The Nicotine Prevention and Education (NPEP)  is working, in collaboration with the Tennessee Department of Health and may other community organizational partners, toward making Hamilton County tobacco and nicotine-free! The NPEP exists to:

·         Increase access to quitting services in Hamilton County

·         Prevent initial use of tobacco and nicotine products in youth and young adults

·         Identify and eliminate tobacco-related health disparities

·         Protect Hamilton County Residents from the harmful effects of second- and third-hand smoke and vape emissions

·         Decrease the culture of social acceptability of tobacco and nicotine products in public spaces

·         Work with community partners to create or strengthen smoke-free policies

Nicotine Prevention & Education Program


Jordan Armstrong, BS

Public Health Educator, Tobacco + Nicotine Prevention and Education Program



Smoking continues to hold the title for the number one leading cause of preventable death in the US, yet millions are still daily smokers. The Hamilton County Health Department – Nicotine Prevention and Education Program (NPEP) is dedicated to helping those in the community who are ready to begin their journey toward a nicotine-free lifestyle. From educating the public to providing cessation resources, we are committed to helping YOU lead a better life for yourself and your loved ones.


For more information about Tobacco use in Tennessee, please visit the link (or click the picture below that takes you to the link): Tobacco use in Tennessee 2020 (   or this link: 


Tennessee | State of Tobacco Control | American Lung Association

How much will you save when you decide to stop smoking? Find out, here:

Tennessee Tobacco Retailer Education Guide:

Tobacco Education Resource Library:

E-Cigarette Regulations – Tennessee: E-Cigarette Regulations - Tennessee | Public Health Law Center

National LGBT Cancer Network Out Proud Free – Smoking as a Social Justice Issue (

Tobacco-Use Prevention and Control - NACCHO

Youth & Vaping
E-Cigarettes, also referred to as ENDS (Electronic Nicotine Delivery System), vape pens, mods, pod-based systems, or by their brand name, like: JUUL or PuffBar, came onto the market as a way to help adults quit smoking traditional cigarettes. However, this has yet to be proven as a helpful way to stop adults from smoking.  Research connecting tobacco use to different health conditions like lung cancer, heart disease, and asthma, many adults have decided to stopped smoking altogether. Thus leading to Big Tobacco companies changing their branding to engage a new generation of smokers, TEENAGERS and YOUNG ADULTS. Over the last decade, there has been a significant increase in e-cigarette use by adolescents. Through sleek and modern designs, to flashy marketing and any flavor you can think of, Big Tobacco companies have been targeting youth and young adults.

Check it out for yourself! Click the link and see what Tobacco Executives have been quoted saying: Today's teenager is tomorrow's potential regular customer...


Resources for more information on the youth vaping epidemic:

·         A guide to show how big tobacco companies are targeting youth with their flavors:

·         My Vaping Mistake: My Vaping Mistake: Videos of Real Teen Experiences | Magazine |Students | Vaping Prevention Resources |

·         Stanford Tobacco Prevention Toolkit:

·         E-Cigarette Quick Facts:

·         Great resource for parents wanting to talk with their kids about vaping:

·         Talk to Your Child About Vaping: Talk To Your Child About Vaping | American Lung Association

·         How vaping affects your Teen’s Health, Vaping & Marijuana, and Understanding “Vaping Illness”:

·         INDEPTH: An Alternative to Teen Nicotine Suspension or Citation | American Lung Association

·         Youth Vaping Prevention & Resources to Quit | Truth Initiative

·         CDC Statistics on Youth Vaping:

·         Discipline Is Not the Answer: Better Approaches to On-campus Student Tobacco Use (

·         Tobacco Free Schools: K-12 Toolkit from the State of TN:

·         Truth_Teacher Report_FINAL.pdf (

·         Nicotine Free Teams (

·         2022 Annual National Youth Tobacco Survey:

·         FDA’s Youth Tobacco Prevention Plan:

·         FDA’s “The Real Cost” Campaign:

·         Take Down Tobacco Activities:

·         Youth Nicotine Use:,texts%20to%20help%20them%20quit

·         National LGBT Cancer Network Out Proud Free – Smoking as a Social Justice Issue (

Tobacco Marketing

Tobacco has been used around the world for thousands of years. With a multitude of uses, it was originally thought to have “healing powers”. As we now know and as time has progressed, research has shown the chemicals found in tobacco products pose some pretty serious threats to our overall health.

