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Smoking rates among Native Americans have also declined but not as much, and Native Americans smoke at roughly double the rate of non-Native adults in South Dakota and the U.S

The mechanical transfer of genetic material outside of natural reproductive methods and between genera, families or kingdoms, poses great biological risks as well as economic, political, and cultural threats

We need other ways of communicating with smokers about the risk. Professor Harris said GPs have a role to play in educating the population about the health impact of smoking