Hookah Health

Medical Consensus on Hookah Smoking

Medical professionals agree that smoking tobacco in any form is unsafe, including smoking hookah. Despite its cultural significance and social appeal, smoking hookah poses similar health risks as smoking cigarettes.

Hookah Smoking Session

A typical hookah session lasts over 40 minutes and involves inhaling 50 to 200 puffs of smoke, each ranging from 0.15 to 0.50 liters. Hookah smokers inhale 100 to 200 times the smoke of a single cigarette during an hour-long session, and 1.7 times the nicotine in a 45-minute session. Contrary to popular belief, the water used to filter the smoke does not eliminate harmful cancer-causing chemicals.

Herbal Molasses Trend

Recently, there has been a trend away from nicotine and tobacco-based products towards herbal molasses, which offer a similar taste but may mitigate the harmful effects. However, the long-term health risks of smoking herbal molasses are not yet fully understood.

Hookah Health

Study on Hookah Smoking and Cancer

A study conducted in Pakistan in 2008 found that hookah smokers who only smoked hookah had similar CEA levels as non-smokers, while cigarette smokers’ CEA levels were significantly higher. However, heavy hookah smoking, which involves smoking 2-4 daily preparations, 3-8 sessions a day, and 2 to 6 hours of daily smoking, substantially raises CEA levels.

Final Remarks

It’s essential to note that while some people may consider hookah smoking as a safer alternative to cigarettes, it still poses significant health risks. Quitting smoking altogether or choosing alternative hobbies that promote physical activity and good health is the best option for long-term health.



What is a Hookah?

A hookah, also known as a waterpipe or shisha, is a device used for smoking tobacco, often in a social setting. It consists of a bowl at the top of a vertical stem that is connected to a base filled with water. The tobacco, which is often flavored with various fruit or herb extracts, is placed in the bowl and covered with a perforated foil or screen. A heated charcoal is then placed on top of the foil or screen, which heats up the tobacco and produces smoke. The smoke is drawn down through the stem and through the water, which is believed by some to filter out harmful chemicals, before it is inhaled through a hose or mouthpiece.

Hookah smoking has a long history, originating in India and the Middle East centuries ago. It has since spread to other parts of the world and has become popular among young adults in recent years, particularly in social settings like cafes and lounges. However, as mentioned earlier, medical professionals agree that smoking hookah poses similar health risks as smoking cigarettes and can have serious health consequences, especially with regular use over time.

How Do I Pack My Hookah Bowl with Shisha?

Packing a shisha bowl is an important step in preparing a hookah for smoking. The process involves placing the right amount of tobacco in the bowl and preparing it in a way that allows for optimal airflow and heat distribution.

To pack a shisha bowl, start by fluffing the tobacco with your fingers to separate the leaves and remove any large stems. Next, sprinkle the tobacco into the bowl, making sure not to pack it too tightly or leave any gaps. It’s important to leave a little bit of space between the tobacco and the foil or screen to allow for airflow.

Once the tobacco is in the bowl, use a toothpick or a fork to poke several holes in the foil or screen, which will allow heat from the charcoal to reach the tobacco. It’s important to space the holes evenly to ensure even heating.

Finally, place a piece of charcoal on top of the foil or screen and allow it to heat up the tobacco. As the smoke is drawn through the water and into the hose, the flavor of the tobacco is released, providing a flavorful and aromatic experience.

It’s important to remember that hookah smoking, including packing a shisha bowl, poses health risks and should be done in moderation or avoided altogether.

How Much Water Does my Hookah Need?

When setting up a hookah, it’s important to use the right amount of water in the base. The water serves as a filter and helps cool the smoke before it’s inhaled, making the smoking experience smoother and less harsh.

The amount of water to put in a hookah depends on the size of the base and personal preference. Generally, the water level should be high enough to cover the bottom of the stem, but not so high that it comes up into the stem.

To determine the right amount of water, fill the base with water until it’s about 1-2 inches above the bottom of the stem. You can then test the water level by trying to pull air through the hose. If the water level is too high, it may be difficult to draw smoke through the hose, and the smoke may not be as smooth. If the water level is too low, the smoke may be harsh and hot.

It’s important to change the water in the base after each use to prevent the buildup of bacteria and other harmful substances. By using the right amount of water and changing it regularly, you can enjoy a more enjoyable and safer hookah smoking experience.

Can More then One Person Smoke Hookah At Once?

While technically possible for two people to hit the hookah at the same time, it can be difficult to coordinate and may not be the most enjoyable way to smoke a hookah. When smoking a hookah, it’s common for each person to take turns inhaling, passing the mouthpiece or hose to the next person in a group. This allows everyone to enjoy the experience at their own pace and reduces the risk of spreading infections or germs. when smoking a hookah with others, it’s important to use separate mouthpieces or hoses to avoid the spread of germs and infections. Sharing a mouthpiece or hose can increase the risk of infectious diseases, including viral illnesses like COVID-19.


What is the Difference Between Quick Light Coals and Natural Coals?

Quick-light coals, also known as instant-light or self-lighting coals, are coated in chemicals that allow them to ignite quickly and easily with a lighter or match. They are often used by hookah smokers because they are convenient and do not require an external heat source like a stove or torch. However, quick-light coals produce more ash and smoke than natural coals, and the chemicals used to ignite them can affect the flavor of the tobacco and pose health risks.

On the other hand, natural coals are made from compressed coconut shells or wood and do not contain any chemical accelerants. They are often preferred by experienced hookah smokers because they produce less ash and smoke and provide a more authentic flavor. Natural coals require an external heat source like a stove or torch to ignite, which can be less convenient but is considered safer and healthier than using quick-light coals.

When using any type of coal for hookah smoking, it’s important to ensure proper ventilation and safety precautions to reduce the risk of carbon monoxide poisoning or fire. It’s also important to avoid inhaling the coal fumes, as they can be harmful to health.

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