Tobacco is the number one risk factor for preventable death and disease in the world. It is an epidemic and it is spreading worldwide. According to the World Health Organization, tobacco kills an estimated 6 million people per year. More than 5 million of those deaths are the result of direct tobacco uses while more than 600,000 are the result of non-smokers being exposed to second-hand smoke. Tobacco cessation significantly reduces the risk of dying from tobacco-related diseases such as coronary heart disease, chronic obstructive pulmonary disease (COPD) and lung cancer. Health systems can support the role of Healthcare professionals in tobacco cessation by promoting, providing coverage for, and supporting delivery of treatment. Professional smoking cessation support methods generally attempt to address nicotine withdrawal symptoms to help the client break free of nicotine addiction. Many clinicians lack current information about how to best help their patients who use tobacco products. Additionally, they may fail to intervene due to inadequate clinic or institutional support for routine assessment and treatment of tobacco use.