Smoking shisha can be addictive, harmful

Smoking shisha (hookah) can be addictive and harmful, though many dabblers may not realise the dangers, according to a new review. "The cooled and sweetened flavour of hookah tobacco makes it more enticing to kids and they falsely believe it's less harmful," Tracey E Barnett from the University of Florida in Gainesville told Reuters Health. Barnett has studied the recent rise in teen hookah smoking. She was not involved in the new review, published in Respiratory Medicine. "One-time use can lead to carbon monoxide poisoning or other diseases, including but not limited to tuberculosis, herpes, respiratory illnesses including the flu, and long-term use can lead to heart disease and many cancers," Barnett said. Smoking with a hookah, or "shisha," device has become increasingly common in Europe and the Western Hemisphere in recent years. The practice rose to prominence on the Indian subcontinent among Hindus in the 15th Century and subsequently spread through the Ottoman Empire. According to one estimate, about 100 million people worldwide smoke hookah each day. "While water is a filter, it does not filter out any of the toxins," Barnett said. According to the World Health Organization, one hookah session typically lasts 20 to 80 minutes and a hookah user may inhale as much smoke during one session as a cigarette smoker would from smoking 100 or more cigarettes.