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About 34 percent of American Indians and Alaska Natives age 18 and older smoke cigarettes the highest prevalence among racial and ethnic groups in the U.S., according to the Centers for Disease Control and Prevention

Its not a position I wish anybody was in, Jenks said

Myran said there likely isn't a single explanation, but he called substance use including cannabis, stimulants, hallucinogens and synthetic drugs a leading possibility contributing to the rising rates over 20 years

For example, Miami, Tampa, and Toronto airports let passengers vape in the airport

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