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9,10,11 They have used these funds to build strong, community-based programs to reclaim Tribal traditions, such as: Engaging communities with knowledge of cultural practices around traditional tobacco and the harms of commercial tobacco use Increasing access to traditional tobacco by growing and harvesting asemaa (Anishinaabek) and casasa (Dakota) for ceremonial use Telling their own history of the origins and purpose of traditional tobacco to continue the tradition among American Indians and to educate non-natives 12 Participating in the development of commercial tobacco treatment and cessation programming designed for American Indians (see The American Indian Quitline below)

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Consistently, recent studies also suggest that ENDS has adverse acute effects on cardiovascular health and respiratory health 21 and that daily ENDS use has been shown to be associated with an increased risk of myocardial infarction 22

Their reliability in detecting cannabis impairment is hotly debated, and some courts have even questioned their accuracy