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Alaska Native Tribes generally do not use ceremonial tobacco.

For example, the Lakota people use cansasa for their ceremonies. (Most ceremonial tobacco plants are not nicotiana-containing plants, but other types of plants. The American Cancer Society’s “Manipulating a Sacred Tradition” report 15 documents strategies used by commercial tobacco companies to manipulate and target some American Indians’ sacred use of tobacco in an attempt to increase sales, resulting in increased commercial tobacco consumption and addiction among Tribal members. While the National Cancer Institute’s Monograph 19 4 explores targeting of groups in general, it does not provide details about commercial tobacco marketing to American Indians in particular. The tobacco industry has used promotional 4 and coalition-building tactics to specifically target particular groups (including African Americans 5–7 Hispanics 6, 8, 9 lesbian, gay, bisexual, transgender, queer, and questioning community 10, 11 and women 12–14).

American Indians/Alaska Natives are members of 566 federally recognized sovereign Tribal nations 1 that have sovereign status and that establish their own civil laws and are not subject to the tax, licensing, and smokefree laws of the states where they are located. Federally recognized Tribes have inherent rights and a political relationship with the US government that do not derive from race or ethnicity.

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