Hookah bars are emerging as an important consideration for smokefree air efforts in many communities. As more municipalities and states go 100% smokefree in workplaces, restaurants, bars, and casinos, establishments seeking to violate the law look for loopholes wherever they can. Most frequently, establishments claim to be "retail tobacco shops", by transforming themselves into hookah bars. If this tactic to skirt your smokefree law appears in your community, contact ANR for lessons learned and tips.
What is a hookah?
A hookah, also known as a narghile, shisha or hubble-bubble, is a waterpipe of Middle Eastern origin that is used to smoke sweet, often flavored, tobacco. The smoke is filtered through water in the base of the hookah's pipe. There is a common misconception that hookah smoke is less harmful than cigarette smoke, or not at all harmful, since the smoke passes through water before being inhaled or emitted as secondhand smoke. This is not true. The science shows that smoke from a hookah contains many of the same harmful and carcinogenic components as cigarette smoke. Hookahs should not be considered a safer alternative to cigarette smoking. Secondhand hookah smoke is not less harmful than secondhand cigarette smoke.
In 2005, the World Health Organization (WHO) issued an Advisory Note on Waterpipe Tobacco Smoking. This Advisory Note states:
How did the hookah fad start?
Hookah bars or cafes have been in the U.S. for many years, primarily in communities with Middle Eastern populations, and serve as social centers for many people. Traditional hookah establishments are not bars in the typical sense, as they primarily serve hookah-smoking and not alcohol-drinking patrons. In fact, most traditional hookah establishments do not serve alcohol at all, in keeping with Muslim practice.
However, hookah bars are gaining popularity around the U.S., particularly among college age individuals. Eighteen to 22-year-olds often find these establishments appealing for social reasons and because of the widespread misconception that there are reduced health risks associated with both active hookah smoking and secondhand hookah smoke. Hookah bars targeting the college age population often serve alcohol and can serve as an introduction to smoking among people who may not otherwise smoke.
Hookah News | Research Studies
Gateway to Cigarettes?
study finds dangerous pollution levels in shisha bars [VIDEO]
smoke in hookah bars may put employees at risk
use rivals cigarette dangers
... As cigarette smoking rates fall, more people, especially teenagers
and young adults in high school and college, are starting to smoke tobacco
from hookahs. While there have been claims that smoking tobacco from
a hookah is healthier than smoking cigarettes, a new meta-analysis shows
that hookah smokers are still inhaling large amounts of toxicants.....
Smoke in Hookah Bars May Put Employees at Risk
Hookah Session Delivers 25 Times the Tar of a Cigarette
lounges banned in Concord
Ugly Truths of Smoking Hookah
experts, colleagues explain dangers of hookah smoking
causes Leukemia: study
as Health Risk, Still Qualifies as Smoking
Deliver Toxic Benzene in Every Puff
smokers and nonsmokers exposed to secondhand smoke ...
Bars: Does the Smoking Ban Apply?
lounge violated permit conditions: VGN
1 in 5 high school seniors have tried hookah
Fayetteville ordinance could snuff out rapid growth of tobacco shops
bars have higher indoor air pollution
College Students, Hookahs Are Bad for You
pipe smoking causes significant exposure to nicotine and cancer-causing
finds cigarette alternatives may not be safer than cigarettes
alternatives may not be 'safe' tobacco
fines hookah lounges, orders them to curtail smoking
city officials ban hookah bars
smoking delivers carcinogens and carbon monoxide
Carbon Monoxide, Benzene In Hookah Smoke Than Cigarettes, Study Says
intended for hookah lounges backfires
OKs smoking definition to include hookah
In 3 College Students Has Smoked Hookah
Unfortunately, smoking hookah delivers the same chemical compounds
as smoking a cigarette. In fact, one session (usually about 45 to 60
minutes) delivers approximately 100 times the smoke as a single cigarette,
with 40 times the tar and 10 times the carbon monoxide. ...
lounges under fire
...Organizations like Americans for Nonsmokers' Rights (ANR) and smokefreewashington.com advocate against these hookah lounges as well as casinos that allow ...
Banning Hookah and E-Cigarette Use Clears Another Hurdle
(KCPW News) A bill banning the use of hookahs and e-cigarettes in public places under the Utah Indoor Clean Air Act will be debated by the full senate after ...
passes ban on using e-cigarettes, hookahs in public
The Utah House approved a proposal Tuesday to ban the smoking of hookah pipes and e-cigarettes in public places, after opponents held a hookah pipe smoking ...
House committee OKs hookah ban
By Robert Gehrke A House committee approved a bill Thursday banning the use of hookahs and electronic cigarettes in public places, but gave a five-year...
panel forwards ban on hookah, e-cigarettes
more underage hookah smoking
lawmakers: Smoking hookah OK in bars and clubs
Utahns can continue to smoke tobacco from water pipes after all. ...
HOOKAH BAN: Controversial hookah ban goes into effect in Utah
A controversial ban on hookah bars in the state goes into effect today.
Hookah Bars Illegal?
gives hookah the hook
Starting in mid-September, Utah bars and clubs cannot allow patrons
to smoke most hookah products indoors. ...
bars are catching on in Rhode Island
Hookah lounges arrived in Rhode Island in 2005. Instead of burning
out, the fad appears to have grown increasingly popular, with a half-dozen
hookah lounges on Federal Hill alone. ...
over for San Francisco hookah lounges
lounges: S.F. health officials seek closure
Public health department officials are threatening to shut down hookah
lounges, whose owners, they say, have refused to obey state and local
laws that ban indoor smoking, despite mailed and in-person warnings
over the past year. ...
"Reducing hookah use: a public health challenge for the 21st century," BACCHUS Network, .
This white paper report from the BACCHUS Network described the history
of hookah use, its growing popularity among young people in the United
States, the reasons for its popularity, marketing tactics by manufacturers,
media coverage, health risks of use, attitudes to use, and tobacco policy
to control use.
health officials proposing rule to ban hookah smoking in public places,
A proposed rule by Utah health officials would prohibit hookah smoking
in popular bars and other public places. ...
