The most recent Surgeon General's report find Native Americans have the highest adult smoking rates of any ethnic or minority group in the country. The report finds tobacco use among Native Americans has soared more than 40-percent at a time when it has levelled off among other racial groups. As a result, more Native Americans are dying of respiratory cancers than ever before. Health officials are alarmed but as Minnesota Public Radio's Elizabeth Stawicki reports, anti-tobacco programs take on new complexities for many Native Americans who've long viewed tobacco as a sacred gift: To get a sense of tobacco's place in indian culture one needs to look no further than a traditional pow wow. (sound of leader talking about of tobacco/creation)