This teaching guide for a tobacco education curriculum at the fourth grade level is part of a coordinated K-12 educational support program for reducing smoking. It includes a tobacco curriculum matrix for grades K-12, sample teaching methods, concepts and objectives for grades 4-6, and a resource materials list. The basic instructional concepts for the fourth grade level focus on helping students: (1) develop positive self-images to enable them to make well-thought-out decisions about risk-taking behaviors; (2) take responsibility for safeguarding their health; (3) identify immediate and long-term effects of smoking; (4) recognize social and economic factors associated with smoking; and (5) make personal choices about smoking. Objectives, teaching information, worksheets, and learning activities for each concept are provided. Additionally, the appendices list the addresses of the New York county units of the American Cancer Society, the American Lung Association, and the American Heart Association. (Author/HLM)