County's ban on e-cigarettes, hookahs begins next Monday
Beginning Monday, June 6, Madison County will enforce an amended smoking ban that includes electronic cigarettes. The Madison County Board of Health voted in April to include e-cigarettes and hookahs (water pipes) in its indoor smoking restrict
a Crimp in the Hookah
bar slips through legislative loophole
If Oregon lawmakers pass House Bill 2726, new hookah bars would be
banned from opening, but the 62 existing lounges statewide plus any
established before July would be grandfathered in. ...
lawmakers try to plug loophole allowing hookah lounges
Al Narah, Eugene's newest hookah lounge, may have opened in the nick of time. ...
bars, popular with teens, put on notice
Safer Than Cigarettes? A Pipe Dream
Lots of people who quit cigarettes to escape the dangers of nicotine
are turning to water pipe smoking, wrongly assuming that toking on "hookahs"
is safer, new research indicates. ...
Lounge Ban Narrowly Passes Committee Vote
Lounges Face Possible Changes
A bill that prohibits smoking in Connecticut hookah lounges, except those open before the end of last year, is facing a key legislative vote. ...
Votes to Place Restrictions on Hookah Bars
Reveals Higher CO Levels With Hookah Smoking
Use Widespread Among College Students Study Reveals Mistaken Perception
Councilman wants to ban creation of new hookah bars in city, says smoke
A lawmaker wants to snuff out the growth of the city's hookah bars - saying herbal smoke from the lounges' water pipes is just as dangerous as cigarettes.
City Councilman Vincent Gentile (D-Brooklyn) will press this week to extend a smoking ban to include all smoking, including now-legal herbal shisha smoke from hookahs.
Existing hookah bars would be exempt, but new indoor ones would be banned in 2012. The dozens already open would have to register with the city Health Department, and wouldn't be able to expand or change locations.
Gentile argues that hookah smoke, which contains tar and carbon monoxide, can be just as dangerous as cigarettes. ...
County OKs hookah policy
Provo To the Utah County Board of Health, hookah pipes are the same as cigarettes and cigars.
The board unanimously voted Monday to adopt a policy treating hookah pipes like any other tobacco product, fully subject to the Indoor Clean Air Act.
The policy will act as a placeholder. Its expected the state Department of Health will issue an administrative rule declaring hookah pipes subject to Utahs indoor-smoking law.
Joseph Miner, Utah County Health Departments executive director, said the county is following the lead of Davis County, which recently enacted an identical policy.
Were doing what common sense tells us, Miner said. But until the state acts, we need some guidelines." ...
for hookah bars in Davis County goes up in smoke
FARMINGTON Before any hookah bars open in the county, the Davis County Board of Health plans on halting them at the border by using the states Clean Air Act.
The board gave a directive to health department director Lewis Garrett to put together a policy which would ban such establishments because of the effects of second-hand smoke hookahs would generate. . . .
Sam North, a health educator with the county, told board members that for many, smoking a hookah is a social event.
Hookah bars are gaining in popularity in the United States, especially among college-age students. Here in Utah there are such bars in Salt Lake County and elsewhere. Utah County is looking at its first.
North told board members that statistics from studies conducted in 2005 and 2006 for a national Tobacco-Related Disease Program, show that those smoking hookahs get 72 times the tar, four times the nicotine and 11 times the carbon monoxide of those smoking cigarettes. ...
City rejects proposal to allow hookah lounges
The move comes in response to at least four inquiries the city has received this fall from entrepreneurs seeking to fill North County's void of hookah lounges, where customers smoke flavored tobacco through communal pipes.
Area residents have been forced to travel to Sorrento Valley or San Diego's Gaslamp District to smoke hookah pipes in a public setting since the only lounge in North County, Hubbly Bubbly in San Marcos, closed about a year ago.
Proponents have said that allowing such lounges in Escondido could reduce the growing number of downtown vacancies, help fill the city's void of activities for young people, bring new energy to Grand Avenue and possibly bolster nearby restaurants and retail shops.
Councilman Sam Abed and Councilwoman Olga Diaz said they were open to allowing hookah lounges if the city adopted significantly tougher restrictions than other cities have ...
tobacco smokers inhale 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, according to a study
led by a Virginia Commonwealth University researcher published in the
December issue of the American Journal of Preventive Medicine.
"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.
"We hope that these results will be used by physicians and public health officials to inform waterpipe tobacco smokers that they risk tobacco-induced nicotine addiction and cardiovascular disease," he said.
Smoking hookah not worth the health risk - Feature
Smokers who think that trying hookah as a healthier alternative to cigarettes are way off base. Hookah smokers inhale a greater volume of smoke, worsening the effects of the chemicals in the tobacco.
"Data from several different countries reveals that a single hookah-use episode lasts for about 45 minutes and can easily involve over 100 puffs," said Thomas Eissenberg, professor of psychology at Virginia Commonwealth University, whose research is funded by a grant for the National Cancer Institute.
"Each puff is about 500 ml in volume, while a single cigarette-use episode lasts about 5 minutes and can involve about 10-12 puffs of about 30-50 ml each. We are talking 100 times the smoke inhalation for a hookah-use episode, 50,000 ml total volume relative to a single cigarette-use episode, 500 ml total volume." . .
While it is widely known that cigarette smoking is bad for your health, hookah is possibly even worse. Hookah smoking is becoming popular across the country with hookah cafes opening up in many cities. Last semester, a hookah bar opened on Marshall Street but closed after just a few months. I guess the cost to expose one's self to cancer must have not worked well in this economy. ...
Area hooked on hookah
Across the Bay Area and nation in recent years, hookah lounges have
become increasingly popular gathering places for college students too
young to drink legally, transplanted Middle Easterners looking to indulge
in a familiar pastime and even for veterans of the Iraq war, who learned
to enjoy hookahs while overseas. The practice is believed to have originated
in India and spread to the Middle East hundreds of years ago.
