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The piles also produce pressure, which both releases ammonia from the tobacco leaves, and reduces moisture

Fines and punishments have been significantly increased in 2025 , especially for repeat offenders and business malpractice

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A statewide ban in California is expected to take effect in 2017

This is rather a public health priority given hookahs prevalence (12.4%) [58], coupled with the relatively high passive exposure to hookah smoke (32.8%) during gestation [59], which in turn leads to the involuntary exposure of innocent fetuses to hookah, and subjecting them to hookahs potential harmful effects [60]