how big is the tobacco industry U.S. Market Size & Share Report, 2022-2030 Chart: The World's Largest Tobacco

When substances, other than alcohol are looked at, the results are even better

According to the Population Assessment of Tobacco and Health study, current waterpipe smoking among 1824 years olds ranked second (18.2%) only to cigarette smoking (19.6%).2 Studies in specific young adult populations such as college students show a high prevalence of past 12-month waterpipe use ranging from 22% to 40%.3 The spread of waterpipe smoking among young adults has been driven by the marketing of flavoured tobacco, social media promotion, growth in the number of waterpipe cafs and misperceptions regarding the harmful and addictive nature of waterpipe smoking.3 The American Heart Association recently stated that waterpipe smoke delivers known tobacco toxicants and carcinogens and that waterpipe smoking is associated with many of the same risks as cigarettes smoking, such as lung cancer, and respiratory and cardiovascular diseases.4 The spread of waterpipe smoking is also perpetuated by the lag in policy and regulatory response to address it.5 6 This is not unexpected given its special configuration and characteristics, which influence the applicability of known effective tobacco control policies to this emerging tobacco product

(Regulations under Quebecs Tobacco Control Act establish that for the purposes of the Tobacco Control Act (chapter L-6.2), any product that does not contain tobacco and is intended to be smoked is considered to be tobacco.)

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