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This summer, Carmody and his colleagues published a paper in the Journal of Archaeological Science: Reports that unequivocally extended the reign of tobacco in North America

These products have gained market share in several countries, but a significant share in only a handful (see countries in dark red on Map)

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Smokeless tobacco (chewing tobacco and snuff) use causes changes in the mouth, including sores that do not heal, erosion of gum tissue, increases in dental problems, leukoplakia, and oral cancers

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The reasons for this counterintuitive finding are unclear, but scholars speculate that because girls and women obtain more prescription drugs than do boys and men, their greater nonmedical use of prescription drugs reflects the fact that they have more access to these drugs in the first place