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Chemical analysis and potential health risks of hookah charcoal 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Sci Total Environ
Periodical, Abbrev.
Sci.Total Environ.
Pub Date Free Form
Volume
569-570
Issue
Start Page
262
Other Pages
8
Notes
ID: 27343945
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Hookah (waterpipe) smoking is a very common practice that has spread globally. There is growing evidence on the hazardous consequences of smoking hookah, with studies indicating that its harmful effects are comparable to cigarette smoking if not worse. Charcoal is commonly used as a heating source for hookah smoke. Although charcoal briquettes are thought to be one of the major contributors to toxicity, their composition and impact on the smoke generated remains largely unidentified. This study aims to analyze the elemental composition of five different raw synthetic and natural charcoals by using Carbon-Hydrogen-Nitrogen (CHN) analysis, inductively coupled plasma (ICP), and scanning electron microscopy coupled with energy dispersive X-Ray spectrometry (SEM-EDS). Elemental analysis showed that the raw charcoals contain heavy metals such as zinc, iron, cadmium, vanadium, aluminum, lead, chromium, manganese and cobalt at concentrations similar, if not higher than, cigarettes. In addition, thermal desorption-gas chromatography-mass spectrometry (TD-GC-MS) was used to analyze the chemical composition of the smoke produced from burning the charcoal samples. The smoke emitted from charcoal was found to be the source of numerous compounds which could be hazardous to health. A total of seven carcinogens, 39 central nervous system depressants and 31 respiratory irritants were identified.
Descriptors
Links
http://dx.doi.org/10.1016/j.scitotenv.2016.06.108
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Elsayed,Yehya, Dalibalta,Sarah, Abu-Farha, Nedal
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The hazard in hookah smoke. Water pipes seem safer than cigarettes--but may be worse 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
US News World Rep
Periodical, Abbrev.
US News World Rep.
Pub Date Free Form
Volume
144
Issue
3
Start Page
60
Other Pages
1
Notes
ID: 18318362
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Smoking/adverse effects, Water, Commerce, Hazardous Substances, Humans, Risk Assessment, United States
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-18318362
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Lyon,Lindsay
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
Hookah smoking: a popular alternative to cigarettes 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tex Dent J
Periodical, Abbrev.
Tex.Dent.J.
Pub Date Free Form
Volume
128
Issue
5
Start Page
441
Other Pages
5
Notes
ID: 21834366
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Hookah smoking has recently emerged as a popular alternative to cigarette smoking, particularly among young adults. The perception that hookah smoking is cleaner and less harmful than cigarette smoking appears to be key to its increased use, although this is not the case. Hookah tobacco smoking delivers the powerful addictive drug nicotine, higher levels of carbon monoxide than a cigarette as well as many of the carcinogens in cigarette smoke. There is also significantly increased risk associated with secondhand smoke from hookah smoke. Communal hookah use increases the risk of transmission of infectious diseases. Transition from social to individual hookah use is a critical step toward nicotine dependence as well as progression to cigarette use. Prevention and intervention in patients' tobacco use should include discussion of cigarette alternatives including hookah smoking.
Descriptors
Smoking/adverse effects, Carbon Monoxide/analysis, Carcinogens/analysis, Humans, Nicotine/analysis, Risk Factors, Smoke/analysis, Tobacco/chemistry, Tobacco Smoke Pollution/adverse effects, Young Adult
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-21834366
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Rankin,K. V.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
New tobacco trends: waterpipe (hookah) smoking and implications for healthcare providers 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Am Acad Nurse Pract
Periodical, Abbrev.
J.Am.Acad.Nurse Pract.
Pub Date Free Form
Volume
21
Issue
5
Start Page
258
Other Pages
60
Notes
ID: 19432909
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
PURPOSE: To inform healthcare providers about waterpipe smoking, a new trend in tobacco use that is gaining popularity among adolescents and young adults. DATA SOURCES: American Lung Association Tobacco Policy Alert on Waterpipe Smoking, World Health Organization Tobacco Regulation Advisory Note on Waterpipe Smoking, and pertinent publications available in the literature. CONCLUSIONS: Waterpipe smoking is a new trend in tobacco use that is associated with multiple health problems, including addiction. Healthcare providers should be aware of new tobacco trends that may affect patients, such as waterpipe smoking, that are potential gateways to nicotine addiction. IMPLICATIONS FOR PRACTICE: Tobacco comes in many forms, all of which are addicting. Healthcare providers must be knowledgeable about new forms of tobacco to address all types of tobacco use with patients. Healthcare providers also have a responsibility to educate patients about the health risks inherent in these products to help prevent the long-lasting problem of nicotine addiction.