"It's more fun to be in the social atmosphere here," he said at Da Hookah Spot. "I don't smoke cigarettes, but I smoke from a hookah pipe once or twice a week."
The lounges are often classified as tobacco shops, allowing them to get around California's 1998 statewide ban on smoking in bars. Most cities prohibit the sale of food in such establishments. The sale of nonalcoholic beverages, however, is typically allowed as long as they do not make up a significant portion of revenues, and alcohol is prohibited, according to officials at the city attorney's offices in Palo Alto, Hayward and San Francisco.
waves goodbye to hookah bars
hookah bar, no smoking
The College Station City Council decided Thursday not to make an exception to the city's smoking ordinance for a hookah bar. Hookah Station in the Northgate district had requested an exclusion from the city ordinance that was revised early this year ...
smokers at high risk of catching virus
Sheesha smokers could be contributing to the spread of the swine flu, it has been claimed.
According to the Bahrain Anti-Smoking Society, sheesha pipes are an ideal tool for users to catch the virus since they are often passed from person to person.
'This is a real threat and all sheesha users should be careful,' said society vice-president Dr Kadhem Al Halwachi.
'We have already been told smokers are at an increased risk of getting complications from the swine flu because a smoker's lungs are already compromised.'
Health officials last week added smokers to a list of 'high risk' individuals who could contract the H1N1 virus. ...
no to hookah bars, yes to tattoos in Menifee
The Menifee Planning Commission started tackling the question on Tuesday of how to regulate hookah lounges, tattoo parlors and cell phone towers, all of which are temporarily banned in the city.
After recommending a ban on hookah lounges, most commissioners leaned in favor of allowing but tightly regulating, tattoo and body piercing parlors.
Four of the five commissioners expressed reservations about hookah lounges, saying they could promote smoking or encourage crime or "smoking other things," as Commissioner Marc Miller put it.
Commissioner Bill Zimmerman supported allowing hookah lounges "in the interest of being fiscally sound."
"If Menifee wants to send a message to the public that we are business friendly, an outright ban on certain businesses might not send the right message," he said. ...
'as harmful as cigarettes'
Smoking a shisha pipe is as bad for people as smoking tobacco, the Department of Health and the Tobacco Control Collaborating Centre has found.
People who smoke shisha, or herbal tobacco, can suffer from high carbon monoxide levels, its research revealed.
It found one session of smoking shisha resulted in carbon monoxide levels at least four to five times higher than the amount produced by one cigarette.
High levels of carbon monoxide can lead to brain damage and unconsciousness. . . .
The study found shisha smokers had 40-70 ppm of CO in their breath - affecting 8-12% of their blood.
Dr Hilary Wareing, director of the Tobacco Control Collaborating Centre, told the BBC's Asian Network she was shocked by the results of the research. . . .
"You never see it in the news - 'that is terrible, don't do it'
- there's no shock tactics like (there is with) cigarettes," said
one young woman.
It was this misconception - and finding dangerous levels of carbon monoxide in a pregnant woman who had stopped smoking tobacco, but continued to smoke shisha - which prompted the research.
"We found one session of smoking shisha - that's 10 milligrams
(of fruit tobacco) for 30 minutes - gave carbon monoxide levels that
were at the lowest four and five times higher than having a cigarette,"
said Dr Wareing. ...
Exemption for Hookah Bars
A bill to exempt hookah bars from the North Carolina smoking ban was
withdrawn from the House at the request of hookah bar owners.
"I tried to make it very clear that our window of opportunity was now, which was last week, and once the decision was made not to go forward with the bill, that killed it for this session."
Tarleton says the owners asked him to withdraw the bill because of amendments that would greatly restrict their businesses. ...
of Hookah Establishments in North Carolina
After the successful passage of a statewide law to prohibit smoking in all NC restaurants and bars, discussion of the laws impact on hookah bars was brought up by legislators and hookah establishment owners. This report provides a description of hookah, the health impact of hookah use, and results of a survey of hookah establishments in North Carolina. ...
law may put flames out at Wilmington Hookah Bars
Wilmington is home to about one-fifth of all hookah bars in North Carolina, but the state smoking ban would effectively put them all out of business.
A bill approved Tuesday by a judiciary committee could change the rules
for hookah bars like Wilmington's Juggling Gypsy on Castle Street.
for hookah bars OK'd by NC House panel
Establishments where patrons smoke tobacoo using a water pipe could
remain open in North Carolina in legislation heading to the full House.
Cruz bans hookah lounges near kid hot spots
City leaders cracked down on hookah lounges Tuesday night, saying the couch-filled shops that sell sessions with flavored tobacco and a water pipe need to stay away from schools, and that only one more will be allowed within city limits.
"It occurred to us that this was really more of a public health issue," said City Attorney John Barisone. "This particular type of business appeals to young people."
Right now only one hookah lounge, Smoke This! Hookah Lounge next to the Teen Center on Laurel Street, is open in Santa Cruz. That's down from a height of three in 2007. While Smoke This! will be grandfathered in until the year 2014, new rules will not allow lounges within 1,000 feet of schools, parks or recreation centers. ...
leader hopes to curb hookah use among minors
chillum smoking more toxic than cigarette: Study
JAIPUR: Traditional hookah and chillum are more injurious to health than cigarette, a study has said.
The study underlines that the old mode of smoking is much more toxic than cigarette smoke as carbon monoxide (CO) level is higher in it, the study conducted by a group of pulmonary doctors of the SMS Hospital Medical College and the Asthma Bhawan here said.
The study assumes significance in the wake of ongoing debates on the ill effects of smoking and the countrywide ban on lighting up the rolled tobacco at public places, which came into force on Thursday.
Professor of medicine Virendra Singh, who was a part of the study claims that the traditional smoking ways can be fatal.
Smoking on College Campuses May Contribute to Growing Public Health
More and more U.S. college students are smoking tobacco using waterpipes or hookahs and its becoming a growing public health issue, according to a new study led by a Virginia Commonwealth University researcher.
