Estimated Annual Number of Deaths Caused by Tobacco Use in the US: "The 2014 Surgeon General's report estimates that cigarette smoking causes more than 480,000 deaths each year in the United States.¹ This widely cited estimate of the mortality burden of smoking may be an underestimate, because it considers deaths only from the 21 diseases that have been formally established as caused by smoking (12 types of cancer, 6 categories of cardiovascular disease, diabetes, chronic obstructive pulmonary disease [COPD], and pneumonia including influenza).