You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

H o o k a H = t o b a c c o + c a r b o n m o n o x i d e + a r s e n i c + t a r

HookaH Hides THe TruTH!

WHaT You don’T knoW… WiLL HurT You!

geT THe TruTH.

some people buy into the myth the water

used in hookah filters harmful substances

such as nicotine.

Nothing is further from the truth. The water only filters 5% of the

nicotine. The remaining 95% is inhaled. Hookah smokers inhale

more tobacco smoke than cigarette smokers because of the large

volume of smoke they inhale in a longer smoking session. When

you smoke hookah, it is still tobacco and contains high levels

of toxic compounds, including tar, carbon monoxide, heavy

metals, and cancer-causing chemicals. In fact, hookah smokers

are exposed to more carbon monoxide, tar and nicotine than are

cigarette smokers.

There are much better ways to spend your time.


• Hookahs—sometimes called a water pipe—is used to smoke

specially made tobacco that is available in a variety of flavors that

may appear enticing to young adults. It is flavored tobacco and

puts a person at risk for nicotine addiction. 1,2

• Hookah smoking is typically practiced in groups, with the same

mouthpiece passed from person to person exposing individuals

to infectious diseases. 1,2

• Hookahs originated in ancient Persia and India and have been

used by men, in particular, for centuries. 1,2,3 Today, hookah cafés

are gaining popularity around the globe. 1 An estimated

300 hookah cafés operated in the United States in 2006, and the

numbers continue to grow. 1 These cafés are unregulated

and pose health concerns. In recent years, there has been a

increase in hookah use around the world, most notably among

young adults. 1,2,3

• Hookah is known by a number of different names, including

narghile, argileh, shisha, hubble-bubble, and goza. 1,2

• Hookahs vary in size, shape, and composition. 2

• A typical modern hookah comprises a head (with holes in the

bottom), a metal body, a water bowl, and a flexible hose with a

mouthpiece. 4

compared with cigarettes

While hookah smokers may consider this practice less

harmful than smoking cigarettes, hookah smoking carries

many of the same health risks as cigarettes. 1,2

• Water pipe smoking delivers the addictive drug nicotine and is at

least as toxic as cigarette smoke. 2

• Due to the mode of smoking—including frequency of puffing,

depth of inhalation, and length of the smoking session—hookah

smokers may absorb higher concentrations of the toxins found in

cigarette smoke. 1,2

• A typical 1-hour-long hookah smoking session involves inhaling

100–200 times the volume of smoke inhaled from a single

cigarette, exposing the lungs to more smoke over a longer

duration. 4

• Hookah smokers are at risk for similar chronic diseases as found in

cigarette smokers,

including oral

cancer, lung cancer,

stomach cancer,

cancer of the

esophagus, reduced

lung function, and

decreased fertility. 5

Hookah smoking

is NOT a safe


to smoking

cigarettes. 1

Hookah Smoke and Cancer

Health effects

• Hookah tobacco and smoke contain numerous toxic substances

known to cause lung, bladder, and oral cancers. 1,4

- The charcoal used to heat tobacco in the hookah increases

the health risks by producing high levels of carbon

monoxide, nicotine, arsenic, cobalt, nickel and cancer-causing

chemicals, even though it has passed through the water. 1,4

• Irritation from exposure to tobacco juices increases the risk of

developing oral cancers. The irritation by tobacco juice products

is likely to be greater among hookah smokers than among pipe or

cigar smokers because a hookah session typically lasts for a longer

period of time. 6

Other Health Effects of Hookah Smoke

• Hookah tobacco and smoke contain numerous toxic substances

known to cause clogged arteries and heart disease. 1,4

• Infectious diseases, such as tuberculosis, mononucleosis, and

influenza, may be transmitted by sharing a hookah. 2

• Babies born to women who smoked one or more water pipes a

day during pregnancy have lower birth weights than babies born

to nonsmokers and are at an increased risk for respiratory

diseases such as asthma. 5

Hookahs and Secondhand Smoke

• Just like cigarettes, secondhand smoke from hookah poses a

serious risk for nonsmokers, particularly because it contains

smoke not only from the tobacco but also from the charcoal used

in the hookah. 1,4

Using a hookah to smoke tobacco poses a serious potential

health hazard to smokers and others exposed to the smoke

emitted. 1,4

Reference: Centers for Disease Control and Prevention. Smoking and Tobacco Use at www.cdc.gov 1. American Lung Association.

An Emerging Deadly Trend: Waterpipe Tobacco Use . 2. Akl E., et al.. The Effects of Waterpipe Tobacco Smoking on Health

Outcomes: A Systematic Review . International Journal of Epidemiology 2010;39:834–857 3. Centers for Disease Control and

Prevention. Tobacco Use Among Students Aged 13–15 Years—Baghdad, Iraq, 2008 . Morbidity and Mortality Weekly Report

2009;58(12):305–8 4. World Health Organization. Tobacco Regulation Advisory Note. Water Pipe Tobacco Smoking: Health Effects,

Research Needs and Recommended Actions by Regulators, Tobacco Free Initiative, 2005 5. Nuwayhid, I, et al. Narghile (Hubble-

Bubble) Smoking, Low Birth Weight and Other Pregnancy Outcomes . American Journal of Epidemiology 1998;148:375–83. 6.

El-Hakim I., Uthman M. Squamous Cell Carcinoma and Keratoacanthoma of the Lower Lips associated with “Goza” and “Shisha”

Smoking. International Journal of Dermatology 1999;38:108-10.

Individuals needing accommodation under ADA,

please contact Erica Allen, (813) 974-4936 (FL Relay 711).


Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!