In total, approximately 20 million Americans smoke menthols, according to the FDA
"In this case, the data show that these nicotine pouch products meet that bar by benefiting adults who use cigarettes or smokeless tobacco products, said Matthew Farrelly of FDAs Center for Tobacco Products
85.5% of minors reported illegal visitation to a hookah lounge, which suggested widespread illegal hookah lounges among minors.[] Studies on hookahs have shown that the concentration of harmful substances (carbon monoxide, polyaromatic hydrocarbons, and volatile aldehydes) in the smoke emitted from tobacco-free hookah was equal to or greater than those from a tobacco-based hookah [Table 3].[] These toxicants have been found to be associated with cancer, lung disease, and cardiovascular disease.[] In India, there are no regulations and restrictions on the sale of smokable herbs in pharmacies and online sites which have made these herbs easily accessible and usable
These lawsuits culminated in the companies agreeing to some limits on marketing (which is why there are no more tobacco billboards and only very limited sports sponsorship) and the multi-billion dollar Master Settlement Agreement with the states in 1998