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** 91% agreement amongst 2180 adult consumers in Ukraine, Canada, Italy and the Czech Republic, 2020 2021

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People who smoke hookahs and cigarette smokers are at risk for some of the same diseases and health problems, including: Lung cancer Oral cancer Stomach cancer Esophageal cancer Bladder cancer Reduced lung function leading to chronic lung disease Heart disease Peripheral vascular disease Periodontal disease Decreased fertility Low birth weight babies Babies with respiratory disease Exposure to infection (from sharing the hookah mouthpiece) Carbon monoxide exposure (headache, dizziness, nausea, confusion) Secondhand smoke from hookahs can be a health risk for nonsmokers, just as is secondhand cigarette smoke

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