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Water-pipe (WP) smoking is one distinct genre of tobacco use with different names according to modifications including hookah, narghile, shisha, maassel, and hubble-bubble. It originated from the countries of southwest Asia and North Africa [1]. The term WP is used to refer to all kinds of instruments that involve passage of tobacco smoke through water before inhalation [1]. In modern WP, moistened tobacco is added with sweetener and flavorings of fruits and candy, producing an aromatic smoke that may particularly appeal to the users [2].

Secondhand Water-Pipe Smoking and its Association with Systemic Inflammation among Cafés Employees in Karachi, Pakistan