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Contrary to popular belief, shisha smoking is dangerous, the water in the shisha pipe does NOT absorb harmful substances in the smoke

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11 12 In contrast, the latest Public Health England data shows that 40.5% of adults with a serious mental health illness (SMI) smoke, 13 a figure which has remained steady over the past 20 years

Among non-smokers, this proportion reaches 91%, while the negative opinion remains the majority among smokers themselves (53%)

This is particularly preoccupying first because, whereas parosmia seems to be a positive sign of recovery, phantosmia appears to be a poorer predictor of recovery in the most recent studies in COVID-19 patients [37] as well as in patients with varied etiologies [38] (but see [39] for contradictory findings that occurrence of parosmia or phantosmia has little prognostic value)