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The shift from traditional smoking of indigenous tobaccos and other plants to commercial tobaccos has had significant deleterious effects on tribal culture and health, the study said

The close link between smoking and the development of cardiovascular disease is particularly well-established, with several studies showing that the risk of myocardial infarction is overall 2-3 times higher in smokers than in non-smokers, and even much higher in heavy smokers (one pack or more per day) (Figure 2)

Binder (Middle part): Wrapped around the filler tobacco is the binder

Board Members Santa Fe Natural Tobacco Company (SFTNC) Foundation is funded annually through the sales of SFNTC products