The Health Effects of Cigarette Smoking There are negative environmental impacts of tobacco use. Read about the environmental burden of cigarette butts. See what the State Health Office Report says about tobacco use in California: Report on Tobacco Use and Promotion in California. CDC’s Morbidity and Mortality Weekly Report focusing on tobacco use among adults: CDC MMWR Report: Current Cigarette Smoking Among Adults. There’s no risk-free level of secondhand smoke. Learn what the research says about second hand smoke.