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Also, the non-hygienic conditions of the hose and water in the hookah apparatus could also increase mycobacteria growth, which can result in spreading/transmission of tuberculosis [100, 101]

Shu-Hong Zhu, who is also the director of the Center for Research and Intervention in Tobacco Control at the University of California, San Diego, told ABC News

You cant completely block a vent because that will disrupt airflow, reduce efficiency, and increase the pressure that may damage ducts and cause leaks

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In the 2024 ASH statistics, they showed that in unemployment numbers 20% smoked cigarettes compared to in employment which was only 12%