Tobacco smoking is a major public health issue in India, killing nearly 420,000 people per year. It is estimated that 120 million people in India smoke, and studies have found smokers have significantly higher risks of early death from diseases like cancer and heart disease. The prevalence of smoking is much higher among men (28.5%) than women (2.1%) in India, though youth smoking rates are significant as well at 9.7% of females and 17.3% of males aged 13-14. Addressing the tobacco epidemic will be an important part of improving health outcomes in India.