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Aux tats-Unis, les Centres pour le contrle et la prvention des maladies dcrivent l'usage de tabac comme la premire cause de mortalit vitable et estiment que le tabac tue prs de 6 millions de personnes chaque anne dans le monde [5]
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Thus, prolonged or heavy use of hookah may induce risk of tumor development, especially in oral cavity and esophagus, which further argues against the notion that hookah has no/less harm if not inhaled kept in mouth. Indeed, incidence of benign lesions of the vocal cords was linked to the presence of cysts in 4.8% of hookah users, which was similar to cigarette smokers [134]
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