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There are many health risks to hookah smoking

We are therefore not making determinations to recategorize provisional codes as permanent until such time as CMS can complete a comprehensive analysis of all such provisional codes which we expect to address in future rulemaking

This finding aligns with recent research that identified social connectedness as a facilitator of engagement in technology-mediated interventions (25, 57)

Hookah smoking is perceived as not harmful, possibly due to the following reasons: In a hookah, since the smoke is filtered through water, it is not considered harmful, although no scientific evidence exists to support this claim The wide variety of flavors and sweet aroma of the tobacco and attractive packaging tempts young people to smoke hookah The flavors and sweetness of the tobacco masks the characteristic harsh taste of the smoke, which makes it easier for youngsters to get hooked to smoking hookahs Promotion and advertising in social media is also a major factor for the popularity of hookah smoking Misperceptions about the addictive potential and health hazards are other factors for the high prevalence of hookah smoking Since hookah tobacco packages do not carry any health warnings, it is perceived as not harmful Since many people smoke hookahs casually as a way of social interaction, recreation, and relaxation, it is perceived as less habit-forming Conclusion A misperception about hookah smoking prevails in the society that it is not harmful

Kang, W., Zhang, Y., Cui, W., Meng, H