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Princeton University professor Keith Wailoo, a medical historian and author of the book Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette, said tobaccos disproportionate harm to Black people cannot be disentangled from the money Big Tobacco has spent in Black communities

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As such, this form of tobacco may have been used during rituals as a narcotic to induce deep sleep, visions and divinatory trances. Throughout its long history in Mesoamerica, tobacco has most commonly been consumed via smoking

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