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There is an opportunity to address this in the governments planned Addiction Strategy

Since the 1990s, water pipe smoking has spread among new populations and demographics to include college students and young people in the United States, Brazil, Western European and Southern African countries

The higher TUD prevalence associated with most mental disorders is even more pronounced among people with severe mental disorders (i.e., those exhibiting a higher degree of functional impairment, namely schizophrenia, bipolar disorder, and major depressive disorder) (9)

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In principle, Spain conducts checks to avoid these problems, although Suelves is skeptical

Resources Carter, Landon