The findings offer important insight into the prevalence and perceptions related to waterpipe tobacco smokers and are reported in the May issue of the Journal of Adolescent Health. The article is also featured in an editorial in the same issue.
These results should serve as an alarm bell to anyone interested in public health in the United States. Preventing tobacco-caused death and disease means remaining alert to new forms of tobacco smoking and then understanding the health risks of these new forms and communicating these risks to public health workers, policy makers, and to smokers themselves, said principal investigator Thomas Eissenberg, Ph.D., associate professor in the VCU Department of Psychology. . . .
Water pipe smoking a significant TB risk
The smoking of the traditional `shisha' water pipe is increasingly emerging as a significant health risk in Egypt, due to air-borne tuberculosis (TB) transmission from pipe sharing and uncontrolled, manual preparation of the pipe.
Rania Siam, professor of microbiology at the American University in Cairo (AUC), said the most important risk factor for TB infection was close household contact with a TB case, but she said water pipe smoking (WPS) and the sharing of the pipe with someone with pulmonary TB led to a great risk of TB transmission, especially among young adolescents.
"`Shisha' [smoking] is Egyptian culture, where people smoke tobacco and inhale directly from this device. If I smoke `shisha', some bacteria may reside in it.
officials warn of hookah-smoking hazard: Two CSU students contracted oral herpes
Cases of two Colorado State University students who might have contracted oral herpes from recent trips to a hookah bar are prompting health officials to remind people of the dangers of sharing saliva.
Anything from mononucleosis to an infectious cold sore can be passed through sharing soft drinks or passing around a mouthpiece at a hookah smoking session. "People shouldn't share spit," said Paul Poduska, infections control coordinator at Poudre Valley Hospital.
|Hookah News | Research Studies|
|Cohn, A.M.; Ehlke, S.J.; Cobb, C.O.; Soule, E.K., "Hookah tobacco smoking in a large urban sample of adult cigarette smokers: links with alcohol and poly-tobacco use," Addictive Behaviors 68: 1-5, May 2017.|
|Lopez, A.A.; Eissenberg, T.; Jaafar, M.; Afifi, R., "Now is the time to advocate for interventions designed specifically to prevent and control waterpipe tobacco smoking," Addictive Behavior 66: 41-47, March 2017.|
|Yillmaz, S.G.; Llerena, A.; De Andrés, F.; Karakas, Ü.; Gündogar, H.; Erciyas, K.; Kimyon, S.; Mete, A.; Güngör, K.; Özdemir, V., "Water pipe (shisha, hookah, arghile) smoking and secondhand tobacco smoke effects on CYP1A2 and CYP2A6 phenotypes as measured by caffeine urine test," OMICS 21(3): 177-182, March 2017.|
|Leavens, E.L.; Brett, E.; Frank, S.; Shaikh, R.A.; Leffingwell, T.R.; Croff, J.M.; Wagener, T.L., "Association between breath alcohol concentration and waterpipe lounge patrons' carbon monoxide exposure: a field investigation," Drug and Alcohol Dependence 170: 152-155, January 1, 2017.|
|Zhou, S.; Behrooz, L.; Weitzman, M.; Pan, G.; Vilcassim, R.; Mirowsky, J.E.; Breysee, P.; Rule, A.; Gordon, T., "Secondhand hookah smoke: an occupational hazard for hookah bar employees," Tobacco Control 26(1): 40-45, January 2017.|
|Majeed, B.A.; Sterling, K.L.; Weaver, S.R.; Pechacek, T.F.; Eriksen, M.P., "Prevalence and harm perceptions of hookah smoking among U.S. adults, 2014-2015," Addictive Behaviors 69: 78-86, January 2017.|
|Fedele, D.A.; Barnett, T.E.; Dekevich, D.; Gibson-Young, L.M.; Martinasek, M.; Jagger, M., "Prevalence of and beliefs about electronic cigarettes and hookah among high school students with asthma," Annals of Epidemiology 26(12): 865-869, December 2016.|
|Kim, K.H.; Kabir, E.; Jahan, S.A., "Waterpipe tobacco smoking and its human health impacts," Journal of Hazardous Materials 317: 229-236, November 5, 2016.|
|Elsayed, Y.; Dalibalta, S.; Abu-Farha, N., "Chemical analysis and potential health risks of hookah charcoal," Science of the Total Environment 569-570: 262-268, November 1, 2016.|
|Bahelah, R.; DiFranza, J.R.; Ward, K.D.; Fouad, F.M.; Eissenberg, T.; Ben Taleb, Z.; Jaber, R.; Osibogun, O.; Maziak, W., "Correlates of nicotine dependence among adolescent waterpipe smokers," Drug and Alcohol Dependence [Epub ahead of print], November 1, 2016.|
|Weitzman, M.; Yusufali, A.H.; Bali, F.; Vilcassim, M.J.; Gandhi, S.; Peltier, R.; Nadas, A.; Sherman, S.; Lee, L.; Hong, Z.; Shearston, J.; Park, S.H.; Gordon, T., "Effects of hookah smoking on indoor air quality in homes," Tobacco Control [Epub ahead of print], October 26, 2016.|
|Salloum, R.G.; Asfar, T.; Maziak, W., "Toward a regulatory framework for the waterpipe," American Journal of Public Health 106(10): 1773-1777, October 2016.|
|Wagoner, K.G.; Cornacchione, J.; Wiseman, K.D.; Teal, R.; Moracco, K.E.; Sutfin, E., "E-cigarettes, hookah pens and vapes: adolescent and young adult perceptions of electronic nicotine delivery systems," Nicotine and Tobacco Research 18(10): 2006-2012, October 2016.|
|Park, S.H.; Duncan, D.T.; El Shahawy, O.; Shearston, J.A.; Lee, L.; Tamura, K.; Sherman, S.E.; Weitzman, M., "Analysis of state-specific prevalence, regional differences, and correlates of hookah use in U.S. adults, 2012-2013," Nicotine and Tobacco Research [Epub ahead of print], September 9, 2016.|
|Ramôa, C.; Shihadeh, A.; Salman, R.; Eissenberg, T., "Group waterpipe tobacco smoking increases smoke toxicant concentration," Nicotine and Tobacco Research 18(5): 770-776, May 2016.|
|Gurung, G.; Bradley, J.; Delgado-Saborit J.M., "Effects of shisha smoking on carbon monoxide and PM2.5 concentrations in the indoor and outdoor microenvironment of shisha premises," Science of The Total Environment 548-549:340-346, April 1, 2016.|
|Zhou, S.; Behrooz, L.; Weitzman, M.: Pan, G.; Vilcassim, R.; Mirowsky, J.E.; Breysee, P.; Rule, A.; Gordon, T., "Secondhand hookah smoke: an occupational hazard for hookah bar employees," Tobacco Control [Epub ahead of print], January 25, 2016.|
|Colditz J.B.; Ton, J.N.; James, A.E.; Primack, B.A., "Toward effective water pipe tobacco control policy in the United States: synthesis of federal, state, and local policy texts," American Journal of Health Promotion [Epub ahead of print], January 5, 2016.|
|Noland, M.; Ickes, M.J.; Rayens, M.K.; Butler,
K.; Wiggins, A.T.; Hahn, E.J., "Social
influences on use of cigarettes, e-cigarettes, and hookah by college students,"
Journal of American College Health [Epub ahead of print], January 2016.