Think of it in this way – as a successful business owner you want to do everything you can to maximize your profit, right? From marketing your products to trying to expand your market. This sounds great, in practice. What happens when the product you sell ends up killing almost half of your consumers? Eventually, you’ll run out of customers, unless you learn to rebrand to engage a new audience. That’s exactly what the tobacco industry does. More than 480,000 deaths occur annually due to smoking, including secondhand smoke exposure. As more people pass due to a smoking related illness, the tobacco industry has to constantly remarket their products in an attempt to create a new generation of smokers.


Ways the Tobacco Industry Targets Specific Groups:

Youth Cessation Page

·         Lose the Monkey – Rethink Tobacco

·         Home | Smokefree Teen

·         This is Quitting:,successfully%20quit%2C%20e%2Dcigarettes

·         TN Quitline – We're ready when you are… Call 1-800-QUITNOW! (Must be 13+)

·         End the Youth Vaping Epidemic | American Lung Association

·         Vape-Free Schools Initiative | American Lung Association

·         N-O-T: Not On Tobacco—Proven Teen Smoking and Vaping Cessation Program | American Lung Association

·         Talking to Teens About Tobacco Cessation – Clinical Fact Sheet (AAP):

·         Youth Tobacco Cessation: Considerations for Clinicians (AAP):

·         4 Item E-Cigarette Dependence Scale for Adolescents (AAP):

·         LGBT & Smoking | Smokefree

·         National LGBT Cancer Network Outlast Tobacco (

·         Behavioral Cessation Supports for Youth and Young Adults (

·         Smoke Be Gone Clinic ( (Ages 13 – 21!

Adult Cessation Webpage

Did you know: Tobacco kills more than 8 million people each year?

Did you also know: in as little as 20 minutes of being nicotine free your heart rate and blood pressure levels return to normal?

You don’t want to be part of a statistic, but if you do be part of the 2.9 million people that have successfully quit smoking in the past year! You aren’t alone, so don’t quit on your own. With so many different options for tobacco cessation, quitting is already hard enough, it doesn’t have to be lonely.


·         Reasons to Quit Smoking: Reasons to Quit Smoking | American Lung Association

·         Quitting smoking is hard, but it’s not impossible. The more help and support you have, the better chance you have at quitting, for good! Free to all TN Residence, the QuitLine will pair you with a trained quit coach who will work WITH YOU to develop a quit plan that works FOR YOU. Take the first step toward a tobacco-free life, today! Call, text, or go online!

·         As a way to help people quit smoking and improve their health, CHI Memorial offers a FREE eight-week Freedom from Smoking Program. This program helps participants learn how to beat tobacco addiction, lifestyle changes that make quitting easier, stress management, and more!


·         Visit for information on using Nicotine Replacement Therapy (NRT), managing cravings, managing weight and eating healthy while quitting, and so much more! This website is great in that there is specific information for women, teens, veterans, and those over the age of 60 that are interested in quitting. There is even a Spanish page with all the same wonderful information!






·         Erlanger Smoking Cessation Counseling:


·         Become an Ex -


·         WHO Quit Tobacco App -


·         Quit Assist -

·         Tips from Former Smokers:


·         LGBT & Smoking | Smokefree


·         National LGBT Cancer Network Outlast Tobacco (


·         Nicotine Anonymous welcomes all who want to live nicotine free. (



Tennessee Stop Tobacco and Revolutionize Our New Generation (TNSTRONG) is a youth-led, statewide movement committed to raising awareness of the dangers of tobacco and fighting against the tobacco industry’s influence on Tennessee youth.

