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Kerala the southern state of Kerala is always have a special position in social development of India. Since Independence in most of the social indicators Kerala has been in the first three places. Habitation nature, geography, political commitment, culture etc. are the major contributing factors in these achievements. Kerala has a highly evolved education and public health system which has been instrumental in curbing spread of epidemics which affect the rest of India or other developing countries. As a price of its development, Kerala has a high contribution of morbidity and mortality from non communicable diseases (NCDs).As per the GATS India report, Kerala is having an over all 21.4 % of tobacco users and out of that 13.4 % of smokers