Zhou, S.; Weitzman, M.; Vilcassim, R.; Wilson, J.; Legrand, N.; Saunders, E.; Travers, M. ; Chen, L.C.; Peltier, R.; Gordon, T., "Air quality in New York City hookah bars," Tobacco Control 24(e3): e193-e198, October 2015.
|Al Mulla, A.; Fanous, N.; Seidenberg, A.B.; Rees, V.W., "Secondhand smoke emission levels in waterpipe cafes in Doha, Qatar," Tobacco Control 24(e3): e227-e231, October 2015.|
|Munshi, T.; Heckman, C.J.; Darlow, S., "Association between tobacco waterpipe smoking and head and neck conditions: a systematic review," Journal of the American Dental Association 146(10): 760-766, October 2015.|
|Kates, F.R.; Salloum, R.G.; Thrasher, J.F.; Islam, F.; Fleischer, N.L.; Maziak, W., "Geographic proximity of waterpipe smoking establishments to colleges in the U.S.," American Journal of Preventive Medicine [Epub ahead of print], September 5, 2015.|
|Medford, M.A.; Gasier, H.G.; Hexdall, E.; Moffat, A.D.; Freiberger, J.J.; Moon, R.E., "Research report: charcoal type used for hookah smoking influences CO production," Undersea & Hyperbaric Medicine 42(4): 375-380, July 2015.|
|Wang, L.W.; He, E.Y.; Ghosh, D.; Day, R.O.; Jones, G.R.; Subbiah, R.N.; Holloway, C.J., "Severe carbon monoxide poisoning from waterpipe smoking: a public health concern," Medical Journal of Australia 202(8): 446-447, May 4, 2015.|
|Barnett, T.E.; Soule, E.K.; Forrest, J.R.; Porter, L.; Tomar, S.L., "Adolescent electronic cigarette use: associations with conventional cigarette and hookah smoking," American Journal of Preventive Medicine [Epub ahead of print], March 31, 2015.|
|Amrock, S.M.; Gordon, T.; Zelikoff, J.T.; Weitzman, M., "Hookah use among adolescents in the United States: results of a national survey," Nicotine and Tobacco Research 16(2): 231-237, February 2014.|
|Ishtiaque, I.; Shafique, K.; Ul-Haq, Z.; Shaikh, A.R.; Khan, N.A.; Memon, A.R.; Mirza, S.S.; Ishtiaque, A., "Water-pipe smoking and albuminuria: new dog with old tricks," Plos One 9(1): e85652, January 17, 2014.|
|Lee, Y.O.; Hebert, C.J.; Nonnemaker, J.M.; Kim, A.E., "Multiple tobacco product use among adults in the United States: cigarettes, cigars, electronic cigarettes, hookah, smokeless tobacco, and snus," Preventive Medicine [Epub ahead of print], January 16, 2014.|
|Lee, Y.O.; Bahreinifar, S.; Ling, P.M., "Understanding tobacco-related attitudes among college and noncollege young adult hookah and cigarette users," Journal of American College Health 62(1): 10-18, January 2014.|
|Barnett, T.E.; Forrest, J.R.; Porter, L.; Curbow, B.A., "A multiyear assessment of hookah use prevalence among Florida high school students," Nicotine and Tobacco Research [Epub ahead of print], December 17, 2013.|
|Sidani, J.E.; Shensa, A.; Barnett, T.E.; Cook, R.L.; Primack, B.A., "Knowledge, attitudes, and normative beliefs as predictors of hookah smoking initiation: a longitudinal study of university students," Nicotine and Tobacco Research [Epub ahead of print], December 9, 2013.|
|Jukema, J.B.; Bagnasco, D.E.; Jukema, R.A., "Waterpipe smoking: not necessarily less hazardous than cigarette smoking: possible consequences for (cardiovascular) disease," Netherlands Heart Journal [Epub ahead of print], December 5, 2013.|
|Shihadeh, A.; Eissenberg, T.; Rammah, M.; Salman, R.; Jaroudi, E.; El-Sabban, M., "Comparison of tobacco-containing and tobacco-free waterpipe products: effects on human alveolar cells," Nicotine and Tobacco Research [Epub ahead of print], December 3, 2013|
|CDC, "Tobacco product use among middle and high school students United States, 2011 and 2012," Morbidity and Mortality Weekly Report 62(45): 893-897, November 15, 2013.|
|Jawad, M.; McEwen, A.; McNeill, A.; Shahab, L., "The importance of addressing waterpipe tobacco smoking: research and policy responses," Addiction 108(11): 1887-1888, November 2013.|
|Maynard, O.M.; Gage, S.H.; Munafo, M.R., "Are waterpipe users tobacco-dependent?," Addiction 108(11): 1886-1887, November 2013.|
|Eissenberg, T.,"What can waterpipe tobacco smoking teach us about the need for a more rapid response to emerging non-communicable disease risks?," Addiction 108(11): 1885-1886, November 2013.|
|Hammal, F.; Chappell, A.; Wild, T.C.; Kindzierski, W.; Shihadeh, A.; Vanderhoek, A.; Huynh, C.K.; Plateel, G.; Finegan, B.A., "'Herbal' but potentially hazardous: an analysis of the constituents and smoke emissions of tobacco-free waterpipe products and the air quality in the cafes where they are served," Tobacco Control [Epub ahead of print], October 15, 2013.|
