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Annually, FDA releases information on youth use of tobacco products, including hookah tobacco, through the National Youth Tobacco Survey

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A meta-analysis of 23 population-based studies including a total of 141,317 individuals also found that there was no causal association between smoking heaviness in current smokers and SBP or DBP [26]

Summary points Smoking prevalence remains unacceptably high among Muslim communities globally Numerous religious scholars and institutions in Middle Eastern and North African countries have recently declared smoking to be haram (prohibited) South Asian religious authorities need to follow the leadership shown by their Arab speaking counterparts Antismoking legislation is often poorly enforced in Muslim countries Religious rulings need to be backed up by advertising bans and support to stop smoking Supplementary Material Details of antismoking legislation and references w1-w11 are on bmj.com We thank Asim Ghouri for help with collecting data and the many religious scholars and health professionals who have shared their views with us