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The use of smokeless tobacco can lead to chronic irritation and inflammation in the airways [103], contributing to the development of respiratory conditions such as large airway inflammation or bronchitis

The Reservation Business Committee (RBC) The RBC acts like the tribe's main council

To achieve this, TISA is involved in, amongst other tasks: Participating in legislative processes to assist in achieving balanced and evidence-based regulation and taxation of the tobacco sector

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There were no other statistically significant changes in regular smoking when analysed by ethnicity or ethnicity and gender between 2024 and 2025