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COPD starts by making it hard to be active, such as playing with a grandchild, then usually gets worse, until climbing a short set of stairs or even walking to get the mail is exhausting or impossible

In 1634, the Patriarch of Moscow forbade the sale of tobacco, and sentenced men and women who flouted the ban to have their nostrils slit and their backs flayed

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excellent source of information on traditional tobacco use by some American Indians and Alaskan Natives Resources American Indian and Alaska Native People and Commercial Tobacco: Health Disparities and Ways to Advance Health Equity CDC webpage with information, data, and resources Unfair and Unjust Practices and Conditions Harm American Indian and Alaska Native People and Drive Health Disparities CDC webpage with information about historical and current policies and practices Washington State Data Asian American Adult Smoking Rate: 6% compared to 11% overall WA smoking rate (2021 BRFSS) Pacific Islander Adult Smoking Rate: 14% compared to 11% overall WA smoking rate (2021 BRFSS) Native Hawaiian/Pacific Islander (NH/PI) Youth Vaping Rate - 10th grade: 9.6% compared to 7.7% overall WA 10th grade vaping rate (2023 WA Healthy Youth Survey) 49.4% of Native Hawaiian/Other Pacific Islanders and 26.2% of Asian Americans who smoke in Washington use menthol cigarettes compared to 19.6% of white people