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Cancer risks of hookah (shisha, narghile) tobacco use require further independent sound studies 2010
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Int J Cancer
Periodical, Abbrev.
Int.J.Cancer
Pub Date Free Form
Volume
127
Issue
7
Start Page
1737
Other Pages
9; author reply 1739-40
Notes
ID: 20091861
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Neoplasms/epidemiology, Smoking/adverse effects, Tobacco/adverse effects, Behavior, Humans, Lung Neoplasms/etiology, Metals, Heavy/toxicity, Reproducibility of Results, Risk Assessment, Smoke/analysis, Smoking/psychology, Urinary Bladder Neoplasms/etiology, Water
Links
http://dx.doi.org/10.1002/ijc.25179
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Chaouachi,Kamal, Sajid,Khan Mohammad
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carbon monoxide fractions in cigarette and hookah (hubble bubble) smoke. 1993 Sajid, K.M., Atomic Energy Medical Centre, Multan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
JPMA.The Journal of the Pakistan Medical Association
Periodical, Abbrev.
J.Pak.Med.Assoc.
Pub Date Free Form
/
Volume
43
Issue
9
Start Page
179
Other Pages
182
Notes
Place of Publication
ISSN/ISBN
0030-9982
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
We studied the carbon monoxide (CO) fractions in hookah and cigarette smoke, using a carbon monoxide micro smokerlyzer (model EC50, BEDFONT, U.K.). Mean carbon monoxide fractions (% by volume) of hookah smoke, using domestic charcoal were 0.38 +/- 0.07 (large hookah; unfiltered); 1.40 +/- 0.43 (small hookah; unfiltered); 0.34 +/- 0.06 (large hookah; filtered); 1.36 +/- 0.35 (small hookah; filtered) and 0.41 +/- 0.08 (cigarette smoke). The highest fractions were obtained with small size hookah and increase in size of hookah (i.e., volume of air in water base, fire bowl volume, pipe length, etc.) reduced the CO fraction significantly (P < 0.001). The fractions of cigarette lie between large and small hookah. The fractions vary slightly with different varieties of tobacco, e.g., CO fractions with Dera wala tobacco are significantly low (P < 0.05). Use of commercial charcoal gives significant rise in CO fractions (P < 0.001). Comparison of filtered and unfiltered smoke shows no significant difference in values. We conclude that the CO hazard is as high with hookah smoking as with cigarette smoking.
Descriptors
carbon monoxide, article, plant, smoke, smoking, tobacco
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Sajid,K. M., Akhter,M., Malik,G. Q.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carbon monoxide levels among patrons of hookah cafes 2011 Department of Behavioral Science and Community Health, College of Public Health and Health Professions, University of Florida, 101 S. Newell Drive, Gainesville, FL 32611, USA. tebarnett@phhp.ufl.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Mar
Volume
40
Issue
3
Start Page
324
Other Pages
328
Notes
LR: 20131121; CI: Published by Elsevier Inc.; JID: 8704773; 0 (Tobacco Smoke Pollution); 7U1EE4V452 (Carbon Monoxide); 2010/07/12 [received]; 2010/10/07 [revised]; 2010/11/09 [accepted]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 21335264
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2010.11.004 [doi]
Output Language
Unknown(0)
PMID
21335264
Abstract
BACKGROUND: Individuals who use a hookah (water pipe) as a method of tobacco smoking are exposed to high levels of carbon monoxide (CO). Assessing hookah use in one of the venues of its use (hookah bars) will aid the understanding of the toxins and exposure for the user. In Florida, smoking is prohibited in public places under the Florida Clean Indoor Act but permitted in establishments that have less than 10% gross revenue from food. PURPOSE: To assess the CO level of hookah cafe patrons, using traditional bar patrons as a comparison. METHODS: After IRB approval, a nighttime field study of patrons (aged >18 years) exiting hookah cafes and traditional bars in 2009 was conducted, using sidewalk locations immediately outside these establishments in a campus community. As hookah cafes and bars are typically entered and exited in groups, every other group of people exiting the establishment was approached. For comparison purposes, the sample collected was similar in number, 173 hookah cafe and 198 traditional bar participants. RESULTS: Results from analysis conducted in 2010 indicate that patrons of hookah cafes had significantly higher CO levels (mean=30.8 parts per million [ppm]) compared to patrons of traditional bars (mean=8.9 ppm). Respondents who indicate no cigarette use in the past month but had visited a hookah cafe still demonstrated significantly higher CO values (mean=28.5 ppm) compared to those exiting traditional bars (mean=8.0 ppm). Current cigarette smokers also produced significantly more CO if exiting a hookah cafe (mean=34.7 ppm) compared to a traditional bar (mean=13.3 ppm). CONCLUSIONS: CO levels are higher for patrons of hookah cafes, for both current and non-cigarette smokers. Although users report that they perceive hookah to be less harmful than cigarettes, the greater CO exposure for hookah users that was observed in this study is not consistent with that perception.
