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While mainstream brands treat tobacco as a purely commercial product, Native cigarettes also represent: Economic support: Many reserves rely on tobacco production and sales as a major source of revenue, creating jobs and funding local programs

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State As a condition of receiving federal substance abuse block grant funds, federal law requires the State of Maryland to conduct random, unannounced inspections of tobacco outlets to determine compliance rates

ACKNOWLEDGEMENTS The authors would like to thank Gabriela Gil, Joanna Whisnant, and Erin Mullany for supporting the production of this article, and the IHME DEI Council, Maria Carmona, Adrienne Pizatella, and Marissa Reitsma for providing feedback