was tobacco native to america Experts Discover Hard Evidence that Americans were Smoking 3000 Years Ago Early Americans in the Northwest

It did not end well

Concentration index (CI) analysis showed no significant change in the equity of the global distribution of DALYs between 1990 and 2021 (CI: 0.17), but the mortality CI edged up from 0.17 (95% CI: 0.140.19) to 0.18 (95% CI: 0.140.21), suggesting a slight increase in the concentration of death burden in high SDI regions ( Figure 5 , Supplementary Tables S4 , S5 )

Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2014 Oct 31]

Chuck Schumer called on federal agencies to investigate and crack down on Zyn, an oral nicotine product that most Americans have never used and likely have never heard of