If you, or someone you know, has a passion to lead, inspire others and a passion for sharing tobacco prevention resources across the state of Tennessee become a TNSTRONG Teen Ambassador. Open to rising 9th – 12th graders with a minimum GPA of 2.5, the TNSTRONG Teen Ambassador Program is a two-year commitment that gives teens the opportunity to meet and work with like-minded peers. Teens in the program will be able to work together to initiate, plan, and participate in local, and possibly statewide, events that could lead to meeting and interacting with state legislators!

For more information, check out:

·         TNSTRONG Youth and Community Engagement

·         TNSTRONG Youth Summit


Smoking and pregnancy

Smoking during pregnancy affects you and your baby's health during and after your baby is born. It can be difficult to quit, but it’s never too late to quit smoking. Women who quit smoking during pregnancy are less likely to have premature and or low-birth weight babies. Maintaining smoking cessation after the baby is born extends the positive health outcomes for women and their families by reducing the damaging effects of second and third hand smoke. This results in healthier mothers and babies.

Second hand smoke

Second hand smoking is the smoke you breathe in from someone else’s cigarette, cigar, and other tobacco products. Being exposed to secondhand smoke is dangerous for you and your baby during and after birth. Mothers who are exposed to secondhand smoke increases their risk of having lower birth rate babies as well as preterm baby’s.

How smoking effect the mother

Benefits of quitting Smoking

· Gives you more energy and helps you breathe easier

· Saves you money that you can spend on other things

· Makes your hair, clothes, and home smell better

· Makes food taste better

· Helps you feel good about what you have done for yourself and your baby

· You and your baby are healthy


Effects of smoking

· At greater risk for Infertility

· At greater risk of baby dying during or soon after birth

· At greater risk of water breaking too early

· At risk for having a premature birth

· At greater risk for pregnancy occurring outside of the womb

· Ectopic Pregnancy


Effects of smoking

· Still Birth

· Sudden Infant Death Syndrome (SUID)

· Low birth weight

· Preterm birth

· Damage to baby’s heart and lungs

· Birth defects (cleft lip, congenital heart failure, clubfoot, etc.)

Benefits of quitting smoking

· Increases chance of having a baby this is a healthy weight

· Increases the amount of oxygen your baby will receive

· Lowers risk of your baby being born too early

· Increases chances of baby’s lungs working properly

· Reduce the chances of stillbirth

· Increases your baby’s chance of coming home from the hospital with you

How smoking effects the baby

E-Cigarette usage while pregnant

Although e-cigarettes generally have fewer harmful substances than cigarette smoke due to the aerosol, e-cigarettes and other products containing nicotine is not safe during pregnancy. Nicotine and the flavoring used in e-cigarettes poses a threat for women and the development of the baby’s lungs and brain.

Breast feeding while smoking

Breast milk protects your baby against infection and is one of the best things you can do for the health of your baby. However, smoking reduces the amount and quality of breast milk you produce and some harmful substances from cigarettes go into your breast milk and to the baby.


Why Quit?

Quitting and staying quit reduces health risk for the mother and baby. Babies who are born to mothers who do not smoke are born at a healthier weight, less likely to be born prematurely, and reduce developmental delays. Quitting smoking increase your likelihood of positive health outcomes for the mother and the baby.


Tips to quit and stay quit

·         Make a plan.

o    Include start date

o    List triggers to watch out for

o   Your reasons for quitting.

·         Get Counseling. Studies show that pregnant women who have smoking cessation counseling are 40% more likely to quit.  

o   See if you’re eligible to enroll in Baby and Me Tobacco Free Program

o   800-QUIT-NOW (800-784-8669) is a source with trained counselors that you can speak to.

·           Find ways to deal with your trigger/cravings

o   Physical activity

o   Managing stress

o   Change your daily routine

o   Find activities to keep your hands and mouth busy


·         Remind yourself of the benefits of why you quit smoking

o   Always remember the health of you and your baby are more important than just having one cigarette.



