses, pharynx (throat), esophagus (swallowing tube), and bladder. It also has been linked to the development of cancers of the pancreas, cervix, ovary (mucinous), colon/rectum, kidney, stomach, and some types of leukemia. Cigars and pipes cause cancers, too.
Fortunately, the past few decades have seen great strides in changing attitudes about smoking, understanding nicotine addiction, and learning how to help people quit. Today, the American Cancer Society Great American Smokeout event is celebrated with rallies, parades, stunts, quitting information, and even “cold turkey” menu items in schools, workplaces, Main streets, and legislative halls throughout the US.
The American Cancer Society medical and editorial content team
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as editors and translators with extensive experience in medical writing.
American Cancer Society. Cancer Facts & Figures 2018. Atlanta, Ga: American Cancer Society; 2018.
Pike KJ, Rabius V, McAlister A, Geiger A. American Cancer Society’s QuitLink: randomized trial of Internet assistance. Nicotine Tob Res. 2007;9(3):415-420.
Rouse, K. Personal Communication, October 20, 2004.
Last Revised: October 28, 2024
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