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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

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Electronic cigarettes and heated tobacco products are smoke-free alternatives to cigarettes for adult smokers who would otherwise continue smoking