Tobacco use kills an estimated 12,000 New Yorkers a year—and many more suffer daily from tobacco-related illnesses. More than two-thirds of New York City smokers try to quit every year. With proper counseling and appropriate use of nicotine replacement and other pharmacotherapies including combination regimens, long-term quit rates rise as high as 20 or 30%. However, nationally, only 20% of patients receive counseling and 8% are prescribed a medication. The prevalence of smoking has declined significantly, but there are still almost 900,000 smokers in New York City. Currently, 80% of adult smokers smoke 10 or fewer cigarettes a day, half being non-daily smokers.