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Both active and passive waterpipe smoking can cause acute CO poisoning, depending on the intensity, duration, and environment of exposure, the authors write

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Additionally, 19.9 % of high school smokers and 17.2 % of middle school smokers reported smoking for 20-30 days within the past month

Talbot and Omaiye advise vapers to exercise caution with high-puff devices, particularly as the devices approach the end of their life

Dimensions: 4000 x 6700 px | 33.9 x 56.7 cm | 13.3 x 22.3 inches | 300dpi Date taken: 16 July 2017 Location: Denver, USA More information: Large size file for quality prints, exclusive to Alamy