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Molokhia cigarettes–hand‑rolled leaves of the popular green vegetable—are being used in Gaza as a makeshift substitute for traditional tobacco products, according to recent reporting by Al Jazeera.Molokhia Cigarettes Emerge Amid Tobacco ShortagesResidents cite blockade‑related scarcity of tobacco.Molokhia leaves are locally cultivated and readily available.The practice involves drying, shredding, and rolling the leaves like conventional cigarettes.Health Risks Associated with Molokhia SmokeCombustion of plant material releases carcinogenic compounds similar to those in tobacco smoke.Medical professionals warn of respiratory irritation, increased risk of chronic lung disease, and potential cardiovascular effects.No epidemiological data have yet been published for Gaza.Socio‑Economic Factors Driving the ShiftHigh unemployment and limited access to imported goods push vulnerable populations toward low‑cost alternatives.Humanitarian aid packages often prioritize food over tobacco, leaving a market gap.Potential Public Health InterventionsLocal NGOs could launch awareness campaigns about the dangers of inhaling Molokhia smoke.International agencies might consider including nicotine‑replacement therapies in aid shipments.Further research is needed to quantify usage rates and health outcomes.