Problem/Objective: Healthy People 2010 provides a set of 10-year evidence-based objectives for improving the health of all Americans. Healthy People 2010 covers 28 focus areas, including a chapter on tobacco use, with 467 specific objectives, including 21 objectives on tobacco use. In December of 2006 the Healthy People 2010 Midcourse Review was published.

Methods: The purpose of the Midcourse Review is to: • Report progress toward the national health promotion and disease prevention objectives; • Assess progress toward Healthy People 2010's two overarching goals; • Determine which developmental objectives and subobjectives will be retained or eliminated for lack of baseline data; • Reveal areas that are facing challenges; and • Monitor trends.

Results: Objectives in the tobacco use chapter were modified in the following ways: • Changes to objective language or sub-objective structure • Use of a new and/or different data source • Moving developmental objective to measurable • Dropping objectives or sub-objectives if data are not available • Correction of errors and omissions

Conclusions: Participants will be able identify changes from the Midcourse Review in the twenty-one tobacco use objectives in the four priority areas: Tobacco use in population groups; Cessation and treatment objectives; Exposure to environmental tobacco smoke by adults and children; and Social and environmental changes.