Create opportunities for foundation building to create a sustainable effort. Consider initiating programs through primary care providers offices. Work through existing organizations such as 4-H. Access faith communities and their communication system to reach out to smaller communities. The community does not feel emotional about tobacco use, especially compared to drug use or gun violence. Many school personnel use tobacco themselves.
Teachers have difficulty finding time to add tobacco to the curriculum.
Youth input is needed early in the process of developing school-based activities. School boards must be educated about the problems of tobacco use.