1The best ways to avoid the dangers of waterpipe smoking:
Is not to smoke in the first place.
Is not go to waterpipe smoking areas.
2When you quit smoking
You’re not only benefiting yourself
But also your loved ones, family and friends.
3How bad for my health is waterpipe smoking?
Waterpipe smoking is very bad to your health. The charcoal used to heat tobacco in the waterpipe increases the health risks by producing smoke that contains high levels of carbon monoxide, metals, and cancer-causing chemicals. Waterpipe smoking carries many of the same health risks as cigarettes.
4Is waterpipe smoking safer then cigarette smoking?
Not at all. Waterpipe smoking is as dangerous as cigarette smoking and even worse. A waterpipe smoker spends longer time smoking than a cigarette smoker which means that he inhales more smoke during one session. The estimated smoke exposure in waterpipe equates the amount produced by consuming 100 to 200 cigarettes.

Longer smoking periods mean more smoke is inhaled, and thus uptake of greater amounts of nicotine and other toxins that would cause addiction and many bad health effects.
5Can you become addicted to smoking waterpipes?
Yes; waterpipe is addictive because it has the ingredient nicotine in tobacco just like cigarettes. The intake of nicotine increases the chances of addiction and this is the problem when it comes to smoking in general whether waterpipe, cigarettes, or any tobacco containing product.
6Is waterpipe smoking without tobacco (herbal waterpipe) harmful?
Yes it is harmful. Because, Waterpipe smoking dangers are also linked to the combusted charcoal which carries health risks even when non-tobacco waterpipe is used. The burned charcoal releases chemicals such as carbon monoxide (CO), polyaromatic hydrocarbons (PAH) and other combustion-related toxins that the smoker inhales. In other words, waterpipe smoking health risks are not only associated with tobacco waterpipes but with the non-tobacco waterpipe as well.
7Is it safe to be in a waterpipe smoking area even if I don’t smoke?
This is called Second Hand waterpipe smoking, which poses common health risks due to exposure to the smoke generated by smoking a waterpipe. . This is due to the composition of the smoke, which has both tobacco and charcoal elements and inhaling this smoke for a long period of time is just as dangerous as direct inhalation.
8How many cigarettes correspond to a waterpipe?
A typical 1-hour-long hookah smoking session involves 200 puffs, while an average cigarette is 20 puffs. The volume of smoke inhaled during a typical hookah session is about 90,000 milliliters, compared with 500 to 600 milliliters inhaled when smoking a cigarette.
9What harmful substances are absorbed from waterpipe smoke?
Studies on the composition of waterpipe smoke show that it contains high quantities of:

- Carbon monoxide
- Benzene
- Nicotine
- Tar
- Polycyclic aromatic hydrocarbons (PAHs)
- Tobacco-specific nitrosamines (TSNAs)
- Primary aromatic amines (PAAs)
- Humectants such as glycerine and 1,2-propanediol
- Carbonyls

In addition to other contaminant carcinogenic groups:

- Benzo[a]pyrene (PAK)
- N‘-nitrosonornicotine (TSNA)
- 2-naphthylamine (PAA)

Studies on the breakdown products of nicotine and carbon monoxide in the human body showed that waterpipe smokers absorb considerable quantities of toxic heavy metals:

- Arsenic
- Chromium
- Nickel

10What is Tar? Does the smoke of waterpipes also contain tar?
Tar is a black mixture of hydrocarbons and free carbon. Tar is produced from coal, wood, petroleum, or peat. Tar is formed during the burning of tobacco in the cigarette or during heating in the waterpipe.
11Which ingredients must be listed on the packaging of tobacco for waterpipes?
Most of the information listed on tobacco product packages is misleading. The listed concentrations of ingredients and emissions on the packages are measurements generated on smoking machines and do not reflect true human exposure.
12Do waterpipes have better filters than cigarettes or does water filter the contaminants in the smoke?
No, waterpipe do not have filters and the water does not filter totally the toxicants in the smoke.
13Can infectious diseases be transmitted through the smoking of waterpipes?
Yes, infectious diseases can be transmitted through the smoking of waterpipes because waterpipe hoses are frequently shared and smoked by several people. Possible transmission of pathogens like tuberculosis and viral, illnesses. The use of disposable mouthpieces can prevent the risk of infection but improper cleaning of any part of the waterpipe can leave users at risk for diseases that can be passed from user to user via the hose or mouthpiece whether or not a new tip is used.
14How bad is second hand smoking to children?
It is very bad. Inhaling secondhand waterpipe smoke can cause respiratory problems including asthma and bronchitis among children. In infants, secondhand smoking can cause sudden death and in pregnant women it causes low birth weight.

Parents and family members should never smoke in front of a child and around pregnant women whether in a café, or at home, or in the car. This is not only critical from health perceptive but also the social behavior perspective; waterpipe smoking in front of children and teenagers, especially in a family setting, encourages them to later pick up the habit thinking it is socially acceptable and does not pose health risks.