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The research done so far has been limited in scope, but the authors collated all peer-reviewed publications on the issue since 1991 and concluded that sufficient evidence existed to support public health interventions which present water pipe tobacco as a serious inhalation hazard. This is a global epidemic, its not just endemic in the Middle East, says Weitzman doi:10.1038/nmiddleeast.2015.73

But, there are limitations to this assertion

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Vaping and lung cancer a review of current data and recommendations

Moxibustion is most commonly applied using a stick of mugwort which is held by the practitioner over an acupuncture point