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This is despite the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) declaring that all people, with an explicit mention of prisoners and prison staff, need to be protected from exposure to environmental tobacco smoke.[12] These isolated measures should also be part of a more comprehensive approach that includes tobacco cessation support, training for health staff, alternative ways to reduce inactivity and/or cope with stress, and education

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The research done so far has been limited in scope, but the authors collated all peer-reviewed publications on the issue since 1991 and concluded that sufficient evidence existed to support public health interventions which present water pipe tobacco as a serious inhalation hazard. This is a global epidemic, its not just endemic in the Middle East, says Weitzman doi:10.1038/nmiddleeast.2015.73

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