Jeanette Wyatt, MPH

Baby and Me Tobacco Free Program Coordinator




The BABY & ME™ Tobacco Free Program is a smoking cessation program created to reduce the burden of tobacco use among women during the prenatal and postpartum period.


How the Program works

·         Pregnant women who meet eligibility requirements can enroll on line (link listed below) or  through the WIC program through Hamilton County Health Department

·         Participants must attend 4 prenatal and 12 postpartum counseling sessions to help them quit and stay quit.

·         At each session the participant and support partner will take a carbon monoxide (CO) test to ensure they are tobacco free.

·          At the 3rd counseling session the participant will receive their first voucher for diapers if they test tobacco free.

·         The participant may also sign their support partner up before or at the 3rd prenatal counseling session and they will be able to receive vouchers as well if they continue to test tobacco free. (Support partner eligibility listed below)



·         Any pregnant, smoking woman (36 weeks or less) who is a daily smoker or quit within 3 months of becoming pregnant.

·         Must be able to complete 4 prenatal sessions prior to birth -- ideally enroll

·         Must be a Hamilton county resident.

Support Partner eligibility

·         A support partner is optional and can be anyone living with the mother during the program.

·         A support partner must enroll by prenatal session 3 and agree to be smoke free.

·         Participant must attend each counseling session to receive vouchers

·         During each visit support partners will complete a carbon monoxide (CO) test.
Vouchers for support partners are postpartum, once a month for a total of 12 vouchers. 

Voucher details

·         $25 vouchers start during prenatal visit 3 and 4 and continue once a month for
12 months, for a total of 14 vouchers. Participants must be smoke free to receive vouchers. 

·         Vouchers redeemable at Walmart for purchase of diapers and/or baby wipes, if smoke free. 



You are not alone in your decision to quit and stay quit. There are many resources to help you continue on your journey to staying quit. 

Cessation resources:

·         Erlanger Smoking Cessation Counseling:

·         CHI Memorial smoking cessation program:

·         Contact: 423-495-7778

·         Tennessee Tobacco Quit Line:

·         Contact: 800-QUIT NOW (800-784-8669)

· :

·         Become an Ex -


·         WHO Quit Tobacco App -

·         TN Tobacco Cessation Directory:


·         Tips from Former Smokers:

·         Quit Assist -


Food Resources:


·         YMCA Chattanooga Mobile Market

·         Brainerd Farmers Market
Grace Episcopal Church
20 Belvoir Avenue, Chattanooga, TN
Saturdays 10 am-Noon
(404) 245-3682

·         Chattanooga Market
1829 Carter Street, Chattanooga, TN
Open late April – early December, Sundays 11am-4 pm
(423) 648-2496

·         Main Street Farmers Market

522 West Main Street, Chattanooga, TN

Wednesdays, 4-6 pm

·         Linda’s Produce

5900 Highway 58, Harrison, TN

PH: 423-344-2600

3306 Ringgold Road, East Ridge, TN

PH: 423-629-5317


Breastfeeding resources:

·         Erlanger Breastfeeding Clinic 

Ph:  (423) 778-4181 (for an appointment with an IBCLC.  Lactation services are billable to insurance.)

Kennedy Children’s Outpatient Center: M/Tues/Thurs/Fridays by appt.

Erlanger East: Wednesdays by appt.


·         Hamilton County Health Department Breastfeeding Center 

Ph:  (423) 209-8321 (for a no-charge visit with an IBCLC and/or breastfeeding peer counselor.)

·         Tennessee Breastfeeding Hotline  

Ph: (855) 4BFMOMS / (855) 423-6667 Available 24/7 in English and Spanish

·         WIC Program (Hamilton County Health Department

921 E. 3rd Street

Chattanooga, Tennessee  37403

Ph: 423-209-8050

·         Really? Really. | Breastfeeding. Know the Facts.

·         Hand Expression of Breastmilk | Stanford School of Medicine

·         Chattanooga area Breastfeeding Connection