Hookah Bars

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:

  • "waterpipe smokers and second-hand smokers [are] at risks for the same kinds of disease as are caused by cigarette smoking, including cancer, heart disease, respiratory disease, and adverse effects during pregnancy."

  • And recommends that "waterpipes should be prohibited in public places consistent with bans on cigarette and other forms of tobacco smoking," and that "education…is urgently needed about the risks of waterpipe smoking, including high potential levels of secondhand exposure."



This chart lists chemicals found in hookah smoke versus cigarette smoke. Click on the image to enlarge.

 

 

 

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

Hookah causes Leukemia: study
Morocco World News - November 29, 2014

"Non-smokers who socialize with hookah [Shisha] smokers also inhale large quantities of charcoal combustion-generated toxic and carcinogenic emission," ...

Hookah, as Health Risk, Still Qualifies as Smoking
New York Times - November 25, 2014

Smoking through a hookah is not harmless, according to a new study. In addition to the usual tobacco carcinogens, dangerous levels of benzene are inhaled from the lump of smoldering charcoal that ignites the moist tobacco mixture.

Hookahs Deliver Toxic Benzene in Every Puff
HCPLive - November 25, 2014

Researchers analyzed levels of S-phenylmercapturic acid (SPMA) -- a metabolite of benzene --- in the urine of 105 hookah smokers and 103 nonsmokers ...

Hookah smokers and nonsmokers exposed to secondhand smoke ...
OregonLive.com - November 21, 2014

A new study has found that hookah smokers and those exposed to the secondhand smoke at social events face an increased risk of leukemia

Health Alert Hookah smoke dangers
KYTX - November 21, 2014

A study at San Diego State University found smoking tobacco from a hookah pipe ... Researchers say second hand smoke at hookah lounges is also a danger ...

Hookah Bars: Does the Smoking Ban Apply?
1011now - September 25, 2014

LINCOLN, Neb. -- A new Lincoln hookah bar attorney said the statewide smoking ban does not apply to his client's business. Rotana Club Hookah Bar opened ...

Hookah lounge violated permit conditions: VGN
The Island Now - September 25, 2014

The moratorium would allow the village to discuss possible restrictions on alternative forms of smoking, like hookah pipes and e-cigarettes that could pose public ...

Nearly 1 in 5 high school seniors have tried hookah
CNN Health - July 7, 2014

But if you ask young Americans about smoking tobacco through a hookah, also called a waterpipe or shisha, there's a good chance you won't find the same level of awareness. Some areas in the United States, like San Francisco, have curbed the practice. Roughly 73 municipalities and some states across the country have specifically banned hookah, says Bronson Frick, associate director of Americans for Nonsmokers' Rights.

Proposed Fayetteville ordinance could snuff out rapid growth of tobacco shops
Fayetteville Observer - June 1, 2014

A proposed ordinance before the Planning Coimmission would limit where developers could put tobacco shops, cigar bars and hookah lounges in the city.

Hookah bars have higher indoor air pollution
TheHealthSite - May 30, 2014

Air nicotine concentrations were also elevated and markedly higher than levels previously found in smoke-free bars and restaurants. (Read: Hookahs not a ...

Yes, College Students, Hookahs Are Bad for You
The Atlantic-by Olga Khazan - May 19, 2014

Almost twice as many high-school students smoke hookah as smoke e-cigarettes. A survey of eight North Carolina colleges found that 40 percent of students ...

Water pipe smoking causes significant exposure to nicotine and cancer-causing agents
Medical Xpress (PhysOrg.com) - May 16, 2014

Young adults who smoked water pipes in hookah bars 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...

Study finds cigarette alternatives may not be safer than cigarettes
The Aggie - October 24, 2013

If youve ever been convinced to smoke hookah or anything else for that matter because someone told you it was completely safe, you arent alone (but youve been lied to). Are smoking alternatives as safe as people think? UC Davis pulmonary physicians recently published a study concluding these replacements can be addictive gateways to cigarette smoking. The assessment which focused on cigars, hookah, e-cigarettes and a Swedish smokeless tobacco called snus provides new insight on why people trying to quit smoking (and those who havent started) should avoid all types of tobacco products.

Cigarette alternatives may not be 'safe' tobacco
Medical Xpress - October 9, 2013

Cigarette alternatives, widely perceived to be safe, are often addictive and can be stepping stones to cigarette smoking, according to a scientific review published online in the journal Clinical Reviews in Allergy and Immunology.

County fines hookah lounges, orders them to curtail smoking
The Seattle Times (blog) - October 3, 2013

Citing the need to protect public health, King County officials have sent notices to six hookah lounges in Seattle ordering them to stop allowing patrons to smoke from water pipes on their premises. The move, covering hookah lounges scattered throughout the city, came after multiple inspections found violations of the states indoor-smoking ban passed by voters in 2005.

