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Khasawneh said, Our findings provide new evidence that hookah smoking is as unhealthy if not more so than traditional cigarettes

"Today obviously, that lobby is much less powerful and successful than it was a generation ago," said Brandt, author of "The Cigarette Century: The Rise, Fall, and Deadly Persistence of the Product That Defined America." The industry is now facing regulation by the Food and Drug Administration, and although one major cigarette company supported the FDA bill, the legislation is widely viewed as a sign that tobacco is finding fewer friends in Washington

When heated, poorly manufactured devices can also let go of contaminants, such as nickel, tin and aluminum, that can cause additional lung irritation

Inspections take roughly one hour and cost $125