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It was immediately apparent that the soil from the river, a rich sandy loam, and the hot and short summer of New England yielded an excellent crop each year

Geneva, Switzerland: World Health Organization (2009)

We also found that among poor households, tobacco use can exacerbate poverty by increasing health care costs, reducing incomes, and decreasing productivity, as well as by diverting limited family resources away from basic needs

Smoking prevention campaigns can be especially complicated in Native American communities, Tushingham says, because of their long relationship with the plant

One 15-year-old boy out of 18 smokes daily Daily tobacco use remained almost non-existent before age 14 in 2018, among boys as well as girls (Figure A2A-1)