Intended for healthcare professionals

Letters Rise of waterpipe smoking

Epidemiological surveys might underestimate waterpipe smoking

BMJ 2015; 350 doi: (Published 08 June 2015) Cite this as: BMJ 2015;350:h3086
  1. Mohammed Jawad, honorary clinical research fellow1,
  2. Christopher Millett, NIHR professor of public health1
  1. 1Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK
  1. mohammed.jawad06{at}

Maziak details a worrisome rise in waterpipe tobacco smoking, particularly among adolescents and young adults.1 Surveillance on a national level is paramount to understanding the epidemiology of waterpipe smoking, and we have two concerns about the approaches used to monitor the global prevalence of waterpipe use.

Firstly, data from …

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