Cigarette butts are crammed into an ashtray outside one of the Atlanta office buildings used by the U.S. Centers for Disease Control and Prevention. The photo was taken in 2009, prior to the area becoming tobacco-free. In Alaska, the state’s anti-tobacco program has helped resident quit smoking or using smokeless tobacco or electronic cigarettes. (Courtesy photo by Dr. Oscar Tarragó/Division of Toxicology and Environmental Medicine/U.S. Centers for Disease Control and Prevention)