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I maintained that switching is not the same as quitting. Therefore real solutions to end the epidemic must center around quitting nicotine addiction altogether not repacking it since nicotine is the real driver of the tobacco epidemic

In addition, the implementation of lockdown measures, imposed limitations on public access to waterpipes, and the restrictions on visits and movement also constrained the use of waterpipe within homes, which is commonly practiced as social activity (32, 33)

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We excluded patients with a history of: Systemic corticosteroid treatment or hospitalization for a COPD exacerbation within 4 weeks before enrollment