Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.

Hookah smoking among Californians jumped more than 40 percent between 2005 and 2008, said Dr. Ron Chapman, the state director of public health, citing a 2011 state tobacco survey published in the American Journal of Public Health. He said the trend was particularly pronounced among college-age adults, with nearly a quarter of men 18 to 24 years old reporting they had used a hookah at least once, according to the same study. Experts say the growing popularity of hookahs has been fueled in part by a perception that the water pipes are more socially acceptable than cigarettes and the erroneous belief that inhaling tobacco smoke drawn through the water filters out some of its toxins. But smoke from hookah tobacco — which comes in such flavors as apple, strawberry, honey and mint — retains all the carcinogens of cigarette smoke while adding more carbon monoxide and extra carcinogens from the use of burning coals that are used to keep the nicotine flowing, health officials say. During a typical hour-long session, a hookah user inhales 100 to 200 times the volume of smoke inhaled from a single cigarette, according to the U.S. Centers for Disease Control and Prevention. “There is a very, very concerning misperception about the use of hookahs among youth, thinking it’s somehow safer. In fact, it puts you at the same risk,” Chapman said. The warning came as Chapman announced an anti-smoking advertising campaign aimed at those most likely to light up - low-income, minority youth, especially African-Americans. While California has in many ways led the nation in discouraging smoking, “tobacco use is still the No. 1 cause of death and disease in California,” he said. Tobacco kills nearly 34,000 Californians a year and leads to annual healthcare costs of $6.5 billion, or $400 for each state taxpayer, he said. Although pubs and restaurants in California have banned smoking since 1998, hookah bars and cafes are permitted under exemptions for owner-operated tobacco shops or other businesses where no food or beverages are sold without employees or staff, said Corey Egel, a state public health department spokesman. The growing popularity of hookahs among young adults in California mirrors a broader trend nationwide. A study in May by the University of Pittsburgh School of Medicine of 152 universities nationwide found that over 30 percent of students had smoked tobacco from a hookah during the previous month. Hookah smoking, which originated in Persia and India, has seen a resurgence in Middle Eastern countries and elsewhere, too, with water pipes referred to as narguila in Syria, Lebanon and Turkey and as sheesha in Egypt.
California health officials sound alarm over hookah smoking.

Health and Human Services Secretary Alex Azar and Surgeon General Jerome Adams made the announcement, with Azar calling marijuana “a dangerous drug.” Officials said President Donald Trump has donated $100,000 — one-quarter of his annual government salary — toward a digital campaign to raise awareness of the risks. Trump has forgone his official salary since taking office. The warning comes as legal marijuana has grown into a $10-billion industry in the U.S. with nearly two-thirds of states legalizing it, mainly for medical uses. Possessing small amounts of marijuana for adult recreational use is legal in 11 states and the District of Columbia, according to the National Conference of State Legislatures. The list includes California, Colorado, Michigan and Maine. Federal law still treats it as a controlled substance akin to opioids. Adams said science shows that marijuana is harmful to the developing brains of teenagers and to the human fetus. The drug has also gotten stronger, with a three-fold increase in the concentration of the active ingredient THC in cultivated plants over the last 20 years. “This ain’t your mother’s marijuana,” Adams said. The American Medical Association said it strongly supports the government’s effort, adding that it for some time it has been recommending against marijuana use by teens, pregnant women and women who are breastfeeding. The surgeon general said his advisory is a direct result of scientific research that runs counter to changing social mores. “Marijuana use is a risk to the developing brain,” Adams said. “Over time there has been a change in attitudes about marijuana creating a false sense of security.” While the White House has made the opioid epidemic a top policy and political priority, marijuana previously had not gotten such high-level attention. Federal officials say they fear the trend toward legalization may make it more enticing for teenagers to try marijuana. It’s a commonly used drug among youths, they said, along with alcohol and e-cigarettes. No states allow recreational marijuana use by teens. States with medical marijuana programs, Illinois among them, generally allow use by minors with consent from a legal guardian and certification from a doctor. Adams said that for teens it carries a risk of affecting brain development, which continues in the 20s. Frequent marijuana use by teenagers is associated with changes in parts of the brain that are involved with attention, memory, decision-making and motivation. Among pregnant women, marijuana is the most commonly used illicit drug, with about 7% reporting they had used it within the past month in a 2017 study. Some women use it to help with morning sickness. The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics advise women not to use marijuana during pregnancy, and to discontinue the drug if they find out they are pregnant. HHS Assistant Secretary for Health Brett Giroir said pregnant women taking marijuana to relieve morning sickness should stop. “If you have morning sickness, talk to your physician,” said Giroir. “There are FDA-approved drugs to help with morning sickness. Taking marijuana for morning sickness has never been shown to be safe and effective.” The government’s National Institute on Drug Abuse is paying for several studies on marijuana use in pregnancy, including one involving women who have chosen to continue using the drug to treat morning sickness despite warnings. While some studies have suggested that marijuana may be harmful to the developing brain, the evidence isn’t conclusive, explained NIDA Director Nora Volkow, who said she strongly supports the surgeon general’s warning. “We cannot close our eyes and say this is not happening. It’s happening,” said Volkow. It would be a missed opportunity not to continue the research to find conclusive evidence on how the drug affects the fetus, she said. “My view is that the way that you change things is by providing evidence,” she added. ___ Associated Press Medical Writer Lindsey Tanner in Chicago contributed to this article.
‘This ain’t your mother’s marijuana,’ surgeon general says.

