Did you know that Garrett County has the highest percentage (33%) of reported youth using tobacco products in the state of Maryland according to the latest data from Maryland’s State Health Improvement Process (2014)?  Our goal is to reduce the burden of Chronic Diseases in Garrett County by addressing three modifible risk factors; tobacco use, nutrition and physical activity.  There are many evidece based strategies our community is using to address tobacco use in both youth and adults from preventing initial use to helping people quit.