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Links
Book Title
Database
Publisher
Data Source
Authors
Barnett,T.E., Curbow,B.A., Soule,E.K.,Jr, Tomar,S.L., Thombs,D.L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carbon monoxide poisoning following use of a water pipe/hookah 2014 Kantonsspital St.Gallen, St.Gallen, Switzerland.
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Print(0)
Ref Type
Journal Article
Periodical, Full
Deutsches Arzteblatt international
Periodical, Abbrev.
Dtsch.Arztebl Int.
Pub Date Free Form
3-Oct
Volume
111
Issue
40
Start Page
674
Other Pages
679
Notes
LR: 20151029; JID: 101475967; CIN: Dtsch Arztebl Int. 2015 Mar 27;112(13):221. PMID: 25869342; CIN: Dtsch Arztebl Int. 2015 Mar 27;112(13):221. PMID: 25869343; OID: NLM: PMC4215085; 2014/04/22 [received]; 2014/08/04 [revised]; 2014/08/04 [accepted]; ppubl
Place of Publication
Germany
ISSN/ISBN
1866-0452; 1866-0452
Accession Number
PMID: 25346357
Language
eng
SubFile
Case Reports; Journal Article; IM
DOI
10.3238/arztebl.2014.0674 [doi]
Output Language
Unknown(0)
PMID
25346357
Abstract
BACKGROUND: Water pipe (hookah) smoking has become a common activity in Germany, particularly among adolescents and young adults; in 2011, its lifetime prevalence was as high as 68.8%. Similar trends can be seen in other European countries. Water-pipe smokers are exposed to the same health-endangering substances as cigarette smokers, and the inhaled amount of carbon monoxide (CO) can be as much as ten times as high. In CO intoxication, carboxyhemoglobin is formed and causes direct injury at the cellular level, leading to hypoxia and nonspecific neuro logical manifestations. There have only been ten reported cases around the world of CO intoxication due to the use of a water pipe, and none of these were fatal. It should be recalled, however, that accidental CO intoxication is common and is associated with high morbidity and mortality. CASE PRESENTATION AND COURSE: We present a series of four young adults, aged 16 to 21, three of whom were hospitalized because of transient unconsciousness. The carboxyhemoglobin (CO-Hb) content of the blood in the symptomatic patients ranged from 20.1% to 29.6%, while the asymptomatic patient had a CO-Hb content of 16.7%. Water-pipe smoking was the cause of CO intoxication in all four cases. The CO-Hb values were successfully brought down by the administration of highly concentrated oxygen and all patients were discharged in asymptomatic condition. CONCLUSION: This case series reveals that CO intoxication due to water-pipe smoking is probably more common than is generally realized. Emergency room staff should be aware of this problem and inquire specifically about water-pipe smoking in patients with nonspecific neurological manifestations.
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Links
Book Title
Database
Publisher
Data Source
Authors
von Rappard,J., Schonenberger,M., Barlocher,L.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4215085
Editors
Carbon monoxide poisoning secondary to hookah smoking 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Am Osteopath Assoc
Periodical, Abbrev.
J.Am.Osteopath.Assoc.
Pub Date Free Form
Volume
112
Issue
10
Start Page
686
Other Pages
8
Notes
ID: 23055468
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Hookah smoking, at one time confined to North Africa, the eastern Mediterranean region, the Arabian peninsula, and Southeast Asia, has begun to spread throughout the world. As some practices of eastern and Arab cultures reach the United States, the number of people using hookah on an experimental or regular basis has increased. Carbon monoxide poisoning can be a common adverse effect, possibly undetected by physicians, in hookah smokers. The authors report a case of carbon monoxide poisoning secondary to smoking tobacco through a hookah.
Descriptors
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-23055468
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Ashurst,John V., Urquhart,Megan, Cook,Matthew D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carbon monoxide toxicity after lighting coals at a hookah bar 2014
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Med Toxicol
Periodical, Abbrev.