Descriptors
Smoking, Tobacco Use Disorder, Adolescent, Attitude to Health, Health Education, Humans, Professional Role, Smoking/adverse effects, Smoking/prevention & control, Smoking/trends, Tobacco Use Disorder/complications, Tobacco Use Disorder/epidemiology, Tobacco Use Disorder/prevention & control, United States/epidemiology, Water, Young Adult
Links
http://dx.doi.org/10.1111/j.1745-7599.2009.00402.x
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Noonan,Devon, Kulbok,Pamela A.
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
Hookah smoking and lung cancer in the Kashmir valley of the Indian subcontinent 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pac J Cancer Prev
Periodical, Abbrev.
Pub Date Free Form
Volume
12
Issue
2
Start Page
519
Other Pages
24
Notes
ID: 21545223
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: The literature about the causal relationship between lung cancer and tobacco smoking mostly concerns cigarettes. Hookah smoking is popular in the Kashmir valley of the Indian subcontinent, and is generally believed to be innocuous because of the passage of the smoke through water before inhalation. OBJECTIVE: To determine the relationship of hookah smoking to lung cancer in Kashmir. MATERIALS AND METHODS: In a case-control design, 251 cases of lung cancer and 500 age-matched controls were studied. A predefined questionnaire was administered through a personal interview regarding various smoking and dietary patterns and the results compared through statistical analyses. RESULTS: There were 194 (178 current) ever-smokers amongst the cases and 223 (134 current) amongst controls. Smokers had a 4.2 times risk of lung cancer compared to non smokers (OR 4.23, 95% CI 3.0-5.96, p < 0.0001). There were 120 hookah smokers amongst the cases and 100 amongst the controls and hookah smokers were nearly six times at risk for lung cancer as compared to nonsmokers (OR 5.83, (95% CI 3.95-8.60, p < 0.0001). Cigarette smokers were commoner amongst cases (46 vs 64 in controls; OR 3.49, 95% CI 2.18-5.60, p=0.000). The severity of smoking was associated with a higher risk of lung cancer (Chi-square 72.1, p 0.000).The practice of changing water of the hookah after each session proved non-existent. CONCLUSION: Hookah smoking is associated with a significantly higher risk for lung cancer in Kashmiri population, with about 6 fold elevated risk as compared to non-smoking controls.
Descriptors
Adenocarcinoma/etiology, Lung Neoplasms/etiology, Smoking/adverse effects, Case-Control Studies, Ethnic Groups, Female, Humans, India, Male, Middle Aged, Prognosis, Risk Factors, Questionnaires
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-21545223
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Koul,Parvaiz A., Hajni,Mubashir R., Sheikh,Mushtaq A., Khan,Umar H., Shah,Azra, Khan,Yasmin, Ahangar,A. G., Tasleem,Reyaz A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Radiological hazards of Narghile (hookah, shisha, goza) smoking: activity concentrations and dose assessment 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Environ Radioact
Periodical, Abbrev.
J.Environ.Radioact.
Pub Date Free Form
Volume
99
Issue
12
Start Page
1808
Other Pages
14
Notes
ID: 18768240
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Narghile (hookah, shisha, goza, "water-pipe") smoking has become fashionable worldwide. Its tobacco pastes, known as moassel and jurak, are not standardized and generally contain about 30-50% (sometimes more) tobacco, molasses/juice of sugarcane, various spices and dried fruits (particularly in jurak) and, in the case of moassel, glycerol and flavoring essences. Tobacco contains minute amounts of radiotoxic elements such as (210)Pb, (210)Po and uranium, which are inhaled via smoking. Only very few data have been published on the concentrations of natural radionuclides in narghile tobacco mixtures. Consequently, the aim of this study was to draw first conclusions on the potential hazards of radioactivity in moassel tobacco in relation to narghile smoking. The results indicate the existence of a wide range in the radioactivity contents where the average (range) activity concentrations of (238)U, (234)Th (226)Ra, (210)Pb, (210)Po, (232)Th and (40)K, in Bq/kg dry weight were 55 (19-93), 11 (3-23), 3 (1.2-8), 14 (3-29), 13 (7-32), 7 (4-10) and 719 (437-1044)Bq/kg dry weight, respectively. The average concentrations of natural radionuclides in moassel tobacco pastes are comparable to their concentration in Greek cigarettes and tobacco leaves, and lower than that of Brazilian tobacco leaves. The distribution pattern of these radionuclides after smoking, between smoke, ash and filter, is unknown, except for (210)Po during cigarette smoking and from one existing study during moassel smoking. Radiological dose assessment due to intake of natural radionuclides was calculated and the possible radio-toxicity of the measured radionuclides is briefly discussed.
