According to Center for Disease Control, Kentucky has the country's highest death rates from smoking. Maybe it’s because this beautiful state has a denotation motto. State motto "United We Stand, Divided We Fall" has proved its connotation as during 4 years Kentucky continues to have the highest rate of illnesses related to usage of tobacco products.

An explication for such high rates can be the state economy because Kentucky is famed for thoroughbred horses, bluegrass music, automobile manufacturing, college basketball and tobacco. Tobacco has historically been a very important part of the Kentucky agricultural economy and culture and it is normal for a state where tobacco has been grown for centuries to have the highest rate of smokers.

Report states that the "Bluegrass State" had about 371 deaths out of every 100,000 adults age 35 and older, almost 1.5 times higher than the national median of 263 per 100,000, and almost three times the rate for Utah, which was 138 per 100,000.Utah and Hawaii have the lowest smoking death rates in comparison with Kentucky that is on the first place, West Virginia on the second and Nevada ranked on the third.

The rates are based on certificate data from 2000 through 2004, focusing on lung cancer and 18 other diseases caused by cigarette smoking. Terry Pechacek, a CDC senior scientist for tobacco-related issues, is worried about rates as he said smoking plus obesity and other risk factors for heart disease, “is like gasoline on the fire.”