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LETTER |
Brian A. Primack is with the Center for Research on Health Care, Division of General Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pa. Jay D. Aronson is with the Department of History, Carnegie Mellon University, Pittsburgh, Pa. Aaron A. Agarwal is an undergraduate at the University of Pittsburgh, Pittsburgh, Pa.
Correspondence: Requests for reprints should be sent to Brian A. Primack, MD, EdM, Center for Research on Health Care, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 600, Room 4, Pittsburgh, PA 15213 (e-mail: bprimack@pitt.edu).
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We applaud Lewis and Wackowskis review of the tobacco industrys trend toward more aggressive marketing of flavored cigarette brands.1 This articles appearance in the same issue that highlighted the value of history to public health is timely, because flavored tobacco is becoming popular among young people by way of a very old smoking device: the hookah. Originally from the Indian subcontinent, hookahs have been common in the Arab world for almost 400 years. Recently the hookah has become popular in restaurants and nightclubs in major US cities. In Pittsburgh, 4 hookah bars have opened since 2003, each no more than
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