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During the festive season, it’s good to re-visit some classic children’s books. So let’s follow Alice down the rabbit-hole, and see what she finds in Wonderland.

A hookah-smoking Caterpillar

Hookahs were a favourite of Victorian gentlemen, and would have been familiar to Alice. It might be surprising to learn that they are increasingly popular with American adolescents. In a longitudinal cohort survey from Los Angeles, young people aged 14 to 16 were asked about their smoking habits, and up to 11% claimed to have used hookahs (doi. org/10.1542/peds0.2017–3616). This study showed that both hookah tobacco-smoking and e-cigarette use led to an increased likelihood of later marijuana use (for hookah OR 3.6; 95% CI 2.7 to 4.9). The authors …

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