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The age-standardized prevalence of tobacco smoking in 2016 for both sexes globally was 19.9%, with the lowest prevalence in Africa (9.8%), the highest prevalence in Europe (29.4%), and an intermediate prevalence of 16.9% in South East Asia 2

Tobacco had reached Alaska as part of the cross-Bering Strait fur trade, which was originally controlled by Chukchi tribesmen who bought furs from Alaskan Inuit and traded them into Asia

It was also mentioned in several historical accounts by European explorers such as Jean de Lery and Giovanni da Verrazzano

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