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Recent studies have found the use of waterpipes among adolescents is increasing in popularity in Europe and the USA.1–5 Additionally, many users do not know that tobacco is the main component of the product smoked in waterpipes. The smoke from a waterpipe contains most of the same compounds present in cigarette smoke (eg, carbon monoxide, carcinogens, nicotine and heavy metals); additionally, studies have found that during a waterpipe session, smokers may inhale a volume of smoke equivalent to that produced by more than 100 cigarettes.1 3 6 Waterpipe users have been found to have increased risk for lung, oral and bladder cancer and heart disease.1 2 In addition, some studies have …
Competing interests: None.