Medford city officials ban hookah bars
Wickedlocal-Med Ford - September 23, 2013

While Medford city officials will be working during the next six months to figure out where to put medical marijuana dispensaries, they have banned hookah bars. On Sept. 10, the Medford City Council approved a new ordinance banning hookah bars, or tobacco-smoking bars, from setting up shop within Medford's borders.

Hookah smoking delivers carcinogens and carbon monoxide
Science News - April 26, 2013

Compared with smoking cigarettes, using a hookah (shown) sends more carbon ... for four days and then, after a week with no restrictions, only cigarettes.

More Carbon Monoxide, Benzene In Hookah Smoke Than Cigarettes, Study Says
Nature World News - April 18, 2013

A lot of people scoff at cigarette smokers but will happily toke on a water pipe, or hookah, because it's more socially acceptable and even viewed as less hazardous than cigarettes. But a new study from the University of California, San Francisco reports that hookah smoke contains a different - but still harmful - cocktail of chemicals that can lead to health problems.

Ban intended for hookah lounges backfires
AberdeenNews.com - March 1, 2013

PIERRE ­ An attempt by Rapid City officials to have the Legislature make hookah lounges comply with the state’s smoking ban backfired Thursday. A House panel reversed the legislation, so that hookah lounges would be exempt if they were in actual operation before Jan. 1. Rep. Anne Hajek, R-Sioux Falls, warned a bigger door might be opening. “I think we’ve enlarged what liquor establishments can have smoking,” she said. The House Local Government Committee voted 8-4 to add the hookah exemption and send the new version of the bill to the full House of Representatives. It could be debated by House members as early as Tuesday afternoon. The original legislation brought by Sen. Craig Tieszen, R-Rapid City, sought to define smoking in state law. …

Senate OKs smoking definition to include hookah
Mitchell (SD) Daily Republic - Feb 16, 2013

He said the legislation will provide “a clear definition of smoking” that will allow all establishments to be treated in conformance with the state’s smoking ban. The vote was in favor 31-3. Voting no were Republican Ryan Maher of Isabel and Democrats A

Senate passes hookah lounge smoking bill
Rapid City (SD) Journal - Feb 15, 2013

A bill aimed squarely at hookah lounges sailed through the state Senate on Thursday. The bill, introduced by Sen. Craig Tieszen, R-Rapid City, changes the definition of smoking in state law to include the use of water pipes in hookah lounges, a point of ...

1 In 3 College Students Has Smoked Hookah
WCYB - June 7, 2012

… 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. ...

Hookah lounges under fire
The Clipper (WA) May 27, 2012

...Organizations like Americans for Nonsmokers' Rights (ANR) and smokefreewashington.com advocate against these hookah lounges as well as casinos that allow ...

Bill Banning Hookah and E-Cigarette Use Clears Another Hurdle
KCPW (blog) - February 27, 2012

(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 ...

House passes ban on using e-cigarettes, hookahs in public
KSL-TV - February 23, 2012

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 ...

Utah House committee OKs hookah ban
Salt Lake Tribune - February 9, 2012

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...

House panel forwards ban on hookah, e-cigarettes
Deseret News – February 9, 2012

Bradley Last, R-Hurricane, proposed to amend the state's Indoor Clean Air Act to define the use of electronic cigarettes and hookah pipes as smoking, ...

No more underage hookah smoking
Queens (NY) Chronicle - January 5, 2012

State legislation barring minors from hookah smoking or buying ... a few hookah bars prominently displayed signs banning anyone under 18 from entering. ...

Utah lawmakers: Smoking hookah OK in bars and clubs
Salt Lake Tribune, 2011-09-13
Heather May The Salt Lake Tribune

Utahns can continue to smoke tobacco from water pipes after all. ...

UTAH HOOKAH BAN: Controversial hookah ban goes into effect in Utah
KSTU-TV 13 (Salt Lake City, UT), 2011-09-12

A controversial ban on hookah bars in the state goes into effect today. ...

Are Hookah Bars Illegal?
Reuters - Stephanie Rabiner - August 30, 2011

For instance, Alabama has no statewide smoking ban, but a number of cities have implemented their own ban. Some allow smoking in restaurants and bars while ...

Utah gives hookah the hook
Salt Lake Tribune, 2011-08-29
HEATHER MAY The Salt Lake Tribune

Starting in mid-September, Utah bars and clubs cannot allow patrons to smoke most hookah products indoors. ...