|Kassim, S.; Al-Bakri, A.; Al'absi, M.; Croucher, R., "Waterpipe tobacco dependence in U.K. male adult residents: a cross-sectional study," Nicotine and Tobacco Research [Epub ahead of print], October 15, 2013.|
|Cobb, C.O.; Vansickel, A.R.; Blank, M.D.; Jentink, K.; Travers, M.J.; Eissenberg, T., "Indoor air quality in Virginia waterpipe cafés," Tobacco Control 22(5): 338-343, September 2013.|
|Al Ali, R.; Rastam, S.; Ibrahim, I.; Bazzi, A.; Fayyad, S.; Shihadeh, A.L.; Zaatari, G.S.; Maziak, W., "A comparative study of systemic carcinogen exposure in waterpipe smokers, cigarette smokers and non-smokers," Tobacco Control [Epub ahead of print], August 29, 2013.|
|Heinz, A.J.; Giedgowd, G.E.; Crane, N.A.; Veilleux, J.C.; Conrad, M.; Braun, A.R.; Olejarska, N.A.; Kassel, J.D., "A comprehensive examination of hookah smoking in college students: use patterns and contexts, social norms and attitudes, harm perception, psychological correlates and co-occurring substance use," Addictive Behaviors 38(11): 2751-2760, July 23, 2013.|
|Jawad, M.; Bakir, A.M.; Ali, M.; Jawad, S.; Akl, E.A., "Key health themes and reporting of numerical cigarette-waterpipe equivalence in online news articles reporting on waterpipe tobacco smoking: a content analysis," Tobacco Control [Epub ahead of print], July 18, 2013.|
|Jawad, M.; McEwen, A.; McNeill, A.; Shahab, L., "To what extent should waterpipe tobacco smoking become a public health priority?," Addiction [Epub ahead of print], July 17, 2013.|
|Akl, E.A.; Jawad, M.; Lam, W.Y.; Co, C.N.; Obeid, R.; Irani, J., "Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review," Harm Reduction Journal 10(1): 12, July 2, 2013.|
|Ozkan, S.; Ozturk, T.; Ozmen, Y.; Durukan, P., "Syncope associated with carbon monoxide poisoning due to narghile smoking," Case Reports in Emergency Medicine 2013: 796857, 2013.|
|Karaca, Y.; Eryigit, U.; Aksut, N.; Turkmen, S., "Syncope associated with water pipe smoking," BMJ Case Reports [Epub ahead of print], 2013.|
|Jacob, P.; Abu Raddaha, A.H.; Dempsey, D.; Havel, C.; Peng, M.; Yu, L.; Benowitz, N.L., "Comparison of nicotine and carcinogen exposure with water pipe and cigarette smoking," Cancer Epidemiology, Biomarkers and Prevention [Epub ahead of print], March 5, 2013.|
|Lee, Y.O.; Mukherjea, A.; Grana, R., "Hookah
steam stones: smoking vapour expands from electronic cigarettes to waterpipes,"
Tobacco Control 22 (2): 136-137, March 2013.
|Hampson, S.E.; Tildesley, E.; Andrews, J.A.; Barckley, M.; Peterson, M., "Smoking trajectories across high school: sensation seeking and hookah use, " Nicotine and Tobacco Research [Epub ahead of print], January 15, 2013.|
|Primack, B.A.; Land, S.R.; Fan, J.; Kim, K.H.; Rosen, D., "Associations of mental health problems with waterpipe tobacco and cigarette smoking among college students," Subst.Use.Misuse. [Epub ahead of print], January 10, 2013.|
|Noonan, D., "A descriptive study of waterpipe smoking among college students," Journal of the American Academy of Nurse Practitioners, 25(1): 11-15, January 2013.|
|Nguyen, T.; Hlangothi, D.; Martinez, R.A.; Jacob, D.; Anthony, K.; Nance, H.; Saleh, M.A., "Charcoal burning as a source of polyaromatic hydrocarbons in waterpipe smoking," Journal of Environmental Science and Health. Part. B, Pesticides, Food Contaminants, and Agricultural Wastes 48(12): 1097-1102, 2013.|
|Maher, J.E.; Morris, D.S.; Girard, K.E.; Pizacani, B.A., "Consequences of clean indoor air exemptions in Oregon: the hookah story," Tobacco Control [Epub ahead of print], December 12, 2012.|
|Brockman, L.N.; Pumper, M.A.; Christakis, D.A.; Moreno, M.A., "Hookah's new popularity among US college students: a pilot study of the characteristics of hookah smokers and their Facebook displays," BMJ Open 2: e001709, December 12, 2012.|
|Clarke, S.F.; Stephens, C.; Farhan, M.; Ward, P.; Keshishian, C.; Murray, V.; Zenner, D., "Multiple patients with carbon monoxide toxicity from water-pipe smoking," Prehospital and Disaster Medicine 27(6): 612-614, December 2012.|
|Maziak, W., "The waterpipe: an emerging global risk for cancer," Cancer Epidemiology [Epub ahead of print], November 26, 2012.|
|Sepetdjian, E.; Halim, R.A.; Salman, R.; Jaroudi, E.; Shihadeh, A.; Saliba, N.A., "Phenolic compounds in particles of mainstream waterpipe smoke," Nicotine and Tobacco Research [Epub ahead of print], November 22, 2012.|
|Morris, D.S.; Fiala, S.C.; Pawlak, R., "Opportunities for policy interventions to reduce youth hookah smoking in the United States," Preventing Chronic Disease E165, November 2012.|
