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"What you're seeing is kind of a residuum of a widely sanctioned behavior that is now no longer widely sanctioned," Glantz said

Tobacco was an important gift item to seal commitments and social arrangements among Native Americans

Harms of Tobacco Consumption According to WHO, India reports around 1.35 million deaths every year due to tobacco (smoking, smokeless tobacco products, and SHS) causing diseases like Cancer, Coronary artery disease, Chronic obstructive lung disease, Tuberculosis, stroke, cataracts, peripheral vascular diseases, and disorders like impotence among men and use by pregnant women leads to low birth weight babies, stillbirths and birth defects

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