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Cerebrovascular disease is twice as high among African-American men (53.1 per 100,000) as among white men (26.3 per 100,000) and twice as high among African-American women (40.6 per 100,000) as among white women (22.6 per 100,000)

Also, the non-hygienic conditions of the hose and water in the hookah apparatus could also increase mycobacteria growth, which can result in spreading/transmission of tuberculosis [100, 101]

"These are merchants of death and disease, said Jodi Radke, regional director of the Campaign for Tobacco-Free Kids, a nonprofit group based in Washington, D.C., which advocates for reducing tobacco consumption

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