BISMARCK, N.D. - North Dakota has a smoking rate of 19.8 percent, 4.7 percent higher than the national average.
The Great American Smokeout works to raise awareness of services that can help smokers kick the habit.
The day was started back in the 1970s to combat tobacco use, which is the leading preventable cause of death in the United States according to Bismarck-Burleigh Public Health.
"People quit in different ways, you might have spoke to somebody and it was just easy for them to quit. They just did "cold turkey" they call it. Others need to look at how they smoke and how they deal with those cravings and the nicotine replacement therapy helps with that," said Sue Kahler, tobacco prevention and control coordinator.
More than half of smokers have tried or are trying to quit according to Bismarck-Burleigh Public Health.