Tobacco Free Initiative

Advisory note on waterpipe tobacco smoking: 2nd edition

Image shows cover of the second edition of the Advisory note on waterpipe tobacco smoking.Waterpipe tobacco smoking (shisha) is increasing globally, and is especially prevalent in the Eastern Mediterranean Region. Young people are particularly at risk. Smoking rates can reach 42% among boys and 31% among girls in this region. This includes smoking shisha, which is more popular among young people than cigarettes as

Over the past 10 year, WHO has accumulated evidence on the increasing prevalence of shisha and its effects on health.

This evidence is addressed in the second edition of the WHO Study Group on Tobacco Product Regulation scientific advisory note on waterpipe tobacco smoking. The note provides a more thorough understanding of the health effects of waterpipe smoking for WHO countries and research agencies.

Advisory note on waterpipe tobacco smoking: 2nd edition


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  • Tobacco-free public spaces

Tobacco-free public places means that ALL indoor workplaces and indoor public places should be 100% smoke-free.

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Statistics and figures

By 2030 70% of tobacco-related deaths will be in developing countries

Tobacco use in the Eastern Mediterranean Region

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