Across North America, there is growing momentum toward smoke-free environments. In April 2018, 65 Canadian post-secondary institutions [1] prohibited smoking anywhere on campus, more than double the number from 2017. By April 2019, this number had grown to 85 Canadian post-secondary institutions.

In Ontario, McMaster University became the first university to be completely smoke-free.

In the U.S., more than 1,400 post-secondary institutions are smoke-free, including large universities such as the University of Kentucky, University of Michigan and the University of Oregon.