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Data from the National Household Survey on Drug Abuse show that the rate of nicotine dependence is higher in people younger than 25 than in other age groups and that the dependence develops with less exposure to nicotine

Because hookah smoking is typically done in groups, passing the same mouthpiece from person to person in the group, there are special concerns related to hookah use, including the risk of transmitting tuberculosis, herpes, and/or hepatitis and other infectious diseases

Another benefit is that there is no heat with this option so there is no chance of a fire starting accidentally

[219] Beta blockers are not contraindicated for those with COPD and should only be used where there is concomitant cardiovascular disease