Deborah Zysman, director of Coalition for a Tobacco Free Hawai'i, said the state is still focusing on the issue better than most, but support nationwide is eroding. "We’ve already taken several cuts, but we’re doing a decent job at this time," Zysman said.

Julian Lipsher, of the state Health Department’s tobacco prevention and control program, said Hawai'i has seen results. "Fewer people will die of lung cancer," Lipsher said.

The national report came from the Campaign for Tobacco-Free Kids, American Heart Association, American Cancer Society and American Lung Association.

The report comes earlier than in most years because the organizations involved have timed it to be near the fifth anniversary of the tobacco companies’ agreement to pay $206 billion over 25 years to 46 states to settle lawsuits. Four states later settled separately for a total of $40 billion.

The federal Centers for Disease Control and Prevention has recommended what each state should spend on tobacco prevention.

According to the report only four states — Arkansas, Delaware, Maine and Mississippi — fund tobacco prevention programs at the minimum level recommended by the CDC.

Hawai'i spends 82.6 percent of that minimum recommendation.