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It is a scientifically proven fact that smoking leads to lung cancer and death

Yet a 2012 report from the International Tobacco Control Policy Evaluation Project, a multi-country study partially funded in part by the National Cancer Institute, demonstrates that awareness of the relationship between cigarette smoking and heart disease remains relatively low

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The book presents medical data revealing the increasing rates of commercial tobacco use by Native youth and the rising rates of death among Native American elders from lung cancer, heart disease, and other tobacco-related illnesses

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