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Evidence of this growing concern is provided by the WHO's Global Youth and Adult Tobacco Surveys, the Canadian and US National Youth Tobacco Surveys as well as the addition of many relevant questions to the US Behavioural Risk Surveillance System Survey.37 While substantially increasing attention is being paid to some ATPs, such as hookahs (also called water pipes, used to smoke shisha), bidis (thin, sometimes flavoured, cigarettes wrapped in the tendu or temburni leaf), kreteks (clove cigarettes), pan (betel quid with tobacco) and flavoured cigars and cigarillos, other ATPs of potential concern have to date largely been unrecognised and thus have not been studied, monitored or regulated

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The 42-person study, whose findings were published online Feb