Hookah bars are catching on in Rhode Island
Providence (RI) Journal-Bulletin, 2011-08-20
Andy Smith Journal Staff Writer

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. ...

Show's over for San Francisco hookah lounges
San Francisco Chronicle, July 15, 2011

For hookah lounges in San Francisco, the end is very, very near. …

Hookah lounges: S.F. health officials seek closure
San Francisco Chronicle, 2011-07-12
Stephanie Lee, Chronicle Staff Writer

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, [2011].

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.

Utah health officials proposing rule to ban hookah smoking in public places, including bars
Associated Press (AP), 2011-06-06
JOSH LOFTIN Associated Press

A proposed rule by Utah health officials would prohibit hookah smoking in popular bars and other public places. ...

Madison County's ban on e-cigarettes, hookahs begins next Monday
Lexington Herald-Leader, May 31, 2011

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 …

Putting a Crimp in the Hookah
New York Times - Douglas Quenqua - May 30, 2011

Most of the anti-hookah laws now under consideration are intended to end exemptions in state indoor-smoking bans that allowed hookah bars to thrive. Such bans often contained exceptions for “tobacco specialty shops”; many hookah bars qualify as such by ...

Hookah bar slips through legislative loophole
A bill in the Legislature would prevent new smoking lounges from opening
Eugene (OR) Register-Guard, 2011-05-22
Lauren Fox The Register-Guard

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. ...

Ore. lawmakers try to plug loophole allowing hookah lounges
Columbus (IN) Republic, 2011-05-22
* LAUREN FOX Eugene Register-Guard

Al Narah, Eugene's newest hookah lounge, may have opened in the nick of time. ...

Hookah bars, popular with teens, put on notice
NorthJersey.com - Zach Patberg - May 16, 2011

His application for an exemption to the smoking ban has stalled repeatedly. ... he said, adding that Eros ignored the smoking ban for the first year until ...

Hookahs Safer Than Cigarettes? A Pipe Dream
Toking on Water Pipes Gaining in Popularity, but Full of Health Risks
MedicineNet, 2011-05-10
Bill Hendrick WebMD Health News

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. ...

Hookah Lounge Ban Narrowly Passes Committee Vote
WFSB Hartford - May 10, 2011

A bill that would ban smoking in Connecticut hookah lounges, except those establishments that opened last year or earlier, has narrowly cleared a key legislative committee. The Planning and Development Committee passed the bill Monday on an 11-10 vote. ...

Hookah Lounges Face Possible Changes
A Bill Up For Vote Could Adopt New Regulations
Associated Press (AP), 2011-05-08

A bill that prohibits smoking in Connecticut hookah lounges, except those open before the end of last year, is facing a key legislative vote. ...

House Votes to Place Restrictions on Hookah Bars
The Lund Report - Amanda Waldroupe - April 27, 2011

The bill closes a loophole in the Clean Indoor Air Act, also known as the Smoke-Free Workplace Law, which allows the sampling of tobacco products at smoke shops and cigar bars for 'retail decision-making.' Tomei said the loophole allows hookah lounges ...

Study Reveals Higher CO Levels With Hookah Smoking
MD News (press release) - Jill Pease - April 8, 2011

The next step would be to demonstrate harmful exposures in those working in non-smoke free venues or patrons of such venues who are nonsmokers.” ­ Wasim Maziak, MD, Ph.D., Professor at the University of Memphis School of Public Health, Director of the ...

Hookah Use Widespread Among College Students Study Reveals Mistaken Perception ...
Newswise (press release) - April 5, 2011

Newswise ­ WINSTON-SALEM, NC – April 5, 2011 – Despite a growing number of cities instituting smoking bans across the country, hookah bars are cropping up everywhere – from chic downtown cafes to locations near college campuses, where they've found a ...

City Councilman wants to ban creation of new hookah bars in city, says smoke is dangerous
New York Daily News, 2010-10-25
Irving Dejohn and Erin Durkin DAILY NEWS WRITERS

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. ...

Utah County OKs hookah policy
Salt Lake Tribune - Donald W. Meyers - September 27, 2010

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. It’s expected the state Department of Health will issue an administrative rule declaring hookah pipes subject to Utah’s indoor-smoking law.

Joseph Miner, Utah County Health Department’s executive director, said the county is following the lead of Davis County, which recently enacted an identical policy.

“We’re doing what common sense tells us,” Miner said. “But until the state acts, we need some guidelines." ...

Hope for hookah bars in Davis County goes up in smoke
Davis County (UT) Clipper, 2010-08-12
Melinda Williams

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 state’s 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. ...

