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States with the Highest Adult Smoking Rates: West Virginia 26.7% Kentucky 26.2% Arkansas 24.7% Canadian Provinces with the Highest Adult Smoking Rates: Nunavut 59.7% Northwest Territories 34.9% Yukon 29.3% West Virginia stands out as the smoking capital of the U.S., while Nunavut has an exceptionally high smoking rate, more than double that of West Virginia

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By directly funding tribal governments and tribal-serving organizations, the initiative sought to reduce tobacco-related health disparities in Native American communities through tribal approaches focused on commercial tobacco use prevention and reduction, collaboration, and community engagement