ADHS and by the governor's office, 79 effectively leaving employees of the programme little freedom to apply their best professional judgement for the public health in the area of tobacco control. Discussion The passage of Proposition 200 was a landmark for Arizona tobacco control. As in other states, 1 3 5-9 29 46 it provided funds to develop tobacco control campaigns unprecedented in size in that state. The battles to secure that the funds are properly used and to fight preemption were expected. The fact that the coalition of public health and medical care organisations constitutes a united force made it impossible for the legislature to divert tobacco education money into medical care, as was the case in California 6-8 and Massachusetts. 3-5 9 46 One of the major forces against the programme was Governor Symington and some members of the Senate. Indeed, two of Symington's staff were also partners in a public relations firm that represents the tobacco industry. 58 However, health advocates did not use this fact to protect the programme, preferring to deal with the legislature and with ADHS. In September 1997 Governor Symington resigned his office due to a guilty verdict on an indictment related to the handling of state and personal finances. Secretary of State Jane Hull (R), took office, and has since demonstrated support for the tobacco control programme. Limiting the programme to adolescents and pregnant women was problematic for several reasons. First, although primary prevention is an important element of any tobacco control