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40 The prevention of the Shisha smoking habit can be dealt with multiple approaches: Health Education Approach : There has to be sufficient awareness created through social marketing about shisha smoking's harmful effects, as the shisha smoke despite filtering, bears carcinogens and other toxic products

Our prevalence was lower compared to United States (59.5%) 16 and Korea (53.9%) 17 , but higher than China (12.8%) 12 though the Chinese study did not represent the entire adult smoking population

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Additionally, public health policies should focus on raising awareness about the potential carcinogenic risks associated with inhaling heavy metals from cigarette smoke, further reinforcing tobacco control and harm reduction strategies