This is a sentence spoken by Trump, not a piece of modernist stream-of-consciousness pastiche. pic.twitter.com/vfhdKzg9Uy — Stig Abell (@StigAbell) August 9, 2016  On 19 July 2016, Republican presidential candidate Donald Trump appeared at Sun City’s Magnolia Hall in South Carolina to deliver a noontime speech. The event was an otherwise unremarkable campaign stop, save for one portion of Trump’s speech (transcribed below) in which he apparently started out attempting to criticize the nuclear deal that the Obama administration negotiated with Iran but veered into a minute-and-a-half long sentence that spanned his uncle’s academic qualifications, his own education, Democrats’ denying Republicans’ credentials, the power of nuclear technology, the number of American prisoners freed by Iran in conjunction with the nuclear deal, and the adeptness of “Persian” negotiators (particularly women), before circling back to how the Iranians “killed us” in the nuclear deal:   “Look, having nuclear — my uncle was a great professor and scientist and engineer, Dr. John Trump at MIT; good genes, very good genes, OK, very smart, the Wharton School of Finance, very good, very smart — you know, if you’re a conservative Republican, if I were a liberal, if, like, OK, if I ran as a liberal Democrat, they would say I’m one of the smartest people anywhere in the world — it’s true! — but when you’re a conservative Republican they try — oh, do they do a number — that’s why I always start off: Went to Wharton, was a good student, went there, went there, did this, built a fortune — you know I have to give my like credentials all the time, because we’re a little disadvantaged — but you look at the nuclear deal, the thing that really bothers me — it would have been so easy, and it’s not as important as these lives are — nuclear is so powerful; my uncle explained that to me many, many years ago, the power and that was 35 years ago; he would explain the power of what’s going to happen and he was right, who would have thought? — but when you look at what’s going on with the four prisoners — now it used to be three, now it’s four — but when it was three and even now, I would have said it’s all in the messenger; fellas, and it is fellas because, you know, they don’t, they haven’t figured that the women are smarter right now than the men, so, you know, it’s gonna take them about another 150 years — but the Persians are great negotiators, the Iranians are great negotiators, so, and they, they just killed, they just killed us, this is horrible.”  The one thing that puzzles us the most about this sprawling statement is this: Donald Trump’s late uncle, Dr. John Trump, was indeed a renowned professor at MIT, and among his many notable contributions to science were developing methods for treating cancer through radiation and studying how to radiate deep tumors without harming nearby healthy tissue. But what did he reveal to his nephew about “nuclear” 35 years ago that it would have been surprising for anyone to think of?

A tweet reproduces a 90-second long sentence from a Donald Trump speech.