Shisha comes in many flavors, and we highly suggest you try several of them. Hopefully, that clears up some of the confusion surrounding this traditional tobacco smoking method. If you want to read more articles related to smoking devices, or you want to find out more about the food we serve at our Hookah bar in Miami , make sure to check out our blog. Want to share your first hookah smoking experience with us? You can do so in the comments below. Shisha smoking, also called narghile, water pipe, hookah or hubble bubble smoking, originates from the Middle East and certain areas of Asia, but has recently become more popular in the UK especially with young people.
It is a way of smoking tobacco through a bowl with a hose or tube joined on. The tube has a mouthpiece that the smoker uses to breath in the smoke. Investigation of mainstream smoke aerosol of the argileh water pipe. Food and Chemical Toxicology ;41 1 —52 [accessed Feb 10]. World Health Organization. Tobacco Regulation Advisory Note. Tobacco Control Mar 24 [accessed Feb 10]. Drug and Alcohol Dependence external icon ; 1—3 —9 [accessed Mar 18].
For Further Information. Fact Sheets. What's this. Related CDC Sites. Social Media. Furthermore, cardiac inflammation with an increase in reactive oxygen species ROS was observed, which consequently caused an elevation in heart glutathione GSH; an antioxidant concentrations. This seems to indicate that an initial adaptive response that counterbalances the potentially damaging activity of ROS [ ] is triggered. The increased cardiac vulnerability may explain the increased systolic blood pressure reported after long-term use, which was not seen post-short-term exposure [ , ].
In summary, both clinical and animal studies have provided substantial evidence of a link between cardiovascular disease development and hookah short- and long-term use. However, there remain some knowledge gaps; firstly, there is a lack of well-designed studies addressing the association between hookah use and cardiovascular diseases. Second, the pathophysiologic mechanisms underlying the cardiovascular adverse effect are not fully understood, and thus, studies to address these issues are not only warranted but also critical at this point.
For instance, e-cigarette use has been linked to increased health risks, including increase thrombosis risk [ ] as well as throat and mouth irritation, respiratory tract irritation, and behavioral changes among others [ ]. As for the use of e-liquids in e-hookah, that would be expected to produce the same toxicity as e-cigarettes.
The evolving nature of these devices supports the notion that investigating their use patterns, purpose, prevalence, and potential health effects is crucial. Meanwhile, the public health experts should educate the public about the possible yet unknown health hazards of these products, whereas policy makers should limit their access to youth. As mentioned before, hookah smoke may be associated with similar or even greater inhalation of toxicants in comparison to cigarettes.
Since , the FDA finalized a rule extending their control of all tobacco products, including hookah tobacco. FDA now regulates the manufacture, import, packaging, labeling, advertising, promotion, and sale, as well as distribution of hookah tobacco and of all hookah apparatus parts except the accessories; lighters and tongs [ ].
Unfortunately, youth represent a large portion of the hookah user population, and their accessibility is facilitated through online ordering. To control such means of access, major credit card companies should ban online payments for hookah, as they did with cigarettes [ ].
Tobacco is a preventable cause of morbidity and mortality worldwide. Lately, as also noted by the American Heart Association statement [ ], hookah has been considered a global threat—in part—due to the high increase of its use, in addition to the deleterious effects it has on human body such as frequent respiratory infections, persistent cough, oral and esophageal cancer, and induction of a pro-inflammatory state.
In this connection, recent studies have shown that the levels of hookah-emitted chemicals vary depending on multiple factors such as topography, experience, session length, and type of tobacco used during each session.
The widespread and increasing usage of hookah in the USA is concerning. Collectively, these findings can be used in educational campaigns for the public, as well as in shaping policies for further evidence-based hookah control.
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