Hubbly Bubblies, Hookahs, Nagrily, Water pipes

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Hubbly Bubblies, Hookahs, Nagrily, Water pipes
call them what you like! N.B., they are
dangerous addictive killers!

• CANSA Smart Anti-Tobacco Advice

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Aaaah, the folly of youth!?They go to
university, are intelligent, get degrees, but act
stupidly.
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• Briefly, when smoking through the water pipe you
  smoke tobacco which contains nicotine and it is
  addictive.
• Doesnt matter how its flavoured.
• Its a dangerous addictive drug!
• Hookahs are often smoked socially, therefore
  the smokers smoke much longer, more intensely,
  inhale more deeply, holding the smoke in their
  lungs.
• Remember! The Innocent-looking very
  sociable-looking Hubbly, can be more dangerous
  than cigarettes because of the illusion that its
  not dangerous!

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• Filtering through water is almost irrelevant.
• The smoke might be cooled a little, but
• it starts off at very, very high temperature
  burning on charcoal,
• The Carcinogens are still inhaled by the smoker.

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• According to History
• Water pipes have been used to smoke tobacco
  other substances by indigenous Africans Asians
  for at least 4 centuries.
• According to a physician during the reign of
  Emporer Akbar (who ruled 1556 to 1605), he
  purported water pipe smoking to be a less
  harmful method of tobacco use. The physician
  Hakim Abul Fath suggested that tobacco smoke
  should be first passed through a small receptable
  of water so that it would be rendered harmless
• So, remember a widespread, but unsubstantiated
  belief held by many water pipe users today that
  the practice is relatively safe is as old as
  the water pipe itself!

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• Enter the jolly marketing gurus..
• who will always make out our old enemy, Nicotine,
  to be very appealing
• Marketing tools associated with water pipes
  water pipe tobacco may reinforce the so-called
  its Safe! unsubstantiated belief.
• E.g. the label of a popular water pipe tobacco
  brand sold in South West Asia North America
  states 0,5 nicotine 0 tar
• A ruthless approach, but if there is money to be
  made, the marketers will smoke the pipe!
• Remember Take charge of your own health,
  investigate before you make a decision to start
  smoking the pipe.

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• About the Water pipe
• There are regional cultural differences in some
  water pipe design features.
• But, all water pipes contain water through which
  smoke passes prior to reaching the smoker.

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• Water pipes have a head, body, water bowl hose
  (see figure)
• Holes in the bottom of the head allow smoke to
  pass into the bodys central conduit.
• This conduit is submerged in the water that
  half-fills the water bowl.
• The hose is not submerged, exits from the water
  bowls top, and ends with a mouthpiece, from
  which the smoker inhales.
• The tobacco that is placed into the head is very
  moist ( often sweetened flavoured) it does
  not burn in a self-sustaining manner.
• Thus, charcoal is placed atop the tobaccofilled
  head (often separated from the tobaccos by
  perforated aluminium foil)
• When the head is loaded, the charcoal lit, a
  smoker inhales through the hose, creating a
  vacuum above the water, drawing air through the
  body over the tobacco and charcoal
• Having passed over the charcoal, the heated air,
  which now also contains charcoal combustion
  products, passes through the tobacco, and the
  mainstream smoke aerosol is produced.
• The smoke passes through the water pipe body,
  bubbles through the water in the bowl, is
  carried through the hose to the smoker.
• During a smoking session, smokers typically
  replenish adjust the charcoal periodically.
• A pile of lit charcoal may be kept in a firebox
  for this purpose.
• As an alternative, smokers may opt for
  commercially available quick lighting charcoal
  briquettes.

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• Names for the water pipe also differ..
• Narghile in the east Mediterranean countries,
  incl. Turkey Syria
• Shisha Goza in Egypt some North African
  countries
• Hookah in India
• Remember It all sounds so cool, but it really is
  not!

