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In various cultures, offering a hookah pipe to a guest is considered good hospitality, and a sign of respect much like it was 100s of years ago by Middle Easter kings and sheiks

"From start to finish, the tobacco life cycle is an overwhelmingly polluting and damaging process," states a 2017 World Health Organization report, Tobacco and its environmental impact: an overview." "It is not just about the lives of smokers and those around them, or even those involved in tobacco production

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Mary's Medical Center in West Palm Beach, Florida , was not involved in the WashUMed study but shared his reaction to the findings