Smoking causes health problems at all stages of life: low birthweight and sudden infant death syndrome, asthma in children and adolescents, and chronic respiratory diseases, heart diseases and cancer in adulthood.[4] In Québec, the annual direct and indirect costs of smoking average 3.96 billion dollars.[8] It is also estimated that for each 1% decrease in the rate of smoking in Québec, the provin [...] With this in mind and in collaboration with the Québec Council on Tobacco and Health, young people, and partners from the health, education, mu nicipal and community sectors, the public health department developed an innovative affirmation, mobilization and engagement project for and by young people: Operation Say It Loud! The project's goal is to give youth aged 14 to 18 and the adults who coach [...] Prices and taxes applicable to tobacco products Raising taxes on tobacco products is the most effective measure to reduce smoking.[14, 15, 47] It has a greater impact on tobacco use in low-income individuals and young people than in the general population.[14] In Montréal, the average cost of a carton of 200 cigarettes is $85.39. [...] In addition, because of the growth in new products, the introduction of e-cigarettes and the proximity of tobacco retailers to schools, educational institutions feel they are ill-equipped to supervise young people and enforce existing measures, both inside and outside their buildings. [...] Shared commitments to prevent youth smoking A drop in smoking rates among young people is due to two factors: laws and regulations governing use and marketing of tobacco products; and the participa tion and support of institutional and community partners.