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Vaping is less harmful than smoking and exposes users to fewer toxins, as supported by Public Health England and Cancer Research UK

In Britain, where 22% of the population smoke, the figure is 100,000 at a cost to the economy of 13.74bn, according to a 2010 report by the Policy Exchange thinktank

249 (2010), accessed at www.cdc.gov/nchs/data/series/sr_10/sr10_249.pdf, on Jan

Summary points Smoking prevalence remains unacceptably high among Muslim communities globally Numerous religious scholars and institutions in Middle Eastern and North African countries have recently declared smoking to be haram (prohibited) South Asian religious authorities need to follow the leadership shown by their Arab speaking counterparts Antismoking legislation is often poorly enforced in Muslim countries Religious rulings need to be backed up by advertising bans and support to stop smoking Supplementary Material Details of antismoking legislation and references w1-w11 are on bmj.com We thank Asim Ghouri for help with collecting data and the many religious scholars and health professionals who have shared their views with us