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Selection of study participants Eligible patients were aged 15 years and over attending selected study sites

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This sign is universally recognized around the world, a cigarette enclosed in a circle with a line through it no smoking

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]