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This is rather a public health priority given hookahs prevalence (12.4%) [58], coupled with the relatively high passive exposure to hookah smoke (32.8%) during gestation [59], which in turn leads to the involuntary exposure of innocent fetuses to hookah, and subjecting them to hookahs potential harmful effects [60]

American Spirit launched a new campaign in 2017 featuring the phrases Real

Carnegie Mellon University Green Design Institute

The moderation is really driven by a rolloff of the benefits that helped the category in 2015

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