ESCONDIDO: City rejects proposal to allow hookah lounges
Council cites concerns about health, attracting wrong crowd
North County (CA) Times, 2009-12-03
DAVID GARRICK

The City Council decided Wednesday not to allow hookah smoking lounges in Escondido, asserting that such businesses would not attract the appropriate crowd to downtown, might jeopardize the health of teens and could burden the Police Department.

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 ...

Waterpipe tobacco smokers inhale same toxicants as cigarette smokers
ScienceDaily, 2009-12-03

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.
In the past eight to 10 years, smoking tobacco with a waterpipe, also called a hookah or shisha, has grown in popularity in the United States, especially among adults 18 to 24. The belief among some waterpipe users is that this method of smoking tobacco delivers less tar and nicotine than regular cigarette smoking and has fewer adverse health effects.

"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.

Toback: Smoking hookah not worth the health risk - Feature
Daily Orange (Syracuse University), 2009-11-19
Rebecca Toback

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. ...

Bay Area hooked on hookah
San Francisco Chronicle, 2009-10-18
Carolyne Zinko, Chronicle Staff Writer

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.
Hookah lounges in the Bay Area tend to cluster around universities such as Stanford, although there are many in San Francisco - from the Tenderloin to the Haight-Ashbury. High-tech workers and engineers such as Mohammad Aldossary, 25, a Stanford graduate student in petroleum engineering from Saudi Arabia, enjoy them, too.

"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.

Worth waves goodbye to hookah bars
Reporter Online - William Jones - Oct 8, 2009

The statewide smoking ban outlawed smoking at bars and restaurants, but lighting up was still legal at businesses people would go for the sole purpose of ...

Sorry, hookah bar, no smoking
The Bryan-College Station Eagle, October 9, 2009

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 ...

Sheesha smokers at high risk of catching virus
TradeArabia (bh), 2009-09-15

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. ...

It's no to hookah bars, yes to tattoos in Menifee
Riverside (CA) Press-Enterprise, 2009-08-26
JULISSA McKINNON The Press-Enterprise

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. ...

Shisha 'as harmful as cigarettes'
BBC Online, 2009-08-24
Perminder Khatkar BBC Asian Network

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.
"If my mum sees me smoking shisha, she isn't going to take it as seriously as if I was smoking cigarettes," said a British Pakistani man.

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. ...

No Exemption for Hookah Bars
WHQR Public Radio - Michael Tomsic - August 4, 2009

A bill to exempt hookah bars from the North Carolina smoking ban was withdrawn from the House at the request of hookah bar owners.
The bill had passed two committees when hookah bar owners from Watauga and Orange Counties asked Watauga County Democrat Cullie Tarleton to pull it. Tarleton, the bill's primary sponsor, says the issue will not be reopened during this legislative cycle.

"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. ...

Survey of Hookah Establishments in North Carolina
Prepared by NC Prevention Partners, July, 2009

After the successful passage of a statewide law to prohibit smoking in all NC restaurants and bars, discussion of the law’s 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. ...

New law may put flames out at Wilmington Hookah Bars
WECT 6 WILMINGTON(NC), 2009-07-29

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.
"We've been very active with other hookah bars in the state," said Denny Best, Juggling Gypsy manager. "We're trying to get an amendment passed to exempt hookah bars like they plan to exempt cigar bars." ...

Exception for hookah bars OK'd by NC House panel
North Carolina House committee agrees to exempt existing hookah bars from smoking ban
AP, 2009-07-29

Establishments where patrons smoke tobacoo using a water pipe could remain open in North Carolina in legislation heading to the full House.
A judiciary committee Tuesday evening narrowly approved a bill to allow hookah bars open as of July 1 to keep selling after a new smoking ban in bars and restaurants takes effect next year. ...

Santa Cruz bans hookah lounges near kid hot spots
San Jose (CA) Mercury-News, 2009-05-13
Genevieve Bookwalter - Sentinel staff writer

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. ...

Heights leader hopes to curb hookah use among minors
Dearborn Press and Guide - April 1, 2009

By Sean Delaney , Press & Guide Newspapers The Dearborn Heights City Council is working on an amendment to the city ordinance on minors in possession of ...

Hookah, chillum smoking more toxic than cigarette: Study
The Times of India, 2008-10-02

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.

Waterpipe Smoking on College Campuses May Contribute to Growing Public Health Problem
Health News Digest, 2008-05-06
Virginia Commonwealth University

More and more U.S. college students are smoking tobacco using waterpipes – or hookahs – and it’s 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. . . .

EGYPT: Water pipe smoking a significant TB risk
Integrated Regional Information Network (IRIN), 2008-03-24

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.

Health officials warn of hookah-smoking hazard: Two CSU students contracted oral herpes
Fort Colliins (CO) Coloradoan, 2008-03-18

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
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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.
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