Editor,—As cigarette consumption in the US has fallen, and tobacco companies have come under criticism for allegedly targeting youth in their advertising, many companies have focused more on overseas markets to maintain their profits. Egypt, with the highest tobacco consumption in the Arab world, appears to be a lucrative market for cigarette manufacturers. While adult cigarette consumption is declining or stagnant in the US, it is growing in Egypt at a rate of 4–5% a year.1 In the US smoking typically starts during adolescence: 89% of daily smokers …