|Primack, B.A.; Hopkins, M.; Hallett, C.; Carroll, M.V.; Zeller, M.; Dachille, K.; Kim, K.H.; Fine, M.J., "US health policy related to hookah tobacco smoking," American Journal of Public Health 102(9): e47-e51, September 2012.|
|Cobb, C.O.; Sahmarani, K.; Eissenberg, T.; Shihadeh, A., "Acute toxicant exposure and cardiac autonomic dysfunction from smoking a single narghile waterpipe with tobacco and with a 'healthy' tobacco-free alternative," Toxicology Letters [Epub ahead of print], October 8, 2012.|
|Ashurst, J.V.; Urquhart, M.; Cook, M.D., "Carbon monoxide poisoning secondary to hookah smoking," Journal of the American Osteopathic Association 112(10): 686-688, October 2012.|
|Joseph, S.; Pascale, S.; Georges, K.; Mirna, W., "Cigarette and waterpipe smoking decrease respiratory quality of life in adults: results from a national cross-sectional study," Pulmonary Medicine, 2012.|
|Jarrett, T.; Blosnich, J.; Tworek, C.; Horn, K., "Hookah use among U.S. college students: results from the National College Health Assessment II," Nicotine and Tobacco Research 14(10): 1145-1153, October 2012.|
|Cobb, C.O.; Khader, Y.; Nasim, A.; Eissenberg, T., "A multiyear survey of waterpipe and cigarette smoking on a US university campus, " Journal of American College Health 60(7): 521-527, October 2012.|
|Abughosh, S.; Wu, I.H.; Rajan, S.; Peters, R.J.; Essien, E.J., "Waterpipe smoking among students in one US university: predictors of an intention to quit," Journal of American College Health 60(7): 528-535, October 2012.|
|Fiala, S.C.; Morris, D.S.; Pawlak, R.L., "Measuring indoor air quality of hookah lounges," American Journal of Public Health [Epub ahead of print], September 20, 2012.|
|Abughosh, S.; Wu, I.H.; Peters, R.J.; Hawari, F.; Essien, E.J., "Ethnicity and waterpipe smoking among US students," International Journal of Tuberculosis and Lung Disease [Epub ahead of print], September 18, 2012.|
|Nuzzo, E.; Shensa, A.; Kim, K.H.; Fine, M.J.; Barnett, T.E.; Cook, R.; Primack, B.A., "Associations between hookah tobacco smoking knowledge and hookah smoking behavior among US college students," Health Education Research [Epub ahead of print], September 17, 2012.|
|Shafique, K.; Mirza, S.S.; Mughal, M.K.; Arain, Z.I.; Khan, N.A.; Tareen, M.F.; Ahmad, I., "Water-pipe smoking and metabolic syndrome: a population-based study," PLoS One 7(7): e39734, July 27, 2012.|
|Schubert, J.; Heinke, V.; Bewersdorff, J.; Luch, A.; Schulz, T.G., "Waterpipe Smoking: The role of humectants in the release of toxic carbonyls," Archives of Toxicology [Epub ahead of print], June 17, 2012.|
|Luch, A., "Waterpipe smoking: a new tobacco pandemic entailing severe health risks?," Archives of Toxicology [Epub ahead of print], June 10, 2012.|
|Primack, B.A.; Shensa, A.; Kim, K.H.; Carroll, M.V.; Hoban, M.T.; Leino, E.V.; Eissenberg, T.; Dachille, K.H.; Fine, M.J., "Waterpipe smoking among U.S. university students," Nicotine and Tobacco Research [Epub ahead of print], May 28, 2012.|
|Radwan, G.; Hecht, S.S.; Carmella, S.G.; Loffredo, C.A., "Tobacco-specific nitrosamine exposures in smokers and nonsmokers exposed to cigarette or waterpipe tobacco smoke," Nicotine and Tobacco Research [Epub ahead of print], May 9, 2012.|
|Azab, M.; Khabour, O.F.; Alzoubi, K.H.; Anabtawi, M.M.; Quttina, M.; Khader, Y.; Eissenberg, T., "Exposure of pregnant women to waterpipe and cigarette smoke," Nicotine and Tobacco Research [Epub ahead of print], May 9, 2012.|
|Noonan, D.; Kulbok, P.A., "Beliefs and norms associated with smoking tobacco using a waterpipe among college students," Journal of Addictions Nursing [Epub ahead of print], April 4, 2012.|
|Shishani, K.; Roll, J.; Armstrong, M., "Hookah use: going down in smoke," Journal of Addictions Nursing [Epub ahead of print], April 4, 2012.|
|Rice, V.H.; "Water pipe smoking among the young: the rebirth of an old tradition," Nursing Clinics of North America 47(1): 141-148, March 2012.|
|Sivilotti, M.L.A.; Abu-Laban, R.B., "Inhaling smoke causes smoke inhalation: put that in your hookah pipe!," Canadian Journal of Emergency 14(1): 3-4, January 1, 2012.|
|La Fauci, G.; Weiser, G.; Steiner, I.P.; Shavit, I., "Carbon monoxide poisoning in narghile (water pipe) tobacco smokers," Canadian Journal of Emergency Medicine 14(1): 57 - 59, January 1, 2012.|
|Smith, J.R.; Edland, S.D.; Novotny, T.E.; Hofstetter, C.R.; White, M.M.; Al-Delaimy, W.K.; Lindsay, S.P., "Increasing hookah use in California," American Journal of Public Health [Epub ahead of print], August 18, 2011.|
"Waterpipe Tobacco Smoking: General and Specific Populations: Abstract and Introduction: A Systematic Review," BMC Public Health 2011.