Descriptors
Air Pollutants, Radioactive/analysis, Smoke/analysis, Smoking/adverse effects, Egypt, Humans, Polonium/analysis, Radiation Dosage, Radium/analysis, Saudi Arabia, Social Environment, Tobacco, Uranium/analysis
Links
http://dx.doi.org/10.1016/j.jenvrad.2008.07.005
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Khater,Ashraf E. M., Abd El-Aziz,Nawal,S., Al-Sewaidan,Hamed, Chaouachi,Kamal
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Important clarifications about peculiarities of hookah smoking and lung cancer in Kashmir 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pac J Cancer Prev
Periodical, Abbrev.
Pub Date Free Form
Volume
12
Issue
8
Start Page
2145
Other Pages
6
Notes
ID: 22292667
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Adenocarcinoma/etiology, Lung Neoplasms/etiology, Smoking/adverse effects, Female, Humans, Male
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-22292667
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Koul,Parvaiz A., Chaouachi,Kamal
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Hookah smoking and cancer: carcinoembryonic antigen (CEA) levels in exclusive/ever hookah smokers 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Harm Reduct J
Periodical, Abbrev.
Pub Date Free Form
Volume
5
Issue
Start Page
19
Other Pages
19
Notes
ID: 18501010
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: We have recently published some work on CEA levels in hookah (also called narghile, shisha elsewhere) and cigarette smokers. Hookah smokers had higher levels of CEA than non-smokers although mean levels were low compared to cigarette smokers. However some of them were also users of other tobacco products (cigarettes, bidis, etc.). OBJECTIVES: To find serum CEA levels in ever/exclusive hookah smokers, i.e. those who smoked only hookah (no cigarettes, bidis, etc.), prepared between 1 and 4 times a day with a quantity of up to 120 g of a tobacco-molasses mixture each (i.e. the tobacco weight equivalent of up to 60 cigarettes of 1 g each) and consumed in 1 to 8 sessions. METHODS: Enhanced chemiluminescent immunometric technique was applied to measure CEA levels in serum samples from 59 exclusive male smokers with age ranging from 20-80 years (mean = 58.8 +/- 14.7 years) and 8-65 years of smoking (mean = 37.7 +/- 16.8). 36 non-smokers served as controls. Subjects were divided into 3 groups according to the number of preparations; the number of sessions and the total daily smoking time: Light (1; 1; 20 min to 2 hrs to < or = 6 hrs). Because of the nature of distribution of CEA levels among our individuals, Wilcoxon's rank sum two-sample test was applied to compare the variables. RESULTS: The overall CEA levels in exclusive hookah smokers (mean: 3.58 +/- 2.61 ng/ml; n = 59) were not significantly different (p < or = 0.0937) from the levels in non-smokers (2.35 +/- 0.71 ng/ml). Mean levels in light, medium and heavy smokers were: 1.06 +/- 0.492 ng/ml (n = 5); 2.52 +/- 1.15 ng/ml (n = 28) and 5.11 +/- 3.08 ng/ml (n = 26) respectively. The levels in medium smokers and non-smokers were also not significantly different (p < or = 0.9138). In heavy smokers, the CEA levels were significantly higher than in non-smokers (p < or = 0.0001567). CONCLUSION: Overall CEA levels in exclusive hookah smokers were low compared to cigarette smokers. However, heavy hookah smoking substantially raises CEA levels. Low-nitrosamines smokeless tobacco of the SNUS Swedish type could be envisaged as an alternative to smoking for this category of users and also, in a broad harm reduction perspective, to the prevalent low-quality moist snuff called naswar.
Descriptors
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2438352/?tool=pubmed; http://dx.doi.org/10.1186/1477-7517-5-19
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Sajid,Khan Mohammad, Chaouachi,Kamal, Mahmood,Rubaida
Original/Translated Title
URL
Date of Electronic
PMCID
Editors