Pub Date Free Form
Volume
10
Issue
3
Start Page
295
Other Pages
8
Notes
ID: 24381126
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
INTRODUCTION: Unintentional non-fire-related (UNFR) carbon monoxide (CO) poisonings continue to account for a significant health and economic burden in the United States. While most of these poisonings are related to faulty central heating or water heaters in private dwellings, less common sources should also be considered when a patient presents with any signs or symptoms suggestive of CO toxicity. CASE REPORT: The authors present a case where a patient was found to have severe CO poisoning, a COHgb level of 33.8 %, after lighting coals for a water pipe called a hookah. The patient was initially unconscious and was found to have electrocardiogram (ECG) changes consistent with cardiac ischemia that resolved following treatment with hyperbaric oxygen therapy. DISCUSSION: In recent years, hookah bars have gained in popularity, especially in urban areas and around college campuses. This was the first case to identify the potential occupational exposure of employees working at hookah bars to CO. Furthermore, the patient's COHb level of 33.8 % was higher than any previously reported in the literature with exposure via hookah pipe. The practitioner should consider CO poisoning in patients who smoke tobacco via a hookah and consider early hyperbaric oxygen therapy in those experiencing significant symptoms.
Descriptors
Links
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Misek,Ryan, Patte,Christine
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carcinoembryonic antigen (CEA) levels in hookah smokers, cigarette smokers and non-smokers 2007
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Pak Med Assoc
Periodical, Abbrev.
J.Pak.Med.Assoc.
Pub Date Free Form
Volume
57
Issue
12
Start Page
595
Other Pages
9
Notes
ID: 18173042
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: To find CEA levels in smokers of different categories (hookah smokers, cigarette smokers smoking different brands of cigarettes and different number of cigarettes per day) and to correlate CEA levels with type and rate of smoking. METHODS: A total of 122 cigarette smokers (115 men and 7 women) and 14 hookah smokers (all men) with age ranging from 16-80 years were studied. CEA levels were also measured in 36 non-smokers who served as controls. Enhanced chemilumiscent immunometeric technique was applied to measure CEA levels in our subjects. RESULTS: The mean CEA levels of cigarette smokers were compared with the mean CEA levels observed in hookah smokers (7.16 +/- 10.4 ng/ml) and non-smokers (2.15 +/- 0.68 ng/ml). The mean value of CEA level observed in cigarette smokers, 9.19 +/- 14.9 ng/ml (n=122) was significantly higher than the levels in non-smokers and hookah smokers (p < 0.0067). It was also observed that CEA levels increased with the number of cigarettes smoked per day. The highest levels were observed in smokers who smoke more than 31 cigarettes per day. The smokers that use relatively cheaper brands of cigarettes had higher levels of CEA compared to those who use high quality brands. CONCLUSION: It was concluded that the brands of cigarettes (which were ranked on the basis of price) and the rate of smoking both play an important role in raising the CEA levels. Further the common belief that hookah also called narghile or shisha is a relatively safe mode of smoking is not completely correct; a significant proportion of hookah smokers have high levels of CEA although mean levels of hookah smokers were low compared to cigarette smokers.
Descriptors
Carcinoembryonic Antigen/analysis, Smoking, Tobacco Smoke Pollution, Tobacco, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pakistan, Prospective Studies
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-18173042
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Sajid,Khan Mohammad, Parveen,Riffat, Chaouachi,Kamal, Naeem,Ayisha, Mahmood,Rubaida, Shamim,Rahat
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Carcinoembryonic antigen (CEA) levels in hookah smokers, cigarette smokers and non-smokers--a comment 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Pak Med Assoc
Periodical, Abbrev.
J.Pak.Med.Assoc.
Pub Date Free Form
Volume
58
Issue
3
Start Page
155
Other Pages
155
Notes
ID: 18517128
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Carcinoembryonic Antigen/analysis, Smoking/adverse effects, Tobacco Smoke Pollution/adverse effects, Tobacco/adverse effects, Humans, Pakistan
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-18517128
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Maziak,Wasim
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Cardiovascular effects of hookah smoking: potential implications for cardiovascular risk 2018
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & Tobacco Research
Periodical, Abbrev.
Nicotine Tobacco Res.
Pub Date Free Form
Volume
Issue
Start Page
Other Pages
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
google
Authors
Rezk-Hanna, Mary, Benowitz, Neal L
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Cardiovascular effects of hookah smoking: potential implications for cardiovascular risk 2018
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & Tobacco Research
Periodical, Abbrev.
Nicotine Tobacco Res.
Pub Date Free Form
Volume
Issue
Start Page
Other Pages
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
google
Authors
Rezk-Hanna, Mary, Benowitz, Neal L
Original/Translated Title
URL
Date of Electronic
PMCID
Editors