Near about one year before Kottayam District Administration with the technical support of District Medical office and Kerala VHS, a state chapter of VHAI New Delhi set the aim of “tobacco free district”.The Kottayam District Medical Office put it as their mission and the district administration support the mission. Dr. Sharmila Mary Joseph IAS who was the collector that time give excellent leadership in the beginning and thereafter the present collector Mr.P.Venugopal keep the lamp lighting and issued almost all orders and proceedings regarding the implementation of tobacco control. Various departments of government ie police to education was well coordinated under his leadership. The technical input Kerala VHS received from “The Union”, VHAI, American Cancer Society, AFTC, Tobacco free Kids etc. chanalized perfectly to the grass root level. This initiated anti tobacco movements in 76 villages and four municipalities of the district. Several pilot campaigns conducted in different settings like bars, restaurants, hotels, cinema theatre, public and private vehicles, transport terminals, parking areas, commercial centers, public offices etc. Simultaneously workshops and discussion sessions were planned for officials, trade union leadership, media personals, trade association leadership, teachers, college students, community leaders etc. All these discussion sessions lead to the declaration of several smoke free or Tobacco Free Zones in the different parts of the district. These zones and actions build up public opinion for tobacco free district. Vigilance groups were formed in one thousand three hundred and fifty schools, 76 villages and four municipalities. This marginally reduces the tobacco use in the district. Kerala VHS conducted training sessions to police personals of 32 police stations of the district and well net work the volunteers to these police stations.