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Given this unique status, American Indian governments are often excluded from local policy change initiatives

Cigarette breath can linger for a few hours after smoking, depending on how much was smoked and oral hygiene practices

"There's an assumption that nicotine dependence is an acute disease that can be treated with short-term therapy," says Caryn Lerman, one of the study's authors and the director of the Tobacco Use Research Center at the University of Pennsylvania

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