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Furthermore, they occupy much less pocket space once the count of cigarettes lowers in the pack

The research done so far has been limited in scope, but the authors collated all peer-reviewed publications on the issue since 1991 and concluded that sufficient evidence existed to support public health interventions which present water pipe tobacco as a serious inhalation hazard. This is a global epidemic, its not just endemic in the Middle East, says Weitzman doi:10.1038/nmiddleeast.2015.73