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• It is so easy to get you addicted..
• Water pipes can be be bought from dedicated
  supply shops, incl. Internet vendors, which also
  sell charcoal, tobacco accessories.
• Water pipes are marketed as portable, with
  accessories i.e. carry cases with shoulder
  straps!
• Some accessories are sold with claims to reduce
  the harmfulness of the smoke, i.e. mouthpieces
  that contain activated charcoal or cotton,
  chemical additives for the water bowl plastic
  mesh fittings to create smaller bubbles.
• Remember None of these accessories have been
  demonstrated to reduce the smokers exposure to
  toxins or risk of tobacco-caused disease and death

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• The Enemy is called Nicotine
• Contrary to ancient folklore popular belief,
  the smoke that emerges from the water pipe
  contains numerous toxicants known to cause LUNG
  CANCER, heart disease other diseases.
• Remember Water pipe tobacco smoking delivers the
  addictive drug NICOTINE, and, as is the case with
  other tobacco products, more frequent use is
  associated with the smokers being more likely to
  report that they are addicted.

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• The Scary Realities
• A water pipe smoking session may expose the
  smoker to more smoke over a longer period of time
  than occurs when smoking a cigarette.
• Cigarette smokers typically take 8 12, 40-47 ml
  puffs over 5-7 minutes and inhale 0.5 to 0.6
  litres of smoke.
• Remember
• In contrast, water pipe smoking sessions
  typically the last 20-80 minutes, during which
  the smoker may take 50-200 puffs which range from
  about 0.15 to 1 litre of smoke each.
• The water pipe smoker may therefore inhale as
  much smoke during one session as a cigarette
  smoker would inhale consuming 100 or more
  cigarettes!
• While water does absorb some of the nicotine,
  water pipe smokers can be exposed to a sufficient
  doses of this drug to cause addiction.

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• Research.
• Preliminary research on patterns of smoking, the
  chemistry of the smoke that is inhaled, and
  health effects support the ideas that water pipe
  smoking is associated with many of the same risks
  as cigarette smoking.
• The science base support the following
  conclusions
• Using the water pipe to smoke tobacco poses a
  serious potential health hazard to smokers
  others exposed to the smoke emitted.
• Using the water pipe to smoke tobacco is not a
  safe alternative to cigarette smoking.
• A typical 1 hour long water pipe smoking session
  involves inhaling 100-200 times the volume of
  smoke inhaled with a single cigarette.
• Even after it has been passed through water, the
  smoke produced by a water pipe contains high
  levels of toxic compounds, including carbon
  monoxide, heavy metals and cancer causing
  chemicals.
• Commonly used heat sources that are applied to
  burn the tobacco, i.e. wood cinders or charcoal,
  are likely to increase the health risks because
  when such fuels are combusted they produce their
  own toxicants, including high levels of carbon
  monoxide, metals and cancer causing chemicals.

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• Some more about Research.
• Pregnant women the foetus are particularly
  vulnerable when exposed either actively or
  involuntarily, to the water pipe smoke toxicants.
• Second-hand smoke from water pipes is a mixture
  of tobacco smoke, in addition to smoke from the
  fuel, therefore poses a serious risk for
  non-smokers.
• There is no proof that any device, or accessory
  can make water pipe smoke safer.
• Sharing a water pipe mouthpiece, poses a serous
  risk of transmission of communicable diseases,
  including tuberculosis and hepatitis.
• Water pipe tobacco is often sweetened
  flavoured, making it very appealing the sweet
  smell taste of the smoke may explain why some
  people, particularly young people who otherwise
  would not use tobacco, begin to use and smoke the
  water pipes!

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• Thank you for your support in the fight against
  cancer
• For more CANSA Smart Information,
• Contact the CANSA Regional Office.
• Telephone number ( )
• Or visit www.cansa.org.za
• Or phone Toll free 0800 22 66 22
• CANSA North West Limpopo [phone] 0694
• Fax [phone]
• With grateful thanks for the information received
  to the World Health Organisation (WHO) Study
  Group on Tobacco Product Regulation (TobReg)
  April 2008