Tobacco use and control in Nigeria and other African countries have received little attention relative to other regions like Asia and Latin America. This is due to the perceived low smoking prevalence in Africa compared to the more immediate need for interventions against infectious diseases. However, the trends are changing quickly. Economic growth rate in Sub-Saharan Africa (SSA) nearly tripled from an average of 1.7 percent in 80s and 90s to about 4.8 percent in the 2000s and 2010s, with Nigeria growing more than five-fold from 1.2 percent to 6.7 percent within the same period (World Bank, 2018). On a similar trend, albeit of lesser magnitude, is the smoking prevalence in Nigeria which grew from 11.3 percent in 2000 to 17.4 percent in 2015 (World Bank, 2017). A combination of rising incomes, population growth, media-driven social trends, and targeted advertisement by the tobacco industry are the key drivers of the rising prevalence in SSA.