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The research done so far has been limited in scope, but the authors collated all peer-reviewed publications on the issue since 1991 and concluded that sufficient evidence existed to support public health interventions which present water pipe tobacco as a serious inhalation hazard. This is a global epidemic, its not just endemic in the Middle East, says Weitzman doi:10.1038/nmiddleeast.2015.73

He said he had been using a pack of two disposable vape pens which claimed to be nicotine-free

On the other hand, some people have trouble getting used to the reduced airflow