Amanda smoked during pregnancy. Her baby was born two months early and then spent weeks in an incubator. Brett lost most of his teeth to gum disease by age 42. Shawn, 50, breathes through the opening in his throat due to smoking-related throat cancer.

These are some of the stars of the 2014 version of “Tips From Former Smokers,” the Centers for Disease Control and Prevention’s (CDC) campaign to get Americans to quit smoking.

Beginning July 7, these ads – which feature people living with the devastating effects of smoking-related diseases -- will run nationwide for nine weeks on television, radio, and billboards, online, and in theaters, magazines, and newspapers.

New ads are powerful

The CDC says Tips has helped hundreds of thousands of smokers quit since it began in 2012.

“These new ads are powerful. They highlight illnesses and suffering caused by smoking that people don’t commonly associate with cigarette use,” said CDC Director Tom Frieden, M.D., M.P.H. “Smokers have told us these ads help them quit by showing what it’s like to live every day with disability and disfigurement from smoking.”

Smoking during pregnancy

Amanda’s story, for instance points out the health consequences of smoking during pregnancy -- something at least 1 in 10 women do during the last three months of pregnancy.

“The best time to quit smoking is before you get pregnant, but quitting any time during pregnancy can help your baby get a better start on life,” said Tim McAfee, M.D., M.P.H, director of CDC’s Office on Smoking and Health.

The ads also feature:

• Brian, 45, whose smoking and HIV, a harmful combination, led to clogged blood vessels and a stroke.
• Felicita, 54, who lost all of her teeth to gum disease by age 50.
• Rose, 59, whose lung cancer resulted in surgery, chemotherapy and radiation.

Another new ad features Terrie, who – before dying of cancer last September at age 53 – pled to any smoker willing to listen, “Keep trying until you succeed – I don't want anybody to have to go through what I’m going through.”

Two Spanish-language ads will run on national Spanish media channels. One features Rose, who has lung cancer, while a second features Felicita and Brett who both lost their teeth to smoking.

Not just cigarettes

More than 1 in 5 U.S. adults uses some form of tobacco regularly, according to CDC’s National Adult Tobacco Survey. The survey shows that while the prevalence of cigarette smoking among adults every day or some days was 18.0 percent during 2012-2013, when factoring in use of all combustible products— such as cigars, little cigars, cigarillos, pipes and hookahs— prevalence increases to 19.2 percent. Including non-combustible tobacco products such as e-cigarettes and smokeless tobacco increases prevalence to 21.3 percent. When the survey factors in adults who say they use tobacco products rarely—that is, occasionally or intermittently—prevalence rises to 22.9 percent for combustible tobacco products and 25.2 percent for tobacco products overall.

The survey indicates that among adults who use tobacco products every day or some days, prevalence of cigarette smoking was 18.0 percent, smokeless tobacco was 2.6 percent, cigars and cigarillos was 2.0 percent, e-cigarettes was 1.9 percent, hookahs was 0.5 percent and pipes was 0.3 percent. Including those who say they use tobacco products rarely, prevalence was 3.8 percent for smokeless tobacco, 5.8 percent for cigars, little cigars, and cigarillos, 4.2 percent for e-cigarettes, 3.9 percent for hookahs, and 0.9 percent for pipes.

Who smokes most

Consistent with other national surveys of cigarette smoking, these new data show that prevalence of any tobacco use was greater among men, among people less educated and with lower household incomes, and among lesbian, gay, bi-sexual or transgender adults.

Smoking remains the leading cause of preventable death and disease in the United States. It kills about 480,000 Americans each year. For every person who dies from a smoking-related disease, about 30 more people suffer at least one serious illness from smoking. More than 16 million Americans are living with a smoking-related disease.

How to access quit support

The new ads encourage smokers to call 1-800-QUIT-NOW, a toll-free number to access quit support across the country, or to visit www.cdc.gov/tips to view the personal stories from the campaign. The website also includes detailed assistance developed by the National Cancer Institute to support smokers trying to quit. Because of the Affordable Care Act, most health plans must now cover with no additional costs (e.g., copays or deductibles) tobacco use screening for all adults and cessation interventions for tobacco users, including tailored counseling for pregnant women who smoke.

Tips ads that ran earlier this year generated more than 100,000 additional calls to 800-QUIT-NOW. On average, weekly quitline calls were up 80 percent while the ads were on the air compared to the week before they began running. Preliminary estimates show there were nearly 650,000 unique visitors to the Tips website during those nine weeks.

Tobacco industry spends $8.3 billion a year, tobacco cost to U.S.: $289 billion

Besides the human cost, smoking takes a devastating toll on our nation’s economy—costing more than $289 billion a year (including at least $133 billion in direct medical care for adults and more than $156 billion in lost productivity). The Tips campaign serves as an important counter to the more than $8.3 billion spent annually by the tobacco industry to make cigarettes more attractive and more affordable — particularly to youth and young adults. For more information on the campaign, including profiles of the former smokers, other campaign resources and links to the ads, visit www.cdc.gov/tips.