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"Hookah smoking: Is it safer than cigarettes?"

Starting with historical examples and including Haypps e-commerce sales data from Sweden and Norway collected from 2018 to 2025, Dr Lund illustrated the current market situation for nicotine pouches, discussed the inconsistent international regulatory landscape, examined the assumed harm potential and usage patterns, and highlighted ongoing knowledge gaps

CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2017

Smokers would use a clay in their favorite pub and when finished, break off the inch of stem that made contact with the mouth so the next smoker could have a clean smoke