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Background: Water pipe (hookah) smoking has become a common activity in Germany, particularly among adolescents and young adults

Commercial determinants of health, such as the marketing and lobbying tactics of the tobacco industry, significantly undermine cancer prevention and control efforts

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Relative risks for oral, pharygeal buccomusol cancers among men by using smokeless tobacco from case-control studies Pakistan India and Sri Lanka Calcutta Oral Cancer Oral Cancer Oropharyngeal Cancer Buccomucosal cancer Total cases 683 514 81 287 Total controls 1978 277 420 Betel quid (1) 4.2 1.9 11.8 0.7 Tobacco (2) 10.2 2.7 Betel quid + Tobacco 8.1 7.6 6.0 3.9 Betel quid + smoking 25.0 2.7 21.5 Tobacco + smoking 15.4 (1) + (2) + smoking 23.0 11.9 12.9 5.8 Smoking 5.7 2.1 28.5 1.2 Modified from [23] Fig