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What the heck
IS hookah?
Is it safe?Shishah...
say what?

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What the heck
IS hookah?

A hookah is a water pipe
used to smoke tobacco
through cooled water.
The tobacco is heated
in the bowl at the top
of the hookah and the
smoke is filtered through
the water in the base of
the hookah. 8

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Is it safe after
just one puff?

One puff from a hookah
can fill your lungs with
12 times more smoke
than one hit from
one cigarette.1

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Is it safe after a
one-hour session?

One study shows that
a typical one-hour long
waterpipe smoking
session involves inhaling
over 100 times the volume
of the smoke inhaled
with a single cigarette.2

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Is it safe for
my body?

Smoking hookah fills your
body with 8 times more
carbon monoxide than
a cigarette.3

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Is it safe compared
to a single cigarette?

Hookah smoke contains
20 times more tar than
cigarette smoke.4

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Is it safe even when
sharing mouthpieces?

Sharing mouthpieces
without washing them
can increase the risk of
spreading colds, flu,
and infections—even
oral herpes.5

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Is it safe for
my health?

Health risks of smoking
hookahs include heart
disease, cancer, lung
damage, and dental
disease.6

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Is it safe if I just
hang out and don't
smoke?

Do not think that if you
are just visiting a hookah
bar, that you are in the
clear. There are still
high levels of damaging
secondhand smoke
to all who are present.
7

Back

Shisha...
say what?

Shisha is the tobacco
smoked in a hookah. It
is a very moist and sticky
tobacco that has been
soaked in honey or
molasses.9

Back

Click the “?” to learn more.

Hookah is FAR FROM HARMLESS. Scroll through the links above to get the real scoop.
  1. Eissenberg T, Shihadeh A. Waterpipe Tobacco and Cigarette Smoking: Direct Comparison of Toxicant Exposure. American Journal of Preventive Medicine 1 December 2009, 37 (6): 518-523.
  2. Shihadeh A. Towars a topographical model of narghile water-pipe café smoking: a pilot study in a high socioeconomic status neighborhood of Beirut, Lebanon. Biochemistry, Pharmacology, and Behavior.
    2004, 79 (14): 75-82.
  3. Eissenberg T, Shihadeh A. Waterpipe Tobacco and Cigarette Smoking: Direct Comparison of Toxicant Exposure. American Journal of Preventive Medicine
    1 December 2009, 37 (6): 518-523.
  4. Shihadeh, A. Investigation of mainstream smoke aerosol of the argileh water pipe. Food Chem Toxicol, 2003. 41: p. 143-152.

    Daher N, Saleh R, Jaroudi E, Sheheitli H, Badr T, Sepetdjian E, Al Rashidi M, Saliba N, Shihadeh. Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe
    and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors. Atmospheric Environment.
    2010, 44 (1): 8-14.

    American Lung Association. An Emerging Deadly Trend: Waterpipe Tobacco Use. (PDF–222 KB) Washington: American Lung Association, 2007 [accessed 2011 Feb 15].
  5. University of California, San Francisco, Legacy Tobacco Documents Library
  6. Centers for Disease Control - Hookah Fact Sheet
  7. Centers for Disease Control - Hookah Fact Sheet
  8. Centers for Disease Control - Hookah Fact Sheet
  9. American Lung Association. An Emerging Deadly Trend: Waterpipe Tobacco Use. (PDF–222 KB) Washington: American Lung Association, 2007
    [accessed 2011 Feb 15].
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