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Additionally, smoking is identified to promote the chances of gastrointestinal (GI) tract malignancies [64]

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COVID-19S MARCH TOWARD RURAL COMMUNITIES While most cases of COVID-19 have been located in cities and their surrounding communities, many public health professionals worry that it will continue to spread in the upcoming months, including a further expansion to rural communitiesa concern since hospital beds are already limited in these areas

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This is especially important on a rural Tribal Nation where influences such as isolation, cultural barriers, and historical trauma have made it uniquely challenging to prevent substance use during pregnancy