Toward a regulatory framework for the waterpipe

Ramzi G. Salloum, Taghrid Asfar, Wasim Maziak

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations


Waterpipe smoking has been dramatically increasing among youth worldwide and in the United States.Despite its general association with misperceptions of reduced harm, evidence suggests this is a harmful and dependence-inducing tobacco use method that represents a threat to public health. Waterpipe products continue to be generally unregulated, which likely has contributed to their spread. The Family Smoking Prevention and Tobacco Control Act of 2009 granted the US Food andDrugAdministration (FDA) the authority to regulate waterpipe products, and the FDA finalized a rule extending its authority over waterpipe products in May 2016. This critical step in addressing the alarming increase in waterpipe smoking in the United States has created urgency for research to provide the evidence needed for effective regulatory initiatives for waterpipe products. We aim to stimulate such research by providing a framework that addresses the scope of waterpipe products and their unique context and use patterns. The proposed framework identifies regulatory targets for waterpipe product components (i.e., tobacco, charcoal, and device), thewaterpipe café setting, and its marketing environment dominated by Internet promotion.

Original languageEnglish (US)
Pages (from-to)1773-1777
Number of pages5
JournalAmerican journal of public health
Issue number10
StatePublished - Oct 2016

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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