Although hookahs have started becoming popular among younger people and tourists, the overall number of hookah smokers is likely dwindling owing to the widespread availability of cheaper cigarettes.[61]

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In the United States, the prevalence of hookah use has been noted in a 2019 article to be increasing, particularly among certain states with larger populations of Arab Americans.

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Social smoking is done with a single or double hose hookah, and sometimes even triple or quadruple hose hookahs are used at parties or small get-togethers.

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