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The world is experiencing a second tobacco consumption pandemic in the form of increasing hookah use among youths. Post-1990s, there has been an unprecedented increase in the number of hookah smokers across the world. Despite having a well-formulated tobacco control policy, India has one of the highest numbers of tobacco users in the world. The increase in the proportion of hookah smokers to the levels currently seen in Middle Eastern countries would prove disastrous for India's demographic dividend. However, compared to rest of the world, India is witnessing a slightly different problem in the form of an increase in the number of “tobacco-free” hookah users. This article reviews global hookah smoking trend and how India is ill prepared to counter the increasing hookah use among youths and suggests what government needs to do to prevent global hookah smoking pandemic to spread in India.
Pavan Pandey (Sun,) studied this question.