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The historian Michael Tadman found that Louisiana sugar parishes had a pattern of deaths exceeding births. Backbreaking labor and inadequate net nutrition meant that slaves working on sugar plantations were, compared with other working-age slaves in the United States, far less able to resist the common and life-threatening diseases of dirt and poverty, wrote Tadman in a 2000 study published in the American Historical Review

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One response noted: People do not have a choice to avoid secondhand smoke, adding that Younger people may be exposed to secondhand smoke from friends and not feel comfortable avoiding it, who represent a common population seen on college campuses

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