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By the early 19th century tobacco was an essential commodity routinely issued to servants, prisoners and ticket-of-leave men (conditionally released convicts) as an inducement to work, or conversely, withheld as a means of punishment

The authors note that the effects appear modest, but could have a substantial benefit across the population of U.S

Among these outcomes are low birth weight, intrauterine growth retardation (IUGR), premature delivery, spontaneous abortion, and increased perinatal mortality

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