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Porsche Design's Shisha 2 hits the Lebanese market
  1. Hala Alaouie,
  2. Rima Nakkash,
  3. Rima Afifi
  1. Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  1. Correspondence to Dr Rima Afifi, Faculty of Health Sciences, Department of Health Promotion and Community Health, American University of Beirut, PO Box 11-0236 Riad El Solh, Beirut 11072020, Lebanon; ra15{at}

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Originally an alternative tobacco product confined mostly to the Arab world,1 waterpipe (also called shisha, hookah, argileh, narghile) tobacco smoking (WTS) is increasing globally, and is mainly a youth phenomenon. Youth ever and current smoking rates outpace those of adults in almost every country.2 ,3 Evidence suggests that WTS is associated with several short and long-term health effects.4

A variety of factors have contributed to the rise in WTS, including aggressive marketing tactics5 and lax, non-specific tobacco policies.6 Innovations in design have been reported as attracting women, youth and smokers to WTS.5 Despite increasing rates of waterpipe use globally, the Arab world remains the region with the highest …

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  • Twitter Follow Rima Afifi at @rima_ra15

  • Contributors HA drafted the initial version of the article. RA and RN reviewed and edited subsequent versions of the article. All the authors read and approved the final version.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.