Hookah Smoking Dangers, Shisha Smoking Cancer

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1) One waterpipe session like one pack of cigarettes 
"People who use these devices don't realize that they could be inhaling what is believed to be the equivalent of a pack of cigarettes in one typical 30-60 minute session with a waterpipe, because such a large quantity of pure, shredded tobacco is used," said Christopher Loffredo, Ph.D., Director of the Cancer Genetics and Epidemiology program at Georgetown University Medical Center.
The Lombardi Comprehensive Cancer Center, part of Georgetown University Medical Center and Georgetown University Hospital

2) 'Relaxing, fun' image of hookah smoking ignore health harms
Hookah (shisha) tobacco smoking exposes the user to substantial amounts of toxicants such as carbon monoxide, nicotine, carcinogens and tar.
University of Pittsburgh School of Medicine

3) Harmful hookahs
Despite warnings from the Centers for Disease Control and Prevention that hookah smoking can be just as dangerous as cigarettes, many young adults believe that using the water pipes is not harmful to their health.
University of California

4) Nicotine and cancer-causing agents
Those who smoked water pipes had elevated levels of nicotine, cotinine, tobacco-related cancer-causing agents, and volatile organic compounds (VOC) in their urine, and this may increase their risk for cancer and other chronic diseases.
Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research

5) Water-pipe smoking dangers
"We report for the first time that toxicant exposures from water-pipe and cigarette smoking differed in pattern, with higher exposure to some toxicants like carbon monoxide and benzene in water-pipe smokers." Jacob explained that high carbon monoxide exposure increases the risk for acute events such as a heart attack, stroke or sudden death in people who have cardiovascular or lung diseases. Jacob warned that benzene exposure is a concern because it is known to cause leukemia in humans.
Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research

6) Water pipe smoking has the same respiratory effects as smoking cigarettes
Water pipe smoking, such as hookah or bong smoking, affects lung function and respiratory symptoms as much as cigarette smoking. "Our findings reveal that there were profound effects of water pipe smoking on lung function values, which were similar to the effects observed in deep inhalation cigarette smokers."
Mohammad Hossein Boskabady, MD, PhD. Respirology 

7) Shisha harmful effects
"While smoking a single cigarette might produce a total of approximately 500-600 ml of smoke, a single waterpipe use episode might produce about 50,000 ml of smoke."
European Society of Cardiology 

8) Serious health effects caused by water pipe smoking (WPS), including reduced lung function and other cardiorespiratory conditions. WPS was associated with a significant reduction in lung function, equivalent to cigarette smoking. WPS was associated with an increase in blood pressure, heart rate, and respiratory rate, as well as decreased lung function.
American College of Chest Physicians

9) Hookah or shisha 
"The popularity of waterpipes may be due in part to perceptions that they are safer than cigarettes. However, waterpipe smoke contains nicotine, carbon monoxide, carcinogens and may contain greater amounts of tar and heavy metals than cigarette smoke," warns senior investigator
Jennifer O'Loughlin, a professor at the University of Montreal Department Of Social and Preventive Medicine and a scientist at the University of Montreal Hospital Research Center

10) Waterpipes - same toxicants as cigarette smokers
Smoking tobacco through a waterpipe exposes the user to the same toxicants - carbon monoxide and nicotine - as puffing on a cigarette, which could lead to nicotine addiction and heart disease. "The results are important because they provide concrete, scientific evidence that contradicts the oft-repeated myth that waterpipe tobacco smoking does not involve users inhaling the same harmful chemicals that cigarette smokers do," said principal investigator Thomas Eissenberg, Ph.D., professor in the VCU Department of Psychology. In previous work, it was demonstrated that waterpipe tobacco smoke contains compounds that cause cancer and other diseases.
Virginia Commonwealth University

11) Hookah Disease
According to the Centers for Disease Control and Prevention, hookah contains many of the same harmful toxins as cigarette smoke and has been associated with lung cancer, respiratory illness, low birth weight and periodontal disease.

"We hope that our findings will prompt state and local governments to consider targeted regulations that ban or limit these establishments near educational institutions and that waterpipe smoking regulations are included in campuswide tobacco-related policies," said Wasim Maziak, M.D., Ph.D., a professor at Florida International University and one of the collaborators on the study, along with researchers from the University of Florida, the University of South Carolina and the University of Michigan.

"Hookah smoking places our youth at a health risk and must be taken seriously as part of the larger fight against tobacco and the preventable diseases it causes." University of Florida. American Journal of Preventive Medicine

12) Hookah tobacco smoking
Nearly 1 in 5 recently surveyed high school seniors report having smoked tobacco from a hookah in the past year, and more than a third of them reported smoking hookahs often enough to be considered regular users. 

Hookahs, also known as waterpipes or narghiles, are devices that allow users to smoke tobacco. Users are exposed to many of the same toxicants in cigarettes - including tar, nicotine, carbon monoxide and polycyclic aromatic hydrocarbons. Comparisons suggest that a one hour-long hookah smoking session exposes the user to about 20 to 40 times the tar of a single cigarette. Consistent with this, preliminary reports associate hookah use with cancer, cardiovascular disease, decreased pulmonary function and nicotine dependence. University of Pittsburgh Center for Research on Media, Technology, and Health. American Journal of Preventive Medicine

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