“…Still, WTS delivers large boluses of nicotine, 2 causes symptoms of nicotine addiction, 3,4 is being initiated earlier than cigarettes, [5][6][7] acts as a gateway for cigarettes smoking, 8 and contributes significantly to increasing morbidity. 9,10 In the Arab countries, where the growing WTS epidemic is particularly apparent, especially among youth, 6,[11][12][13] the spread of WTS was initiated in the early 1990s with the introduction of Ramadan tents (special form of cafés), where the waterpipe was the focus of social gather-ings. 12 Today, WTS among youth is a socially acceptable habit that is built within the Arabic culture.…”