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In 2016, more than 600 American Indians and Alaska Natives died of stroke

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Theyre trapped in a brutal debt cycle in some countries. In a study released last year, researchers in Bangladesh concluded that family labor, land and environmental costs drive down any profitability for farmers, stating that tobacco cultivation is not as beneficial as popularly perceived. According to the Bangladesh-based tobacco control group PROGGA, the list of environmental concerns linked to farming include deforestation, overuse of pesticides, land degradation, and water pollution