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As described in the report In a Good Way: Indigenous Commercial Tobacco Control Practices compiled by ClearWay Minnesota, Truth Initiative, and Blue Cross and Blue Shield of Minnesota, what the tobacco control field thinks of as evidence-based practices may not be inclusive of or apply as readily to Native communities

They completely conceal tobacco discoloration teeth, enamel damage, and other imperfections beneath a natural-looking, highly polished surface

These cancers are often aggressive, and by the time symptoms appear, significant damage may already be done

Knoxville, Tennessee, follows in second place, while Waterbury, Connecticut, rounds out the top three

Thank you Smotect

(Cigarillos, blunts, and little cigars, for instance.) Cigarettes may be the most notable example of this deviation, although they do, in a sense, represent a category of their own