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Make active tobacco-cessation interventions and policies that promote employee participation

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Historically, substance/alcohol use and tobacco dependence are treated separately

[19] [20] [21] Its commercialization was directly associated with the Atlantic slave trade of enslaved Africans, being widely used as a commodity in trade relations between captaincies such as Bahia and Pernambuco and Costa da Mina in West Africa, where tobacco, in addition to gold and other enslaved people, constituted one of the central elements of these exchanges

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While cigarette smoking is a major cause of heart disease, the report concluded it's unclear whether marijuana use is associated with heart attacks or strokes