The American Lung Association on Wednesday reported that West Virginia made no progress in the past year in reducing tobacco-caused death and disease.
The association's "State of Tobacco Control 2014," report gave the state a grade of "F" on such issues as funding for tobacco prevention and control programs, smoke-free air, cigarette tax and cessation coverage.
Local counties fared a little better than the state as whole. Brooke County received a "C," Marshall County a "B," Oho County a "B," Wetzel County a "C," and Jefferson and Tyler counties both received a "C."
An "A" grade means smoking is prohibited in virtually all public places and workplaces, and an "F" grade means protections from secondhand smoke are inadequate or non-existent.
In all, 22 counties received "A" grades, 17 earned "B" grades, 10 earned "C" grades and 6 received "F" grades.
The report tracks yearly progress on key tobacco control policies at the federal and state level, assigning grades based on whether laws are adequately protecting residents from the toll tobacco use takes on lives and the economy.