|Vansickel, A.R.; Shihadeh, A.; Eissenberg, T., "Waterpipe tobacco products: nicotine labelling versus nicotine delivery," Tobacco Control [Epub ahead of print], June 2, 2011.|
|Lipkus, I.M.; Eissenberg, T.; Schwartz-Bloom, R.D.; Prokhorov, A.V.; Levy, J., "Affecting perceptions of harm and addiction among college waterpipe tobacco smokers," Nicotine and Tobacco Research [Epub ahead of print], April 6, 2011.|
|Barnett, T.E.; Curbow, B.A.; Soule Jr., E.K.; Tomar, S.L.; Thombs, D.L., "Carbon monoxide levels among patrons of hookah cafes," American Journal of Preventive Medicine 40(3): 324-328, March 2011.|
|Jamil, H.; Janisse, J.; Fakhouri, M.; Arnetz, J.E.; Arnetz, B.B.; Elsouhag, D., "Do household smoking behaviors constitute a risk factor for hookah use?," Nicotine & Tobacco Research [Epub ahead of print], January 31, 2011.|
|Blank, M.D.; Cobb, C.O.; Kilgalen, B.; Austin, J.; Weaver, M.F.; Shihadeh, A.; Eissenberg, T., "Acute effects of waterpipe tobacco smoking: a double-blind, placebo-control study," Drug and Alcohol Dependence, [Epub ahead of print], January 28, 2011.|
|Blosnich, J.R.; Jarrett, T.; Horn, K., "Racial and ethnic differences in current use of cigarettes, cigars, and hookahs among lesbian, gay, and bisexual young adults," Nicotine and Tobacco Research [Epub ahead of print], January 27, 2011.|
|Fielder, R.L.; Carey, K.B.; Carey, M.P., "Prevalence, frequency, and initiation of hookah tobacco smoking among first-year female college students: a one-year longitudinal study," Addictive Behavior [Epub ahead of print], 2011.|
|Sepetdjian, E.; Saliba, N.; Shihadeh, A., "Carcinogenic PAH in waterpipe charcoal products," Food and Chemical Toxicology [Epub ahead of print], August 28, 2010.|
|Raad, D.; Gaddam, S.; Schunemann, H.J.; Irani, J.; Abou Jaoude, P.; Honeine, R.; Akl, E.A., "Effects of waterpipe tobacco smoking on lung function: a systematic review and meta-analysis," Chest [Epub ahead of print], July 29, 2010.|
Cobb, C.; Ward, K.D.; Maziak, W.; Shihadeh, A.L.; Eissenberg, T. , "Waterpipe tobacco smoking: an emerging health crisis in the United States, American Journal of Health Behavior 34(3): 275-285, May-June 2010.
|Dugas, E.; Tremblay, M.; Low, N.C.; Cournoyer, D.; O'Loughlin, J., "Water-pipe smoking among North American youths," Pediatrics [Epub ahead of print], May 10, 2010.|
|Jamil, H.; Elsouhag, D.; Hiller, S.; Arnetz, J.E.; Arnetz, B.B., "Sociodemographic risk indicators of hookah smoking among white Americans: a pilot study," Nicotine and Tobacco Research [Epub ahead of print], March 22, 2010.|
|Rastam, S.; Li, F.-M.; Fouad, F.M.; Al Kamal, H.M.; Akil, N.; Al Moustafa, A.-E., "Water pipe smoking and human oral cancers," Medical Hypotheses 74(3): 457-459, March 2010.|
|Daher, N.; Saleh, R.; Jaroudi, E.; Sheheitli, H.; Badr, T.; Sepetdjian, E.; Al Rashidi, M.; Saliba, N.; Shihadeh, A., "Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: sidestream smoke measurements and assessment of second-hand smoke emission factors," Atmospheric Environment 44(1): 8-14, January 1, 2010.|
|Noonan, D., "Exemptions for hookah nars in clean indoor air legislation: a public health concern, Public Health Nursing 27(1): 49-53, January 2010.|
|Aljarrah, K.; Ababneh, Z.Q.; Al-Delaimy, W.K., "Perceptions of hookah smoking harmfulness: predictors and characteristics among current hookah users," Tobacco Induced Diseases 5(1): 16, December 18, 2009.|
|Eissenberg, T.; Shihadeh, A., "Waterpipe tobacco and cigarette smoking: direct comparison of toxicant exposure," American Journal of Preventive Medicine 37(6): 518-523, December 2009.|
|Maziak, W.; Rastam, S.; Ibrahim, I.; Ward, K.D.; Shihadeh, A.; Eissenberg, T., "CO exposure, puff topography, and subjective effects in waterpipe tobacco smokers," Nicotine and Tobacco Research [Epub ahead of print], May 6, 2009.|
Tavafian, S.S.; Aghamolaei, T.; Zare, S., "Water pipe smoking and health-related quality of life: a population-based study," Archives of Iranian Medicine 12(3): 232-237, May 2009.
|Grekin, E.R.; Ayna, D., "Argileh use among college students in the United States: an emerging trend," Journal of Studies on Alcohol and Drugs 69(3): 472-475, May 2008.|
|Maziak, W.; Rastam, S.; Ibrahim, I.; Ward, K.D.; Eissenberg, T., "Waterpipe-associated particulate matter emissions," Nicotine and Tobacco Research 10(3): 519-523, March 2008.|
|Smith-Simone, S.; Maziak, W.; Ward, K.D.; Eissenberg, T., "Waterpipe tobacco smoking: knowledge, attitudes, beliefs, and behavior in two U.S. samples," Nicotine and Tobacco Research: 10(2): 393-398, February 2008.|
|Neergaard, J.; Singh, P.; Job, J.; Montgomery, S., "Waterpipe smoking and nicotine exposure: a review of the current evidence," Nicotine and Tobacco Research 9(10): 987 - 994, October 2007.|