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Hookah users however are exposed to many of the same toxic compounds/by-products as cigarette users, but at dramatically higher levels, which might lead to more severe negative health effects

Smoke-free and spit-free use

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Smoking kills about 5.4 million people worldwide every year

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Damage to these alveoli in the lungs leads to chronic obstructive pulmonary disease, affecting the lungs and, later, if not treated, results in causing lung cancer. Smoking results in causing cell mutations