Waterpipe smoking is increasing among adolescents.
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We characterized tweets from Twitter posts relating to waterpipe smoking for a 1 week period in 2014.
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Over half (59%) of all tweets were positive about waterpipe smoking.
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Twitter users described: where they smoked waterpipe, products they consumed alongside waterpipe and who they were with.
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The majority of photographs posted alongside ‘#hookah’ had been taken inside and contained nobody or one person.
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