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However, there has been a gradual but steady entry of smaller RRPs into the rankings, says Haigh

So, why the huge difference between smokers and non-smokers

The most carcinogenic compounds among the tobacco-specific nitrosamines, based on extensive laboratory testing in animals, are N -nitrosonornicotine (NNN) and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK), and these are considered carcinogenic to humans by the International Agency for Research on Cancer (IARC, 2007)

The longer sessions of hookah smoking could explain the increase in number of puffs/session