Men in Syria smoking from narguilehs.Unfortunately, these extremely popular water pipes, said to date to the era of Persian princes, add significantly to the regional burden of COPD.

The narguileh, a water pipe used for smoking a kind of tobacco called
tombak, is popular with both women and men in many parts of the Middle East. The Education Group for Asthma and COPD is helping to warn people about the health effects of smoking.